Botox + Fillers

What are Botox®and Fillers?

Botox® and fillers are both injectable treatments, but they are formulated in different ways. Botox® is known as a neurotoxin, and it contains botulinum toxin type A. It works by temporarily relaxing targeted muscles to prevent the creation of dynamic lines. The most common areas treated with Botox® include the forehead, crow’s feet, and between the eyebrows.

Fillers, on the other hand, are injectable treatments that commonly contain hyaluronic acid, a naturally occurring substance that plumps the skin. Fillers can be injected to smooth lines and wrinkles, restore volume in the mid-face and chin, and augment the lips.

Who is a Candidate for Botox®and Fillers?

Healthy individuals who are looking to non-surgically combat signs of aging or improve the proportions of their face can often benefit from Botox® and/or fillers. However, you should not receive these treatments if you are pregnant, breastfeeding, planning on becoming pregnant, or have a bleeding disorder. To determine if you are a good candidate, contact VitaLab today to schedule a consultation appointment with a clinician.

The Treatment

To begin your Botox® or filler treatment, your licensed clinician will first discuss with you what you are hoping to accomplish and what you can expect. Then, they will cleanse your skin and mark where injections will be placed.  A topical numbing cream and/or ice will also be offered to ensure you are comfortable during treatment. Then, a fine needle will be used to inject the Botox® or filler into the appropriate areas. Treatment time will vary depending on the product choice and the size of the treatment area and may range from 15 minutes to one hour.


Following your Botox® or filler treatment, there is no downtime, so you can return to your regular activities as soon as you wish. However, you may experience temporary swelling, redness, bruising, and tenderness at the injection site(s), which will resolve with time. For the best possible results, we recommend avoiding strenuous activities and exercise, as well as alcohol consumption for 12-24 hours after treatment.

While filler results are often seen immediately after treatment, Botox® results can take up to two weeks to become apparent. The results of fillers can last from six months to two years depending on the formula, while Botox® results can last from 3-6 months.

Schedule Your Appointment

If you are interested in learning more about how Botox® or fillers can help you combat signs of aging for a more youthful glow, contact VitaLab in San Diego, CA today! We will be happy to discuss your treatment options to create a personalized plan just for you.

Can Botox age you?

Over time, too much Botox can lead to the appearance of aging. Our practitioners will ensure that your history of use and desired long-term results are in alignment.

Can Botox cause weight gain?

No. Botox does not cause weight gain. Mild swelling is normal following treatment, but should look normal within a few days.

Can I go for a walk after Botox?

The current recommendation is to wait 4 hours after your injections to do any form of exercise.

Can I have wine after Botox?

For best results, we strongly recommend that you wait a full 24-hours after your treatment before choosing to consume any alcohol.

Can Botox help sinuses?

Getting Botox for allergies or persistent sinus problems might help reduce the symptoms of sinus pressure. Consult your physician to see if this is the right treatment for you.

Can Botox lift eyebrows?

Botox can be used to treat wrinkles in the brow area and help create a smoother, lifted appearance.

Can you drink coffee after Botox?

While it isnt harmful to consume coffee after Botox, it is recommended to strongly limit or avoid caffeine and alcohol for 24-hours after your injections.

Does Botox affect the brain?

There is no direct evidence that Botox directly effects the brain. However, we recommend that you talk to your physician if you have any concerns about using Botox.

Does Botox make you look older after it wears off?

No, will not make you look older. Botox helps alleviate the appearance of certain winkles or imperfections. As it wears off, you may see your skin beginning to return to its original condition.

Does Botox make you shiny?

Because Botox promotes smoothness, your skin may look shinier, which is a result of light reflecting more evenly from the surface.

How long does Botox last?

Botox can last anywhere from 2-6 months depending of the patient. Subsequent treatments do tend to last longer than initial ones.

Is 50 too old for Botox?

Age does not play a factor. It will not completely reverse the signs of aging, but it can create aesthetically pleasing results for people of any age.

What age should I start Botox?

Botox is approved by the FDA for use by anyone over the age of 18. Persons over 18 may elect to use Botox at their own discretion.

What are the bad side effects of Botox?

Some patients might experience mild pain, bruising or swelling. Any reaction, however, normally remains at or near the injection site.

