Skin Rejuvenation

Injectable Facial Fillers

Types of Fillers

Injectable Cosmetic Wrinkle Smoothing Agents Botulinum Toxin BOTOX®

BOTOX® Frequently Asked Questions

Injectable Facial Fillers Often Offer A Liquid Facelift

The visible signs of facial aging occur over time from sun exposure, lifestyle, and heredity. One of the earliest signs of facial aging is the loss of facial fullness and the development of fine lines wrinkles. Softening facial lines and restoring volume and fullness can often be achieved without surgery with injectable fillers such as Juvaderm, Sculptra, Radiesse, Restylane.

Facial Fillers can:

Plump thin lips

Enhance shallow contours

Soften facial creases and wrinkles

Improve the appearance of recessed scars

What it will not do:

Soft tissue augmentation does not stop the aging process. If you wish to change the elements of your face, surgery such as a facelift, brow lift or eye lift may be the answer.

Non-surgical skin rejuvenation treatments such as injectable fillers cannot achieve the same results, but may prolong the time in which a facelift becomes appropriate.

To schedule a private consultation and to see examples of Dr. Aguilar’s work, please call (713) 521-4777.

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Types of Fillers


Collagen is a natural protein that supports the skin. Injectable collagen formulas derived from human dermis include Cosmoderm® or Cosmoplast®. Zyderm® and Zyplast® are forms of bovine collagen that, unlike human derived collagen, require prior allergy testing. The results may last 2 to 4 months.

Hyaluronic Acid

Hyaluronic Acid is a natural substance found in our bodies. It is well suited to plump thin lips and fill facial creases such as nasolabial folds. It may also be appropriate for some surface wrinkles and concave scars. The results may last 6 months or longer.


Hydroxylapatite is a mineral-like compound found naturally in human bones, suspended in a gel-like formulation. It is the heaviest of facial fillers and is recommended to fill deeper creases such as nasolabial folds, marionette lines and frown lines, as well as to enhance fullness of the cheeks and other facial contours.

Human Fat

Human fat, harvested from your own body, can be reinjected to enhance facial fullness, fill deep creases and to build up shallow contours. Fat injection requires a more extensive procedure than other injectable fillers because it uses liposuction techniques to extract the fat prior to injection.

PMMA (polymethylmethacrylate)

PMMA (polymethylmethacrylate) fillers contain 20% tiny PMMA microspheres suspended in 80% purified collagen gel. An FDA-approved PMMA filler is recommended for the correction of facial wrinkles known as smile lines.

Treatment results last up to a year or more in some cases and are highly variable. (Fat can be stored for your own future treatment. The duration of results from preserved fat is not as favorable as fat used at the same time it is harvested.)

To schedule a private consultation and to see examples of Dr. Aguilar’s work, please call (713) 521-4777.

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Injectable Cosmetic Wrinkle Smoothing Agents Botulinum Toxin BOTOX®

“When done correctly most people will not notice that Botox has been injected, but simply that the patient looks more rested or happier.”

Botox® Cosmetic is a form of botulinum toxin which is a popular non-surgical injection that temporarily reduces or eliminates frown lines, forehead creases, crows feet near the eyes and thick bands in the neck. The toxin blocks the nerve impulses, temporarily paralyzing the facial muscles that create expressions and cause wrinkles. These injections achieve skin rejuvenation by creating a more refreshed and youthful appearance.

The three most common areas for these injections are between the eyebrows, the forehead and next to the eyes, where “crow’s feet” form. Botulinum toxin can improve your appearance and prevent the formation of deep expression lines that make you look older. It will not help fine lines or wrinkles that are not due to facial expressions.

Botulinum toxin, Botox®, is also used in relieving migraine headaches, excessive sweating and muscle spasms in the neck and eyes.

To schedule a private consultation and to see examples of Dr. Aguilar’s work, please call (713) 521-4777.

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BOTOX® Frequently Asked Questions

Where Should I Go To Have My Injections?

A common misconception is that botulinum toxin actually fully paralyzes the muscles in the face. Although, with extreme amounts of botulinum toxin, this can happen, most physicians strive to inject just the amount that allows the patient to have some limited activity but not so much that they have overactivity of the areas. Patients should know that botulinum toxin is not used to keep them from expressing themselves but simply to keep them from making facial grimaces and frowns that have become habits and are unintended. “When done correctly, most people who are not trained cosmetic surgeons will not notice that a botulinum toxin procedure has been performed but simply that the patient looks more rested or happier.”

What is BOTOX® Cosmetic?

Botulinum Toxin Type A. BOTOX® has been used therapeutically for more than 17 years to treat a variety of medical conditions. It is approved in more than 75 countries and remains the most-studied botulinum toxin and one of the most widely researched medicines in the world. In 2002, the same formulation-under the label BOTOX® Cosmetic-was approved by the US Food and Drug Administration (FDA) for treatment of moderate to severe frown lines between the brows in people ages 18 to 65.

