The paralytics are used to paralyze muscles so the repetitive use of the underlying muscles are no longer made. These wrinkles that are caused by the use of the muscles will slowly disappear, these are known as dynamic wrinkles. Currently the paralytics used are Botox, Xeomin and Dysport, and alternate one used from time to time when someone develops a resistance to the botulism toxin (the ingredient in the other paralytics) is Myobloc, this is rarely used but can be upon need, so if you are resistant then we are the place to come to for remedying this. Fillers are the other “injectables” and for the most part we use all fillers but I prefer not to use Radiesse.
Radiesse is a more viscous (thicker) substance and it is in hydroxyapatite cement so it is typically used for temporal (the sides of your head) hollows or often even filling out the cheekbones or chin, I just do not feel it lives up to the hype it is given in terms of being cost effective and lasting as long as the manufacturer claims. Further I prefer other hyularonic based fillers because in case of a patient really not liking it, or in the rare case of injector error, we keep on hand a product to dissolve the filler immediately. Finally the new kid on the block is Kybella, this dissolves fat under the chin though in Europe it does have off-label use of dissolving other areas of fat. There are also other injectables which stimulate your own body’s collagen, like Sculptra