What do I need to know before getting botox?

Here are a few things to note before getting Botox. Alcohol and blood thinners should not be used for a full 24 hours before treatment. A resting period (no exercise) of 4 hours is recommended after your appointment, which also includes the use of caffeine. Certain sensitivities may occur after being injected with Botox, but should subside naturally in a short amount of time. Patients with concerns or special health risks should consult a physician before being treated with Botox.

What is Botox used for?

Botox is most commonly used to help reduce the appearance of wrinkles and fine lines, which is our area of focus.It may also help with migraines, TMJD, neck spasms, excessive sweating, and a few other indications. Please consult your physician to see if its a possible option for your concerns.

Is Botox a steroid?

No. Botox is technically a purified protein derived from botulinum.

Is Botox good for under eye wrinkles?

In some cases, it may be used for under eye wrinkles. Botox relaxes the muscle which leads to the creation of the wrinkle of concern, but it is not technically a wrinkle filler or eraser. Areas with the best results for botox are the forehead, brow area, crows feet, neck lines, and wrinkles around the mouth.

Is Botox a poison?

No. Botox is not poisonous to the body.

Should I move my face after Botox?

Our advice? Yes! Get expressive. It helps the Botox settle in and get to work for you.

What should you not do after Botox?

Its recommended that patients avoid heat, sun, alcohol, exercise, rubbing the treated area or laying down for about 4 hours after treatment.

Who should not get Botox?

Anyone with a Neurological or Neuromuscular issues, and pregnant or breastfeeding women are advised not to use Botox.

Why cant you lay down after Botox?

Botox works best if it stays put. You can move your face as you would naturally, but rubbing the area or laying down might allow the Botox to spread and increase the risk of complications.

Does Jeuveau last longer than Botox?

Some recent research suggests that Juveau may last longer than Botox.

How long does it take for Jeuveau to kick in?

You may see results in as few as two days, and more complete results at days three and four.

How long will Jeuveau last?

Typically, your Jeuveau injections will last between three and four months.

How many units are in Jeuveau?

Units of Jeuveau needed are comparable to Botox, however Jeuveau is typically more cost effective. Commonly, injections range from 10-40 units per area.

How many units is NewTox?

The unit ratio is the same as Botox. So, if you need 20 units of Botox, you will need the same amount of Newtox.

How many units of Jeuveau do I need?

This depends on the area you wish to treat. A typical injection is from 15-25 units. More may be needed to achieve your desired result.

How much does Jeuveau cost per unit?

Due to competitive pricing, the actual cost can vary. However, Jeuveau is typically 20% less than Botox. Please contact us before considering treatment for current pricing.

How much does Newtox cost?

Due to competitive pricing, the actual cost can vary. However, Newtox is typically 20% less than Botox. Please contact us before considering treatment for current pricing.

Is Jeuveau a filler?

No. Jeuveau or Newtox is the same as Botox, which relaxes the muscle under the skin to prevent it from contraction, which helps prevent the formation or further deepening of wrinkles at the injection site.

Is Newtox safe?

Newtox is FDA approved for human use to treat particular indications, such as fine lines, wrinkles, and other health related maladies. When used correctly, Newtox is completely safe for use when the guidelines are followed.

Is Newtox cheaper than Botox?

The short answer is yes. Newtox is currently available at about 20% less than Botox.

Is Jeuveau FDA approved?

Yes! Jeuveau is FDA approved.

Is there a cheaper alternative to Botox?

Juveau or Newtox is currently the closest competitor to Botox. That being said, Botox currently has more approved treatments that have been approved for use. Please ask our practitioners for the most up to date info so we can help you decide which is best for you.

What is Jeuveau?

Jeuveau is a nuerotoxin made from FDA-approved botulinum toxin, which is slightly different yet the same Botox.

What is the difference between Jeuveau and Botox?

The real difference between the two is formulation. Botox uses a type of toxin called onabotulinumtoxinA, and Jeuveau is called prabotulinumtoxinA. Both are similarly effective for the use of treating wrinkles.

What is the new alternative to Botox?

The new kid on the block is commonly referred to as Newtox. Currently this new formulation is offered under the brand name Jeuveau.

Where can Jeuveau be injected?