What causes frown lines between the brows?

The lines that appear between your brows actually result from muscle movement and the passage of time. When powerful muscles between the brows contract, they draw the brows together, causing the skin to fold or furrow. As skin becomes less elastic with age, those folds or furrows result in stubborn lines.

Because frown lines are dynamic lines caused by over-active muscles, they can usually be treated with tiny injections of BOTOX® Cosmetic.

Static lines, on the other hand, are lines that are visible even when the muscles are at rest. These lines are usually treated with a filler, such as Juvaderm injectable gel.

How does BOTOX® Cosmetic work?

During treatment, very low doses of BOTOX® Cosmetic are administered via a few tiny injections directly into the muscles responsible for frown lines between the brows. By blocking the release of a chemical that causes these muscles to contract, BOTOX® Cosmetic enables them to relax. The effects are very localized and, when administered by an experienced physician do not affect your ability to smile, laugh, or otherwise show expression. BOTOX® Cosmetic is the only product of its kind that has been approved for use in this area.

What are the common side effects?

The most common side effects following injection include temporary eyelid droop and nausea. Localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising may be associated with the injection. Patients with certain neuromus-cular disorders such as ALS, myasthenia gravis, or Lam bert-Eaton syndrome may be at increased risk of serious side effects.

Is there any chance of serious side effects?

Serious heart problems and serious allergic reactions have been reported rarely. If you think you’re having an allergic reaction or other unusual symptoms, such as difficulty swallowing, speaking, or breathing, call your doctor immediately.

What is the treatment like?

BOTOX® Cosmetic is a quick and minimally invasive procedure consisting of a few tiny injections. Your doctor will determine exactly where to administer these injections to achieve the best results for you. No anesthesia is required, though he or she may choose to numb the area with a cold pack or anesthetic cream prior to injecting. The entire procedure takes approximately 10 minutes and there is no downtime afterward. Discomfort is minimal and brief. Localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising may be associated with the injection.

Who is being treated with BOTOX® Cosmetic?

Men and women of varying ethnicities have been treated with B0T0X~ Cosmetic. Because it works only on the underlying muscles, it is not expected to affect skin color. Take a look at the results of the American Society for Aesthetic Plastic Surgery (ASAPS) 2006 statistics report:

BOTOX® Cosmetic was the most popular physician-administered cosmetic procedure in the United States for the fifth year in a row (surgical and nonsurgical combined) will nearly 3.2 million treatments in 2006

Racial and ethnic minorities accounted for 22% of all physician-administered cosmetic procedures

Men accounted for nearly 1 million physician-administered cosmetic procedures

Patients ages 19 to 34 accounted for 22% of all physician-administered cosmetic procedures

Have patients been happy with their results?

A 2005 survey by the Aesthetic Surgery Education & Research Foundation (ASERF) reported that 97% of patients were satisfied with the results of their BOTOX® Cosmetic treatment.

Will I still be able to make facial expressions?

Although you may see a marked improvement, a treatment with BOTOX® Cosmetic does not make you look like you’ve “had work done.” The muscle activity that causes frown lines is simply reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.

How soon will I see a difference?

You can expect to see results within days after your treatment, and the appearance of the area between your brows may continue to improve for up to a week.

By day 30 in a phase 3 clinical study, 89% of patients judged the severity of their frown lines between their brows as moderate or better. Visible results have been shown to last up to 4 months. After that, many patients are ready to return for a follow-up treatment. Your own results may vary-be sure to talk to Dr. Aguilar about what you can expect.

How do I know if BOTOX® Cosmetic is right for me?

If you are between the ages of 18 and 65 with moderate to severe frown lines between your brow you may be a candidate for BOTOX~ Cosmetic. As your doctor if BOTOX® Cosmetic is right for you.

Is BOTOX® Cosmetic expensive?

Actually, it’s quite affordable. Although many people think of BOTOX~ Cosmetic as a luxury treatment for the “rich and famous,” recent statistics show otherwise. According to the 2005 ASERF BOTOX® Cosmetic Use Survey, people just like you make up two thirds of the patient base:

Those with annual household incomes of less than $100,000 (44%) were more likely to be treated with BOTOX® Cosmetic than those with annual incomes greater than $150,000 (36%)

Working mothers between the ages of 40 and 55 are the most common users of BOTOX® Cosmetic

How can I be sure I’m getting real BOTOX® Cosmetic?

Only licensed and trained healthcare professionals have the experience necessary to administer BOTOX® Cosmetic. Allergan, Inc., the maker of BOTOX® Cosmetic, is the only source for healthcare professionals to purchase the product, and each US FDA-approved vial label has the Allergan hologram.

To schedule a private consultation and to see examples of Dr. Aguilar’s work, please call (713) 521-4777.

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