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Botox & Cosmetic Fillers

Every face tells a story, but for some, unwanted deep lines or creases may turn it into one they’re reluctant to share with the world. Neuromodulators, such as Botox, and cosmetic fillers can help soften wrinkles. Various elements of our skin, such as collagen, elastin, bone structure, and soft tissue wears with time and age. Once this happens, our skin begins to sag and our skin loses its firmness and vitality, making us look older than we feel. To help reduce the appearance of fine lines and sagging facial structures, dermatologists recommend to the use of dermal fillers and Botox as an excellent non-surgical facial rejuvenation.

Facial rejuvenation at our dermatology center

At the La Jolla Dermatology and Laser Surgery Center, our highly experienced team will perform liquid facelifts and Botox, so you can regain facial vitality and youthfulness without having to go under the knife if you are not ready for surgery.

We believe the natural look is the most perfect look for a facelift and in our treatments, we ensure that your face remains natural-looking, young, firm and supple. If you’d like to schedule a consultation with Dr. Shirazi, board certified in cosmetic dermatology, at our med spa please feel free to send us an email or give us a call.

Woman with clear skin after melasma treatment in La Jolla.

Neuromodulators (Botox, Xeomin, Dysport, Jeuveau and Daxxify)

Neuromodulators, such as Botox, are purified proteins, commonly used for wrinkle reduction procedures. Neuromodulators, when injected, block nerve impulses which contract facial muscles, ensuring the muscles remain stress-free and relaxed. When facial muscles are relaxed, the facial skin will smooth out, and frown lines and fine lines become diminished. Using Botox in a favorable fashion really depends on the injectors artistic eye and medical knowledge. As a board-certified dermatologist with an artistic eye, Dr. Shirazi can offer her patients a customized treatment with Botox for a natural, more youthful, refreshed look.

Benefits of using Botox, Xeomin, Dysport, Jeuveau and Daxxify

  • Reduces wrinkles and frown lines significantly
  • Smooths the forehead furrows, lip and bunny lines
  • Diminishes neck bands
  • Improves the skin dimpling in the chin
  • Softens a square jawline
  • Lifts the corners of the mouth
  • Correct a gummy smile
  • Drooping eyes can be lifted and/or made more symmetrical
  • Allows for the shaping of the eyebrows
  • Provides long-lasting results
  • Helps relax the facial muscles and reduces muscle stress

For Botox in La Jolla, visit the La Jolla Dermatology and Laser Surgery Center.

Cosmetic dermal fillers

Dermal fillers are often confused with Botox. They are also an injectable procedure that allow for restoring volume to gain a more youthful, refreshed makeover similar to from Botox.

Cosmetic dermal fillers are typically a gel or fluid like material made of different substances, many that are already in our own bodies. Dermal fillers restore the skin’s loss of collagen and elasticity, restore volume, and diminish and soften deep folds in the skin. By replacing the volume that we all lose with age, cosmetic fillers can help rejuvenate the face. Dermal Fillers are often times also used for sculpting and contouring the face and body, improving the overall appearance of the face. The use of cosmetic fillers allow your skin to stimulate the production of more collagen and elastin by the cells of the face, ensuring that your face remains shapely and the skin more firm over a long period of time.

Types of dermal fillers

At our La Jolla cosmetic dermatology center, we use different types of cosmetic fillers including fillers from the JUVÉDERM® and Restylane® Family. Some of the other cosmetic dermal fillers we use are:

  • Bellafill
  • Belotero
  • Radiesse
  • Volbella
  • Sculptra
  • Restylane Silk
Woman with a nice skin tone after melasma treatment in La Jolla.

How are dermal fillers used?

