Botox vs. Dermal Fillers for Wrinkles: What’s the Difference?

Updated: Apr 27

Botox and dermal fillers are two different long lasting wrinkle treatment injection services offered here at MedSkinEssentials. But even though they are both used for wrinkle correction, Botox and fillers have specific uses that differ from each other. Before choosing Botox or fillers, it is important to understand the difference between the two treatment options.

What is Botox?

Botox, or Botulinum toxin type A, is essentially a muscle relaxer that is injected directly into the muscle being treated.

What are dermal fillers?

Dermal fillers are made of gel-like solutions. They are injected into your skin to add fullness and volume to certain areas of the face. There are many different types of filler. We use fillers from the Juvederm, Voluma, and Restylane product lines.

How does Botox treat wrinkles?

Botox is effective at correcting “dynamic wrinkles” which are formed by facial movements. Botox injections relax the muscles being treated, preventing them from creasing the skin and forming a wrinkle above the muscle.

How do dermal fillers treat wrinkles?

Dermal fillers are injected in areas where the patient has wrinkles and fine lines caused by collagen breakdown (static wrinkles). When your body lacks collagen, your skin loses support withing the dermis, and wrinkles can form. Fillers are injected to add the support that is lacking naturally, and smooth out the look to the outer layers of skin.

Where is Botox usually injected?

Common areas of treatment with Botox are around the eyes (“crows feet” caused by squinting), in the forehead (often caused by raising your eyebrows), and between the eyes (frown lines).

Where are dermal fillers injected?

There are many areas of the face that are effectively treated with dermal fillers. Because fillers are “volumizers,” area of treatment depends on the patient’s needs. Nasolabial folds, tear troughs, and cheeks are a few areas where fillers are used to minimize the look of wrinkles.

How effective is Botox?

Most patients see noticeable results within a week of injection, and the effects of Botox last for an average of three to four months. You’ll need additional treatments to maintain your results.

How effective are dermal fillers?

Patients see results from their dermal fillers immediately. Your results can last anywhere between six months and two years based on the product, the area of the face injected, and the amount of filler injected during your treatment. Like Botox, you will need maintenance treatments as the fillers dissipate over time.


Both Botox and dermal fillers are incredibly effective at treating wrinkles, but they type of wrinkle matters! We recommend booking an appointment, during which you and your provider can discuss exactly what you’re looking to achieve and whether Botox or dermal fillers are best to treat the area of concern (sometimes the best choice is to use them together!). Call our office for more information or book an appointment online.

For more information on dermal fillers, check out our blog here.

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