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BOTOX® Cosmetic vs. SKINVIVE™: Which One Does Your Skin Need?

By Dr. Anna Frisch, MD, PhD. These two Allergan treatments solve different problems. Here is how I decide which one a patient needs, or whether they need both.

By Dr. Anna Frisch, MD, PhDPublished October 5, 20264 min
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A genuine BOTOX® Cosmetic vial from Allergan Aesthetics

By Dr. Anna Frisch, MD, PhD. These two Allergan treatments solve different problems. Here is how I decide which one a patient needs, or whether they need both.

Two different jobs

BOTOX® Cosmetic relaxes the muscles that create forehead lines, frown lines, crow's feet and platysma bands. SKINVIVE™ by JUVÉDERM® is a hyaluronic acid microdroplet injectable FDA-approved to improve the smoothness of cheek skin. One addresses movement, the other addresses skin quality.

How to tell which you need

  • Lines that deepen when you frown, squint or raise your brows usually point to BOTOX® Cosmetic.
  • Cheek skin that looks rough or less smooth at rest points to SKINVIVE™.
  • Both is common, and the order and timing are planned at consultation.

What neither one does

Neither treatment adds volume or changes facial shape. PBCM does not offer volumizing dermal fillers.

Explore BOTOX® Cosmetic with Dr. Frisch

Frequently Asked Questions

Can I have both on the same day?
Some patients do. Dr. Frisch plans the order and timing at consultation.
Who performs these treatments?
Dr. Anna Frisch, MD, PhD, Board Certified in Endocrinology, performs every injectable treatment at PBCM.
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Medical disclaimer: This article is for educational purposes only and is not a substitute for a personal medical consultation. Individual results vary. A consultation is required to determine candidacy for any treatment.

About the Author

Dr. Anna Frisch, MD, PhD

Board-Certified Endocrinologist | Emory University School of Medicine-trained physician-scientist | Medical Director, Palm Beach Cosmetic Medicine | Founder, VitellaMD, Palm Beach Thyroid & Endocrinology Wellness, and Frisch Integrative Medicine

Dr. Anna Frisch, MD, PhD, is a board-certified endocrinologist, Emory University School of Medicine-trained physician-scientist, Medical Director of Palm Beach Cosmetic Medicine, and founder of VitellaMD, Palm Beach Thyroid & Endocrinology Wellness, and Frisch Integrative Medicine. Her research is cited internationally, and she brings decades of experience in endocrinology, thyroid disorders, hormones, metabolic health, and patient-centered care. At Palm Beach Cosmetic Medicine, Dr. Frisch applies her medical background to aesthetic wellness by looking beyond the surface, connecting skin health, hair health, hormone balance, metabolic wellness, nutrition, collagen support, and advanced cosmetic treatments to help patients look refreshed, confident, and natural.

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