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Everything you need to know before getting a facial injectable

Facial injectables can be a great option for people between 30 and 65 who are looking to correct wrinkles, lines and drooping skin on their faces.

Growing older is inevitable, but looking your age is optional. Facial injectables can be a great option for people between 30 and 65 who are looking to correct wrinkles, lines and drooping skin on their faces.

Before you choose which product to use, make sure to explore your options and find a doctor experienced in the use of the products you’re considering. The number one concern patients have is whether they'll still be able to show emotion after the injections. When a trained, licensed medical doctor administers the injectable, you shouldn’t have any problem showing how happy you are with the results!

Some of the top dermal injectables used today are Dysport, Botox, Restylene, Juvaderm and Sculptra. Here’s guidance from Dr. Sean Branch of Henghold Skin Health & Surgery Group to help you understand the similarities and differences between these options.


Botox and Dysport are both “toxins” that are injected to temporarily relax or “freeze” facial muscles. The most commonly treated areas are the brow, crow’s feet and between the eyebrows. Both products use the botulinum toxin type A.


Those who get Botox injections generally start to see results in as little as a week with full results after 10-14 days. Those who get Dysport injections generally see results in two days and full results in three to four days.


Both treatments offer results that last up to three or four months, but the length of time varies because each patient metabolizes the product at a different rate. Dr. Branch notes that some patients who run marathons and engage in other metabolism-boosting activities have noticed their results dissipate more quickly. While there are no scientific studies to confirm these findings, a hypermetabolic state is likely one of the many factors that play a role in the breakdown of the product.

While getting injections every three to four months helps maintain the initial results, some patients get follow-up injections every six months or even once a year.


Both Botox and Dysport come in a dry, powder-like form and must be mixed with saline by the healthcare provider prior to injecting. There is no standard dilution ratio for either product. Treatments should be done at a trustworthy office to ensure the patient is receiving the amount of units paid for.


The injection of both Botox and Dysport is quick and relatively painless. Most patients report minimal discomfort, usually in the form a slight pinching or mild stinging sensation. If you're worried about pain, speak with your doctor about possible pain management options such as icing the treatment area or using a topical numbing solution. According to Dr. Branch, the vast majority of patients do “very very well and don’t find a need to numb the area prior to the procedure.”

Possible side effects you might experience after injection include headache, injection site redness or pinpoint bruising.


Fillers are most commonly used in the lower half of the face. They’re used to address wrinkles, volume loss, sagging skin related to volume loss in the cheeks, thin lips and drooping jowls. Fillers do not correct loose neck skin.

Restylane and Juvaderm

These two common fillers both use the active ingredient hyaluronic acid, a carbohydrate compound that occurs naturally in the body. Hyaluronic acid fillers are known for their longevity and with proper application, results can last from six months to a full year for both Restylane and Juvaderm.


Prior to treatment, doctors often choose to apply a topical anesthetic, especially if the lips are part of the area being treated. Most fillers also contain an anesthetic product. Slight discomfort at the injection locations is a normal sensation, but anything that worsens or persists over time should be checked immediately by a doctor. The most common side effect is mild injection site tenderness and bruising. The procedure can anywhere from a few minutes to 30 minutes, depending on the number of injections required.


Doctors technically shouldn’t play favorites, but Dr. Branch admits that this treatment is one that he really likes. Sculptra contains poly-L-lactic acid, a sugar naturally occurring in the body. Sculptra is unique and there are no similar products on the market. This product is ideal for patients with facial volume loss, but can be used on other parts of the body as well.

The exciting thing about Sculptra is that it doesn’t just fill the skin with its own volume. Rather, it stimulates the body to increase collagen production. As Dr. Branch puts it, “the body does all of the work.” Because collagen production increases slowly, results become visible over a period of four to eight weeks and improvements in appearance are gradual. For those in front of the camera or even those who don’t want to transform drastically on their lunch breaks, Sculptra offers a very effective solution and, without any maintenance, can last for up to two years.

Are you ready for younger-looking skin? For more information on facial injectables and other cosmetic and medical skin treatments, visit Henghold Skin Health & Surgery Group online or one of its Pensacola or Gulf Breeze locations.