There are a variety of cosmetic fillers on the market and they are all different from one another. Certain cosmetic fillers are a gel-like material composed of hyaluronic acid, which is a natural sugar that likes to attract and retain water, giving the skin hydration which allows for smoothing out hollowness and folds. They are often times used to fill the hollow areas of the face, such as under the eyes, folds around the mouth. Other dermal fillers are liquid based and target the a larger region of the face, such as the cheeks or temples. Based on the area of the face treated, the appropriate fillers can be combined to create a balanced, natural, and more youthful appearance.

Expert knowledge of the properties of each filler as well as the anatomy of the face are crucial for the best outcome whether it is facial sculpting, facial rejuvenation and restoring lost volume, or filling in lines or folds. A combination of fillers can be used. We often times use dermal fillers to treat depressed scars from acne, or skin injuries or surgery. Overall, cosmetic fillers can be very helpful in treating the early signs of aging and allow for facial contouring. Once you visit our La Jolla dermatology clinic, Dr. Shirazi will take a look at your dermatological requirements and advise you on the ideal course of treatment.

Benefits of using cosmetic fillers

  • Fillers help contour and sculpt the face
  • Hydrate and plump up lips and shape the lips
  • Hollow cheeks can be filled to reverse volume loss with aging
  • Treat various depressed scars
  • Crow’s feet and under eye bags can be reduced
  • They ensure wrinkles do not remain even when the face is still

Choosing the right course of treatment for you

When choosing which type of treatment to get, you’ll need to consider the following factors:

  • Goal of the treatment

The first question you need to ask yourself is whether you are looking to only treat wrinkles or whether you are looking to fill in a fold or crease or looking to contour and shape your face.

Botox is a great option for wrinkle reduction, but will not treat hollow cheeks and sunken eyelids. Therefore, a dermal filler may be a more appropriate treatment.

  • Types of wrinkles

Given the nature of Botox to relax the muscles in certain areas of the face, it is best used to treat dynamic wrinkles. These are the wrinkles that appear when the face is in motion.

Cosmetic fillers, on the other hand, are ideal for static wrinkles, the ones which remain regardless of whether there is facial movement or not. Fillers help fill-in the lines and face, allowing you to reduce the appearance of wrinkles and folds considerably.

  • Duration of the results

In general, neuromodulators have been shown to last up to 3-4 months. Certain dermal fillers have exhibited results for up to a year post-treatment.

However, it should be remembered that regardless of the duration the results last for, you will need to come in for a repeat treatment to retain the firmness of your face.

  • Medical concerns

Certain medical conditions, such as Myasthenia gravis, may make you ineligible for Botox. Some people may have shown a sensitivity to cosmetic fillers in the past. It is important that you consult your dermatologist before taking up the treatment.

If you’re unsure which injectable to choose for your treatment, speak to Dr. Azadeh Shirazi, MD. She will advise you regarding which treatment is best for you. Her extensive experience as a top La Jolla dermatologist makes her the perfect professional to approach for a couture treatment plan which is suited for your specific requirements.

The procedure

During the consultation, Dr. Shirazi will examine your face to understand the severity of your condition. She will then outline a personalized treatment plan, considering your individual needs and medical history. Decisions regarding topical numbing cream may be discussed in addition to various medications needed to be prescribed before or after treatment

Next is the actual injection. Given that Botox and cosmetic fillers are non-surgical treatments, your procedure will take place in the dermatologist’s office. The injections are performed with a very tiny needle, carefully targeting the specific muscle group in a manner that allows you to maintain your expressiveness.

There are multiple types of Botox and dermal fillers available, each with a unique character and each catering to specific types of conditions. Dr. Shirazi will use a combination of chemicals to give you the most natural and flawless appearance possible. Tenderness, bruising and swelling are common post-treatment, but they will disappear within a few days.

If you’d like more information about our Botox and cosmetic fillers, feel free to contact the La Jolla Dermatology and Laser Surgery Center. We are here to answer any further questions.


CALL US AT: (858) 456-3992

We proudly serve the Greater San Diego area; La Jolla, Del Mar, Downtown San Diego and even as far as Newport and Los Angeles.

(858) 456-3992