Injectable treatments like Botox and dermal fillers are becoming more popular because they are quick and easy treatments with effective results. While both types of injectables are injected beneath the skin with a tiny needle, they target different types of wrinkles. Many patients can get mixed up whether Botox® Cosmetic vs. dermal fillers is right for their skin concerns.
What’s the difference between Botox and fillers?
Both injectables can be used to improve the appearance of wrinkles, but they work in different ways. Botox is a neuromodulator that blocks nerve signals that cause muscles to contract. The temporarily relaxed muscles allow for a smoother appearance when the face contracts. Botox treats expression lines that form over time from repetitive facial movements like frowning and smiling. Dermal fillers are gel-like injections made with natural substances like hyaluronic acid, which add volume and smooth out static wrinkles — lines that develop from gradual volume loss. While Botox is the most well-known neuromodulator, there are many dermal fillers, such as:
Use Botox when:
Botox is a safe and effective FDA-approved treatment option for wrinkles caused by facial muscle movement. Over time, deep creases can form from repetitive facial movements and then stay present even when you are not contracting facial muscles. You can use Botox when:
You have frown lines
Frown lines, also called 11s, are the lines that run vertically between your eyebrows. These lines can make you look angry, tired, or stressed—even when you are not. Botox is very effective at relaxing the muscles that cause frown lines, which in turn smooths out the skin.
You want to address crow’s feet
Crow’s feet are the lines that fan out from the corners of your eyes. These lines can make you look older and can be challenging to eliminate with at-home remedies, like facial creams. Botox is an effective treatment for crow’s feet because it relaxes the surrounding muscles and creates smooth skin around the eyes when you laugh or smile.
Forehead lines are bothering you
Forehead lines are the horizontal lines that can form across your forehead. Muscle contractions and aging can cause these lines, which can make you appear upset or concerned. Pesky forehead lines are located in a hard-to-conceal area of the face and often require professional injections for visible results. You can achieve a smoother forehead by using Botox.
Use fillers when:
Volume loss and wrinkles are two significant contributors to an aged appearance. Dermal fillers can help patients achieve many beauty goals. You can use fillers when:
You notice a loss of volume
As you age, the skin naturally loses collagen and elastin, which keeps the skin plump and firm. With depleted collagen and elastin production, skin can appear sunken and loose, leading to lines and wrinkles. Dermal fillers can add volume to your face and contour areas to look natural and youthful.
You see wrinkles around the nose and mouth
When collagen and elastin fibers break down with aging, wrinkles and lines can appear around the mouth and nose. Many dermal fillers are formulated with hyaluronic acid, which naturally occurs in the body and aids in volume and hydration. Hyaluronic acid fillers can help smooth wrinkles.
You want to improve facial symmetry and balance
Many patients can experience changing facial features due to aging, volume loss, and wrinkles. Aging does not always impact the face symmetrically. For example, if you experience volume loss in only one cheek, your face can look imbalanced. This can especially happen when you sleep on one side more than the other. Dermal fillers can be used in targeted areas to contour the face and add support and volume for facial symmetry and balance.

Botox and fillers in Devon, PA
Laser & Skin Surgery Center of Pennsylvania is a renowned dermatologist practice with a state-of-the-art facility and innovative energy-based devices. With many anti-aging treatments available, Botox and dermal fillers are among the most popular minimally-invasive treatments. Our extensively trained, board-certified dermatologists perform injectable treatments for accurate and precise injections and results. Contact us to schedule a consultation and learn more about Botox vs. fillers.
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