Better Together: Botox and Fillers

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BIG NEWS! Juvederm Voluma XC is here! If you are looking for a filler that lifts and volumizes, you'll want to read all about this exciting new addition to the Juvederm family of fillers.

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It's a great time to be over 30.

Never before have there been so many nonsurgical solutions for facial aging.

New scientific studies confirm that the combination of injectable Hyaluronic Acid Fillers (like Juvederm or Prevelle) with Botox produces a result that is far superior and longer lasting than either one alone. The latest research confirms the long-lasting results we are experiencing here at our Knoxville office

This union of products allows us to treat wrinkles and folds over the entire face as well as adding shape and volume where needed.

Injectable Fillers are even better combined with Botox or Dysport!

As we have become more familiar with both Botox or Dysport and injectable fillers, we havetop Knoxville doctor for injectables several new options and areas that can now be treated. Below are some of the new applications for Botox/Dysport and wrinkle fillers together. We are learning more every day and travel frequently to bring the latest advances to our patients. So if it has been a while since you have been in to see us or if we previously weren't able to treat your area of concern, please schedule a free injectable consultation appointment with Dr. Reath. You'll be glad you did.

Helpful Resources for Your Research

Although bruising after Botox is uncommon, there are things you can do BEFORE your appointment to minimize your chances. Click Here for Easy Ways to Minimize Bruising After Injectable Treatments.

Botox and Dysport are surprisingly effective at treating excessive underarm sweating, hyperhidrosis in medical terms. Click Here to Read More about Botox for Sweating.

Both Botox and Dysport frequently have manufacturer's rebates available. We have a page on our website dedicated entirely to keep you updating on what's out there to save you money. Click Here to visit our Plastic Surgery Rebates page.

Be the first to know when new Botox, Dysport or filler rebates are available! Subscribe to our new rebate alerts.

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Reath Rewards is a loyalty program that everyone loves. For every dollar you spend on Botox and Dysport you earn points towards special discounts designed exclusively for Reath Rewards members. These discounts are over and above any advertised specials and rebates. Click Here to Understand Why Our Patients Love Reath Rewards.

Before And After Photos

Crow's Feet-  

Before and After Botox- Here you can see the incredible improvement by using Botox on Mandi's crow's feet.

Before and after photos botox in Crow's foot area before and after pics botox in crow's foot area in Knoxville patient


Under the Eyes-

Injectable hyaluronic fillers, especially Prevelle Silk, are proving to be a great option for correcting an area that previously has been very hard to treat. If you have a hollow area under the eyelid combined with a natural dark color in your skin, you know that it can produce a tired look that is very difficult to conceal with makeup. Adding volume with a filler improves the contour of the lower lid, which will give the appearance of being more youthful by eliminating the hollow and its shadows.

Before and After Prevelle Silk: This is a 37-year-old who asked us for help with the dark circles under her eyes. Nurse Injector Jill Maze injected Prevelle Silk in the hollow area under her eyes with this fabulous result. Just a small amount makes a big difference!

before and after pics tear troughs in Knoxville patient before and after photos tear troughs in Knoxville patient

Before and After Prevelle Silk and Dysport- Here is a perfect example of dramatic improvements that can be made without surgery, recovery time and at a relatively low cost. She is 48 and was concerned with aging around the eyes. Nurse Injector Jill Maze used Dysport in her crow's feet and a tiny bit of Prevelle filler under the eyes. What a difference!

before and after pics tear troughs and Dysport in Knoxville patient before and after photo dysport and tear troughs in Knoxville woman

Before and After Prevelle Silk: This is a very active 60-year-old who wanted her face to look as young as she feels inside. She particularly mentioned the hollows under her eyes which she felt make her look older and tired. Jill Maze injected Prevelle Silk in her tear troughs. Isn't it amazing what a change a little Prevelle can make?


Botox is used to prevent the muscle activity, which causes wrinkles on the forehead.  
Below are two patients in their early 40's who are pictured lifting their eyebrows before and after their Botox procedures. Both said they look at least five years younger now.
Before and after Botox forehead in Knoxville woman after Botox to the forehead in a Knoxville woman

before botox to the forehead in Knoxville man after pictures of Botox to the forehead in Knoxville man

Brow Area-

The frown line in the area between the eyes (glabellar region) is treated with Botox to stop the muscle motion. Juvederm XC or other wrinkle fillers are added if you have more pronounced wrinkles here.


Although "bunny-nose" wrinkles are cute for kids, they are not at all attractive once we get older. A bit of Botox makes them disappear. Wrinkle fillers are often used to contour the bridge of the nose, if that's a concern.

Mouth-To Create A More Cheerful Expression

Botox can bring a real smile to your face! As you age the corners of your mouth can turn down. When you add a tiny bit of Botox to the DAO muscles that cause this, the effect is striking. The corners come up to a normal level, and lose that scowling downward turn. You look happier. Want even better news? Since it doesn't take very much Botox, treating the DAO area costs much less than treating any other area. (Now you're really smiling!)
Juvederm XC works beautifully to fill in the fold that runs between your nose and the side of your mouth (See the photo below). A tiny dose of Botox with the addition of Juvederm corrects pursed lip wrinkles above the mouth.

