BOTOX and Dermal Fillers in Baton Rouge at Derma
Injectables performed by a board-certified dermatologist, with a plan built around your face rather than a menu.
Lines that stay after your expression fades, and volume that has slipped from the cheeks or around the mouth, are the two most common things people want to change about their face. They have two different causes, and they are treated with two different tools. BOTOX relaxes the muscles that crease the skin. Dermal fillers restore volume and structure where it has been lost.
At Derma, injectables are performed by Dr. Prather who treats skin and facial anatomy every day. Treatment begins with a consultation to look at how your face moves and where it has changed, so the plan fits you and the result looks like you rested.
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What is BOTOX?
BOTOX® is a purified protein injected in small amounts into specific facial muscles. It blocks the signal that tells those muscles to contract, so the skin above them stops creasing. It is the standard treatment for lines caused by expression: the horizontal lines across the forehead, the vertical "eleven" lines between the brows, and the crow's feet at the corners of the eyes.
BOTOX does not fill anything and does not change the shape of your face. It softens the lines that movement creates, and with the right dose in the right place, you still look like yourself and can still make expressions. Results appear over three to seven days, reach full effect at about two weeks, and last three to four months.
Derma also offers Dysport and Jeuveau, two other FDA-approved neurotoxins that work the same way as BOTOX. Both are approved specifically for the frown lines between the brows, often called the "11s." Each product has a slightly different formulation, and some patients find one takes effect a little sooner or suits them better than another. Dr. Prather will recommend the right product based on your face, your goals, and what has worked for you before.
What it Treats:
Patients are commonly evaluated for BOTOX to address:
Forehead lines
Frown lines between the brows
Crow's feet at the corners of the eyes
Bunny lines on the nose and a downturned mouth
Neck bands
Early lines, treated lightly to keep them from setting in (often called preventative BOTOX)
What are Dermal Fillers?
Dermal fillers are smooth gels, most made from hyaluronic acid, a substance the skin already contains, that are injected beneath the skin to restore volume, smooth deeper folds, and define features. Where BOTOX treats lines caused by movement, fillers treat the changes caused by lost volume: flattened cheeks, hollows under the eyes, deeper lines from the nose to the mouth, thinning lips, and a softening jawline.
Different fillers have different thicknesses and are chosen for different areas. A firmer gel lifts the cheeks or defines the jaw. A softer one smooths fine lines or adds subtle fullness to the lips. With hyaluronic acid fillers, results are visible immediately, settle over about two weeks, and last from six months to two years depending on the product and the area.
Derma offers Juvéderm, a family of hyaluronic acid fillers used for the lips, cheeks, under the eyes, and the lines around the mouth, with different formulas for different areas. Derma also offers Sculptra, which works differently: rather than adding volume on the spot, it stimulates your own collagen over several months for a gradual, longer-lasting improvement in the cheeks, temples, and jawline. For fullness under the chin, Derma offers Kybella, an injection that permanently dissolves fat cells in a double chin rather than adding volume. Dr. Prather will recommend the product that fits each area and your goals.
What it Treats:
Patients are commonly evaluated for dermal fillers to address:
Flattened or sunken cheeks
Hollows and dark circles under the eyes
Nasolabial folds (nose to mouth) and marionette lines (mouth to chin)
Thin or uneven lips
A soft or undefined jawline and chin
Fullness under the chin, treated with Kybella
Meet your injector:
Dr. Chad Prather
Dr. Chad Prather is a board-certified dermatologist and fellowship-trained Mohs surgeon, and the founder of Derma. He has performed more than 40,000 Mohs surgeries, work that depends on a precise understanding of facial anatomy, and he brings that same precision to every injectable treatment. He personally performs all BOTOX, Dysport, and filler treatments at Derma, and his approach is conservative: enough to refresh, never enough to change who you are.
Why choose a dermatologist for BOTOX and fillers at Derma?
Injectables are available almost everywhere now, and the product is the same wherever you go. What differs is the person holding the syringe. Results depend on understanding facial anatomy, where the muscles and blood vessels sit, how much product a given area needs, and how to keep the result natural. That is a medical skill, and it is why injectables at Derma are performed by a board-certified dermatologist.
It also matters when something is not routine. A dermatologist recognizes when a line is not a good candidate for BOTOX, when a filler is the wrong choice for an area, and how to manage a rare complication if one occurs. You get a plan built around your face, a conservative approach to dosing, and a provider who will tell you when less is more.
