Hyaluronic Acid Fillers and Neurotoxins- Dr. Navi Rattan

Hyaluronic Acid Fillers and Neurotoxins

Filler and neurotoxin treatment is a non-invasive way to provide quicker cosmetic enhancements to various parts of the face. However, filler/neurotoxin use is not a “quick fix” treatment. Over time, neurotoxin use can train muscles to relax and even prevent the onset of wrinkles. This requires a long term treatment plan. Neurotoxin use also needs to be balanced. For example, treating the forehead area without treating the glabella (in between eye brows) or temple area can produce a wrinkle free forehead but make the glabella and temple area more pronounced and unbalanced cosmetically looking. 


Filler treatment mandates an even more thorough evaluation. Whether it is for the lips, tear troughs or cheeks; filler use requires a good treatment plan. Volume loss, wrinkles and the ageing process do not occur overnight. Similarly, it is impossible to treat and reverse the signs of this process through a quick fix one-time filler treatment.  Those who achieve the best results have a thorough treatment plan, treating different aspects of the aging process in an organized and systemic pattern.  For example, one cannot hope to achieve optimal results in the tear trough without treating the cheeks and even then, that client may require additional treatments to achieve the results they desire. The treatment plan is key to achieving cosmetic results possible.  Finally, filler and neurotoxin use has to be augmented with good medical grade skincare to provide the best results. 


Skin Care

Filler and neurotoxin use are only one component of rejuvenated youthful skin. Good skincare is required to achieve maximal results. Skin protection is the first step with medical grade antioxidant and sunscreen use. This protects against aging, sun exposure and environmental skin damage.  


Using sunscreen and antioxidants as a base, further medical grade skin regiments can be created to prevent and correct wrinkles, hyperpigmentation, acne and much more. Anyone who undergoes filler or neurotoxin treatment should be on a medical skincare regiment to supplement and enhance in office filler and neurotoxin use


Tear Trough

The tear trough area is often a difficult area to treat and usually a multimodal approach is needed. Under eye damage can occur from a combination of genetics, hyaluronic acid volume loss, lack of antioxidants, and environmental factors such as sun damage. This can produce under eye hyperpigmentation, wrinkles and folds to produce a fatigued look 

To treat this area effectively a combination approach is also needed. Utilizing medical grade skincare to replenish antioxidants and hyaluronic acid is important alongside a good retinol. 

Neurotoxins are used to relax under eye muscles to help decrease wrinkles while filler treatment is used to increase under eye volume. Finally, chemical peels and lasers can also be used to help with hyperpigmentation. 

To achieve best results with tear trough fillers, it is advisable to treat the cheeks and temples first to help lift and tighten the tear trough area. 


Younger faces have a fullness and convexity in and around the temples. As we age, we lose volume in our temples which makes them convex in shape. This produces an “hollowing and sunkeness” to our upper and mid-facial areas. Volume loss in the temples can effect the entire face below the temples making people look older than they are. Using filler treatment to volumize this area area can give clients a fuller face, a rejuvenated look around the eyes and even a lateral eye brow raise. 


The cheeks are one of the most fundamental areas that can be treated with hyaluronic acid based fillers. The cheeks are important in giving the face definition and shape. As we age, we lose hyaluronic acid and with it, structure in the face. By treating the cheeks, we not only recapture this structure, but other areas such as the tear trough and nasolabial folds improve. In fact, often the first step in treating the tear trough or nasolabial folds is actually treating the cheeks. 

Nasolabial folds

The nasolabial folds also known as the “laugh lines,” get stronger as we age. In addition to good medical grade skin-care, we use fillers to treat this area as well.  The best way to do this is by first treating the cheeks to provide a lift to the lower face. Once the cheeks are treated, a cannula or needle technique can be used to decrease the laugh lines further. 


The lips are another common area to be treated with fillers. Wrinkles around the lips can be treated with neurotoxin. However, volume loss and structure of the lips can be enhanced by utilizing hyaluronic acid based fillers. A natural enhancement of the lips combined with cheek enhancement can provide a very nice result in defining the structure of the face. 

All these treatments are available at Drama Queen Studios. Please call or message at 778 882 2926 to book an appointment with Dr. Rattan.

Before & Afters

Tear  Trough



Nasolabial Folds



Full Face

Posted on July 9, 2017 .