Botox or hyaluron – which works how on the face?

Aesthetic medicine would be unthinkable without them – Botox or hyaluron are now considered the gold standard for combating fine lines, wrinkles, dry skin and volume deficits. Which is better for treating the forehead, eyes, cheeks or frown lines on the face?

The body’s own acid hyaluronic acid not only gives volume, it improves the jawline, emphasizes the lips, hydrates the skin and also forms new skin structures. Botox, on the other hand, primarily reduces expression lines. Whether Botox or hyaluron is better for optimizing the face is explained by Dr. Lale Stanger from the Rosenpark Clinic in the VIDEO-INTERVIEW:

What exactly is botulinum toxin?

“Botox, medically called botulinum toxin, is a drug that slows down muscles. This slows down the mimic muscles a bit, reduces wrinkles. The effect is reversible.”

What is Botox used for?

“There are different areas of application for Botox. In aesthetic medicine, it is classically used to reduce mimic wrinkles. But it’s also used against teeth grinding, against migraines, and you can also treat excessive sweating on the hands, feet or armpits with Botox.”

How long does the result last?

“The effect lasts for different lengths of time depending on the individual. It depends on the personal metabolism and also the expression of the facial expression. On average, Botox injections last three to six months.”

When should botulinum not be used?

“It, like many other drugs, should not be used during pregnancy or breastfeeding. These are the main contraindications. Of course, we also do not use it if there are intolerances or allergies to components of botulinum toxin.”

What should be considered after Botox treatment?

“One should not exercise excessively after Botox treatment, not sweat profusely, because otherwise one would sweat out the drug again, so to speak, and the effect would be diminished. Therefore, it is also advisable to refrain from sauna or steam bath visits for one to two weeks and avoid extreme sun exposure.”

What is Hyaluron?

“Hyaluronic acid is a medical device we use to fill volume deficiencies, optimize chin contour and lipsor treat small wrinkles.”

What is the difference between Botox and hyaluronic acid?

“Botulinum we use for the mimic muscles. That is, we use it mainly to treat frown lines, laugh lines, and also forehead wrinkles. There the musculature is slowed down so that the wrinkles either do not appear at all or do not become deeper. After the injection, these areas smooth out.”

Is it safe to combine the two?

“Botox and hyaluronic acid can be combined very well, because they are different areas of application. With hyaluronic acid we mainly want to fill volume deficits, with botulinum toxin we want to slow down mimic wrinkles – the perfect combination!”

Can you tell which wrinkle can be treated with which product?

“If you look at yourself in the mirror you can tell which areas are suitable for hyaluron and which and which for Botox. Just give yourself a nasty look, furrow your brow or laugh. These are the typical areas of application for botulinum toxin. But if the tear trough disturbs or face looks flabby, the lips are no longer voluminous or the chin line is undefined then these are typical areas of application for hyaluronic acid.”

How is hyaluronic injected?

“There are two ways to inject the hyaluronic acid. One is with a pointed needle. You usually do that either very superficially for Skinbooster – the slightly more liquid hyaluronic. The other possibility is a blunt needle. That’s where the needle is inserted under the skin and, among other things, it’s used to fill in volume deficits in the tear trough area or the cheek.”

What is important when choosing a practitioner?

“It is important that the person understands and knows well the anatomy of the face. He should also be able to treat any side effects.”

What can you do if you don’t like the results?

“If you don’t like the result you can reverse it, using the enzyme ‘hyaluronidase’. This can be used to dissolve the hyaluronic acid again.”