, Advanced Dermatology

What is The Difference Between Botox and Fillers?


It seems like there is a new miracle cream or cosmetic treatment popping up every day promising eternal youth and beauty. But there are a few treatments that have stood the test of time and are responsible for the seemingly ageless faces of celebrities and your genetically-blessed neighbors: Botox and fillers. With all of the non-surgical options on the market today, one of the most common questions our office receives is: which treatment option is right for me? We sat down with Dr. Sherry Ingraham, one of the founding physicians of Advanced Dermatology and the doctor responsible for many flawless faces of Houston’s elite, to learn more about these treatments.

What is Botox? 

Before we breakdown the difference between Botox and fillers, Dr. Ingraham explains that Botox is actually the brand name of a type of neurotoxin. In the U.S. there are currently three FDA-approved neurotoxins available—Botox, Dypsport and Xeomin. Botox has become a household name, sort of like the Kleenex of neurotoxins if you will. All neurotoxins work by relaxing the muscle, preventing muscle contractions and therefore softening the appearance of lines and wrinkles. The duration of results vary from patient to patient with the average ranging from 3-4 months.

What are fillers? 

Just as their name implies, most fillers are used to “fill-in” lines, wrinkles and facial volume loss. Depending on a patient’s desired results, dermatologists have a wide range of fillers at their disposal and will tailor a custom treatment based on those needs. Fillers can be subdivided by: hyaluronic acid (such as Juvederm, Voluma, or Restylane), calcium hydroxyapatite (Radiesse) and poly L-lactic acid (Sculptra).

For more heavy lifting and volumizing of the cheek, mid-face and temple area; Radiesse, Restylane Lyft, Sculptra and Voluma are excellent treatment options while the lips and nasolabial folds (smile lines) require a lighter, more superficial filler such as Restylane, Restylane Silk, Juvederm Ultra or Ultra Plus.  

Which treatment is right for me? 

A quick and easy rule? Toxins treat lines of expression, while lines at rest need filler. Toxins and fillers are commonly used in conjunction to enhance results. An in-person consultation is the best way to determine the best treatment plan for your unique facial features.

Schedule your free cosmetic consultation with Advanced Dermatology today: 

Online: www.AdvancedDermatologyMD.com/contact-us

By email: info@AdvancedDermatologyMD.com

By phone:  

281.392.3803 (Katy)

281.412.6262 Ext. 105 (Pearland)

281.325.5370 (Sugar Land)


, Advanced Dermatology

5 Tips To Keep the Skin Around Your Eyes Looking Young!


The eyes are one of the first places we start to notice early signs of aging—whether you suffer from fine lines and wrinkles, puffiness or dark circles—we’re uncovering the top ant-EYE-aging (see what we did there?) tricks from the pros to keep you looking bright-eyed and bushy-tailed (okay, we promise we’re done with the eye puns). Read on to learn more.


TIP #1: Prevent lines around your eyes from forming in the first place! Neuromodulators such as Botox and Dysport work to prevent and soften the appearance of crow’s feet by temporarily relaxing the muscles that crease skin around the eyes. Dr. Ingraham of Advanced Dermatology Houston recommends starting neuromodulators in your mid-twenties as a preventative measure.  

TIP #2: Protect the delicate skin around your eyes. “Wearing sunglasses with UVA and UVB protection [is an important part of protecting your eyes],” says Kendra Salazar, Certified Physician Assistant at Advanced Dermatology Houston. “I love Skinceuticals A.G.E. Eye Complex which I use myself every night. It helps reduce fine lines and wrinkles but I found with my use that it also can help reduce puffiness under the eyes.”


TIP #3: Watch your diet! One of the simplest ways to prevent puffiness under the eyes is to watch your alcohol intake, avoid foods high in salt and make sure you drink enough water.


TIP #4: Plump it up! Tear trough injections by a board-certified dermatologist are an effective way to lift any depression under the eye that can contribute to the appearance of periorbital dark circles.


TIP #5: Temporarily raise your brows. For patients with slight brow ptosis (or drooping eyelids) neuromodulators such as Botox or Dysport can help to non-surgically lift the lateral portion of the brow. Be sure to see a board-certified dermatologist when treating delicate areas of the face. 

Click here to schedule an appointment with Advanced Dermatology. 

, Advanced Dermatology

Facial Volume Loss: The Sneaky Thing That Could Be Aging You

If you’ve ever looked in the mirror and thought something about your face looks older or more tired but you just can’t seem to put your finger on exactly what that something is, you could be experiencing facial volume loss. As you age, you lose the collagen and fat pads that once gave your skin a youthful appearance (think of a baby’s face, round, full and smooth).

What does facial volume loss look like?

Facial volume loss may appear as hollow temples, sunken-in eye sockets, flattened cheeks, or loose sagging skin around the jawline also known as jowls.

What causes facial volume loss?

The natural aging process and your genetics are the major causes of facial volume loss. However, certain medications, weight loss, stress and other lifestyle factors may contribute to exacerbated facial volume loss.

When does facial volume loss begin to occur?

While every person ages differently, many patients begin to notice signs of facial volume loss starting in their 20s. In your youth, fat in the face is evenly distributed, with pockets that plump up the forehead, temples, cheeks, and areas around the eyes and mouth. As you age, the natural supports of the skin begin to break down and fat pads may shift downward. This process accelerates as you age and can be influenced by a number of environmental or behavioral factors.

What are some non-surgical options for treating facial volume loss?

“There are several options to help with facial volume loss. HA fillers are composed of synthetic hyaluronic acid, a naturally occurring plumping substance in skin, that gives you results in a few short weeks. Sculptra is a building block for collagen that we lay under the skin, and is therefore great for long-term correction. Most patients over the age of 30 are a candidate for HAs or Sculptra as prevention and treatment of volume loss over time,” says Dr. Mary Moore of Advanced Dermatology Houston.

Are men’s concerns addressed differently than women when it comes to correcting mid-face volume loss?

“Absolutely,” says Dr. Sherry Ingraham of Advanced Dermatology Houston, “The brain reads feminine as being curved, soft and round, and the brain reads male when we see angles and sharpness, so we want to maintain those angles in our male patients. You want to fill that loss rather than raise the cheek bone as you do in women,” she says. “In men, I’m not looking so much for lift as I am looking for volume replacement and volume correction. This requires deep placement of the filler.”

How are various areas of the face (such as the temples and mid-face) treated differently when it comes to facial volume loss?

“Hollow temples respond very nicely when treated with injectable fillers. Dramatic improvement can be achieved with Sculptra as well as Radiesse Plus and even Voluma. The choice depends on the age of the patient as well as the level of correction needed,” says Dr. Kelly Duncan of Advanced Dermatology Houston.

In regards to mid-face volume loss, Dr. Sherry Ingraham recommends fillers that have a high G prime, such as Juvéderm Voluma XC (Allergan) and Restylane Lyft (Galderma), are top-line choices for midface volume replacement, but Sculptra Aesthetic (Galderma) is also a good choice for those who want subtle, gradual improvement.

Click here to schedule an appointment with Advanced Dermatology Houston.