Explore the differences between the two most popular injectable treatments: fillers and wrinkle relaxers.
WHAT ARE DERMAL FILLERS?
In the quest for radiant skin, more individuals are turning to non-invasive cosmetic procedures like injectables to achieve that perfect glow. The two most popular on the market are dermal fillers and wrinkle relaxers, or more commonly known as Botox. In this article we will broadly use the term Botox, even though it encompasses other brands such as Dysport, Xeomin, and Daxxify.
While both treatments offer remarkable results in rejuvenating the skin, there are important differences between botox vs fillers to understand when selecting which is the best option for your aesthetic goals. As always, it’s important to consult with a professional provider to determine your specific treatment plan, but in this comprehensive guide, we’ll delve into the key differences between these two popular cosmetic treatments to help you make a more informed decision.
Dermal fillers are gel-like substances injected beneath the skin to restore lost volume, soften facial wrinkle, and enhance facial contours. They are primarily composed of hyaluronic acid, a naturally occurring substance in the body that helps maintain skin hydration and elasticity.
Types of Dermal Fillers
There are various types of dermal fillers available, each catering to specific needs and preferences. Common types include:
Hyaluronic acid (HA) is a natural substance found in the skin, providing volume and hydration. However, as you age, your body’s production of hyaluronic acid decreases. So, how long do fillers last? The effects of HA injections typically endure for six months to a year, making them a popular choice for maintaining skin vitality. Restylane®, a well-known HA filler injection, is frequently utilized in cosmetic procedures to replenish lost volume and moisture.
Calcium hydroxylapatite (CaHA) is a dermal filler treatment composed of a substance naturally found in your bones. These fillers typically provide results lasting approximately one year, making them a preferred choice for addressing deeper dynamic wrinkles by healthcare professionals. Common examples of CaHA fillers include Radiesse®.
Poly-L-lactic acid (PLLA) is a compound that stimulates your body’s collagen production. Typically employed by healthcare professionals to alleviate deep facial wrinkles, PLLA fillers offer long-lasting results, often lasting two years or more. Sculptra® is a notable example of a PLLA filler type. While Sculptra is technically a type of dermal filler, you will commonly see it associated in a different category of injectables because it naturally stimulates the body’s production of collagen.
As for the dermal fillers cost, prices can vary significantly depending on the type of filler used, the volume of filler required, and the region where the treatment is performed.
How They Work
Dermal fillers work by plumping up the skin and filling in dynamic or static wrinkles, lines, and hollow areas. The injection process is relatively quick and involves minimal discomfort. Results are immediate, with noticeable improvements in facial contouring, volume, and smoothness.
Areas Best Treated with Dermal Fillers
Dermal fillers are effective in treating various facial areas:
- Nasolabial folds, also known as smile lines or laugh lines, are the creases that run from the sides of your nose to the corners of your mouth. When filler is injected into this area it plumps up the skin, reducing the depth of the nasolabial folds and creating a smoother appearance
- Marionette lines are the vertical lines that extend from the corners of your mouth downward towards the chin, giving the appearance of a puppet’s mouth (hence the name). Dermal fillers in this area can lift the corners of the mouth and improve overall facial symmetry. It can help reduce the appearance of a downturned mouth.
- Lip fillers are commonly used to enhance lip volume, define the lip borders, and smooth out vertical lip lines (which can typically occur with smokers). Lip filler injection adds volume and definition to the lips, resulting in a plumper, more hydrated appearance. They can also improve symmetry and balance between the upper and lower lips, creating a natural-looking enhancement.
- Cheek fillers are used to restore lost volume in the cheeks and enhance cheekbone definition. They can also improve overall facial harmony by restoring lost volume and contouring a more sculpted appearance.
- Under eye hollows, also known as tear troughs, are the depressions or hollow areas under the eyes. Dermal fillers fill in the hollow areas to reduce the appearance of darkened or tired eyes.
What Is Botox?
Botox, short for botulinum toxin, is a neurotoxin derived from the bacterium Clostridium botulinum. Despite its toxic nature, when used in controlled amounts, Botox injections are safe and widely used for cosmetic purposes.
Understanding Botox
Botox works by temporarily blocking nerve signals to the muscles, preventing them from contracting. As a result, it is typically used in the areas where there are repetitive facial movements to stop the formation of wrinkles and fine lines.
How it Works
During a Botox treatment, small amounts of the toxin, which are measured in units, are injected into targeted facial muscles using fine needles. The procedure is quick, typically lasting around 10-15 minutes, and requires no downtime.
Areas Typically Treated with Botox
Botox is commonly used to diminish the appearance of forehead lines, frown lines between the eyebrows, and crow’s feet around the eyes.
Key Differences Between Dermal Fillers and Botox
One of the main differences between the two injectable treatments is what kind of muscles and areas they target. Fillers are typically used to address static wrinkles (those not produced by facial movement) caused by age and volume loss. Botox temporarily paralyzes muscles to reduce the appearance of dynamic wrinkles caused by repetitive facial movements. Common facial expressions that can lead to dynamic wrinkles are frowning, which leads to the vertical lines between the eyebrows, or the “11” lines. Raising your eyebrows, whether in surprise or concentration, can result in horizontal lines across the forehead, often referred to as forehead lines or worry lines. Consistent squinting, such as when you’re trying to read small text or due to sunlight, can cause fine lines and wrinkles around the eyes, known as crow’s feet.
Treatment Goals and Results
While both dermal fillers and Botox aim to rejuvenate the skin and reduce wrinkles, they achieve these goals through different mechanisms. The dermal filler treatment adds volume to the skin, plumping it up to fill in lines and wrinkles. On the other hand, Botox relaxes muscles to smooth out existing wrinkles and prevent new ones from forming.
Duration of Effects
The longevity of results varies between dermal fillers and Botox. Dermal fillers typically last anywhere from 6 months to 2 years, depending on the type of filler used and individual factors. In contrast, Botox injections typically last around 3-4 months before gradually wearing off.
Side Effects and Considerations
Both dermal fillers and Botox injections are safe when performed by experienced and licensed professionals. However, they may carry some risks and potential side effects if the appropriate pre- and post-care instructions are not followed. Side effects of dermal filler injection may include bruising, swelling, and redness at the treatment site. With Botox, side effects may include temporary muscle weakness, headache, or redness at the injection site.
Choosing What’s Right for You
When you’re deciding between dermal fillers and Botox, it’s important to note that it’s not a one or the other type of situation. It is safe and very common to get both treatments done in the same session.
It mainly comes down to your personal goals, expectations, and budget. If you’re looking to restore lost volume and enhance facial contours, dermal fillers may be the ideal choice. Alternatively, if you’re primarily concerned with smoothing out dynamic wrinkles caused by muscle movement, Botox may better suit your needs.
Importance of Consulting an Elase Provider
Ultimately, the best way to determine the most suitable treatment option for you is by consulting with a qualified cosmetic provider. They can assess your skin condition, discuss your aesthetic goals, and recommend the most appropriate course of action tailored to your individual needs and budget.
