Tag Archives: injectables

The Basics of “Syringe Therapy” for Non-Surgical Facial Rejuvenation

Did anyone ever tell you that you have a baby face? A big part of a “baby face” is the presence of full, round cheeks. Over time, that baby face you enjoyed early in life is lost due to an ongoing complex process that involves two important factors.

First, there’s a loss and displacement of fat and collagen that cause volume loss throughout the face. The forehead, temples, cheeks, and areas around the eyes and mouth shift downward. Features that were round are now sunken, and you lose that full look. Meanwhile, other parts of the face get baggy, especially around the chin and jowls.

Second, repetitive facial muscle movements cause wrinkles and folds, which are sometimes referred to as expression or animation lines. One way to look at it is that the increasing wisdom and experience associated with age is “paid” for with hollow cheeks and wrinkles.

The good news is that it’s possible to design individualized treatment based on your special needs. The skillful use of dermal fillers, botulinum toxin, and Kybella® can rejuvenate that youthful appearance so many of us desire.


Dermal fillers work by providing support for facial structures. When used properly by an experienced aesthetic dermatologist, fillers can be used throughout the face. They can raise the eyebrows, fill the tear trough, reshape the nose, and lift the nose tip. They fill in “smile lines” or “laugh lines”, as well as the downturned lines at the corners of your mouth. Filler can be used to raise the cheekbones, reshape the jaw line, and rejuvenate the temple area.

Today, many different types of fillers are available. Each is unique. They differ in their ingredients, concentration, duration of effect, and more. Some include a local anesthetic. In addition, the Food and Drug Administration (FDA) approves fillers for use in specific areas of the face based on research in patients. Your provider can use these fillers “off label” to treat many facial areas not specifically FDA “approved”

Limiting yourself to one filler may give less than optimal outcomes. For many people, the skillful use of these drugs in combination with botulinum toxin (described below) yields the most satisfying results.

Botulinum toxin

Botulinum toxin injection is an effective treatment for fine lines and wrinkles on the face that appear because of contraction and relaxation of facial muscles. Examples include, crow’s feet around the eyes due to smiling, worry lines on the forehead due to raising the eyebrows, and frown lines between the eyebrows due to concentrating or grimacing when you’re angry.

Botox® was the first drug to use botulinum toxin. Now, three others are available. Each is a little different, particularly when it comes to dosing, so they aren’t interchangeable. We prefer to use BOTOX.


Kybella is the first FDA-approved non-surgical injectable treatment for adults with moderate or severe fat below the chin (double chin). It’s a synthetic form of deoxycholic acid, which is a bile salt naturally produced by the body.

Kybella works by breaking down the cell membrane, and once the fat cells dissolve, your body absorbs and metabolizes the fat in them.

The bottom line.

Skillful selection and use of these products (often in combination, and with regular maintenance treatments) offer an opportunity to restore your youthful appearance. More on fillers, Botox, Kybella  and combination treatments can be found throughout the Beauty Before Age™ website.

For a consultation and more information, contact Aesthetic Dermatology and Skin Cancer: Jeffrey H. Binstock, M.D. Drs. Binstock, Layton, and Physician Assistant Cullinane will answer your questions. Call our San Francisco office at (415) 956-8686, or in Mill Valley call (415) 383-5475.