Botox for Crows Feet First or Cheek Fillers?

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.

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 at present.

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.

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 last up to a year or more.

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.

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.

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.

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.

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

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.