Botox for Crows Feet First or Cheek Fillers?

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?

Doctor Answers 24

Botox vs filler for crow's feet

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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.

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 195 reviews

Botox or fillers: which one first?

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Most people who have not had either benefit from starting out with Botox.  It is less expensive, it is less likely to produce an untoward outcome, and overall, it will likely have a meaningful impact on how your face looks.

Most people will end up graduating to a filler eventually, but there no need for an early intervention unless a specific volume deficit that bothers you is present.

William Numa, MD, FACS
Boston Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

Botox and cheek fillers

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If you are unable to have both treatments at the same time, it does not matter whether Botox or filler is done first.  Chose the area that bothers you the most.  Botox for the crow's feet will be less costly than filler.

Martie Gidon, MD, FRCPC
Toronto Dermatologist

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

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 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, beautifull shaped cheeks are to an attractive face.  The Crow's Feet area....not nearly as much!

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 28 reviews

Treat what bothers you most first

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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 you more. Fillers to plump the cheeks may require more filler material but would add to the costs. Accordingly, the cost of filling the cheeks may be greater than the BOTOX in the crows feet. The bottom line: treat the region that is most deserving to you.

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

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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.

Best of luck!

Ritu Saini, MD - Account Suspended
New York Dermatologic Surgeon

Botox first

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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

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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 E. Katz, MD
New York Dermatologic Surgeon
3.8 out of 5 stars 17 reviews

Botox will treat creases that form with smiling

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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 last up to a year.

Michael D. Yates, MD
Huntsville Plastic Surgeon

Botox versus fillers

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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
4.7 out of 5 stars 46 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.