Before planning your first injectable treatment, it’s completely normal to have questions. To clarify the differences between techniques, their effects, and their safety, we met with Dr. Alexis Du Cap, Medical Director of the Epiderma network.
Neuromodulators vs. Dermal Fillers: What’s the Difference?
Neuromodulators
Neuromodulators (Botulinum toxin) temporarily block the nerve signals responsible for muscle contractions.
They help relax the muscles and reduce the appearance of dynamic wrinkles, such as:
• forehead lines
• crow’s feet
• frown lines (glabella)
Dermal Fillers
Dermal fillers — most commonly made of hyaluronic acid, a substance naturally found in the body — add volume to:
• fill wrinkles and hollows
• enhance certain facial areas
• restore lost volume
• improve skin texture and hydration
In Summary
• Neuromodulators → relax muscles and reduce expression-related wrinkles.
• Dermal fillers → restore volume, correct static wrinkles, and enhance facial contours.
How Long Do Results Last?
• Neuromodulators: approximately 3 to 4 months
• Dermal fillers: 1 to 2 years, depending on the product used and the treated area
What Are the Possible Side Effects?
Dermal Fillers
• redness
• swelling
• bruising
• temporary sensitivity or itching
Neuromodulators
• bruising or redness at the injection site
• mild muscle weakness or heaviness
• occasional headaches
These effects are generally temporary and resolve on their own.
Will People Be Able to Tell I’ve Had Injections?
A natural-looking result depends mainly on:
• the initial assessment,
• injection technique,
• and the physician’s experience.
At Epiderma, injections are performed exclusively by physicians, in a safe medical environment, to ensure subtle, harmonious results tailored to your facial anatomy.
Why Does the “Duck Face” Sometimes Occur After Lip Injections?
The “duck face” is an undesired effect that occurs when too much product is injected or when it is improperly placed.
In the hands of an experienced professional, this outcome should not occur.
Can Results Be Reversed If I’m Not Satisfied?
In cases of complications or undesirable effects, hyaluronidase — an enzyme that dissolves hyaluronic acid — can be used.
However, it is reserved for medical necessity and not for minor aesthetic adjustments.
What Is the Role of Medical Oversight at Epiderma?
Medical direction ensures:
• consistent practices across clinics
• ongoing physician training
• continuous clinical support
• optimal patient safety
All injectable treatments are performed by physicians.
Is It Possible to Have the Consultation and Treatment on the Same Day?
Yes. You may choose to:
• meet with a physician for an assessment only, or
• proceed with both the consultation and treatment on the same day, depending on your decision.