Anti-Wrinkle Injections
A purified protein which is derived from botulinum toxin type A is used for anti-wrinkle injections. This protein attaches to the nerve ending and stops production of acetyl choline, a neurotransmitter which is responsible for muscle contracture. It thus paralyses the muscle, stopping wrinkling of the skin. Wrinkles improve, as there is no muscle activity to form wrinkles. This is excellent for improving wrinkles in the upper face, forehead, crows feet, upper nose and between the eyebrows.

Dermal Fillers
These products work on wrinkles by filling them out. These are injected into and just underneath the skin to plump out the wrinkle. They thus work very differently from botulinum toxin type A. Dermal fillers are usually good for the lower face.

I believe temporary fillers are excellent with very few side effects. Permanent fillers are more prone to give side effects such as granuloma formation, fibrosis or scarring. I do not use synthetic permanent fillers. There are a number of popular dermal fillers. One does not need to have an allergy test prior to using dermal fillers.

I believe the best permanent filler is your own fat. Fat injections can be used to augment lips, and soften naso-labial folds as well as filling out hollow faces. Fat injections can similarly be used to fix hollow areas around the body from accidents, surgery or congenital or acquired deformities.

Fat injections are a very good technique. Approximately 50% of the fat will dissipate and so overcorrection is desirable.