Which One is Better Botox or Fillers?

Hi,I have smile lines on my face, my skin is so sensitive and my age is 40. I want to ask that which is better fillers or Botox? Which one have the less side effect Botox or fillers ?If I do fillers or Botox on my face for how many months it will stay?which company is best in fillers and Botox?please give me full information about it. Thank you!

Doctor Answers 25

Botox vs Fillers

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!

Los Angeles Physician
4.7 out of 5 stars 18 reviews

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.

Michael Law, MD
Raleigh-Durham Plastic Surgeon
4.8 out of 5 stars 120 reviews

Botox and fillers

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. Please consult with a doctor for specific recommendations. Good luck!

Alex Eshaghian, MD, PhD
Encino Physician
5.0 out of 5 stars 4 reviews

Botox and filler recap

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
Plastic surgeon
Hoffman Estates

Dhaval M. Patel, MD
Hoffman Estates Plastic Surgeon
4.8 out of 5 stars 93 reviews

Botox or fillers

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. 

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 22 reviews

Combo might work best

if you really want to know what's best for you, you really need to have a quick consultation. During the consultation is win a doctor can see how you and meet your face and what are the best treatment options to restore and natural look for you.

 Botox and filler's or more like an art. You need not know which are the best companies to produce them other than you want someone who uses products from US manufacturers and not try to import them from other countries to save on cost. So picking the right doctor is your job. The right doctor should be able to explain everything as it specifically pertains to your pretty face and use  ethical high-quality products to give you the best results. 

 In general here is some information about Botox and filler's that might help you understand better. 

The molecules of Botox work to stop the communication between muscles and the nerves causing them to over contract. When we make facial movements for example, the muscles are causing the skin to wrinkle, frown and leave permanent lines.

After the injections, it takes a few days to 2 weeks to get the final result. There is really no down-time, while bruising may take place that takes a few days to resolve. It lasts 3-6 months and during this time, the skin has a chance to heal without the pressure from the underlying muscles.

Botox can be used to treat frown lines, forehead lines or those lines around the eyes called crowsfeet. It can also be used to correct smoker’s lines around the mouth, gummy smiles or downward angles of the mouth.

What are fillers then?

There are a number of fillers available on the market.  For example, JUVEDERM™, RESTYLANE®, BELOTERO® are fillers made of hyaluronic acid, a natural substance found in all living organisms.

Hyaluronic acid is an important component of youthful, supple, elastic skin.  It hydrates the skin by holding water, and acts as a cushion and lubricant to reduce damage to the skin.  Hyaluronic acid is also involved with the transport of essential nutrients to the skin’s viable cells. This ability of hyaluronic acid to bind to water is what helps provide long-lasting results.

As a result of aging, our cells gradually lose the ability to produce hyaluronic acid. Studies have shown that older skin typically has lower levels of hyaluronic acid than younger skin.

By adding the fillers, the skin’s natural hyaluronic acid levels are restored, re-creating that youthful appearance.

The fillers listed here are considered safe and natural cosmetic dermal fillers that restore volume and fullness to the skin to correct facial wrinkles and folds. Each filler is biosynthetic and of non-animal origin, and has been proven to be safe and effective for skin of all types and colors.


Rasiesse is a safe, FDA-approved dermal filler that restores a natural, youthful look and lasts for up to a year or more. Radiesse® is composed of smooth round microspheres in a gel carrier. It is injected into the skin through a simple, safe and minimally invasive procedure. This convenient treatment fills and corrects smile or laugh lines and nasolabial folds and wrinkles around the nose and mouth.

For the longest-lasting correction of deep nasolabial folds (laugh lines), Radiesse is a successful instant-result injectable implant, lasting 1 to 2 years. It can also be used to augment cheek bones or redefine the chin. It is additionally the treatment of choice to restore volume to photo-aged hands in an easy, virtually painless procedure.


Sulptra helps correct shallow to deep facial wrinkles, and folds that appear with aging, by replacing lost collagen. Sculptra Aesthetic is a new type of facial injectable made from poly-L-lactic acid, which helps to replace this lost collagen. Its main ingredient is a biocompatible, biodegradable synthetic material that has been used by physicians for decades.

Note: This is not an overnight miracle or a quick-fix. It is the first facial injectable that gives you subtle results over time. As it replaces your lost collagen, it gives you a more natural-looking appearance, without giving you away. A full treatment of Sculptra Aesthetic, an average of three injection sessions over a few months, can last up to two years.

The correct filler choice for you depends on your facial contour, the volume needed to correct, and the anatomical site being injected. It goes without saying that an initial consultation with a professional to choose the correct combination of products for you is just as important as the precise placement of each filler in the face.

Hope this helps!

Tanya Kormeili, MD
Los Angeles Dermatologist
5.0 out of 5 stars 6 reviews

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.

Jeffrey M. Joseph, MD
Newport Beach Oculoplastic Surgeon
5.0 out of 5 stars 14 reviews

Botox vs. Fillers

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.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 9 reviews

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.

Sabrina Fabi, MD
San Diego Dermatologic Surgeon
5.0 out of 5 stars 86 reviews

Botox or fillers

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.

Young R. Cho, MD, PhD
Houston Plastic Surgeon
4.8 out of 5 stars 38 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.