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What is


& Fillers?

Botox and Fillers are used for Facial rejuvenation that helps to tighten the skin for a firmer and more youthful appearance. Such an improvement is usually made for cosmetic reasons and modern day procedures are non-invasive and safe and easy to perform.

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These treatments include Botox and Fillers



Botox is a toxin obtained from bacteria, and in controlled amounts, it can correct wrinkles. Botox and other treatments done with botulinum toxin are also referred to as neuromodulators or neurotoxins. BOTOX works by freezing the activity of the muscles that cause wrinkles and can eliminate frown lines, worry lines and crow's feet. The treatment works by temporarily blocking the signals sent by the nerves to the muscles, which causes reduced muscular movement. This will relax and soften the fine lines and wrinkles.

Botox will only work on wrinkles caused by muscle movement also called, dynamic wrinkles or "expression lines." It will not eliminate static wrinkles or those caused by sagging or loss of weight in the face. In most cases, the effect of Botox lasts about 3 to 4 months and repeat treatment may be needed. After the treatment, results are visible within 3-5 days.


Before you opt for Botox treatment you must know that there are certain limitations of the procedure:

  • The effect is temporary, and you may need to continue with them from time to time.
  • The final results may not be as per the patient’s desires.
  • Ageing will continue despite Botox.


Our doctors will first discuss with the patient why and where treatment is needed. They will also fully understand medical history and whether the patient is qualified to undergo the procedure safely. Once this is done, and the patient is fit for Botox, the consulting doctor or one of the team doctors will perform the procedure. Botox injections are given under local anaesthesia. In this, the skin is first prepared by cleaning and then small amounts of botulinum toxin are injected into the muscles of the face. Many such injections are needed across the surface of the facial skin, and the procedure is complete in about 10 minutes.
Patients may feel some pain, but most patients easily tolerate this.


There are some risks involved as with any medical treatment:

  • 1. Fever and headache for about 24 hours after treatment.
  • 2. Scars and bruising can occur at the site of injection.
  • 3. Weakness in the face area.
  • 4. Resistance to the treatment after repeated treatments.
  • 5. In some rare cases, serious symptoms can occur which include blurred vision and breathing problems.
Dermal Fillers

Dermal Fillers

Fillers are also called as dermal or soft tissue fillers which are used to add bulk and fullness to the skin by injecting beneath the skin surface. These are usually administered to fill-out depleted facial features or stimulate collagen growth.

Commonly used fillers include Juvederm®, Restylane®, Sculptra®,Radiesse®, Perlane and ArteFill®. Dermal fillers work by either plumping up or lifting of ageing skin or by stimulating the body to produce its natural collagen. Doctors recommend and use dermal fillers for treatments where the face is droopy or wrinkled and needs correction, thereby aiming to restore the former smoothness of the skin.

Depending on which filler is used they can also help in the following:
  • 1. Reducing or eliminating the shadow or wrinkle caused under the eye by the lower eyelid.
  • 2. plump up thin lips or facial shallows.
  • 3. soften scars.
  • 4. fill or soften static wrinkles around the mouth and cheeks.

Fillers act fast and can be quite effective and their effects can last up to two years.
Generally, patients choose a combination of BOTOX or Dermal fillers or can also opt for one of the 2 according to their needs or as prescribed by the doctor.


  • The procedure is expensive with the costs going up according to the amount of product used.
  • Most fillers are temporary.
  • Results may not be in line with patient expectations.
  • The ageing process continues in other areas.
  • Safety can be an issue when such intrusive procedures are not performed by a reputed hospital or surgeon.


After a face to face discussion with a qualified surgeon, the treatment is carried out using local anaesthetic cream or injection. The filler is then given by series of small injections with the entire process taking 30 minutes to 1 hour. The area may become tender and swollen, but these symptoms should go away in 24 hours. Sometimes, doctors may ask you to avoid stimulants such as alcohol and coffee.


Risks of dermal fillers are linked to the type of filler and how the procedure is performed. Permanent fillers pose the greatest risk and are usually not recommended. Some of these risks include:

  • 1. Itching, redness, swelling and bruising.
  • 2. Infection at the injection site.
  • 3. The filler can sometimes form lumps under the skin and may need corrective measures.
  • 4. The filler can very rarely create a blockage in a blood vessel leading to serious complications.

To know more about these procedures offered at Orbit Eye Hospital, you can contact our dermatology department today!