For the past decade, injectables have been gaining popularity. Even though Botox remains at the number one spot, other dermal fillers are vying to take the lead. The most important question patients have at Partington Plastic Surgery is which would be the best option for them – Botox and/or dermal filler? Since it is easier for a professional and experienced plastic surgeon to know the differences between fillers and Botox best, we consulted Dr. Partington to share their views on Botox vs. fillers.

Botox and dermal fillers – the difference

Dr. Partington clarifies that Botox is the brand name of the injectable Botulinum neurotoxin. The FDA has approved three neurotoxins for use in the US including Botox, Xeomin and Dysport. All three of these injectables work in the same way by paralyzing the targeted muscles and hence preventing their contraction. A dermal filler could be any form of a temporary or permanent material, which is used for filling lines. There are HA (hyaluronic acid) fillers like Juvederm, Restylane and Belotero, particular calcium dermal fillers like Bellafill (also known as Artefill), Radiesse and Sculptra. Even though dermal fillers and Botox are used together, they serve different purposes and are used on different facial lines. Selecting the proper injector is important as they need to understand these facial muscles and nerves.

When should Botox be used?

Any facial line which expresses should be treated with Botox while those at rest require filler. Properly diluted Botox works great at crease points on your face and usually lasts for about three to four months. It has been known to give optimum results in areas where facial expressions leave lines such as crow’s feet and frown lines (sometimes referred to as ‘11’s). Dermal fillers must be used on other deep lines which are present even where the muscles do not contract like the laugh lines. HA fillers come in various thicknesses and there is a choice for every skin type with results lasting anywhere from 9 to 12 months. Deep fillers, like Voluma, can give you results which last for about 12 to 14 months and Bellafill can last 5 years and longer.

What type of filler should I use?

Dr. Partington finds HA fillers work great when used for lips. Deeper facial lines including the nasolabial folds, marionette lines and hollowness under the eyes are best filled with more permanent filler like Bellafill because the product does not draw water to the filled area. The FDA has cleared Bellafill as being the only FDA approved filler to treat acne and provides beautiful results as it is the only filler that can be used directly under the skin. First time filler users are encouraged to try temporary lasting fillers while those that know where they like the filler and the results are encouraged to use a more permanent product.

The best way to find out more about addressing your questions and concerns with either Botox or one of the dermal fillers is to consult with Dr. Partington at Partington Plastic Surgery. With over 45 years of combined injection experience they will be glad to evaluate your skin and assess the best required treatment to achieve your optimal results.

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