Joshua Cooper, MD, FACS

Rejuvenation with Botox and Fillers


Rejuvenation with Botox and Fillers

What is Botox?
Botox has revolutionized facial rejuvenation. Botox injections offer a great way to safely and rapidly reduce facial wrinkles without having an operation. Botox uses a special non-harmful chemical to temporarily paralyze the small facial muscles that contribute to wrinkle formation. In order to provide his patients with safety and precision, Dr. Cooper performs all Botox injections himself. 

Areas to be Treated
Are you bothered by that furrow you see between your eyes? Many patients tell Dr. Cooper that they are tired of appearing "angry." After a Botox treatment, you'll see that troublesome area between your eyes smooth out. Patients also enjoy great results when Botox is used to treat wrinkles found on the forehead and ones found around the eyes that many call "crow's feet." 

The Procedure 
Each treatment uses a very tiny needle to apply Botox into the desired area. The procedure takes several minutes and does not require an anesthetic, although a cooling treatment may be used before the injection. Pain is minimal and short-lasting. 

Recovery after Botox
Occasionally, patients will have a very small amount of bruising, but most patients return to work the same day. 

Most patients will notice that the treated wrinkles will decrease or disappear altogether within a couple days. Some patients do not see complete results for up to 2 weeks. The results typically last 3 to 6 months. 

What is Juvéderm?

Juvéderm is a clear, injectable, synthetic gel formulation of hyaluronic acid that can add volume to your skin by filling wrinkles. These injectables can also be used for lip augmentation – adding volume to your lips. Hyaluronic acid is a natural component of our skin that adds fullness and elasticity to its appearance. As we age, wrinkles form and the amount of hyaluronic acid in our skin decreases. Juvéderm an Voluma can replenish that lost volume. Juvéderm differs from Voluma in that the Voluma particles are larger and the depth of injection is slightly deeper.

Where can fillers be used?

Juvéderm and Voluma can be used to fill wrinkles on the forehead, brow or laugh lines – the lines between your nose and mouth. Thinning lips can also be improved by adding volume with Juvéderm.  Voluma may be used to help augment the cheek area. 

The Procedure

Dr. Cooper will carefully inject the Juvéderm or Voluma into your skin to add volume to your face or lips in order to provide a fuller, more youthful appearance.

How long will Juvéderm or Voluma last?

You will notice a change that typically lasts 6 to 9 months for Juvéderm, and Voluma can last for up to two years.


After your Juvéderm or Voluma treatment you may notice some discomfort and swelling. This is normal and resolves within a few days.


Risks are uncommon but include overcorrection, undercorrection, discoloration, lumpiness, and numbness of the lip.

  • Botox

    Botox uses a special chemical to temporarily paralyze the small facial muscles that contribute to wrinkle formation.

    Learn More »
  • Juvéderm and Voluma

    Juvéderm and Voluma are clear, injectable, synthetic gel formulations of hyaluronic acid that can add youthfulness to your face by filling wrinkles and providing...

    Learn More »