Fine lines and wrinkles are a natural part of aging. But if you are bothered by the appearance of wrinkles,there are several ways to go about rejuvenating your face. Botox and fillers are currently some of the most common anti-aging treatments in the plastic surgery industry.

Many patients considering getting Botox and dermal fillers are already aware of the benefits of injectables. Some admit finding it a little confusing when it comes to differentiating the uses of each treatment option.
What they don’t know is that Botox and fillers can be combined to create a full spectrum anti-aging treatment for the face. Well,it’s a relatively new innovative treatment,but it is becoming increasingly popular.

BOTOX VS. FILLERS: WHAT’S THE DIFFERENCE IN USES?

BOTOX

Botox is a Botulinum toxin protein in a purified form which,when injected into the facial skin,relaxes the muscles in the target area. It is an ideal treatment option for correcting dynamic wrinkles,which are commonly known as expression lines. Dynamic wrinkles occur due to muscle movement.

Botox works best on wrinkles lines on the upper face points where muscles contract,such as:
· Crow’s feet around the eyes
· 1s’ between the brows
· Horizontal forehead lines

Botulinum toxin is not the only neurotoxin used in anti-aging treatment. There other three FDA-approved neurotoxins: Xeomin,Dysport,and Jeauveau.

DERMAL FILLERS

Fillers are also injected into the skin to treat wrinkles on the face. However,they work on different lines — lip lines,laugh lines and sleep wrinkles. If you need a nose or sunken check correction,the surgeon will also recommend fillers.
As the name suggests,fillers are used to add volume and fullness. They can reduce the static wrinkle lines that are visible when facial muscles relax.

There are a variety of FDA-approved temporary and permanent filler materials,including:
· Hyaluronic acid
· Calcium hydroxylapatite (Radiesse)
· Poly-L-lactic acid
· Polymethylmethacrylate

However,hyaluronic acid (HA) and calcium hydroxylapatite (CaHA) fillers are the most commonly used. These soft tissue fillers come in different types of thickness. Therefore,you wouldn’t have trouble finding the right one for your skin type.
Your body produces hyaluronic acid. The main function of this naturally occurring polysaccharide is to keep tissues well lubricated. The skin,eyes,and connective tissues have the most amount of hyaluronic acid,although it gets depleted by the aging process. So,injecting HA beneath the surface of the skin can help the cell to hold and retain more water,thus improving skin elasticity.
Calcium hydroxylapatite is also a naturally occurring substance. When used in skincare,it augments the soft tissues and stimulates the production of collagen. It is recommended for deep filling.

HOW LONG DO BOTOX AND HYALURONIC ACID FILLERS LAST?

The effects of Botox and hyaluronic acid fillers wear off because the body naturally degrades these products. Generally,Botox effects last anywhere between 3 and 6 months. Hyaluronic acid fillers,on the other hand,lose effectiveness after 6 to 12 months.
The lifespan of fillers usually depends on the properties of hyaluronic acid filler,treatment area,and movement of the neighboring muscles. With Botox injections,factors like the amount of Botox injected,area of injection,age,skin elasticity,and wrinkle depth can affect the efficacy.
Fortunately,by combining Botox and hyaluronic acid fillers,patients can enjoy longer-lasting facial lift.

BOTOX AND FILLER COMBINATION TREATMENT

As you can see this far,Botox and fillers are made of different substances that affect the body differently. Combined treatment might be a good option if a patient is looking to address multiple facial features for a more natural appearance. Enjoying fewer visits to the surgeon and long-lasting results is music to any patient’s ears.
EXPERIMENT ON BOTOX AND HA FILLER COMBINATION
According to the research study published in the medical journal of the American Society of Plastic Surgeons (ASPS),administering Botox and hyaluronic acid improves the lifespan of HA fillers.
Dr. Ismail Küçüker and his colleagues behind this research found that combining the treatment slowed the degradation of fillers by reducing muscle movement in the treated area.
Part of the study involved injecting hyaluronic acid filler beneath the skin in front of one ear. On the other side,the researchers injected Botox and HA filler. After monitoring the progress for three months,they conducted MRI scans on both sides.
The scans revealed a significant difference in the rate of filler degradation. Combined treatment decreased the degradation rate by 42 percent. The area had 50 percent more HA filler amount than the side where the researchers injected filler only.

