What Is The Difference Between Botox And Dermal Fillers?

I’m like a fine wine. I get better with age. The best is yet to come.
– 
Richelle Mead

 

 

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Botox and dermal fillers are injectable fillers, a.k.a., injectable cosmetic fillers or injectable facial fillers, which are injected into the skin to remove the wrinkles and to give a fresh, smoother and younger appearance. Both Botox and dermal fillers do not involve any surgery as like the other beautification techniques such as Facial Contouring and Facial Rejuvenation. Although functionally similar yet there are marked differences in chemical composition and applications of these fillers.

 

People are becoming more and more conscious about their beauty and looking towards various surgical and non-surgical methods to improve their outlook. According to a report by the American Society of Plastic Surgery, more than 15.9 million surgical and non-surgical procedures performed in the United States in 2015, a 2% increase over 2015. Owing to the risk associated with surgical methods, people – particularly celebrities –  are resorting towards non-surgical procedures like Botox and dermal fillers to beautify their appearance and to look attractive.

 

Owing to the increasing demand of skincare products, it has become quintessential to study the benefits, side effects, costs, procedures and usage of these products. Two of these products – Botox and dermal filters – will be discussed in length in this articles and key differences between them will be discussed at the end.

 

 

What is Botox?

 

Botulinum Toxin (Botox) is a material which has been in use for medical purpose for over a century; however, its efficacy as a skincare product has been discovered recently. It is made from a neurotoxin called botulinum toxin that is made by the bacterium Clostridium botulinum, an organism found in natural environment.

 

Botox is used medically to treat certain muscular conditions, and cosmetically to remove wrinkles and reduce fine lines by temporarily paralyzing the underlying muscles. It blocks the nerve signals in the muscles where it is injected thereby paralyzing the muscles. As the muscles are unable to move, so certain wrinkles are reduced, softened, or even removed. Botox is a popular cosmetic treatment, which does not involve any surgery, with more than 6 million Botox treatments administered each year.

 

Which Wrinkles can be reduced through Botox?

 

Botox is used mainly to treat wrinkles that are caused by the muscle movements. These types of wrinkles are called dynamic wrinkles. These wrinkles occur naturally around the eyes and mouth, as well as in between your eyebrows and become more visible with age. The horizontal lines on the forehead and cow’s feet around the eyes are dynamic wrinkles.  These lines are caused by smiling, frowning, squinting, and other facial expressions. The injections of Botox relax the muscles near these wrinkles, not allowing them to move thereby reducing the appearance of these dynamic wrinkles.

 

Repeated Botox injections are necessary for the continued wrinkles reductions and the process needs to be repeated after every 3-4 months. Moreover, the Botox treatment cannot be used to reduce static wrinkles such as the lines in the cheeks, jowl, and neck areas.

 

Precautions for Using Botox Injections

 

Generally, Botox treatments are well-tolerated by the body but sometimes minor risks such as headache, flu-like illnesses, bruising, and pain at the site of injection are associated with using this treatment. Nevertheless, these risks can be reduced through care. First of all, these treatments must be carried out by a professional dermatologist who has experience with these kind of medications before. Secondly, the receiver of the treatment must not use any supplement which are used to thin the blood because it can result in increased bleeding at the site of injection thereby causing the bruise. Moreover, the dose must be adjusted in such a way to give natural outlook. Therefore, the above precautions must be taken before Botox injections.

 

Furthermore, Botox treatments are not recommended for the people who are pregnant or nursing, have weak facial muscles, currently have skin issues such as deep scars, or have any type of neuromuscular disease.

 

 

What are Dermal Fillers?

 

Dermal fillers, sometimes also called as soft tissue fillers, are the injections of a gel that fills the wrinkles and add volume to the skin. The substances which are typically used as dermal fillers are Calcium hydroxyapatite, Hyaluronic acid, Polyalkylimide, Polylactic acid, and Polymethyl-methacrylate microspheres (PMMA).

 

These fillers help to maintain shape and remove depression from the skin. With age, the face loses fat or collagen filled with hyaluronic acid and, therefore, the facial muscles start working closer. Owing to this, small lines began appearing on the face.  Dermal fillers recover the lost facial volume and can stimulate the growth of collagen lost due to the aging. First, they plump skin and gently lift it to restore collagen loss due to the normal aging process. Secondly, dermal fillers motivate the body to create its own natural collagen and restore your face to a more natural, youthful appearance. Other factor which can result in loss of facial volume include sun exposure and unhealthy life styles as well. So, dermal fillers are an effective way of reducing wrinkles and lines from the face.

