Choosing the Right Treatment for Facial Wrinkles

While certain signs of aging are common to everyone, each person’s skin shows those signs in a unique combination of ways. One or two spots may form on the forehead, or many may develop across the face. Sagging may be minimal or significant. Wrinkles may appear as faint, superficial lines or deeper furrows.

Those wrinkles, in particular, are changes to the skin that many people want to address. When choosing an aesthetic solution, however, getting the most satisfying results requires awareness of which cosmetic techniques work best on the types of wrinkles being targeted. This is one of the reasons the Germain Dermatology team provides personalized consultations in the Charleston area. BOTOX®, for instance, has steadily become the world’s go-to solution for wrinkle reduction, but it only works on certain types of wrinkles in specific areas.

Dynamic Wrinkles/Expression Lines

There are around 43 different muscles in the face, all of them working together to help people convey emotions like anger, sadness, and surprise. BOTOX® and its similarly structured botulinum toxin-based counterparts DYSPORT® and XEOMIN® are good for addressing these dynamic wrinkles, which form due to repeated muscle movements.

Wrinkle-smoothing botulinum toxin temporarily relaxes the muscles that contract to form lines and creases. The effects typically last for a period of about three to four months. There are three types of dynamic wrinkles that are most commonly cited as the reason for a patient choosing this treatment: crow’s feet (crinkles around the outer corners of the eyes), horizontal forehead lines, and elevens (furrows between the eyebrows).

Static Wrinkles

Static wrinkles appear as a result of sun damage, smoking, age-related loss of collagen and other skin components, and long-term dynamic wrinkling. Dermal fillers and, to a lesser extent, resurfacing techniques like microdermabrasion and chemical peels, are highly effective on static wrinkles. JUVEDERM® is a dermal filler that contains a form of hyaluronic acid (a gel-like, transparent substance naturally produced in the body) that helps to regulate moisture levels in the skin. When injected, it adds volume to “fill in” wrinkles.

Treatments that exfoliate the face soften the appearance of these lines by taking away the dry, less flexible layers that make lines especially visible.

Gravitational Folds

Over time, gravity tugs on skin and fat, leading to sagging, which can disrupt the overall symmetry and contours of the face. Cheeks and temples may become sunken, and aging skin loses its strength and springiness. Ultherapy® can boost collagen production to lift skin, while dermal fillers add volume to plump and round out the areas where they are injected.

Which treatment is best? Again, it all depends on the patient—and how his or her skin has changed over time. The Germain Dermatology team is ready to help with any questions about wrinkle-reducing treatments like BOTOX® in the Charleston area. Call directly at 843-881-4440 or send a message online for more details.

Skin Health with Dr. Germain ~ Botox & Fillers

“I’ve had Botox twice in the last 30 days separated two weeks apart and still have lines across my cheeks when I smile. They aren’t there much when I’m not smiling. What do you suggest for the next course of treatment? Even when Botox takes, they are back within a month.” 
– Real Self Q&A

These lines are from volume loss. Botox can relax the lines around your eyes but when they extend onto your cheeks they are harder to erase. A soft HA filler can fill these lines superficially and a thicker filler can restore deeper volume. If your skin is sun damaged and thin, laser can help too.

Combination treatments are always the best. If the lines initially improve with Botox and return quickly, maybe upping the number of Botox units you receive and dispersing them carefully in small increments over a larger area would help more too.

Interested in Fillers or Botox? Call Germain Dermatology and schedule a skin consult today. Dr. Germain and her staff will help you become the best version of yourself! 


As always we do our best to stay on the cutting edge of treatments and this new Dermal Filler tops the list!
VOLUMA® is an innovative, injectable volumiser that delivers a smoother more youthful appearance to your cheeks, cheekbones, and chin in as little as 15-30 minutes. It is a hyaluronic acid filler (HA Dermal Filler), developed by the Juvéderm® brand, that has the ability to last up to TWO years compared to the 6-12 month window of current HA fillers like Restylane, Prevelle and basic Juvederm. VOLUMA® was also created to be smoother than other HA facial fillers, making it easier to inject during treatment.

