Do Fillers Give the Same Results As Botox?

Since Botox works well on wrinkles, do wrinkle fillers equally work well?

Doctor Answers 3

The biggest misconception is that Juvederm is equivalent...

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The biggest misconception is that Juvederm is equivalent to Botox. This is simply not the case. Think of Juvederm as a volume-adding agent and BOTOX as a line-smoothing product.

  • Juvederm softens lines and wrinkles by essentially filling them in
  • BOTOX achieves a similar effect by lessening the folding of the overlying skin by the underlying facial muscles

Fillers and Botox can enhance the effect of the other,...

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Fillers and Botox can enhance the effect of the other, but they do not offer the same results.

If you have lines that do not go away when your facial muscles are relaxed, such as lines between the nose and lips (nasolabial fold), or you wish to add fullness, such as in the lips, cheeks, or under the eyes, then you will need a filler.

If you want to prevent muscles from contracting, which causes lines or wrinkles to become etched into this skin, then Botox is your best friend. Perfect examples of this are between the eyes and the "crow's feet" around the eyes.

Jonathan Hoenig, MD
Beverly Hills Oculoplastic Surgeon

Botox and fillers work differently

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Neurotoxins, such as Botox, Dysport, and Xeomin, are used to relax muscle movement, thereby smoothing out wrinkles between the eyes, in the forhead, and around the eyes (Crow's feet).  Fillers, such as Restylane, Juvederm, Radiesse, and Sculptra, are used to restore volume to hollowed areas, such as in the temples, cheeks, naso-labial folds, and marionette lines.  Often, these treatments are combined for best results.  A consultation with a board-certified dermatologist will determine what works best for you. 

Donna Bilu Martin, MD
Aventura Dermatologist

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.