Before and After Juvederm XC- Here is a 40-year-old patient before and after wrinkle fillers.

before pic of Juvederm to the nasolabial folds in Knoxville man

after photo of Juverderm to the nasolabial folds in Knoxville man


Injectable fillers are the best way to restore full youthful lips. You can choose to create greater definition of the lip line, add volume to the lips and even lift the corners of the mouth to create a more cheerful expression. 

Before and After: This is a 39 year old patient who was concerned about her lips and nasiolabial folds. She received one syringe of Juvaderm Ultra Plus to her lips and one syringe of Juvaderm Ultra to the nasiolabial folds.  The patient had a great result and restored fullness in her lips.
Before picture of Juverderm Ultra plus to the lips in Knoxville woman After pic of Juvederm Ultra Plus  in the lips of a Knoxville woman

You Pick Your Look-

One of the things everyone loves about injectable fillers is that you can choose to use a lot or a little depending on the look that you want to achieve. Use Juvederm to restore natural youthful looking lips like those pictured above, or use more Juvederm Ultra Plus for a voluptuous glamorous look like below. It's completely up to you!
before JuvedermUltra Plus picture of Knoxville Woman after Juvederm Ultra Plus plump lips in Knoxville woman


Chin -

Again, BOTOX® can be used if muscle activity is creating wrinkles. In many cases Juvederm alone will give you the contouring correction you want.

Before and After Juvederm Ultra Plus XC:
This is a 44-year-old woman who has a very public job. She was concerned that the aging around her mouth did not match her warm personality. Nurse Injector Jill Maze, RN used three syringes of Juvederm Ultra Plus to fill in her nasolabial folds and the "marionette" lines under her mouth.This is a great example of the artful use of fillers, and she is thrilled with her results.


Before Juvederm Knoxville After Juvederm Knoxville

Jaw Area-

Juvederm is used to contour the jaw line and is very effective when the laxity of the skin is minimal.

Other areas-

Because hyaluronic acid fillers mold so beautifully, they can be used to fill in depressed areas, contour irregularities, skin defects and acne scars all over the face.


Studies show that 93% of the patients treated with Juvederm XC had less pain than when treated with the non-lidocaine formulation of Juvederm.

We did our own side-by-side study and here is what our patient had to say:

"I recently got to try Juvederm XC and I must say that I am a believer in this product!

Jill first applied a topical anesthetic around the nasolabial folds (creases that run from my nose to the corners of my mouth). She then proceeded with a very small injection of the Juvederm XC, waited 2 or 3 seconds for the numbing agent to take effect, and then completed the
injection. Other than the initial needle stick (which is really quite minimal), the whole process was painless. Compared to previous procedures I was actually able to sit back and relax.

At the last minute, we decided to add some filler to the lower corners of my mouth, where we had NOT applied a topical. Using the same process - a small injection, wait a few seconds, and then complete the injection - it was still a very comfortable process. I really believe that I could have done without the topical altogether, which will save me 20-30 minutes of "numbing time" on my next visit.

Post-treatment was also a much improved experience. I typically review a lot of paperwork during the work day, so I am constantly looking down. The XC formulation really made a difference, as I was so much more comfortable compared to previous treatments without XC.

My recommendation -- If you decide to use a filler, be sure to ask for
Juvederm XC!"

Introducing Jill Maze, RNJill Maze, RN Knoxville Nurse Injector

Jill Maze is a welcome addition to our practice. Her patients attest to both her caring bedside manner and her skilled professionalism. Under the direct supervision of Dr. Reath, Jill’s extensive training and gentle touch is a winning combination. She is an active member of the American Society of Plastic Surgical Nurses.

Since the FDA’s approval of Juvederm and other fillers, Jill has been focused on training with the southeast’s most renowned experts in Cosmetic Injectables in both Atlanta and Boca Raton, Florida. This year she traveled to Las Vegas to be in the first class in the country to attend the Advanced Injector Competence Training Course designed by the American Society of Aesthetic Plastic Surgeons. In addition, she received specialized instruction on techniques for using Botox® for areas other than the upper face. She is also trained and experienced with the recently FDA-approved semi-permanent filler Radiesse.

This area requires a unique blend of artistry and science as well as the need to stay current, so Jill will continue to travel the U.S. to observe the leaders in her field. When she is not traveling and taking care of patients Jill likes to spend time with her husband and two teen-aged daughters camping in the great outdoors.

If you have questions about Botox, Restylane, Evolence, Dysport, Prevelle, Juvederm or Radiesse, email Nurse Injector Jill Maze at


BOTOX® is a registered trademark of Allergan, Inc., and JUVEDERMtm is a trademark owned by Corneal Industries SAS.



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David Reath, MD Knoxville Plastic Surgeon
109 S Northshore Dr #101
Knoxville, TN 37919 phone: 865-450-9253 · fax: 865-450-9949


For excellence in plastic surgery, please consider the office of renowned Knoxville plastic surgeon David B. Reath, MD. We offer the latest advances in cosmetic surgery to help you look and feel your best.



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