A member asked:

What is the difference between elevess and botox? hello! i am a woman in my mid-thirties who seeks to get rid of the frown lines i am developing between my eyebrows. i have been researching injectable dermal fillers and have recently found a product calle

6 doctors weighed in across 4 answers
Dr. Thomas Lamperti answered

Specializes in Facial Plastic Surgery

Elevess : Elevess is a hyaluronic acid filler. Other examples of this material include Restylane (dermal fillers) and juvederm. Like you mentioned, hyaluronic acid is a naturally occuring part of the skin. To treat frown lines that are developing between the eyebrows (in an area called the glabella) it is more typical to use injections of a medication such as Botox or dysport. This affects the muscle movement in the area that is causing the lines to form. In cases of severe lines sometimes a skin filler is also used to augment the result but this isn't usually the primary treatment.

Answered 10/3/2016

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Dr. Tal Dagan answered

Specializes in Facial Plastic Surgery

Some : Some general information about cosmetic injectibles in the face. We have four types of materials we generally inject in order to improve the appearance of facial wrinkles, lack of volume, scars or just to complement certain features in our face that are flattened or in need of "more character". These are, botox, fillers (like restylane, (dermal fillers) elevess, juvederm, Radiesse and artefill), collagen rejuvenators and our own fat. Botox as a rule of thumb is good for almost any wrinkle that appears when you make any type of facial expression. For instance, some of the marketing terms that are out there for the wrinkles we commonly treat with Botox include: the elevens (these are the vertical lines that appear between the brows when we frown), crow's feet (these are the squint lines that appear on the sides of the eyes when we smile a very generous smile 'from ear to ear' ), the nose shelf line (the small horizontal line or lines that appear when frowning, smiling or appearing angry on the top of the bridge of the nose), the lines that run horizontally across the forehead that appear with a look of surprise or just staring up at the ceiling with the head pointing forward, smoker's lines, the fine vertical lines around the lip that are formed when puckering the lips. The feature in common to all the above wrinkles is that these lines are dynamic or created by movement. Whenever there is a line that is present even when you are not moving any muscle, there is a god chance it may need treatment with something else. Finally, Botox has a delayed effect, it kicks in in three days to a week and will last for 2 to 6 months. Fillers are injectible products that vary in longevity but generally have similar looking results. They are comparable to the repair of a dent in the door to your car, that is when you have a dent, someone will go form the inside part of the door and hammer the wrinkle out. Conceptually, an injectible is like the hammer that "irons out the wrinkle from the inside. Examples of fillers include restylane, (dermal fillers) elevess and juvederm all of which have hyaluronic acid, a short acting filler that will last aproximately 3 to 9 months depending on the material and how fast your body gets rid of the material. These fillers are completely natural and are made of a material that already is part of our body and a constituent of the skin and other tissues. Radiesse is a longer lasting product that may last anywhere form 6 to 18 months and is also a natural ingredient that exists in parts of our body including our bones. None of the above require allergy testing and unlike Botox have immediate results. Artefill is the only long lasting filler in the market, it is synthetic and usually requires 2-3 treatments about two months apart but will last for years. It requires an allergy test prior to use and is used mainly for deeper wrinkles like the nasolabial folds (the valleys starting at the corners of the nose and ending in the corners of the mouth on both sides). This treatment is pricier than other fillers. Collagen rejuvenators include sculptra, an injectable material that creates a volumizing effect by forcing our own body to do the filling and create collagen, an effect that also is longer lasting (up to 2-3 years). This treatment is excellent for the face that needs volume and also for hands that need rejuvenation (you had a facelift and now notice your young face does not match your older looking hands) it does not require allergy testing but does require repeat treatments, usually 3. It is pricier treatment. Finally, fat transfer involves a more invasive treatment where we transfer fat from unwanted areas in your body (belly, buttocks, thighs, back etc.) to the wrinkles or areas lacking in volume in your face, neck or hands. I hope this clarifies the various products available out there, for updates on new and upcoming materials and techniques you can always check out my website, blogs and facebook page. Dr. Tal dagan.

Answered 10/4/2016

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Dr. Janet Turkle answered

Specializes in Plastic Surgery

Filler vs neuotoxin: Elevess is a dermal filler. Botox paralyzes the muscles of facial expression. Usually, Botox is used in the glabellar area (between the brows).

Answered 4/24/2015

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Dr. Zahid Niazi answered

Specializes in Cosmetic Surgery

Paralytics ; Fillers: Facial rejuvenation can be by temporary muscle paralytics like botox, xeomin, (incobotulinumtoxin a) Dysport or by injectable fillers like juvederm, elevess, belotero (the hyaluronic acids) or Radiesse (an hydroxyapatite) or by silicone or by your own fat (harvested from other areas of the body). See your plastic surgeon to discuss the pros and cons of the different options and s/he can advise you re the best option.

Answered 6/30/2014

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