Topical retinoids are a group of prescription medications used to reverse some of the damaging effects of sun exposure over time.  These medications are also used to treat acne.  The active ingredient in most preparations is tretinoin. This is now available as a generic preparation, other names are Retin-A and Renova (Renova is no longer available)

Fillers are injectable products that “fill” the void created by aging and can soften the appearance of lines.  Whereas Botox is used for wrinkles in the upper one third of the face, fillers are predominantly used for the lower two thirds of the face with some exceptions. Juvederm is a filler composed of hyaluronic acid, a naturally occurring substance of the body within the skin that helps the skin retain volume.

Botox is a purified protein that temporarily blocks muscle activity leading to less lines and wrinkles on the face.  Frown lines between the eyes are the most common area for Botox injections.