There are two parts to your answer; Botox vs. Fillers. The hyaluronic acid fillers (Restylane, Juvederm, Beletreo, etc.) should provide immediate visible results. However, your plastic surgeon should have discussed with you the types of changes you could expect, and which areas might need other procedures. It is important to use the best treatment for different areas of the face, and different types of problems. Sculptra is a different type of filler and its results evolve slowly over weeks and weeks.Botulinum toxins (Botox, Dysport, Xeomin) take at least a few days to begin to weaken muscled that cause certain facial lines, especially frown lines and squint lines or crow's feet. The majority of the effect is established in 4-7 days. Small improvements are possible after that. The lines themselves don't go away immediately, but the muscle activity causing them lessens. With periodic Botox treatment, lines usually continue to get better and better (over months time).Keep in touch with your surgeon for further information. Best Wishes.