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Botox And Fillers Specialist

Cary Laser Aesthetics

Vijaya Polavaram, MD

Medical Aesthetic Specialist & Internist located in Cary, NC

Botox® and fillers are injectables that enhance your appearance without surgery. If you hate your forehead lines, crow’s feet, or smile lines, Botox or dermal fillers like Juvéderm® and Restylane® can smooth away your problems quickly and with little to no discomfort. Vijaya Polavaram, MD, the experienced aesthetic physician at Cary Laser Aesthetics in Cary, North Carolina, delivers beautiful and natural results, so schedule your consultation through the online tool or by phone today.

Botox and Fillers Q & A

What is Botox?

Botox is an injectable derived from Clostridium botulinum. It temporarily forces relaxation in the facial muscles that cause wrinkles. Botox is a virtually painless and an easy way to minimize or remove the following types of wrinkles.

  • Eye wrinkles: the crow’s feet that gather when you smile or squint
  • Forehead lines: the lines that appear when you lift your eyebrows
  • Between brow lines: the lines that appear when you frown

Botox gradually takes effect, and you’ll typically see results within a few days. It reduces and prevents wrinkles in the treatment area for three to four months on average.

What are fillers?

Fillers are another type of injectable, but they’re different than Botox because their goal is adding volume to specific areas of your face. Often, volume loss is related to the normal aging process, but some patients want fillers because they just aren’t happy with their natural volume level.

Juvéderm and Restylane contain hyaluronic acid, which replicates your body’s own natural hyaluronic acid to give you volume where needed or desired.

The most common areas for fillers are:

Smile lines

Smile lines, also called nasolabial folds, are the lines that begin on either side of your nose, and then span the area down to your mouth. Fillers create support beneath your skin to lift the smile lines out and give you a more youthful look. Smile line fillers like Restylane Refyne™, Restylane Defyne™, Juvéderm XC, and Juvéderm Vollure™ XC can last for 12-18 months.


The cheeks often lose firmness and volume with age, and fillers can return your cheeks to their original look in a natural way. Juvéderm Voluma® XC can last up to two years, and Restylane Lyft™ can last at least a year in the cheeks.


Lips can thin out over the years, and fillers can restore that volume. You can also have lip fillers to define and enhance your lip borders or simply to add overall plumpness. Fillers in the lips, including Restylane Silk®, Juvéderm Volbella® XC or Juvéderm Ultra® XC can last for around a year.

Before your filler treatment, Dr. Polavaram applies topical anesthetic. You’ll wait for a short period until you feel numb, and then Dr. Polavaram injects your filler in just a few minutes. Filler formulas typically include an anesthetic that combines with the topical anesthetic to make the treatment virtually pain-free.

Can I combine Botox and fillers?

Yes, Botox and fillers are a great combination for many patients. Dr. Polavaram can treat wrinkles all over your face by using Botox for forehead lines and other upper-face wrinkles and injecting fillers for wrinkles in your middle and lower face.

Click the online scheduler, or call Cary Laser Aesthetics to schedule your Botox and fillers appointment now.