Sites of injection approved for use are crows feet, between the eyebrows and lines on the forehead.

Can dysport be used for crows feet?

Yes. Dysport can absolutely be used for crows feet.

Can I exercise before Dysport?

Its advisable not to exercise for at least four before or after cosmetic injections.

Can I get a facial after Dysport?

Do not rub or massage any areas where Dysport or any other cosmetic injectables have been administered. You can move the muscles as you normally would, but give any touching a rest.

Can I shower after Dysport?

No. We strongly recommend that any exposure to heat is avoided for the first 24-hours after treatment. This includes hot tubs, hot showers, saunas and excessive sweating. Time to chillax and let your injections settle in!

Can I sleep on my side after Dysport?

We advise that you try to sleep on your back after treatment, and avoid laying down at all for the first four hours after getting injected with any cosmetic treatment.

Does Botox last longer than Dysport?

Not really. Its typical for both Botox and Dysport to have similar lasting effects, which is approximately four months. Dysport does take effect in a shorter timeframe, though.

Can xeomin be used for crows feet?

Xeomin is effective at treating a variety of lines on the face including crows feet.

Can xeomin be used for lips?

Yes. While Xeomin is not used for filling or adding volume, it can help relax lines around the mouth area, creating a more smooth appearance.

Can xeomin cause headaches?

Headache has been reported as a common side effect, but the sensation should go away within a few days.

Do Xeomin injections hurt?

Any injection may cause a slight pinching sensation upon administration. Xeomin itself is not know to cause pain.

Does dysport last longer than xeomin?

Results from Xeomin are more comparable to Botox. Dysport is slightly thinner and is typically used for larger areas, which inherently shortens the duration of its effectiveness.

Does xeomin contain human albumin?

Yes, Xeomin does contain human serum albumin.

Does xeomin work faster than Botox?

It has been noted that Xeomin may in fact work faster and las longer than Botox.

Is xeomin as effective as Botox?

Yes, Xeomin has been shown to be as effective as Botox.

Is xeomin FDA approved for migraines?

Yes, it has. The FDA approved the use of certain neuromodulating drugs including Xeomin and Botox for the treatment of migraines in 2010.

Is xeomin more expensive than Botox?

At this time, Xeomin is generally cheaper than Botox.

Is Xeomin or Botox better?

Neither is really better than the other. Since Botox is better known, its often a popular choice. The major difference is that Xeomin does not contain any additives, which may have some advantages. Please consult with your practitioner before deciding which one may be the perfect choice for you.

What is xeomin used for?

Xeomin can be used to treat a number of chronic muscle related maladies. Here at VitaLab, we use it for the aesthetic purpose of relaxing and lessening the appearance of facial wrinkles.

What should you not do after taking xeomin?

Following treatment, please do not lay down or wash the area for at least four hours.. For the next 24-hour period, do not use saunas, engage in strenuous exercise or drink alcohol or rub the treated areas after getting injected with Xeomin.

Where can xeomin be injected?

Xeomin can be used to treat wrinkles between the eyebrows, on the forehead, around the mouth and near the sides of the eyes.

Which lasts longer Botox or Xeomin?

Results may vary from person to person. Both Xeomin and Botox have been noted to last at least three months. It has been cited that Xeomin may last longer than Botox in some cases.

Can you mix Botox and Xeomin?

No. Although the two are similar, they are in fact different and should not be combined. Talk to your provider to decide which one is the right choice for your desired needs.

How do you make Xeomin?

Xeomin is a strain of Botulinum that is created through a controlled fermentation process by Merz Pharmaceuticals.

How long does it take to see results from xeomin?

Results are normally noticeable within three to five days after treatement.

How long should xeomin last?

Xeomin can last from three to six months depending on certain factors.

How often can you get xeomin?

Injections of Xeomin are often administered every three or four months to keep the effectiveness consistent.

Is xeomin safer than Botox?

Xeomin can be considered safer due to the difference in formulation. Xeomin does not contain the additional protein additive that Botox has, which means that the body wont develop antibodies to it, making it more effective for the long term.

What is Xeomin injection?

While it has other medical uses, at VitaLab, Xeomin is an injectable that is used to reduce the appearance of wrinkles in select areas of the face.