SIDE EFFECTS

Medical procedures come with risks. Botox and HA fillers are not an exception. It’s normal to experience bruises and pain at the Botox injection site. Some people complain about headaches. You know something is wrong if you experience drooping eyelids,eye dryness,or a crooked smile.
HA fillers can cause bruising,itching,redness,numbness,allergic reaction,and swelling. But these side effects usually go away within two weeks. Improper filler injections can lead to the Tyndall effect and bumps beneath your skin.
A qualified and experienced doctor can help you avoid severe effects. If you suspect something is not right after treatment,it’s a good idea to contact a board-certified plastic surgeon right away.

WHO IS AN IDEAL CANDIDATE FOR BOTOX AND FILLERS?

Suitability is determined on a case-by-case basis. You should schedule a consultation with a certified plastic surgeon to carefully evaluate your unique face-lifting needs.
Generally,though,the ideal candidate for Botox and fillers should be in overall good health and have realistic expectations. These treatment options are discouraged if you:
· Smoke
· Are pregnant or breastfeeding
· Are allergic to the ingredients used in Botox or related products
· Have a skin infection around the area of injection
· Have a muscle or nerve condition like myasthenia gravis or amyotrophic lateral sclerosis

WHAT TO DO AFTER BOTOX AND FILLER INJECTIONS

After treatment,the doctor will recommend a list of things to observe to ensure you are maintaining good skin health. Don’t expect completely new skincare ideas.
Some of the tips to keep your skin healthy include,but not limited to:
· Limiting your sun exposure by wearing sunscreen,a hat,and sunglasses
· Drinking enough water every day
· Using gentle skin cleansers
· Using a hydrating moisturizer recommended for your specific skin type
· Eating foods that keep your skin healthy

The Takeaway

While combining injectable dermal fillers with Botox is safe,the procedure requires the skills and experience of a board-certified plastic surgeon or dermatologist for better results. We cannot emphasize this enough. Contact us today or visit our offices to discuss your aesthetic goals and needs.

To learn more about anti-aging treatments utilizing Botox and fillers,visit Belle Ame Medical Spa

Link to the research study
https://www.plasticsurgery.org/news/press-releases/with-botox-chemodenervation-dermal-fillers-last-longer

Indirect restorations are dental procedures in which custom-made crowns, fillings, as well as inlays/onlays are used in prosthodontics. They differ from direct restorations, like fillings which can be placed directly into cavities. Inlays and onlays for dental use are indirect restorations that are recommended in cases where a filling isn’t the answer. If a tooth is severely damaged, a filling won’t be enough to correct the problem. The dentist may recommend an inlay. Forest and Ray is an authority about inlays and onlays.

The main distinction between dental onlays, inlays and other indirect restorations like crowns is that they keep more of the tooth’s natural structure, including pulp and dentin. This process requires less drilling of healthy enamel, which could weaken over time. Inlays and onlays typically last longer due to the fact that they are made from solid materials such as porcelain or composite resin instead of amalgam.

Materials used in indirect restorations.

In the case of indirect restorations in dentistry different materials are utilized in dental labs. One of the most popular materials is porcelain, which is renowned for its strength and natural appearance. Inlays and onlays can be larger than fillings that cover a small part of the tooth. Inlays are designed to be affixed to the inside of a back tooth while an onlay is designed to cover the outer part of the chewing surface. Composite resin is a second material that is used to make dental inlays and onlays. It is becoming more sought-after due to the fact that it is able to match the color of natural teeth. This makes it ideal for visible teeth such as the those that are located in top of your mouth. However, composite resin can be less durable than materials like porcelain. It may need to be replaced faster as compared to other materials.

When is it appropriate to use inlays and onlays?

Onlays and dental inlays are recommended when a tooth has decay or damage that is too extensive for a filling however not so severe that it requires an actual dental crown. Dentists must consider a range of elements when deciding to use an inlay, onlay or filling crown to fix damaged teeth. This includes the amount of natural tooth left after the decayed areas are removed, and if there’s enough space in the mouth to accommodate either type of indirect restoration, as well as the patient’s preferences with regards to the materials (gold or porcelain,) as well as cost considerations and so on.

Inlays and onlays require two appointments as opposed to fillings that are inserted directly into the tooth at the same time. In the initial appointment, your dentist will take the 3D image of your teeth. Then, they will take them to a lab where the custom-designed restoration will be constructed from porcelain or gold. This impression will ensure that the inlay or onlay fits precisely. Following this procedure the next appointment will be scheduled to place the restoration in the dentist’s office.