Allergan, a multi-specialty health care company, personally invited a select group of doctors (Dr. Germain being one of them) to participate in an advisory board and training conference in Boston. At this event Dr. Germain received a firsthand look at the results, use and technique of VOLUMA®, and she can’t wait to introduce it to Charleston.
Dr. Germain will be attending an additional training event for VOLUMA® this month. No other injector in the area will have her level of exposure to the product.
VOLUMA® has been approved, and widely used, in Canada and Europe for several years now. The FDA is expected to approve this product for use in the US in the next couple of months, and we are thrilled to be one of the first (and few) to offer this treatment to our patients.

For more information visit:

Don’t Miss Out on May’s Deals

April Showers bring May… DEALS! Don’t miss out on our May savings just a couple weeks left to get some great offers. And if you forgot about Mother’s Day these are wonderful ways to get out of the dog house with Mom (Gift Cards and Gift Boxes Available).
*see below for details on this month’s specials
*20% OFF Clear + Brilliant Pacakage!
Clear + Brilliant is a gentle, laser skin care treatment clinically proven to fight the effects of aging skin, reveal your natural sparkle and smoothness in as little as one non-evasive session!
Clear + Brilliant:
-Is safe, non-surgical and non-invasive
-Is a gentle, revolutionary treatment that fights the natural effects aging has on skin
-Helps improve tone and texture and gives skin a radiant, youthful glow
-Creates a more even skin canvas, with reduction in the appearance of pores
-Is a perfect complement to individual beauty and lifestyle regimens

* Botox $9.75/unit 
BOTOX works by relaxing the specific muscles that contract to cause wrinkles. Although a great deal of skill and focus is required on the part of the physician, for patients, BOTOX treatments in South Carolina will actually seem very simple and easy. Just apply some ice to the treatment area, a few tiny injections, a slight amount of pressure – and, before you know it, the treatment is over!

Dr. Germain recommends that her patients keep up with BOTOX treatments every 3 to 4 months to maintain beautiful, prolonged wrinkle reduction.

* Buy 1 syringe of dermal filler and get 50% OFF EACH ADDITIONAL Syringe!
Dermal fillers such as JUVÉDERM® Injectable Gel, RADIESSE®, SCULPTRA® Aesthetic, Perlane® and Restylane® can replace lost volume in a non surgical treatment. Dr. Marguerite Germain uses these injectable treatments with skill and artistry to temporarily fill-in wrinkles and plump up facial features for a natural-looking, refreshed appearance.
Some fillers, such as JUVÉDERM XC, have incorporated lidocaine for a more comfortable injection experience. For other fillers, Dr. Germain may use a topical anesthetic to ensure that your treatment is as pleasant as possible. She takes the time with each and every patient to be sure that she is accomplishing your aesthetic goals and, in the process, ensuring your comfort both during and after the procedure. 
*Dr. Germain performs all injections
*Magic Eyes 20% OFF! 
Magic Eyes is the next generation in optimum eye care. This moisturizing treatment contains Retinol to reduce the appearance of fine lines and wrinkles, as well as peptides to stimulate lymphatic drainage and increase skin firmness. Green Tea Polyphenols protect the delicate eye area against free radicals, and Arnica helps diminish bruising and discoloration.

Falling for September Specials

Like we mentioned in last week’s post, it’s time to pay attention to your skin. And there’s no better way than taking advantage of our September Specials. Remember, all injections are done by Dr. Germain and no one else. It’s important that you do your homework when investigating injectables knowing if the person who administers them are a physician and properly trained. Dr. Germain injects the most Botox in the state of South Carolina. Another reason you should trust your skin to Germain Dermatology. 

Make your appointment with us today 843-881-4440 

Back on the Air

We’re thrilled that our new commercial is hitting the airwaves! If you haven’t made your appointment to see us, call us today 843-881-4440. Dr. Germain is an ABC News 4 Expert: check out all the great services and information HERE!  And let us know when you see the Germain Dermatology commercial. 

Merry Christmas!

Christmas Eve is here and we are spending time with our loved ones, families and friends. All of us at Germain Dermatology want to wish a you a very Merry Christmas. We will be closed on December 26 in honor of the Christmas holiday. We will reopen on Tuesday, December 27. 

During your weekend if you find yourself cruising the internet, don’t forget to vote for Dr. Germain for Best Dermatologist for the Charleston City Paper’s Best Of 2012. Dr. Germain has won Best Dermatologist for the last 6 years and couldn’t be more grateful, and she would be delighted to make it win number 7! 

