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Wrinkle Reduction (Volume Correction)

Botox Cosmetic™

Professionally administered injections of botulinum toxin, or Botox Cosmetic™, can reduce or eliminate wrinkles around the forehead, eyes, mouth, and neck caused by muscles that have tightened over the years. These are the wrinkles caused by stress, muscle tension, and repetitive facial expressions. Botox Cosmetics™ actually inactivates the specific facial muscles for a time, allowing the fact to relax, eliminating the lines and wrinkles.

About the Procedure
Botox Cosmetic™ is injected at precise points in the muscle as needed. The procedure is relatively painless because of the very fine needle used and is performed in a short office visit, without anesthesia. You should be able to return to work with minimal discomfort. In those cases, applying ice to the area helps.

Botox before/after image

Before (top) and after (bottom) Botox Cosmetic™

Botox Cosmetics™ is an appropriate treatment for frown lines, forehead creases, crow’s feet, and the bands or cords that appear in the neck, called platysmal bands. It has also shown to be effective in treating eyelid spasm, imbalance in facial muscles, spasms in eyelids or the neck, and in treating spastic muscles associated with cerebral palsy. Recent research shows that Botox Cosmetics™ may also provide relief for migraine headaches in some persons and some types of excessive sweating.


  • Botox Cosmetic™ is not a treatment for age lines or for wrinkles caused by the sun. To treat those conditions, consult the surgeon for other options.
  • Botox Cosmetic™ treatments are not permanent. They must be repeated every three to six months or the area will return to its original appearance.
  • Full treatments and "Botox petite" service, designed for those times when your skin just needs a little pick-me-up, are available.

View a short animated video describing Botox Cosmetics.

Volume Correction and Fillers

Juvéderm®, Juvederm Ultra, and Juvederm XC are injectable, hyluronic acid formulation fillers which the physician injects easily under the skin to smooth wrinkles or folds  particularly around the areas of the nose and mouth. The Juvederm Ultra is a robust formulation for volumizing and correcting deeper wrinkles and folds. The result of both products is a smooth and natural result which everyone will notice but no one will know. The Juvederm Ultra XC is a new product that has a numbing agent in the product itself to make injections even more comfortable for the patient during the process.

Voluma: Restores contour and a more youthful profile to the cheeks leaving you with a smooth, natural looking result that lasts up to 2 years.

Radiesse® is a safe, next generation cosmetic dermal filler that’s setting a new standard for the correction of facial lines and wrinkles such as nasolabial folds, giving you a natural and youthful look immediately.

Radiesse® treatments are typically scheduled once a year.

Radiesse before/after image

Before (top) and after (bottom) Radiesse®

JUVÉDERM VOLLURE™ XC is an HA (hyaluronic acid) dermal filler that is FDA-approved to soften moderate to severe parentheses lines and wrinkles by adding volume to the lines and wrinkles around your nose and mouth to produce subtle and long-lasting results for up to 18 months.

Fat Transfer: A technique in which the patient’s own fat is transferred from one part of the body through liposuction and injected into a different body part. Generally the fat is taken from the abdomen, hip or thigh area. It is then put through a process in which the fat can be injected back into the nasolabial area, cheeks or lips to correct loss of volume.

The fat transfer generally lasts longer than dermal fillers. It is non-surgical and benefits can last as long as three years. And because the material used is already part of your body, there is no risk of allergic response or rejection.

Fat transfer is also beneficial for:

  • Altering some facial deformities
  • Correcting atrophic aging of the hands
  • Post surgical and post traumatic defects
  • Gluteal augmentation
Fat transfer before/after image

Before (left) and after (right) fat transfer

About the Procedure 
Fat is liposuctioned from your body, usually from the thigh or abdomen, processed to remove excess liquids and then injected at the location of the wrinkle. An anesthetic is used at both the removal and injection sites. There may be some swelling for up to 36 hours and discomfort can be treated with medication. Often, a second stage, two months later, is necessary to obtain effective, long lasting results.

Fat transfer is not permanent.

Considerations for All Volume-correction Procedures

Precautions before treatment may include:

  • Avoid aspirin, non-steroidal anti-inflammatory medicines, St. John’s Wort, or high doses of Vitamin E prior to treatment to reduce bruising or bleeding at the injection site.
  • If you have previously suffered from facial cold sores, talk to your doctor. You may be prescribed a medication to minimize recurrence.

View a short animated video describing wrinkle-reduction (volume-correction) procedures.

Contact Us

OMC's plastic surgery department can be reached Monday through Friday, 8:00 AM to 5:00 PM (except on holidays), at:

tel: 507.529.6740 

fax: 507.529.6741

Mailing address:

Olmsted Medical Center
Attn: Plastic Surgery 
1650 Fourth Street SE 
Rochester, MN 55904

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