Minimally invasive procedures such as Botox® and soft tissue fillers can almost immediately reduce certain signs of aging in a quick visit. There is no downtime and no anesthesia required typically.


Botox® Cosmetic is a prescription medication (botulinum toxin A) and temporarily paralyses muscle. Originally designed for treating muscle spasms in certain parts of the body, Botox® is most commonly used in the face the treat deep and strong wrinkles in the upper forehead, frown lines and crow’s feet (wrinkles on the side of the eye). There are a number of other areas that can be treated in select situations as well. Results start to be seen in several days to a week.


As we age, generally the face loses fat which was present in youth. Combined with the loss of elasticity of the soft tissue the face can appear “deflated”. The cheeks descend, wrinkles and creases become more noticeable which are signs associated with aging.

Unlike botox which works on wrinkles caused only by muscle contraction, soft tissue fillers are able to fill wrinkles from many causes. The vast majority of the fillers in the market today are hyaluronic acids (HA’s) which are a naturally occurring substance in the body. When the material is chemically crosslinked it takes the body longer to dissolve the material. This can take between 3-12 month depending on the type of filler and how much muscle activity there is in that area.

There are different brands of filler, many of which are quite similar. For most patients Dr. VandeGriend prefers Juvederm Ultra Plus XC as this is versatile, relatively long lasting and gives natural looking results. We also offer Juvederm Voluma for those with significant volume loss in the midface and cheek region.