Botox and dermal fillers have become popular options for combating wrinkles and enhancing facial
features. However, despite their popularity, there are still many misconceptions and myths surrounding these non-medical cosmetic procedures.

According to a recent study, in 2022 over 9.0 million Botox procedures were administered globally, while in the US alone, more than 2.6 million people receive Fillers each year. Their safety relies heavily on the skill and integrity of the injector and, when administered by qualified professionals using quality products, these procedures can yield very natural-looking results.

Dr Kimberley Johnson, founder and CEO of aesthetic medical clinic, Skyn by Dr Kym, sat with Our Today to share her expertise and knowledge on Botox and fillers.

The American Board of Aesthetic Medicine-certified physician explained that her journey into skincare was a result of her personal struggle with chronic acne as well as her desire to educate and help others facing similar or related issues.

“I hear misinformation surrounding ‘Botox’ and fillers daily in the office. The main ones being, ‘they make persons look unnatural’ and ‘it is too permanent’, and because of that many people are reluctant to get these procedures. This has a lot to do with the history of seeing horrendous results from poorly and overdone treatments,” Johnson began.

“Both treatments effectively address common concerns related to ageing, such as wrinkles and skin folds, providing individuals with smoother, more youthful-looking skin. On a monthly basis, I do an average of 10 Botox treatments. This figure could be a lot more if the local population was more educated about the procedure,” she told Our Today.

The Jamaican aesthetician then went on to explain that the term ‘Botox’ is trademarked and should not be used loosely.

“The correct term, of which many are not aware, is neurotoxin injections or neuromodulators. Botox is just one brand of neuromodulators, and there are many others.”

In this feature, we will explore neurotoxin injections (Botox) and fillers with Dr Johnson, who debunked 10 associated myths, shedding light on common misconceptions, and providing clarity for those considering these procedures.

‘Botox and filler procedures are only for women’

Dr Johnson: “Botox and dermal fillers are for both men and women. Both procedures are more sought after by women, but there has been a local uptake among men in recent times.”

The filler procedure is painful

“The filler procedure typically involves numbing administered by the provider, making it less painful. Additionally, certain fillers contain Lidocaine, an anaesthetic agent, further alleviating discomfort.”

Botox is only for individuals with wrinkles and laugh lines

“Botox isn’t exclusively for those with wrinkles. It can also be used preventatively in smaller doses to ward off wrinkles. Additionally, it’s prescribed for clinical conditions such as migraine headaches and hyperhidrosis (excessive sweating unrelated to exercise), targeting areas like the underarms and palms. However, laugh lines are typically addressed with filler, not Botox.”

Botox immobilises movement and display of emotions in the face

“Botox effectively relaxes facial muscles to prevent wrinkles, and when applied with subtlety or in minimal amounts, natural facial movements and expressions are preserved. This concern is frequently voiced by patients considering Botox treatments.”

The results of filler are unnatural

“The appearance of filler results may seem unnatural only if they’re administered incorrectly or in excessive quantities. With traditional hyaluronic acid fillers, less is often preferable. Bio-fillers like platelet-rich fibrin (PRF) gel, derived from one’s own blood plasma, yield even more natural results and encourage the body’s collagen production.”

Botox can cure wrinkles

“Botox effectively addresses wrinkles, yet it’s not a permanent solution. However, with ongoing treatment, wrinkles diminish over time, requiring smaller doses and less frequent sessions. You’re unlikely to revert to the same level of deep wrinkling experienced before Botox. In some cases, patients reach a stage where treatments are no longer necessary due to significant wrinkle reduction. Maintaining a solid skincare regimen can further extend the intervals between treatments.”

Fillers are permanent and irreversible

“Hyaluronic acid fillers can be dissolved, making them reversible. However, there are certain types of fillers that are permanent. These are typically reserved for specific cases and are discussed during your consultation.”

You get the same results with Botox and fillers that you do with anti-ageing products

“If you’re seeking to add volume, dermal fillers yield different results compared to anti-ageing products. While certain Botox alternatives may offer similar effects, they often require a longer duration to reduce wrinkles. However, initiating anti-ageing skincare routines at an early age (21-30 years old) can help prevent the formation of fine lines and wrinkles.”

Botox and fillers will provide the same results

“Botox addresses wrinkles by relaxing facial muscles, whereas fillers enhance volume and definition in the treated area, making their modes of action distinct.”

Botox and fillers are dangerous procedures

“Botox and fillers are not dangerous when done correctly, by a skilled and ethical injector following a thorough consultation. Nonetheless, there are potential risks, particularly if performed by unskilled practitioners or with contaminated substances.”