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Botox for Crows Feet First or Cheek Fillers?

asked 2 years ago by Sweetgirl1 in NY
Latest answer by Francis R. Palmer, III, MD
Question viewed 2,085 times
Tags: cheeks, crows feet, lift, plump

When considering Botox to erase crows feet and fillers to plump or slightly lift cheeks, and unable to do both at the same time, which is better to do first and why?

22 answers to Botox for Crows Feet First or Cheek Fillers?

Botox vs filler for crow's feet

Botox relaxes muscles. Filler fills in hollow areas. During a thorough consultation, your doctor can review exactly what each does, and then you can make the decision which is more important to you.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

Botox, Dysport, Wrinkle Treatment, Beverly Hills Botox Dysport, Los Angeles Botox Dysport

I have used Botox on the Crow's Feet and performed Cheek Augmentation with fillers like Perlane and Radiesse as well as Cheek Implants for over 20 years. The Cheeks are the number one most important beauty feature of the face and as such, should always be the first place for you to enhance. You can read more in my new book on the aesthetics of beauty "What's Your Number...the palmer code" In the book, you'll learn just how important,... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Treat what bothers you most first

Botox usually reduces the crows feet lines (although it is not as effective in the crows feet area as it is between the eyebrows and in the forehead region). Nevertheless, most of my patients love their results of BOTOX in the crows feet region. When there residual deep crowsfeet, a conservative filler can also be used in this region. Certain fillers may effectively add fullness to the cheeks. Since you are only able to do one or of the two procedures, you must decide which region bothers... more

Sigmund L. Sattenspiel, MD
Freehold Facial Plastic Surgeon

Cheek filler and Botox for crow's feet at same time

Hi Sweetgirl1, Botox is very good in the Crow's feet. it really softens the area and provides nice results. It is perfectly reasonable to do one first and then the other. As with other answers to this question, I also agree that you should prioritize and determine what bothers you more. Start with the Botox since you may see that you are so happy with the results that the cheek issue may be less bothersome for you. You can, however, have both done on the same day if you choose as well... more

Ritu Saini, MD
New York Dermatologic Surgeon

Botox first

You can certainly have both done at the same visit, but if you would like to space them apart and are new to cosmetic procedures, I suggest doing the toxin first: 1) It will be likely cheaper, 2) You will likely have a more noticeable difference, 3) It will wear off sooner if you are not satisfied with the results. Always see a licensed and qualified practitioner for cosmetic surgical procedures. Best of luck, Dr. Rupani

Reena Rupani, MD
New York Dermatologist

Botox and Fillers together

The question is really to you: which bothers you more. You could do either one first and yes you could do both the same day.

Bruce Katz, MD
New York Dermatologic Surgeon

Botox will treat creases that form with smiling

Botox and fillers accomplish different things. Botox will reduce the lines that form when you smile while fillers will shape your cheeks. Fillers can soften the deeper crows feet lines, but the lines will still form if Botox is not also used. If you want to diminish the laugh lines, then your choice is Botox. If your want to enhance your cheek contour, then fillers are your choice. Of course, Botox is less expensive, but last only 3 to 4 months, while fillers are more expensive, but... more

Michael D. Yates, MD
Huntsville Plastic Surgeon

Botox versus fillers

The simple question is which area bothers you more, your crows feet or your cheeks? Botox is best used to address crows feet and fillers are best fot the cheeks. There is no advantage to doing one before the other. Discuss your concerns with the physician who will be performing the procedure and get their opinion on what procedure will have more of an initial impact. There is no right or wrong answer. Just be comfortable with your physician and your decision. Good luck....

