Botox/Juvéderm Specialist
Patients with fine lines and folds in the skin may benefit from treatment with Botox® or dermal fillers. Dr. Audrey Bruell is a Board Certified dermatologist who offers Botox, Juvéderm®, and Restylane® to patients in Livonia, Michigan. Patients interested in Botox should contact the offices of Audrey Bruell, MD to schedule an appointment.

Botox / Juvéderm Q & A

What’s Botox?

Botox is a highly-purified protein designed to improve the appearance of crow’s feet and frown lines. It works by relaxing the muscles responsible for creating these wrinkles.

When is Botox appropriate?

Botox is appropriate for patients with fine lines and wrinkles who don’t want to undergo more extensive treatment, such as a facelift.

What are dermal fillers?

Dermal fillers are injectable substances designed to improve the appearance of lines, wrinkles, and folds in the skin. Dr. Bruell offers 2 dermal fillers: Juvéderm and Restylane. Both of these fillers contain hyaluronic acid, a compound that occurs naturally in the skin. When injected, the compound helps wrinkles and lines become less evident. Juvéderm and Restylane also restore some of the skin’s volume, making it appear fuller and more youthful.

When are dermal fillers appropriate?

Patients with lines above the upper lip, lines running from the mouth to the chin, lines from the nose to the mouth, or frown lines find dermal fillers helpful. Dermal fillers benefit patients with other issues as well. Dr. Bruell helps patients determine whether this treatment is best for them.

Is treatment painful?

Patients experience little-to-no pain during treatment with Botox, Juvéderm, or Restylane. If a patient is anxious about the treatment, Dr. Bruell provides topical anesthetic to patients during treatment.

What are the possible side effects?

In rare cases, the protein used in Botox treatment may spread to other locations, which affects muscles not targeted during treatment. Dermal fillers like Juvéderm and Restylane may cause mild redness, tenderness, swelling, itching, or bruising at the site of the injection. In some cases, lumps or bumps may also appear under the skin after treatment with dermal fillers, though all of these side effects are rare.

How long will results last?

The effects of a Botox injection last up to 6 months. The effects of treatment with Juvéderm or Restylane last anywhere from 4-6 months. Certain formulations of dermal fillers last longer. Patients who want to maintain the results of Botox or dermal fillers can return for additional treatments when results begin to fade.

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