What to expect
Treatment begins with a consultation to review your goals, your medical history, and any medications or supplements you take, since some, including blood thinners and fish oil, increase bruising. Your provider examines how your face moves and where volume has changed, and recommends a plan. Many patients are treated the same day.
BOTOX takes about ten minutes. The injections feel like small pinches and need no numbing. You can go straight back to your day, with a few rules: no rubbing the treated areas, no lying flat, and no strenuous exercise for the rest of the day. Filler takes 20 to 45 minutes depending on the areas. A numbing cream is applied first, and most fillers contain lidocaine, so discomfort is minimal. Expect some swelling and possible bruising for a few days, especially in the lips.
Both treatments carry a short list of aftercare instructions, which you will receive in writing. Sun protection, gentle skincare, and skipping alcohol and heavy exercise for 24 hours cover most of it.
Your results
BOTOX begins working in three to seven days and reaches its full effect at about two weeks, which is when a follow-up can fine-tune the result if needed. It lasts three to four months, and most patients maintain it with treatment three or four times a year. With consistent treatment, the lines often soften over time because the muscles are no longer creasing the skin all day.
Filler results are visible immediately, and the final result settles in once swelling resolves, usually within two weeks. Depending on the product and the area, fillers last from six months to two years. Fillers made from hyaluronic acid can also be dissolved if needed, which is one reason they are the standard. It is important to have realistic expectations: injectables refresh and soften, they do not stop aging or replace surgery, and the best results come from a conservative plan maintained over time.
Frequently asked questions
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BOTOX is a purified protein injected into specific facial muscles to relax them, which softens the lines that expression creates, such as forehead lines, frown lines, and crow's feet. It does not fill or change the shape of your face.
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BOTOX typically lasts three to four months. Results begin in three to seven days and reach full effect at about two weeks. Most patients maintain their results with treatment three or four times a year.
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BOTOX is priced by the unit, and the number of units depends on the areas treated and how strong your muscles are. Injectables are cosmetic and not covered by insurance. The clearest way to get a number is a consultation with Dr. Prather, where he looks at your face and gives you a personalized plan and quote. New patients pay a $100 consultation fee, which goes toward your service if you are treated the same day.
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It varies by area and by person. As a general guide, the frown lines between the brows often take around 20 units, the forehead 10 to 20, and crow's feet 6 to 12 per side. Your provider recommends a dose based on your muscles and your goals, and starts conservatively.
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BOTOX relaxes muscles to soften lines caused by expression, mostly in the upper face. Dermal fillers restore lost volume and smooth lines that are present at rest, mostly in the mid and lower face. Many treatment plans use both.
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Kybella is an injectable treatment for fullness under the chin, sometimes called a double chin. It contains a synthetic form of deoxycholic acid, a substance the body uses to break down fat, and it permanently destroys the fat cells it reaches. Most patients need two to four sessions spaced about a month apart, with some swelling for several days after each. Once the fat cells are gone, they do not come back.
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All three are FDA-approved neurotoxins that relax the muscles behind expression lines, and all last about three to four months. BOTOX is approved for frown lines, forehead lines, and crow's feet. Dysport and Jeuveau are approved for the frown lines between the brows. The products are formulated differently, so dosing is not interchangeable and a quote is specific to the product. Dr. Prather offers all three and will recommend the one that fits your plan.
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It depends on the product and the area. Softer fillers in the lips or fine lines last six to twelve months. Firmer fillers in the cheeks, chin, or jawline can last eighteen months to two years. Your provider will tell you what to expect for your plan.
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Fillers are priced per syringe, and the number of syringes depends on the areas treated and how much volume has been lost. Injectables are cosmetic and not covered by insurance. A consultation with Dr. Prather gives you a personalized plan and quote. New patients pay a $100 consultation fee.
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Yes. New patients pay a $100 fee for a cosmetic consultation with Dr. Prather. During the visit he reviews your goals, examines how your face moves and where volume has changed, and recommends a plan with a quote. Many patients are treated the same day if they choose to proceed. If you receive treatment the same day, the $100 consultation fee goes towards your service.
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BOTOX has been FDA-approved for cosmetic use since 2002 and has one of the longest safety records of any cosmetic treatment. Side effects are usually minor and temporary, such as small bruises or a mild headache. Choosing an experienced medical injector who understands facial anatomy is the most important safety factor.
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For BOTOX, avoid rubbing the treated area, lying flat, and strenuous exercise for the rest of the day. For fillers, expect some swelling or bruising for a few days, avoid alcohol and heavy exercise for 24 hours, and use a cold compress for comfort. You will receive written instructions at your visit.
