You Don't Have to Choose Between Botox and Fillers

K. Mathews on 23 Jul 2012 at 5:00pm

Botox injectionsRealSelf community member minden18 wants to know: “Can you inject Botox and filler at the same time in the same place?” Our doctors say: “yes!”

Botox and fillers like Juvederm or Restylane are often mistaken for one another, but they reverse wrinkles in different ways. Botox is a muscle relaxant that helps to ease facial lines, while fillers literally “fill” wrinkles by adding volume to an area. Their differences mean that they can work together for optimum wrinkle reversal.

“Even though they are injected into the same areas of your face, one is injected into the muscle and one may be injected under the skin or in the skin,” explains Dr. Joseph Eviatar.

Several doctors say they do it all the time. Dr. Robert Jensen believes the results are longer lasting when done in conjunction, and Dr. Mary Lupo posits that “for deeply etched lines, this is the best way to get full and immediate correction.”

Different approaches can be taken as to the order of injections. While Dr. Arnold Oppenheim uses the filler first so he can better see the wrinkles that need attention when it is time for Botox, Dr. Farbod Esmalian takes the opposite approach, believing that filler can more precisely fix lines already relaxed by Botox.

However, a handful of docs suggest not doing both injections on the same day. Dr. Philip Young says that he prefers to wait two weeks after injecting Botox to determine whether filler will actually help. He says he also has concerns over the lack of studies that firmly demonstrate that it is safe to use the products together simultaneously. Since waiting requires setting up another appointment,  many patients still opt for an all at once approach.

If you have lines you’d like to treat, your doctor should know which injectable (or maybe both) is right for your particular situation.

See all 24 doctor answers to "Can You Inject Botox and Fillers At the Same Time in the Same Place?

Botox before and after photos  Juvederm before and after photos


Photo credits: Vitaly Vilua/Deposit Photos; Shahram Salemy, MD; David Shafer, MD

Comments (1)

I wasn't aware that some doctors advised against doing both fillers and Botox at the same time. I wonder if that is only for an initial treatment, or if they feel it should be done separately for all subsequent treatments.

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