What is the Difference Between Botox and Fillers?

For wrinkles and lines, which is better Botox or fillers. What exactly is the difference?

Doctor Answers 20

Botox vs. Fillers

Botox is a neurotoxin with blocks the action of nerves on muscles.  We use it to target muscles that form wrinkles.  It relaxes the muscles, softening the wrinkle.  It lasts for 3-6 months.  Fillers are injected into the skin to fill in wrinkles, directly softening them.  There are many different types of fillers and each tends to work well in some areas and not in others.  A qualified injector can give you recommendations on this.  Beware anyone who wants to use the same product or brand of products in every part of the face. 

Salt Lake City Oculoplastic Surgeon
5.0 out of 5 stars 6 reviews

The Differences Between Botox and Fillers

Botox is a muscle paralysis agent that was approved for cosmetic uses in 2002. This is used to decrease facial motion and help eliminate fine lines and wrinkles. Fillers represent a wide spectrum of products that are used to enhance facial volume. These products can last from months to years, and some even beyond. Ultimately, it is important to review your options with a facial specialist.

Be healthy and be well,

James M. Ridgway, MD

James M. Ridgway, MD, FACS
Bellevue Facial Plastic Surgeon
5.0 out of 5 stars 92 reviews

Use Botox on wrinkles between the eyebrows and crows feet.

Botox is a medication which relaxes facial muscles. Some wrinkles on the face such as those between the eyebrows are created by facial movements. As we move our faces, lines develop and become deeper over time. Botox can be injected into the muscles causing the wrinkles. The Botox relaxes the muscles which improves the wrinkles. Dermal facial fillers, on the other hand, are used to add volume to the skin. Some wrinkles on the face such as those from the nose to the corner of the mouth are caused by a loss of volume in the skin over time. Dermal facial fillers are injected into the skin to add volume and soften wrinkles and folds. Around the mouth, we can’t use too much Botox or we lose the ability to eat, kiss and smile so we usually use fillers there.

Amy Forman Taub, MD
Chicago Dermatologic Surgeon
3.6 out of 5 stars 11 reviews

What is the Difference Between Botox and Fillers?

  Botox works great in-between the eyebrows, across the forehead, the Crow's Feet and around the mouth to soften and reduce unwanted lines and wrinkles.  Fillers, on the other hand add volume to shape the cheeks, chin, jaw line as well as fill in folds like the NLF and marionette lines.  Hope this helps.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 24 reviews

When inject Botox and when inject fillers

To make things simplistic, knowing there are always exceptions, Botox relaxes muscles under lines that are created by muscle movement such as the "11" in the glabellar forehead between the eyebrows, the upper forehead lines and the crows feet lines at the outer eyelid area.  Fillers such as Restylane and Juvederm Ultra  help raise up creases that are present at rest, such as the tear troughs, smile folds, marinonette lines and the horizontal labiomental crease between the lip and chin. Volumizers which tend to be thicker fillers such as Perlane, Juvederm UltraPlus and Radiesse and collagen stimulants such as Sculptra are used to plump up depressed cheeks, temples and prejowl sulci (the depression between the jowl and chin along the forward jaw).

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
4.9 out of 5 stars 37 reviews

Difference between botox and fillers

Botox can improve wrinkles that are caused by muscles that move.  This is most effective in the forehead, around the eyes, and in the area between your brows.  Fillers actually fill in the deeper wrinkles like those between your nose and mouth, and can plump your lips.  They are different, but complimentary products.

David A. Lickstein, MD
Palm Beach Gardens Plastic Surgeon
5.0 out of 5 stars 5 reviews

Difference between Botox and Fillers

Botox and Fillers do different things but can be used in complementarty fashion. Botox is a muscle relaxer and fillers, as their name implies fill lines or can be used to add volume. 

Ted Brezel, MD
Long Island Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Botox relaxes muscle movement, filler as volume to an area of skin.

Fillers are great to add volume to area such as lips and laugh lines. Botox and Dysport relax unwanted movement such as that causing frown lines.

Mark Taylor, MD
Salt Lake City Dermatologic Surgeon
4.2 out of 5 stars 18 reviews

Botox vs Fillers - what's the difference

Botox and fillers are complementary procedures - they are not the same thing and should not be thought of the same. Though they are both injections, they are quite different. Botox is a neurotoxin which works to constrict muscle movement. It's primarily used in the upper face (forehead, between the eyebrows, crow's feet) to smooth wrinkles by not allowing those muscles to pull and move in the same way for about 3-4 months. Fillers are just that - they "fill in" grooves, lines, and wrinkles. They are used throughout the face, but most commonly on the lower half of the face such as the NLF lines (from your nose to the sides of your mouth) and in the lips. Different fillers have different lifespans, but most last between 6 months to a year. Visit a board-certified dermatologist or plastic surgeon for a consultation and go over your needs and desires. That physician will be able to tell you what you need for your specific areas of concern.

F. Victor Rueckl, MD
Las Vegas Dermatologist
4.6 out of 5 stars 17 reviews

Botox and fillers

Botox and fillers can be used to compliment one another. Botox works on muscle action whereas the facial fillers, such as Radiesse, Restylane and Juvederm, fill areas which have lost volume during the aging process and show creases and lines. To determine which treatment (or both) is appropriate for you, see a board certified dermatologist or plastic surgeon in consultation.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 39 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.