What is better Botox or Xeomin?

Results achieved by two injectables are very similar. Xeomin is newer and has a slightly different formulation, which does not need to be refrigerated. Unlike Botox, it is absent of additives that may promote antibody resistance.

What does xeomin treat?

Aesthetically, Xeomin helps reduce the appearance of certain facial lines and wrinkles. It has other medical uses, but we do not administer Xeomin for any purpose other than to reduce the appearance of lines on the face.

Can I wear makeup after Juvederm?

Please wait 24 hours after getting injections to apply makeup to areas treated. Keep the area sterile for as long as possible during this period and avoid touching, washing, rubbing or applying anything to the area.

Can juvederm be reversed?

Yes. The filler can be diluted with an enzyme to dissolve the injected particles.

Can juvederm cause blindness?

Unfortunately, blindness has been cited as a possible side effect of certain dermal fillers.

Whats the difference between Botox and Juvederm?

Botox and other formulas like it work by relaxing the muscles which create the wrinkles in the desired treatment area. Juvederm is a filler, which works to plump the area causing a smoother appearance.

When did juvederm come out?

The pharmaceutical brand Allergan released Juvederm in 2006.

What is Juvederm?

Juvederm is a hyaluronic acid filler that is injected to smooth fine fines and wrinkles on the face.

Where can juvederm be injected?

Juvederm can be used to treat the appearance of lines and wrinkles on the face, neck and jawline.

Which lasts longer Juvederm or Restylane?

Typically, Juvederm will last longer due to the higher concentration of hyaluronic acid in the formula.

Can you drink alcohol after Juvederm?

As recommended with other injectables, it is advised to avoid alcohol within the first 24-hours after treatment with Juvederm.

Can you get half a syringe of Juvederm?

For safety purposes, we do not save any leftover portions of our injectables. Any amount of the syringe not used during treatment is discarded after your appointment. The amount used will be decided upon by you and your administering practitioner.

Can you wash your face after Juvederm?

It is advised to avoid touching, rubbing or washing the area for at least six hours after getting injected with Juvederm in order to allow it to settle in to the area.

Does juvederm stimulate collagen?

Yes! Studies have shown that Juvederm does aid in the stimulation of collagen production.

Can you split a syringe of Juvederm?

No. For safety and sterility, a syringe of Juvederm must be used by one person only, and is not intended to be shared or saved.

Can juvederm migrate?

Although it is rare, fillers can migrate. This can happen under rare circumstances, such as incorrect placement by an inexperienced practitioner.

Does juvederm dissolve over time?

Juvederm does slowly dissolve, lasting anywhere from six to eighteen months after administration.

Does juvederm expand?

Juvederm is hygroscopic, which means it will draw some moisture form the surrounding tissues, inevitable causing it to expand until it settles in. This can cause a little extra swelling to the treatment area but it will normalize a short time after you get injected.

Does juvederm look natural?

Juvederm is a filler formulated to provide very natural looking results.

Does juvederm soften up?

Juvederm as well as a number of other fillers do eventually soften up. Each of them take a different amount of time to do so. It generally takes about four weeks for fillers to settle in and soften up.

How long after Juvederm will I see results?

A patient will see results within two weeks, and settled results are generally seen in four.

How long does Juvederm last?

Juvederm lasts from six to eighteen months depending on the patient and areas treated.

How many syringes of Juvederm do I need for marionette lines?

A patient may need up to a full syringe of Juvederm to achieve the desired fill result of his or her marionette lines.

How much is a syringe of Juvederm?

Juvederm is currently averaging around $600.00 per syringe. Prices may vary.

Is Juvederm covered by insurance?

Unfortunately, no. Pretty much all cosmetic procedures of any kind are an out-of-pocket cost to the patient seeking treatment.

Is Juvederm expensive?

All cosmetic procedures are elective. As such the cost is not covered by insurance and can become or can be considered expensive depending on the amount and frequency of treatment sought after by the patient. Cost is inevitably subject to a patients individual budget.

Is Juvederm lumpy at first?

Juvederm can occasionally feel a bit lumpy immediately after injection. There is a period of time needed to allow the material to settle into the site of injection and even out or soften up within the tissue where it was injected.

Is Juvederm safe to use?

