Botox can be used in many areas of the face to relax the targeted muscle, and soften the wrinkle or "line". In some cases, such as deep forehead lines or deep glabellar lines, Botox and filler can be used in combination to get rid of the line completely. For smile lines around the mouth, a hyaluronic acid filler works well to fill in the area and get rid of the line. Smile lines around the eyes respond well to injections of Botox.
Botox lasts 3-4 months. The duration of fillers depends on the specific filler used. They can range from 8 months to 2 years. There is also a permanent filler called Bellafill.
Side effects are uncommon with both Botox and fillers. Botox has been extensively studied for over two decades and has been judged to be one of the safest medications ever used. The fillers are made from materials like hyaluronic acid and calcium which are already in your body, so reactions are extremely rare. This being said, it is important to choose an experienced and qualified injector. Side effects can happen if these injectables are used incorrectly. Each company produces good products. Your doctor or nurse will determine which filler or toxin is best for you and give you options. Hope that helps!
Which is better, Botox or Fillers?
Areas of the face that respond well include 'crows feet' lines around the eyes, vertical frown lines between the eyebrows, and horizontal ('worry') lines on the forehead. BOTOX ® can also be administered just below the lateral aspect of the eyebrow to produce a temporary lateral browlift, which opens up and brightens the eyes.
In some instances, BOTOX ® can be used to soften vertical upper and lower lip lines, to reduce muscle bands in the anterior neck, and even to elevate the nasal tip. While there are some good 'lower face' indications for BOTOX ® administration, in my practice the majority of injections are for 'upper face' (especially eye area) rejuvenation.
One truly remarkable consequence of BOTOX ® administration that I have seen over and over again is the gradual complete disappearance of deep, vertical furrows between the eyebrows (frown or 'scowl' lines). With long-standing muscle contraction, the vertical lines between the brows may become actual physical clefts or grooves in the dermis, resulting in creases that are still apparent even when the skin is spread apart tightly with a finger on each side of the crease. In such instances, the initial BOTOX ® injection will soften but not completely eliminate the deep furrow. With regular BOTOX ® treatment, however, such that the frown muscles are never allowed to fully regain their normal ability to contract, the deep furrows may gradually fade completely.
You should consult a board certified dermatologist or plastic surgeon and discuss your concerns. Although Botox and fillers complement each other, they are not interchangeable, since Botox relaxes muscle movement and fillers replace volume loss. Each physician has his/her own preference of products to use so you need to find someone you trust.
Thank you for your question Farah Rasheed. Botox and fillers are used to enhance the face. Smile lines can refer to multiple wrinkles on the face. The crow's feet are lines seen around the eyes when one smiles. Crow's feet can be addressed by Botox as Botox will relax the muscle and smoothen out the overlying wrinkles. Most people enjoy the results of their Botox treatment for 3-4 months. The nasolabial folds are the lines that go from the sides of the nose to the corners of the mouth. These lines get deeper with age and can become pronounced when smiling. They are sometimes called smile lines, laugh lines, or parentheses lines. The nasolabial folds form due to volume loss. Fillers such as Juvederm and Voluma can restore the volume loss and address the nasolabial folds. Such fillers can last up to 2 years with optimum correction. There is no single best company for Botox or fillers. It is more important to find a doctor with experience and expertise for advice.
with a doctor for specific recommendations. Good luck!
What is the difference between Botox and Fillers
Botox and fillers work very differently. Botox relaxes muscles that can cause facial wrinkles while fillers work to restore volume to an area that is hollowing and possibly has wrinkles as well. Smile lines are most commonly treated with fillers.
Botox is a neurotoxic that paralized the muscle when injected. It may take a week to see full results. Botox does a great job of smoothing out wrinkles in the forehead area and also around the eyes.
Fillers like Juvederm and Restylane are hyaluronic acid, which your body produces naturally. there is also Radiesse which is nice to use to add volume in the cheeks. I personally like Restylane and Juvederm in the lips. You can also use fillers in the nasolabial folds to make them softer. Get an opinion from a dermatologist or plastic surgeon so they can give you a better idea on what would be best for you. Best of luck
Dhaval M. Patel
Double board certified
Thanks for your question! Botox and fillers are used differently, and have their own unique benefits. I would recommend that you consult with a board certified facial plastic surgeon who can assess you and determine what products you are a good candidate for. Botox is used to relax overactive muscles which results in smoothing fine lines and wrinkles. Fillers help to replace volume loss and can be used to contour certain facial features. Smile lines often get exaggerated when the cheeks lose volume; I often use Voluma (a facial filler) to address these concerns. There are many different types of fillers which all have their own clinical indication. A consultation with a physician will allow you to ask questions and ensure that you get a treatment plan that is completely customized to your specific needs.
Dermal fillers are best for smile lines
For smile lines, also called nasolabial folds, a dermal filler such as Restylane, juvederm or Radiesse will be better than Botox. Botox works best for dynamic “expression” lines such as forehead lines, crow’s feet around the eyes, and frown lines in between the eyebrows. Restylane Lyft, Juvederm ultra plus, and Radiesse are fairly long lasting, with results of up to a year. Botox usually lasts for around 3 to 6 months, depending on how many units were injected, the injection locations, and individual metabolism. I recommend visiting a board-certified dermatologist for an in-person consultation to find the best treatment plan for your concerns.
Thank you for your question. Botox can be used to soften the appearance of lines and wrinkles that deepen with expression. These include the horizontal lines of the forehead, the frown lines between brows and the smile lines (crows feet) on the sides of the eyes. They typically last 3-4 months. Fillers on the other hand is very effective at filling in the lines or shadows when you are not expressing yourself. They can also be used to shape and lift the face. I would recommend that you visit with at board certified plastic surgeon or dermatologist in your area to discuss your treatment options so they can be taylored to your concerns and goals.
Hi Farah. Thank you for your question. The general algorithm is that Botox is effective in the “upper ⅓” of the face: forehead lines, crow’s feet, and lines between the eyebrows. These lines are “dynamic” lines, caused by underlying muscle contractions. By relaxing the associated muscles, Botox smoothens the upper ⅓ of the face. “Static” lines in the lower face, such as the nasolabial folds, are amenable to facial filler.
Hope this is helpful. Best wishes. Dr. Shah