Botulinum toxin type A (commonly referred to as Botox) and dermal fillers are both great options for wrinkle treatment. Whether your goal is to prevent wrinkles from forming or reduce the appearance of existing wrinkles, it is important to understand the differences between these two treatments.
Botox
Botox, a neurotoxin, reduces wrinkles by temporarily paralyzing the injected muscle. By reducing the movement of specific facial muscles, the overlying skin is not pulled as much by facial movements, therefore reducing the appearance of wrinkles.
Because of the way Botox works, it is the best choice for “dynamic wrinkles.” These are wrinkles formed from facial expressions. Animation of the face through smiling, eyebrow-raising, squinting, etc., causes pulling and folding of the skin leading to the development of wrinkles.
Dermal Fillers
Dermal fillers are gel-like substances. As their name implies, they fill in sunken areas of the skin. When injected into a fold, crevice, or crease in the skin, they replace lost volume and give the skin a fuller, more plump appearance.
There are multiple kinds of fillers. Two common types are calcium hydroxylapatite (brand name Radiesse) and hyaluronic acid fillers (Restylane, Juvederm, and Belotero, to name a few).
Calcium hydroxylapatite is a heavier substance typically injected deep in the cheeks, jawline, or lower face. It mimics bone and helps provide structural support.
Hyaluronic acid fillers are available in different consistencies and thus can be used in different areas of the face that they are meant for. Certain brands are more suited for fine lines, while others are better for lift and support. Restylane is a type of hyaluronic acid filler that moves with your skin.
Differences Between Botox and Fillers
While Botox and fillers are both injectable wrinkle treatments, there are key differences to be aware of.
Botox starts to work within ten days. It is often used where expression lines form, particularly in the forehead and around the eyes.
Botox has additional uses beyond wrinkle treatment. It may help prevent wrinkles from developing. Botox is a viable option for those trying to maintain a youthful appearance. Botox can also be injected in other areas besides the face. Botox may be injected into the armpits to treat excessive sweating or into the jaw to help prevent teeth grinding.
A Botox injection typically lasts between two to four months.
As for dermal fillers, they produce immediate effects. They can be used not only for wrinkles but also to add shape and contour the face. Since dermal fillers add volume, they are an excellent option for lifting and enhancing the cheekbone area.
Fillers also last longer than Botox. Hyaluronic acid fillers can last between six and 12 months, whereas calcium hydroxyapatite can last up to 18 months. It’s important to talk to your provider about which product would work best, and when to come back for maintenance to ensure.
Which One Is Right for Me?
As a general rule, Botox best treats areas of facial movement. This includes forehead lines, the two lines that often appear between the eyebrows commonly referred to as “11s,” and crow’s feet. Fillers better treat folds and creases present when the face is at rest.
When to opt for one or the other depends on the patient and their needs. Since there is no easy answer to which one to try first, consulting with a cosmetic dermatologist is essential. At The Menkes Clinic our providers meet with each patient to understand their goals and help educate them on the process, what to expect, etc.
We Can Help
At The Menkes Clinic, we have 7 providers located in California’s Central Valley. Our board-certified dermatologists will provide you with the expert advice you need to make the best choice. Click here to schedule your consultation or next Botox / Filler appointment.