What is the difference between inlays and onlays?

Inlays and onlays differ from other indirect restorations. They are used to repair decay or fill holes in the tooth structure, but they are not able to completely cover the tooth as a dental crown. These restorations can be made out of various materials including porcelain, composite resin, or even gold.

One benefit of using inlays and onlays is that a smaller amount of healthy tooth structure requires removal than in the case of placing a crown. They are also able to withstand the weight of large meals and provide lasting results. Overall, onlays and inlays can be used by dentists for fixing damaged teeth with little removal of healthy tissue and protecting against wear and tear from chewing. The restorations need to be precisely fitted and that’s why many dentists send impressions to an specialized dental lab for fabrication prior to placement within the patient’s mouth.

How to get Inlays and Onlays.

The process of getting inlays and onlays starts with the first visit to the dentist’s office. The tooth will be examined during this appointment to determine whether an inlay onlay is required. In generally, dental onlays are utilized when the damage to the tooth extends beyond just the biting surface but doesn’t extend to the entire surface of the tooth. However, dental inlays are typically utilized to treat tooth decay that hasn’t yet reached the point where it is necessary to get a complete bridge or crown. After it is determined that an onlay or an inlay is required to treat decayed teeth, the affected materials will be removed and the mold is made from your teeth. Your temporary filling is removed during your follow-up appointment, and replaced by either an onlay or inlay depending on what your dentist recommends.

Inlays and Onlays are a great way to improve the appearance and function of teeth that are damaged. They can also address problems such as bruxism, tooth fractures. In the end, temporary fillings or inlays may temporarily aid in fix damaged teeth. However, if want something that is permanent and natural-looking and provide long-term protection from the possibility of further fissures and decay, you should think about an onlay or inlay.

Advantages and disadvantages of inlays as well as onlays.

One of the advantages of inlays and onlays is that they are more durable over traditional dental fillings. If taken care of properly an inlay could last up to a year. This extends the life expectancy of the tooth. Another benefit of using inlays and onlays is that they give more fitting than a crown. An inlay is made to fit the particular tooth, and resin inlays are commonly used for premolars. Crowns, on the other hand will cover the entire tooth and requires a more intense removal. The material used to create onlays and inlays will differ according to the preferences of the patient and budget. Gold or porcelain are common materials used for both types of restorations. Inlays of gold tend to be more durable than porcelain inlays but aren’t as natural as porcelain ones.

The longevity and durability of an inlay or onlay is a significant benefit over other dental procedures, such as crowns and fillings. They also offer more comfort than crowns and are more gentle in preparing the tooth for restoration placement. A choice of porcelain or gold is a matter of personal choice. While gold lasts longer however, it looks more natural.

Maintenance Inlays and Onlays

Inlays and onlays need regular dental examinations to ensure their durability. They are able to last for many years if properly cared for but it’s important to ensure they are maintained. If they are exposed to extreme pressure or force Inlays and onlays are prone to scratch or break. Patients should be cautious about chewing on hard foods like ice or using their teeth as tools to break open packages. Regarding material selection ceramic or porcelain materials preferable to gold because of their aesthetic appeal. Inlays with porcelain offer advantages since they closely resemble natural teeth and do not stain easily. Onlays and inlays made of composite provide excellent aesthetics, as well as providing additional benefits. For example, they are less invasive than traditional fillings due to the fact that the tooth’s structure is not removed in the placement. The final decision on whether to use ceramic or porcelain and composite materials depends on the preferences and needs of every patient, as well as the location where the restoration is placed within the mouth.

Alternatives to onlays and inlays.

There are many options to onlays and inlays when it is about dental restorations. Direct fillings can be a viable option for small areas of decay. The dentist shapes composite resin directly onto the tooth, creating natural fillings. Crowns are an alternative to inlays and onlays. Similar to an onlay, a crown is a covering for the entire tooth but is constructed differently. Rather than being created outside of the mouth as an indirect restoration, crowns are created with CAD/CAM technology, or traditional impressions that are taken by your dentist. For those who are seeking cosmetic dentistry solutions that can help to restore the functionality of their teeth the veneers are an alternative worth exploring.

It’s important to consult with dental professionals about what type of restoration is best for your specific requirements. Knowing the distinction between inlays and onlays is just one part of this procedure! Keeping your dental hygiene in good shape at home is crucial for any type of restoration. By following the right steps you can secure your dental investment and enjoy a healthy, beautiful smile for many years.