Botox and Filler Together or Just One? And if So, Which?

I went for my consultation today for slight under eye wrinkles when smiling. Surgeon recommended one site Botox and one syringe Perlane along each cheekbone. I'm 36 and Latina so have been quite lucky as far as aging, thus, don't want to trade a small problem for a bigger one(ie: hollows, more wrinkles, bags, droopiness,changed eye shape, etc). Should I do just one for now since I'm new at this? I'd hate to overdo it. And I don't want to end up wishing I'd just left things alone.

Tags:

age 35-44 under eyes wrinkles Latina filler same time

Comment on this

9 Doctor Answers | Asked by Natural2011

Doctor Answers (9)
Community Comments (0)

Botox and Filler Together

Botox and fillers, such as Perlane, work very well together. Botox works by relaxing overactive muscle movement and fillers actually fill in areas of deep folds or volume loss. It is difficult to determine the best course of treatment, without seeing your skin in person, but I often recommend a combination of Botox and fillers. If under eye wrinkles are your main concern, Botox will likely make a significant difference on its own. However, it seem that the... more

Botox and fillers

It is yoru choice how much of either you want to try. Being that you are concerned because it is your first time,. you may want to start off slowly.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Trust Your Instincts

If you are worried about overdoing it and what to start conservatively, trust your instinct. It is completely normal to try one of the procedures to see if you like the results. I would try to Botox first from what you describe. If like the results, then everyone is happy. If the results are ok and you want to do more, then add the filler. If you hate the results, it is all temporary and you will return to normal in a few months time period. If you are... more

Botox + Fillers

Without seeing you in person, it's difficult to say which is best for you. If you're worried about "overdoing it" I'd recommend trying the Botox first to relax the muscles around the eyes that cause excessive lines especially while smiling. Once you assess how satisfied you are with that, you can consider the filler. see video

Botox and fillers for under the eyes

The best treatment option really depends on your individual circumstances and goals. In general, an appropriate skincare regimen, resurfacing procedures such as peels and lasers, and finally Botox or Dysport injections can address fine wrinkles under the eyes. For undereye bags, I typically use Restylane in the lower eye areas and then Perlane or Radiesse to fill in the entire cheek (not just the cheekbone). This makes the undereye bags less noticeable. I would recommend a consult with an... more

Botox and fillers combination

Botox and soft tissue filler (e.g. Perlane) are often done and work well in combination: Botox works for upper face dynamic/movement wrinkles, while fillers work for lower face static/more permanent wrinkles. Sometimes (e.g. when doing Botox & Juvederm), the combination is called the Soft Lift.

Anatoli Freiman, MD

4 reviews

Toronto Dermatologist

Botox with a filler

Depending on what your aesthetic goals are, you probably have your answer. If it's volumizing, then any dermal filler injected well, will help improve that volume loss. It it's volumizing AND wrinkles you're trying to help avoid, then yes, doing both at the same time help for longer term correction of the area.

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Botox and/or filler

It's difficult to give you exact advice without a picture or seeing you in person. Both the Botox and the filler together could possibly give you a better result than either one alone. If you were considering only doing one first and the lines under your eyes are typical crow's feet type lines, then I would recommend the Botox first. You could always have the filler done later if you were not satisfied with the result from the Botox alone.

Stage it, it may be what you are most comfortable with ..

It is best to stage the treatments, that is, get Botox and come back for facial fillers. It seems that this is what you are comfortable with and with this decision, you can get to like and accept subtle changes, which are less likely to be dramatic for yourself and others around you. Your friends and relatives will say "you look radiant" and "you look younger, what did you do?" and not really figure out that you had these treatments. If you don't want people to know that you had something... more