Botox & Fillers FAQs

1) What is Botox? 

BOTOX® Cosmetic Injection s a prescription medicine that is injected into the muscles of the face and is used to improve the look of moderate-to-severe frown lines between the brows for a temporary period of time.

2) When should I begin using BOTOX?

At Dr. Cooduvalli Cosmetic Dermatology we have patients in their 20's using BOTOX. These younger patients use these injectable to treat early signs of facial aging, especially deep furrows between the brows and sun damage.


There is no wrong or right age to start using BOTOX.  In general, for younger patients, I recommend BOTOX Cosmetic because of its precision. For more mature patients with significant forehead wrinkles and sun damage, the accumulated effect of BOTOX over time will result in fewer wrinkles.

3) How do I best prepare for my BOTOX injections?

One of the most common side effects from BOTOX administration is bruising. For that reason, we recommend that you stop all blood thinners at least 5 days before your treatment. Because many over-the-counter supplements have blood thinners in them, it important that you inform us of all the medications you are taking prior to your injection. Some common non-prescription blood thinners include vitamin E, fish oil, and garlic. Certain stronger blood thinners require the advice of your primary care physician or cardiologist before stopping them such as Coumadin®, Plavix®, and aspirin.


1) What are filler injections?

Filler injections are a cosmetic treatment used to smooth wrinkles or pitted scars in the skin, usually on the face. They are also used to create healthier fuller looking lips. When injected under the skin, filler raises or puffs up that area which usually goes away over a short period of time. There are many kinds of Injectable Fillers.  Individual consultations are required to determine the right kind of filler.

2) What is the best dermal filler?

The best filler for you will depend on these factors:

  • areas being treated

  • your skin type

  • how long you want the benefits to last

  • aesthetic goals

Each filler has its own advantages, and sometimes a combination may achieve the best results. For example, a possible combination of fillers might be Restylane to enhance the lips, JUVÉDERM to fill out hollows beneath the eyes, and RADIESSE to add volume to the cheeks.

3) Do I need to go under general anesthesia to receive fillers?

No, fillers are done with the aid of topical or local anesthesia.


4) How long will my fillers last?

This can vary from one filler to another, as well as from patient to patient and their individual medical histories. There are fillers that can last up to six months or as long as a year and a half.



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