To vote, go here! 

Here’s 7 Reasons you should vote for Dr. Germain: 

1. She’s caring. She doesn’t hesitate to give her cell phone number to her patients when they need her. Day or night, she’s there for them. 

2. She has a big heart. Dr. Germain lights up when she sees her mom, Mimzi. Mimzi is the light of her life and Dr. Germain works hard to make sure they enjoy every minute they can together. 

3. She’s helpful. She has helped many patients when they’re at wits end…from acne to hair loss, from scarring to wrinkles…she there to help. 

4. She’s smart. As a board certified Dermatologist, Dr. Germain continues to expand her knowledge and education by attending conferences and classes on the latest in Anti-aging advances, skin cancer and more. 

5. She’s happy. When you make an appointment with her, she is always happy to see you. She loves to hug her patients and wants them to know they mean a lot to her. 

6. She’s discrete. Many women don’t like to admit they get wrinkle reducing procedures like Botox, Dysport and fillers and that’s why Dr. Germain’s office was specifically designed with two separate waiting rooms, giving patients the privacy they deserve. 

7. She’s giving. From helping the Center for Women to being a drop off location for the Toys for Tots to sponsoring Women’s Wellness Night at the Charleston RiverDogs game, Dr. Germain is part of the community and continues to help. 

For the last 6 years, our community has voted for her, and we hope you will make it lucky number 7! 

Thanks again! Merry Christmas! 


Dr. Germain & her mom, Mimzi wish you a very Merry Christmas! 

Wipe Out Those Wrinkles

A beautiful, youthful appearance comes from within. Sometimes rejuvenating that appearance requires more than just topical treatments to address the loss of facial volume. One of the more popular, non-surgical cosmetic procedures that can replace that lost volume is dermal fillers.
Dermal fillers are used to smooth out and create volume in areas of the skin that have aged and wrinkled over time. This includes a variety of substances such as collagen, hyaluronic acid and other materials, which are both naturally occurring and man-made. Generally they are used to do things such as plump lips, smooth out wrinkles on the forehead or around the face and to prevent the motion, which displays wrinkles.
Dermal fillers have become increasingly popular as a means to help reverse the skin changes that are associated with aging. Seeing as the goal of using dermal fillers is to return the skin to its original youthful state, these products are being used to reduce or eliminate wrinkles.
Before Treatment
After Treatment
There are many different FDA- approved fillers that Dr. Germain offers. These include:
·  JUVÉDERM Injectable Gel: This smooth consistency filler, also made with hyaluronic acid (HA), is particularly suited for treating nasolabial folds (also called “smile lines”), the creases between your nose and the corners of your mouth. It can also add fullness to lips. The results of JUVÉDERM can last up to 1 year.
·  Restylane and Perlane: These fillers are made with hyaluronic acid (HA), a naturally occurring substance already found in your skin. Restylane and Perlane restore lost hyaluronic acid for improved volume and hydration that will last about 6 to 9 months. Dr. Germain uses these fillers to reduce wrinkles and augment lips.
·  RADIESSE: Unlike other dermal fillers, RADIESSE actually stimulates the growth of new collagen. This means that the results last longer than other fillers – often more than 1 year. RADIESSE, made with tiny calcium hydroxylapatite (CaHA) microspheres, can be used on nasolabial folds as well as other facial lines and wrinkles. Dr. Germain is an extremely experienced injector with RADIESSE and performs many treatments.
·  SCULPTRA Aesthetic: Long lasting, with subtle results over time, SCULPTRA aesthetic is an easy way to get a natural-looking, youthful appearance. Made with poly-L-lactic acid, SCULPTRA gradually replaces lost collagen for results that last for up to 2 years.
After using the dermal fillers, it is not uncommon to experience some redness, swelling, or bruising. If this does occur, it will fade quickly and can be covered with makeup. How frequently treatment with a dermal filler needs to be repeated varies with each specific filler and even with each patient. Generally, you can expect results to last anywhere between 6 months and 2 years.
To learn more about dermal fillers and the services that Dr. Germain and her staff offer, you can request a consultation online with Dr. Germain or call her office at (843) 881-4440.