« Back to Blog

Category: Wrinkle Reduction

Combining Fillers and Botox to Achieve Facial Rejuvination

Non-Surgical Facelift Using Fillers and Botox

When a woman does not want to undergo surgery, fillers (Restylane, Juvaderm, fat) and Botox in combination can produce a youthful improvement to the face. Fillers can be used to add volume to the periorbital area, temporal area,  nasolabial folds, and jawline. Botox is used to remove the wrinkles in the forehead, upper nose and eyelid By combining these products at one time, a distinctive improvement in facial appearance occurs. A patient must realize these effects are not permanent and re-injections will be required every six to twelve months depending on the product used.

Are Facial Fillers Best For You

Do facial fillers make you look young again?

As a plastic surgeon, I have a larger number of options to enhance a patients appearance and make them look younger.  These options include surgery and non surgical procedures.  Today, a lot of my patients request Fillers, Botox and Laser Therapy to minimize any down time from a surgical procedure.  Although these minimally invasive techniques work well, they are not long lasting and require further treatments, and can be quite costly over time.  A patient recently told me that she would have paid for a facelift following 2 years of maintenance therapy.  From a cost basis, she felt that a much longer lasting procedure would have been more economical.  I thought this was an interesting perspective and something every patient should consider.

Mouth and Eye Wrinkle Treatment

Erasing Lines around Mouth and Eyes with Minimal Redness

mouth and eye wrinkle treatmentEvery day patients come into my office complaining of wrinkles around their mouth and eyelids. Most of these patients have tried numerous creams and ointments without success and have spent hundreds of dollars for these products.  Certainly, these people have bought these products because of good advertisement.

Over the years, I have tried a number of techniques to improve these wrinkles.  This has included dermabrasion, laser therapy and fillers.  While all these modalities work, there are downsides to  each of these therapies.  With fillers, they are only temporary.  With dermabrasion and CO2 lasers, there is prolonged redness and long healing.

Sciton erbium laserRecently, I have been working with the Sciton Erbium laser.  I have found this laser to be extremely effective with minimal redness and fast healing.  This laser can reverse the effects of sun damage that cause wrinkling, sun spots and tired appearing skin.  With this laser, physicians  can control the ablation and coagulation depth for either light or deep peels and restore a healthy look to the skin.

There are 2 approaches to resurfacing: Full field and fractional.  In full field resurfacing, the entire surface areas of the skin is treated. A laser beam is scanned over the treated area and precisely removes a layer of skin.  The body will eventually replace the old, damaged skin that was removed, with a fresh, healthy layer.  Treatments can range from shallow to deep depending on the patients extent of wrinkling and texture problems.

In fractional resurfacing, the laser removes pinpoint columns of skin, leaving the surrounding tissue intact.  This approach allows the laser to penetrate very deeply for effective collagen remodeling, while the surrounding and intact tissue promotes rapid healing.

By combining these two modalities, the results in my patients are greatly improved.  Depending on the patients desires, 1 day or a week of redness is involved to achieve the desired results.

Please contact our office with any questions or concerns, or to schedule a complimentary consultation, 714-738-4282.

Robert M. Wald, Jr., MD
The Aesthetic Institute

|| Back to Top ||

Quick Contact Form

Robert M. Wald, Jr., MD
The Aesthetic Institute


100 E. Valencia Mesa Drive, Suite 300
Fullerton, CA 92835

Phone 714.738.4282
Fax 714.738.1862

Google Map and Directions

Dr. Robert Wald is a Natrelle Preferred Doctor