 

What Dermal Fillers can do:

  • Plump thin lips
  • Enhance shallow contours
  • Soften facial creases and wrinkles
  • Improve the appearance of recessed scars
  • Reconstruct contour deformities in the face
  • Decrease or remove the shadow of the lower lids

 

Which Wrinkles can be reduced through Dermal Fillers?

 

Dermal fillers can be used to treat static wrinkles which do appear as the result of muscle movements. The static wrinkles usually appear around the mouth and along the cheeks and are the result of loss of collagen and elasticity in the skin.

 

Precautions for using Dermal Fillers

 

Like Botox, the side effects of using dermal fillers are not severe and can be eliminated through care. After injections, the temporary side effects that are quite common at the site of injection are swelling, redness, itching, bruising, and tenderness. These reactions usually appear after a few hours or within few days and can get resolved without any medication. Nevertheless, it is necessary to get allergy testing before injecting a particular type of dermal filler to avoid these kinds of reactions.

 

Important differences between Botox and Dermal Fillers

 

Although Botox and dermal fillers are used as a skincare product to cure the wrinkles and are injected into the skin without any surgery yet both of these treatments are completely different and are specific to different type of wrinkles. Important differences between Botox and dermal filler injection are enumerated as below: –

 

  1. Difference in Method

Botox inhibits the movements of small muscles which are responsible for producing wrinkles and lines on face and several other parts of body. Botox relaxes these muscles, paralyzing them, and removing the lines and wrinkles. Whilst, dermal fillers fill the wrinkles and lines produced due to the loss of collagen from the skin by aging, sun exposure, and unhealthy life styles with a gel.  The gel can stimulate the growth of lost collagen and give a smoother and youthful look.

 

  1. Difference in the Application

           

                        As already discussed, Botox and dermal filler injections are used to reduce different kinds of wrinkles and lines from the face. Botox injections are used to cure dynamic wrinkles which become visible due to increased muscle movements during our facial activity. While, dermal fillers are used to reduce static wrinkles which are visible even when your face is relaxed and making no expression.

 

Dermal filters are usually used to give plumping smoothening and sculpting effects such as brow shaping/lifting, cheek enhancement, nose reshaping, to mention only a few. While, Botox is usually used for reducing wrinkles and lines which appear during facial activity around the forehead and eyes. It has nothing to do with plumbing smoothening or sculpting.  The following figure illustrates the difference in the application of Botox and dermal fillers.

Figure 1: Difference in Application of Botox and Dermal Fillers

 

  1. Visibility of Results

 

Dermal filler treatments typically take 20-40 minutes and the amount of dermal filler needed will depend on volume loss and the areas you would like to restore to its natural beauty. You will see results immediately after treatment. In contrast, in the case of Botox treatment, the results cannot be seen immediately after the treatment. It usually takes few days to reduce the wrinkles because muscles movements take time to stop.

 

On a final note: 

 

Botox and dermal filler injections are being used by a number of people all around the world to reduces the visibility of wrinkles from their faces and this number is increasing further. Injections of Botox and dermal fillers have become important skincare and beautification techniques. These injections are absolutely save if necessary precautions must be taken and performed on healthy people. Both of these injections are used to reduce wrinkles; however, they are used for different set of wrinkles, for different purposes, and have different procedures. Therefore, it is pertinent to understand the procedure, purposes and take precautions before undergoing the specific injection for the smoothening of specific set of wrinkles.

 

We hope that helps you on your anti-aging journey.

Here are Inspire Med Spa based in New Jersey, we are all about education. For additional questions and consultations please give us a call at 201-933-2333

          

 

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References

  1. https://www.plasticsurgery.org/news/press-releases/new-statistics-reflect-the-changing-face-of-plastic-surgery
  2. https://www.medicalnewstoday.com/articles/320510.php
  3. https://www.healthline.com/health/botox-vs-fillers
  4. https://www.plasticsurgery.org/cosmetic-procedures/dermal-fillers
  5. https://www.marieclaire.co.uk/beauty/skincare/dermal-fillers-84403
  6. https://www.facialesthetics.org/patient-info/dermal-fillers/