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Botox in Upper Part and Fillers on Lower Part of Face?

I am 42 and have had Botox 4 years ago with a good result, but now I hate looking at my wrinkles. I need my brows, crows feet, smile lines, and my top lip is very liney. Do I need fillers in the lower part of my face and Botox in the top?

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age 35-44 eyebrows face crows feet smile lines wrinkles top lip

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15 Doctor Answers | Asked by Caris in epsom

Doctor Answers (15)
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Botox vs Filler placement in specific parts of the face.

Typically one places Botox in the upper part of the face, and filler agents in the creases in the lower half. Each patient is different. Seek out an experienced injector. They will be able to take you through the process.

Botox and fillers

Botox is used to stop dynamic movement and fillers are used to replace volume. These treatments complement each other and both can be used in the upper and lower face by an experienced injector to give a youthful, natural result. Please consult a board certified dermatologist or plastic surgeon who has experience in treating the face with Botox and fillers.

Botox is best in the upper part of the face and filler in the lower

That combination of Botox in the upper part of your face, forehead, glabella, and crow's feet are ideal for fixing those wrinkles around your brows that you don't line. Fillers are best for the lower part of the face to fill in depressions, lines, and wrinkles around the mouth. The top lip can also benefit from the Fraxel laser to soften and resurface those fine lines around the mouth. This is a good example that a combination of modalities can be used for the best results. more

Botox and fillers are indeed used in this manner

Exactly! I employ BOTOX to reduce the muscular function of the forehead and crows feet regions in order to give smoother skin contours. I employ fillers for creases and depressions in the lower part of the face as well as any other regions of the face where there are creases, wrinkles or depressions. I do not like to use BOTOX on the lower part of the face. Injecting BOTOX in the region around the mouth runs certain risks of disfigurement including a pouty “duck-like” look of... more

Traditionally Botox or Dysport are used in the upper face

Traditionally Botox or Dysport are used in the upper face, and fillers in the lower face. But now both are used throughout the face. Artfully administered by an experienced dermatologist or plastic surgeon, combining these approaches can give the best results

Botox is not only for the upper face and fillers can be used in the upper face

In the past, Botox was used in the forehead and crows' feet near the eyelids. Fillers were used in the smile folds and lips. During the last decade +, there has been great advance in the understanding of the aged face. Fat atrophy is responsible for the lack of support and drooping of the face. Botox is used for wrinkles related to muscle movement and the skin that folds above this motion repeatedly. Once the muscle doesn't move, the skin doesn't act like an accordion and eventually the... more

Botox and fillers

Botox or dysport is a great way to treat facial lines of animation of the upper 1/3 of the face. Fillers such as restylane, juvederm, or radiesse are great to fill lines of the lower face.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Botox, facial contouring, Dysport, lip lines, skin care, laser

Dear Caris, Thank you for your question. Botox and fillers are the first steps in restoring facial shape and reversing the signs of aging. They can be used in combination or separately with great resuts. How much of each and where they are placed is the key ingredient. The addition of other non-surgical techniques such as Thermage, IPL and General skin care will also help to freshen up your appearance! With Warm Regards, Trevor M Born MD

Fillers and Botox in facial areas

Botox and fillers are NOT a question of "need" - they are best thought of as what tool is most likely to deliver the result you want. The adage that Botox is for the upper face and fillers are best reserved for the bottom is simple and outdated. Botox can be used to raise the brows, smooth the glabella (bridge of nose between the brows) and the crows feet, decrease a gummy smile, and lift the corners of the mouth (help in correcting puppet lines). Fillers can be used to smooth... more

Botox and fillers

You are correct that in general, Botox is for upper face lines and wrinkles, and fillers are for lower face lines and wrinkles. There are cross-overs however. Botox can be used to soften lip lines and fillers can be used in the upper face for lines which do not totally go away with Botox.

Maybe

You may be surprised to find that Botox can be used to improve lip lines. It is my second choice to filler, but is an option. Filler can sometimes improve severe crow's feet as well, so you are correct: In general , fillers are lower face and Botox upper. A really good doctor, however may frequently break that rule.

Classic teaching on Botox

The classic teaching was always so that Botox was for dynamic wrinkles while fillers were for stationary ones. Most of the lines on the upper face are due to contractions of muscles of facial expression.Botox is mainly used there, however there are lines that the neurotoxin won't be able to get rid of especially with the passage of time. In those circumstances, filers are used in conjunction with Botox. Correct filler and technique should be discussed beforehand with the patient. The... more

Botox or fillers

Patients desiring facial rejuvenation are bombarded by a confusing variety of choices. Botox is usually effective in improving lines and wrinkles caused by muscle contraction, especially frown lines and crows feet. Botox can also be used for forehead wrinkles but once the forehead muscles are relaxed the eyebrows occasionally come down one or two millmeters and patient's complain that their eyes look smaller. Botox for lip lines is not as effective because of the potential for interfering... more

Marcel Daniels, MD

11 reviews

Long Beach Plastic Surgeon

Botox and Dermal Fillers work together beautifully

Thank you for asking these good questions. Botox, or the new Dysport product, will work to help relax the lines around the eyes and upper part of your face. These neurotoxins also works in small doses around the mouth and jawline, if your muscle activity is strong and is causing smile lines, lip lines, or a pull at the corners of your mouth. Dermal fillers, ie. Restylane, Perlane, Sculptra, Juvederm, may all be considerations to soften and restore smile lines, however they are capable of... more

Botox and fillers

The question should not be "need" as you dont "need" any particular injectable. However, "want" is more appropriate and if you "want" to improve the wrinkes on the face, then you are correct as the general rule is Botox for the upper third of the face and fillers for the lower third.