David A. Robinson, MD
Munster Plastic Surgeon

I like Botox as an entry procedure

Botox makes for an ideal entry procedure for those testing the waters. Botox is less invasive than fillers and usually has less risk of bruising. Botox of the crows feet will reduce the lines when you smile or squint and yes Spring is around the corner! Good luck. Dr. Lenore

Lenore Sikorski, MD
Laguna Niguel Dermatologic Surgeon

Botox Cosmetic or Facial Fillers for Rejuvenation

Neither is necessarily better, as each cosmetic treatment has different goals. First, which bothers you more the crow's feet wrinkles on the sides of your eyes which would benefit from Botox cosmetic, or sunken, hollow cheeks that would benefit from volume facial fillers? Once you've answered that question, then you'll know which aesthetic treatment may be more appropriate for you at this time.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Botox or Fillers first

Both can be done at the same time. If it is a matter of finances figure out which area bothers you the most. As injectors we all have our own favorite areas to inject but when it comes down to it, you are the one that needs to decide.

Lee Robinson, MD
Portland Facial Plastic Surgeon

I'd recommend Botox or Dysport first

After you have the full effect of the neuromodulation, you might not need as much filler. The filler will also make the the effect of Dysport or Botox last longer in my experience. Incidentally, in the crow's feet, I find Dysport works better than Botox.

Mary Lupo, MD
New Orleans Dermatologist

Botox or fillers

I can't tell from the question what the reason is for not being able to do the Botox for the crow's feet and the fillers for the cheek at the same time. If it is a matter of cost, then it will depend on your priorities. The most "bang for the buck" is usually going to be with Botox (or Dysport) since it is very effective for crow's feet and typically less expensive than a syringe of dermal filler. On the other hand, it will only last about 3-4 months, while fillers in the cheek can... more

Richard Baxter, MD
Seattle Plastic Surgeon

Botulinum toxin for crow's feet and/or Filler for cheeks: Which goes first?

We do both at the same time. However, if you insist on doing them separately, I would prefer Botox first to assess the impact of the toxin on the obricualris and malar festoons. This would possibly require more filler than if performed at the same time.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Botox or Cheek fillers first

These two procedures are frequently done in combination and there is no contraindication to having both done at the same visit. If you have never had a cosmetic procedure before, however, I would recommend starting with Botox as an introduction to cosmetic procedures. Good luck.

Bryan K. Chen, MD
San Diego Dermatologist

Botox and fillers

The order doesn't really matter. If the reason why you can't have both done at the same time is financial, then you should pick whichever problem bothers you the most and start there. Botox of the crows feet will be much cheaper than using fillers in the cheek. Good luck! Dr. Singer

Elan B. Singer, MD
Manhattan Plastic Surgeon

In what order should you get cosmetic procedures

There is a common theme here among the answering physicians. Cosmetic procedures are not like surgery to remove an infected gallbladder. The gallbladder scenario is an all or none option. You can't take out half the gallbladder. Cosmetic procedures are done when something bothers you aesthetically. What bothers one person will not bother another person and vice versa. Also, because you are not dealing with an illness you have the luxury of time. If desired you can address the issue(s) in a... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Botox versus Cheek Fillers

Ideally, you should do both the cheek fillers and the Botox. If you can only do one, then you need to decide which area bothers you the most and start with that procedure or treatment. Good luck.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Botox first

Botox willl relaxe the crows feet and the wait about a week before fillers. The botox will relax the muscle and the use filler to fill the check if needed.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Have Botox and cheek fillers at the same visit

I recommend do both at the same visit. Fees and options to types of fillers should be discussed. The fillers will need 2 to 4 cc's in amount. Short lasting like Restylane, Juvederm. Mid lasting like Perlane. Longer lasting like Radiesse Artefill, PMMA. Best of luck.

Darryl J. Blinski, MD
Miami Plastic Surgeon

U MIGHT GET A PRICE ESTIMATE

Would decide which flaw bothers you the most, compare pricies and make determination from there. Crow's feet repair will roughly cost about $150, while fillers would run $-400. Your physician will help my make the prope

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist

Botox vs fillers in the cheeks

Which to do first depends on what bothers you more. Botox and fillers are completely different. The fillers add volume, reduce fine wrinkles and the Botox paralyzes muscles and minimizes wrinkles but does not add volume.