Modern Lipo

The Choice Between

Fillers and Botox

Many patients come to the clinic and ask: should I get Botox or dermal fillers? It’s a good question–one that most surgeons are only too happy to answer. That said, at least part of the answer to that question will rest with the patient–what he or she wants to accomplish, what they want the final result to look like and so on. Still, the choice itself can be quite important, so it’s good to discuss your Botox or dermal filler options with your surgeon.

There are so many options for cosmetic surgery procedures these days that the patient experience often comes down to a simple choice: should I get Botox or dermal fillers? Should I get Skinpen or a laser procedure? For patients, these types of choices are particularly difficult because, well, patients don’t have significant medical training.

Should You Get Botox or Dermal Fillers to Eliminate Lines and Wrinkles?

To be fair, there are certainly multiple ways to address most complaints that cosmetic surgery patients come in with. Wrinkles and lines are a common example of that–although, not all wrinkles and lines.

Some wrinkles, for example, can be mitigated only with an injection of Botox. Other areas of your face will require the addition of volume in order to achieve your desired results. So you’ll get back to that basic question: should I get Botox or dermal fillers? The answer is going to depend on your situation, what you want to accomplish, and what you’re comfortable with.

Knowing Your Options

This article is not intended to be used in place of professional medical advice. And the reason for that is simple: every single patient is unique. So getting rid of that wrinkle on your brow or your frown line or, essentially, making yourself look more youthful, might take a unique approach. Rather, the purpose of this article is help show you that dermal fillers and Botox are indeed different, and the more you know about those differences, the better you might be able to discuss your options with your surgeon.

Botox and Dermal Fillers do Different Things

While they are both “injectables,” it’s important to recognize that Botox and dermal fillers do very different things in very different ways.

  • Botox is a neuromodulator. It works to eliminate wrinkles by temporarily paralyzing a targeted local muscle in the face. Done properly, this will never impede your ability to emote. But there are certainly lines and wrinkles that are caused by muscles that “stuck” in a contracted position–concentration lines and frown lines, for example. Botox is really the only effective way to treat those.
  • Dermal fillers operate in exactly the way they sound. They fill volume beneath your skin. Think about a deflated balloon (full of wrinkles) compared to a full balloon (nice and smooth). Your skin is much the same way. When you lose volume in the skin, you tend to see the formation of lines and wrinkles. But when that volume is restored, the skin becomes smoother. Fillers can also help you reposition certain features of the face (such as the cheeks) through the introduction of more volume.

So Botox and dermal fillers work in very, very different ways. And they each treat a different kind of wrinkle. But that also means that this isn’t a simple choice between the two. There are many patients that will elect to have both injection types performed in order to help them achieve their desired final results.

Some Things One Can Do That the Other Can’t

As with any type of cosmetic surgery procedure, there are some things that Botox can do which dermal fillers cannot. And the opposite is true as well. Each and every cosmetic surgery procedure is going to have unique strengths and drawbacks. When it comes to these two injectables in particular, Botox can:

  • Help prevent the formation of certain wrinkles in the first place
  • Be used to treat various other issues in some cases, such as migraines or depression
  • Last for somewhere around six months or so

Dermal fillers on the other hand, can:

  • Be used to treat other parts of the face, such as the lips or nose
  • Usually last somewhere around a year to two years
  • Be reversed if certain types of fillers are used

To say that Botox and dermal fillers compete with each other is not especially accurate. They do different things. Should I get Botox or dermal fillers? Depends on what you’re trying to accomplish.

Choices and Cosmetic Surgery

Ultimately, your surgeon is going to help you make choices about which procedures to pursue. But it helps for the patient to have a good idea of what he or she wants to accomplish. And once you know what you want to accomplish, you’ll have a better idea of whether you should go with botox or dermal fillers. (And once you select dermal fillers, you can start narrowing down which filler you actually want to choose–there are a lot of options).

Ultimately, what’s important is that you find the injectable that works best for you. That might be Botox or it might be dermal fillers.

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