Should You Get Facial Fillers or Botox?

dermal fillers vs botox

Botox helps prevent wrinkles

As we age, the sun, the wind, makeup, a poor diet, and hormonal changes take their toll on our skin. It sags, it develops wrinkles. No one likes it, but it’s an inevitable part of life. But, there are ways to make these signs of aging go away. Two of the best are dermal fillers in NYC and New York Botox – so, which one to choose?

We all want to get rid of our wrinkles. Some of us hate the marionette lines that form around our mouths, others want to erase the bunny lines that form on either side of the nose, or the crow’s feet that show up on the outer corners of the eyes.

Among thousands of products that claim to be able to smoothen the wrinkles and tighten our facial skin, we chose to look into Botox and fillers. But why?

One of the main questions cosmetic dermatologists in NYC get these days is “what to pick, Botox or facial fillers?”. People who want to get rid of their wrinkles want results, but they don’t want a surgery, and Botox and fillers are the best non-surgical options that will delete those stubborn lines on your face.

These two are so popular that when you go online, you will realize that “dermal fillers for face” and “Botox” are among the most frequent searches related to these two ways for smoothening wrinkles.

So, we looked into both of these, checked their advantages and disadvantages, and we brought in a verdict.

All About Facial Fillers

Dermal fillers are there to fill in those areas of your face that sink in with age. They will eliminate scars, and wrinkles like smile lines. These fillers are able to make your face look younger, and your lips and cheeks fuller. Results last between 6 months and 2 years, and you have to continue having procedures to perpetuate the results.
There are two kinds of these fillers – synthetic and natural.

Synthetic ones contain PLA, synthetic polylactic acid, you need to visit your cosmetic dermatologist several times within few weeks for them, but the results last about 12 months.

Natural dermal fillers are made from natural substances that can be found in our bodies, like hyaluronic acid. These won’t cause an allergic reaction, but the results take time to become visible. The procedure itself lasts 15-30 minutes.

When it comes to side effects, bruising, beading, and bleeding of the outer skin layer is common, but it goes away within few days. For a short period of time after the procedure, you need to stay away from the sun, avoid makeup, exercise, and alcohol.
Some people are not the best candidates for this procedure, so it’s best to talk to your doctor before you decide to inject fillers.


  • Last between 6 and 12 months
  • Costs less than plastic surgery
  • Quick procedure, minimal recovery time


  • Synthetic fillers may cause white spots at the injection site or lumpiness when in lips
  • Natural fillers take time to show results, so if you don’t like them, you’ll need another doctor’s appointment, and they aren’t that cheap

All About Botox

There’s many myths out there about Botox. We’re here to give you the truth. Botox is a muscle relaxant, and it is made from bacteria – as simple as that. It’s been available as a wrinkle treatment for more than two decades. This treatment is best for dynamic signs of aging – crow’s feet, worry lines, marionette lines… It’s basically good for any line that becomes more pronounced with age. Botox injections will relax the muscles near those wrinkles, and smoothen them.

The effects of Botox injections last between 3 and 4 months. If you want to prolong the results, you’ll have to get additional treatments.

Botox is Botulinum toxin, a natural purified protein that is also used in migraine treatment, and to prevent excessive sweating.

Once Botox is injected, you won’t be able to move those muscles that received the treatment for a short period of time. Full effects of this method will be visible after a week.

Once you receive the injection, you might experience slight swelling and bruising, but that’s all because of the needle, and you’ll be able to cover it with makeup. The procedure itself lasts 5-10 minutes, and after it, you’re good to go.

Side effects are rare, and they include headaches, neck pain, bruises or soreness at the injection point, and nausea.

Some people are more sensitive, so it’s best to consult your physician before beginning this treatment.


  • You can wear makeup right after the treatment
  • No long-term side effects
  • Cheaper than surgery, and more affordable than fillers


  • Lasts only 3-4 months

The Verdict Is In

When we look at Botox, it has the ability to soften deep forehead lines, crow’s feet, and worry lines. Wherever your face muscles move often and cause lines, Botox can help, and that’s usually the upper half of your face. That’s where these injections perform best – on the upper parts of the face.

On the other hand, when dermal fillers are in question, they can do wonders for the lower face area, and they can fill those wrinkles that became actual grooves and clefts in your skin. Nasolabial folds are the perfect example as fillers will restore the volume of that part of your face, and practically delete them.

Bear in mind that these two are not interchangeable since one relaxes muscles and the other one replaces lost volume. However, you might combine them in order to get desired results. For instance, you can use dermal fillers for marionette lines, and Botox injections for crow’s feet – this combination would make your face look younger and more radiant.

We love that Botox has a very short recovery time, so you can just go to your lunch break, get your injections, and go back to work. On the other side, the results are also short-term.

That’s why we like fillers – depending on the type, results could last for up to two years. What we’re not thrilled about is bruising that will make you take a few days off.

In the end, it all depends on you – your skin type, wrinkles you want to be smoothened, and how long you want the results to last.

Whatever you decide, talk to your cosmetic dermatologist, and ask him/her for a professional opinion.

By | 2018-04-21T15:37:44+00:00 January 5th, 2018|Categories: Surgical Dermatology|Comments Off on Should You Get Facial Fillers or Botox?

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