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What is the difference between Botox and Dermal Filler?

Dr Kate Jameson, a Cosmetic Physician, explains.

By Dr Kate JamesonPublished about a year ago 3 min read
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What is the difference between Botox and Dermal Filler?
Photo by Diana Polekhina on Unsplash

When it comes to non-surgical cosmetic procedures, two of the most popular options are dermal fillers and anti-wrinkle injections (Botox). Although both treatments aim to reduce the signs of aging, they work in different ways to treat different areas of the face and address different aesthetic concerns.

Dermal fillers are injectable substances that can be made from hyaluronic acid, collagen, or other gel materials. Modern dermal fillers are made from hyaluronic acid. They can be used to restore lost volume, fill lines and wrinkles, contour the cheeks and jawline, and augment the lips.

The gel-like substance is injected into the skin using a needle or cannula. This plumps up the area around the injection site, which also smoothes out wrinkles and fine lines in the area. Depending on the type of filler used, the results can last anywhere from six months to two years.

One of the main benefits of dermal fillers is their versatility. They can be used to treat a wide range of facial concerns, including nasolabial folds, marionette lines, and thinning lips. They can also be used to enhance the natural contours of the face, such as the cheekbones and jawline. Dermal fillers are available in a variety of densities. For example, thicker, more structural fillers are used to mimic bone in areas like the chin and cheekbones, while thinner fillers are used for areas like the lips and tear troughs (under-eye hollows).

Botox, on the other hand, is a neurotoxin that works by blocking the signals between nerve and muscle cells. When injected into a muscle, it temporarily paralyzes the muscle and prevents it from contracting. This, in turn, reduces the appearance of fine lines and wrinkles caused by repetitive facial expressions.

Botox is typically used to treat dynamic wrinkles, which are wrinkles that form when you make certain facial expressions, such as frowning or squinting. Common areas of treatment include the forehead, between the eyebrows (also known as the "11" lines), and around the eyes (also known as crow's feet). Botox can also be used to treat medical conditions such as migraines, excessive sweating, and muscle spasms.

The biggest difference between dermal fillers and Botox is their mode of action. Dermal fillers work by filling in lines and wrinkles, restoring volume to the face, and contouring certain areas. Botox, on the other hand, works by temporarily paralyzing the muscle responsible for creating the wrinkle, so it can't contract and create the wrinkle. This is why Botox is typically used for dynamic wrinkles, while dermal fillers are used for static wrinkles.

Another difference between the two treatments is the duration of their effects. Dermal fillers usually last anywhere from six months to two years, depending on the type of filler used and the area of the face being treated. Botox typically lasts around three months, but this can vary depending on the individual's metabolism and the area being treated.

While dermal fillers and Botox are both non-surgical cosmetic treatments used to reduce the signs of aging, they work in different ways to target different areas of the face and aesthetic concerns. Dermal fillers are used to restore lost volume, fill lines and wrinkles, and contour the cheeks and jawline, while Botox is used to temporarily paralyze muscles and reduce the appearance of dynamic wrinkles. Both treatments are safe and effective when administered by a qualified medical professional, but it's important to consult with a provider to determine which treatment is best for you.

Your choice of injector is very important in your pursuit of natural results that fit harmoniously with your facial features. An experienced practitioner can use anti-wrinkle injections and dermal filler as part of a long-term treatment plan tailored specifically for you.

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About the Creator

Dr Kate Jameson

Based in Western Australia, Dr Kate Jameson is the Medical Director and founder of Youth Lab aesthetic clinics, an accomplished General Practitioner and Cosmetic Physician specialising in non-surgical aesthetics and skin rejuvenation.

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