Wrinkle Reducers: Creams or Injections? - Hillcrest Plastic Surgery Orlando, FL

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Wrinkle Reducers: Creams or Injections?

We have all seen the glamorous "before and after" photos of a beautiful 45-year-old woman who used the latest "magical" cream garnered from the high-end department store. The cream promises to reduce all wrinkles around the eyes and mouth and—VOILA! It's magic, and supposedly better than BOTOX® Cosmetic in Orlando.

Well, truth be told, the majority of these creams are great moisturizers that pull water into the skin. They provide apparent wrinkle relief for a few hours by plumping up the skin. If that's what you want, then that's great, but you should realize the effects will fade shortly.

If you want to truly manage the aging process, your best bet is an injectable botulinum toxin treatment, typically, either BOTOX Cosmetic or Dysport®. Botulinum toxin products were approved by the FDA for wrinkle reduction of frown lines between the eyes (glabella), so most of what we do is off-label use.

How do you decide which product is best? I happen to like both products and think they both have a place; for my younger patients, I like BOTOX Cosmetic for its pinpoint accuracy. I can achieve exactly the brow height I want as well as soften lip lines and bands in the neck (all of these uses are off-label). If I have a more mature patient with a lot of forehead wrinkles and sun damage, I like Dysport because I can get a diffused softening of the forehead lines.

Patient Reviews

Hillcrest Plastic Surgery


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Roxanne Jones

I love the office and staff here, They are always so friendly and pleasant. I love the different Promotion they offer for the holiday also the doctors are ausome the best that I have ever encounterd and I have had a few nits and tucks done here and there.

Jamie Chisolm

I have been a patient of Dr. Spence twice now. I didn't hesitate to contact him when I was ready to move forward with my adominoplasty. It has been a long and, at times, rough recovery but Dr. Spence and his staff have been right by my side every step of the way.

Connie Hansen

I have been a patient of Dr. Spence twice now. I love the results and thanks to him I feel great! Dr. Spence and his team are very friendly and professional, they make you feel right at home. I would definitely recommend all my friends and family.


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