In summary, as we get older, our creases also age. They become deeper and deeper, even when we are not frowning, squinting, or using facial muscles. If creases are only apparent when we squint, only Botox/Dysport is needed. If creases are visible at rest, and not made worse by squinting, then fillers are necessary. If creases are present at rest, and get worse with facial expressions, then Botox/Dysport/Xeomin AND fillers will be necessary. Fillers are the mainstay of non-surgical cosmetic facial rejuvenation treatments. They are an extremely effective way of adding volume to deeper layers and hydration to superficial layers of your skin. With filler injections, you can achieve natural-looking results in just one visit that deliver long-lasting results of 6 to 18 months. I prefer using fillers (when required), as it is fast and safe, with immediate results. These fillers are not of animal or human origin, therefore a skin test is not needed and you can have the filler treatments performed immediately. When treating wrinkles or folds, The filler is injected into the skin in tiny amounts with a very thin needle. The filler injections give natural volume under the wrinkle, which is lifted up and smoothed out. A filler treatment takes about 15 minutes and the results can be seen immediately.