Yes. Juvederm is considered to be safe by the FDA, with proper administration and use for the purpose of filling tissues.

What to avoid after Juvederm injections?

Please avoid the following after getting injected with Juvederm: do not rub or wash the area for at least six hours. For 24-hours, avoid sun exposure, strenuous exercise, heat and saunas, applying makeup or drinking alcohol.

What to expect after Juvederm injections?

Patients may experience slight tingling, itchiness and possible bruising at the site. A firmness and/or slight lumpiness of the are might occur during the settling in phase of the product.

Whats better Juvederm or Restylane?

While they both have similar results, Juvederm may settle in faster and last longer than Restylane.

Does Juvederm work immediately?

The effects of Juvederm may be immediately noticeable but will take a few weeks to fully develop.

How can I make Juvederm last longer?

Firstly, please follow any and all recommendations following your treatment. Your filler injections will last longer if you treat yourself, your body and the treated area in a healthy, caring way. Avoid too much sun, dehydration and abuse of smoking and alcohol. Opt for skincare that is clean, natural and gentle. Do whatever you can to maintain hydration, proper rest and reduction of stress.

How do you get rid of Juvederm bumps?

Please allow the Juvederm to settle in and distribute naturally before you try to rub it into place. Allow at least 24-hours before rubbing or massaging the area. After this time, you may engage in soft, gentle massage of the treated area to help it to distribute or settle in. If you have concerns about the results of your filler, please talk it over with your practitioner for proper guidance.

How often can juvederm be injected?

It is recommended not to overdo your filler injections. In theory, you should not need additional treatment of a particular area for about a full year.

How painful are Juvederm injections?

A patient will likely experience slight pinching or tingling sensation from the needle and injection itself. The Juvederm product itself should not cause any pain or discomfort.

Is it normal to have bumps after Juvederm?

Yes. Bumps, lumps, tightening and slight unevenness may be common after getting Juvederm injections. This is a totally normal sort-lived side effect of the filler as it settles in and develops into the area.

Is Juvederm better than Botox?

Technically speaking, the two are not the same and are not directly comparable. Botox essentially freezes some muscle groups which cause wrinkles in particular areas. Juvederm is a filler that actually plumps the tissue where it is injected, and has a few more areas and causes it can be used to treat.

Is one syringe of Juvederm enough for lips?

One syringe should be enough to achieve desired results for fuller looking lips that still seek to have a more plump, yet natural look.

Should I massage juvederm lump?

You may massage a lump, bump or tightness caused my a Juvederm injection. Do so after the first 24-hours has passed with care, caution and cleanliness.

What age should you start Juvederm?

Any patient over 18 can opt to enhance their appearance with fillers. Most patients generally start after they feel their physical appearance would benefit from certain treatments. Consult with your practitioner to get the best guidance regarding your aesthetic concerns.

Can Restylane cause blindness?

Although rare, the possibility of potentially irreversible side effects can occur. These include scarring, necrosis, and blindness. Practitioners are informed and trained to avoid placing injections in areas that would contribute to or promote these side effects. Ask your practitioner about any concerns you may have during your consultation to assure that your questions are addressed before treatment.

Can Restylane last for years?

Restylane can possibly last for up to 24 months in some cases, but the most common duration is from 6 to 12 months.

Does Sculptra stimulate collagen?

Sculptra works differently than other fillers. It can stimulate the production of your own collagen, leading to long-term lifting and plumping of the treated area.

How long does Sculptra last?

Sculptra is long lasting. It typically lasts 2 years, but sometimes can last up to 5 years.

How quickly does Sculptra work?

Results begin to be seen immediately, but some of that is temporary swelling and may subside. As collagen develops, the results will continue to improve over a period of a month or 2.

Is sculptra hyaluronic acid?

Sculptra is poly l lactic acid, which is different than hyaluronic acid. It stimulates collagen production deep in the tissue.

Is sculptra good for Cheeks?

Sculptra is commonly used to replace lost volume in the cheeks and to enhance cheekbones. It can stimulate new collagen to replace that which is lost due to aging and time.

How long does it take to see results with Sculptra?

Some results are seen immediately, however, the main results of Sculptra will emerge over 6 to 8 weeks as collagen production is stimulated.


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