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November 27, 2022
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Botox and Dermal Fillers – What Are The Differences?

Botox And Dermal fillers

Botox and Dermal Fillers

As you age, you cannot help but notice the difference in your skin. When you are younger, your skin is plump and wrinkle-free. As you age, it will slowly show signs of wrinkles and lines. This is because your ability to produce natural collagen and the elasticity of your skin lessens with age. Also, the different facial expressions you make over the years, like frowning and smiling, cause them. As such, the possible solution to this condition is the use of Botox and Dermal Fillers.

If you want to enhance your appearance and still look young despite your age, Botox or dermal fillers may be a solution. They are both non-surgical, safe, and effective. However, these cosmetic treatments have some differences.

Ingredients and Areas Treated


Botox is the most popular brand for a prescription drug called Botulinum Toxin. It is also called a neuromodulator or neurotoxin. It comprises refined bacteria that quick-freeze the muscles to diminish the fine lines and wrinkles you have gained because of your most persistent facial expressions.

They are usually in the upper part of your face, like around your eyes, between your eyebrows, and on your forehead. However, it does not effectively treat fine lines caused by collagen loss. The specialist will inject it in small and controlled doses only, using a small needle.

Dermal Fillers

Dermal fillers, also called wrinkle fillers, contain hyaluronic acid (HA), a natural substance our bodies contain. Although the HA in these fillers are artificial, they are identical and compatible with your body’s HA. They contain essential ingredients that can add fullness to the lower facial areas that have thinned or lost their volumes, like the lips and cheeks, as well as wrinkled parts like the chin and around your mouth. Dermal fillers can be applied with large needles to scars or other features that need extra fullness for a smoother appearance.

How They Work and The Benefits


Botox works by controlling the nerve movement in the muscles that cause wrinkles. The specialist injects these muscles to make them relaxed. By relaxing the muscles, it reduces or removes wrinkles and prevents deep lines and wrinkles from developing. Botox injections take a few minutes to affect the treated muscles and one to two weeks to see the results.

If the lines are deep and do not vanish even without facial movements, it can take several treatments to soften them. The effectiveness lasts for 3 to 4 months. Then you may return for additional treatments to maintain the enhanced appearance. The good thing is it has no downtime.

Other benefits of Botox include:

  • Ease migraine and stress or tension headache.
  • Prevents excessive sweating (hyperhidrosis).
  • Relaxes the muscles, lessens pain, and corrects the jawline affected by teeth grinding.

Dermal Fillers

Dermal fillers are injected under the skin surface of the problem area to add volume and make it plump to diminish existing facial lines and wrinkles. They have various levels of lifting effect and thickness and can have instant results. Their efficacy depends on the fillers used, but they last longer than Botox.

These fillers are different consistencies – syrupy for light creases on thin skin, lifting filler to hold up the drooping area, or volumized for a smoother look. The efficacy of results depends on the fillers used, but they last six months to two years and maybe longer.

Dermal fillers are also used directly or indirectly. The direct way is to inject the filler straight into the facial line. It is suitable for clients who want immediate results. The indirect style is by lifting the tissue along the cheekbones or jawline to provide structure and support to the loose fatty tissue that causes shallowness in the skin, looseness, and droopiness in the chin and jaw area. 

A more recent technique is for the specialist to inject watery filler through droplets under the skin surface in a grid sequence. It is used to improve skin texture and increase hydration and fullness to the cheeks, around the eyes, and to the hands. Other benefits are softening the look of deep scars caused by an injury and reducing the shadow under the eyes. However, dermal fillers cannot be used in some parts of the body such as the breasts.

Their Side Effects


Botox is not advisable for pregnant or lactating women and those who have certain health issues. This is to prevent possible side effects, such as:

  • mild head pain
  • eye problems, such as eyelid drooping
  • bleeding, bruising and swelling, or redness at the treated area
  • itching, rashes, or spots
  • paralysis or weakness besides the injected muscles
  • difficulty in breathing, eating or swallowing
  • gallbladder issues.

Dermal Fillers

Dermal fillers are not used if you are a smoker, and although generally safe, the side effects may include:

  • allergy
  • blindness and other vision concerns
  • bleeding, bruising, redness of the skin, and swelling
  • damage to the skin resulting in infection, scars, or wounds
  • itching, rashes, spots
  • lack of symmetry, overdone wrinkles, lumps
  • numbness
  • the epidermis may die because of a lack of blood circulation to the area.

The risks of these side effects are very slim and usually only temporary.


If ever you wish to try Botox or dermal fillers, find a very skilled dermatologist, plastic or cosmetic surgeon to ensure that the treatment is safely and properly done.


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