Botox, Juvederm, Cosmetic & Dermal Fillers in Scottsdale & Phoenix

Patients often seek treatments for facial aging that avoid surgery. In addition, patients whom have had surgery seek methods to maintain their surgical result as long as possible while minimizing the effects of aging. Although the media often likes to link the now house-hold terms Botox and various dermal fillers, it is important to note that these wonderful treatments are not similar at all. Botox is designed for the softening of dynamic lines (those that appear with facial movements such as smiling or frowning) and to soften static lines (those that are present at rest). During the aging process, skin undergoes something called subdermal atrophy. This means essentially that skin becomes thinner and loses volume. Juvederm and other dermal fillers are designed to fill or plump the tissue of static lines caused by subdermal atrophy. One only needs to compare the hands of a 30 year old to that of a 70 year old to understand the problem with subdermal atrophy.


BOTOX® injections soften the movement of the fine muscles around the eyes, forehead, lips, chin, and neck that cause creases in the skin called rhydids. By selectively weakening the proper muscles at key injection points, the provider can dramatically reduce wrinkles. In certain instances however, wrinkling may be too deep and either require surgical procedures or volume enhancing procedures such as the placement of dermal fillers combined with Botox.

During treatment, very low doses of BOTOX Cosmetic are administered via a few tiny injections. “Frown lines” are caused by overactive facial muscles. BOTOX Cosmetic is intramuscular, blocking the chemicals that cause facial muscles to contract, thereby relaxing them. You can expect to see results within days after your treatment. The appearance of your “frown lines” may continue to improve for up to a week. Visible results can last up to 4 months. After that, you may be ready to return for a follow-up treatment. Your own results may vary, be sure to talk to our doctors about what you can expect.

While the treatment can be used alone, it is often used in conjunction with other cosmetic procedures such as soft tissue fillers (eg. Juvederm®, Radiesse®). Botox® is often combined with surgical procedures such as face-lifts, blepharoplasty or laser resurfacing.

BOTOX has been used therapeutically for over 75 years to treat a variety of medical conditions. It is approved in more than 75 countries. Only licensed and trained healthcare professionals have the experience necessary to administer BOTOX Cosmetic. Allergan, Inc. is the only source for healthcare professionals to purchase the product, and each label has the “Allergan” hologram. Drs Carlotti have injected thousands of patients with BOTOX Cosmetic at the Carlotti Center for Cosmetic Surgery and are considered two of the top doctors in the Valley with this experience.

Juvederm® and other Dermal Fillers

Juvederm – Injectable soft tissue fillers are one of the most common cosmetic procedures for adding volume to the skin. As we age, the production of two proteins called collagen and elastin in the skin decreases. These proteins are what create fullness in the skin. Sun exposure, diet, and smoking also speed up the aging process, making the wrinkles even more prominent.

Soft tissue fillers cannot correct facial lines with the long lasting effects of surgery, but in many cases, they provide an excellent non-surgical option to improve the appearance of wrinkles. The most commonly treated wrinkles are those around the nose and mouth, known as the nasolabial lines and marionette lines. Soft tissue fillers are also an excellent option for patients wishing to have more full and youthful appearing lips. Common brand names among soft-tissue fillers are: Restylane®, Hylaform®, Juvederm®, Sculptra®. The results of injections and the length of time results will last vary by each individual and by the treatment.

Hyaluronic acid is a natural component of human skin and is the framework in which skin cells live. There are several hyaluronic acid products available that have various characteristics: Captique™, Hylaform®, Restylane®, Juvederm™, and Juvederm Ultra Plus™. These fillers can be used to fill hollow areas of the face, including the cheeks and lips. Hyaluronic acid gel does not pose an allergy risk for patients and there is no risk of transmitting animal diseases by injection. The results patients receive from hyaluronic acid products last approximately four to six months.

Poly-L-lactic acid (Sculptra™) is a biodegradable synthetic filler used to replace lost facial fat, giving the face a more youthful appearance. It is currently only FDA approved for treating facial fat loss in patients with HIV. Use on healthy individuals is considered off-label use at present.

If you are looking to achieve a more youthful appearance, whether you choose cosmetic surgery or non surgical methods such as BOTOX® and Juvederm™, the doctors at the Carlotti Center for Cosmetic Surgery have the experience and training to provide you with excellent care.

Carlotti Skin Care