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.

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.

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 piecemeal fashion as you can afford it money wise and recovery time wise. Decide the degree to which different things bother you and address them in that order. Never get more cosmetic procedures (surgical and non-surgical) at a time than you can afford money wise and recovery time wise.