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Botox vs Fillers

Injection Guide: Botox vs Fillers

Time has profound effects on the human body. You naturally age as a consequence. Loss of subcutaneous fats, hormonal fluctuations, sun exposure, pollution, and even gravity among a plethora of factors contribute to the process. Wrinkles, fine lines, sunken cheeks, and thin skin can all make anyone feel unhappy, which is where Botox and dermal fillers come into play.

These are non-surgical cosmetic treatments administered through injections. According to the American Society of Plastic Surgeons, as many as 7.4 million Botox injections and 2.6 million dermal fillers were applied in 2018 alone. Within just a few minutes of the procedure, it’s possible to have a younger-looking face, which can explain the massive popularity of Botox and dermal fillers.

What is Botox?

Botox is essentially a Botulinum toxin injection obtained from the bacteria Clostridium botulinum. It helps with signs of ageing around eyes and forehead through direct injection to the muscles causing the wrinkles. Botox is mainly responsible for reducing muscle activity in the area of the face that causes wrinkles.

What are Dermal Fillers?

These are substances generally, Hyaluronic Acid, injected beneath the surface of the skin to make plump, tighten, and firm the areas in the face and neck which have lost elasticity as a result of ageing.

Are They Similar?

In some aspects, yes, Botox and dermal fillers are similar. Such as: 

  • Only Injections, No Incisions: As they are non-surgical treatments and involve only injections, no incisions are made while they are performed.
  • No Anaesthesia: Both the procedures are minimally invasive and pain-free. Therefore, they do not require any anaesthesia. However, a numbing cream can be applied to avoid discomfort.
  • Time-Saving: By taking out just a few minutes of your day, you can get either of the treatments. Non-surgical fillers can take around 30-45 minutes for being applied. The time, however, can vary depending on the area of the face. Similarly, Botox procedure generally does not take more than 30 minutes.
  • Temporary Treatments: Botox can last from 6 to 9 months while the fillers from 1 to 1.5 years. Therefore, they are both temporary and can require more than one course to get the desired results consistently.

How are they Different?

There are many fundamental ways in which Botox and dermal fillers differ from each other despite having a few similarities. These are:

Target Areas

Botox and fillers have different target areas, and their application further varies depending on the end results required.

Dermal Fillers: Fillers are generally applied to the areas under the nose yet they can also be used for neck, jawline, chin, cheeks, and hands. They can enhance the volume of the face and can make it look fuller and younger by taking care of wrinkles and fine lines.

Especially, they have been used for filling deep wrinkles, around the mouth. Plump, bigger lips, lessening of dark circles, and correcting bumpy noses can be done through fillers.

Botox: Unlike fillers, Botox is done on the areas above the nose. On the forehead, such as frown lines and around eyes, crow’s feet, are common signs of ageing which can be taken care of through this procedure.

Mode of Action

Both the treatments work very differently from each other. This is described as follows:

Fillers: Ageing can lead to loss of fat in the face, along with a decrease in the production of elastin and collagen. This can make the skin thin, dry, loose and sagging. Resultantly, wrinkles and folds appear on the face. To deal with this, fillers usually use Hyaluronic Acid, which is a naturally occurring substance. It takes care of wrinkles, adds moisture to the skin, and repairs damaged tissues.

Botox: When muscles are unable to contract, they are in a state of paralysis, which is a condition that is produced in the case of Botox. The neurotransmitter acetylcholine is blocked, which is responsible for transmitting electrical impulses. This paralysis is only temporary, and muscles will start to contract after 3-4 months as new nerves grow.

Different Wrinkles, Different Procedures

There are two different types of wrinkles, most commonly: static wrinkles and dynamic wrinkles.

Botox: The wrinkles that develop due to muscle movements are dynamic wrinkles. For example, when we smile and, as a result, lines are formed around the mouth. In case of such wrinkles, Botox works better because the muscle paralysis reduces their motility.

Fillers: Dynamic wrinkles become static with time. They are those that remain on the face even when no muscle is moving, and everything is relaxed. Fillers work better for such wrinkles as the sunken areas of the face can become plump and full once the injection has been given.


Longevita offers both fillers and Botox in our London and Istanbul offices. In case you are coming to Turkey for any procedure, you can make either of these a part of your treatment packages. Book a free consultation today to learn more. We offer free audio or video consultations and aftercare appointments five days a week by our expert patient consultants or aftercare specialists online at the comfort of your home.


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