Botox vs. Dermal Fillers

A key priority for many of my clients is to look great for their age. Typically, my patients do not want to look dramatically different. They just want to looker fresher and brighter, which is where sensitive and appropriate use of aesthetic injections can help.

The reality is that as we age, the elasticity of our skin deteriorates. Lines develop and we can lose volume. This can lead to individuals looking tired and cross. There are many things that can be done to minimise the effects of ageing, including having a good skincare regime and always using a quality SPF cream, but some deterioration in the quality and structure of the skin is inevitable. Our skin loses both collagen and elastin, key components that provide youthful support and definition to overall facial structure.

So, the key question I am often asked is, “Can aesthetic injections help with this inevitable deterioration?

Aesthetic Treatments – Botox vs Dermal Fillers

For many individuals they realise that the ageing process has produced exactly that – a tired and ageing look, they want to restore a younger and fresher appearance giving the appearance of defying the passage of time and its effects on their looks!  The possible solution is to consider the use of dermal fillers or Botox.    The skin as we get older is affected as the slower production of elastin and collagen (natural agents produced by the body) is lacks the elasticity that produces defined contours and prevents wrinkles and fine lines that come with ageing.  There are of course natural remedies that can delay these signs – looking after your complexion and skin by using a good skin care regime (using an appropriate SPF, moisturisers) but these have a limited application and effect.   The option is possibly considering Botox or Dermal Fillers, but do they work?

When considering these options, it is important to appreciate the differences between the 2 treatments. What are they?

  • Botox essentially blocks movements in the facial muscles and therefore prevents wrinkles from forming
  • Dermal Fillers are injected near the site of wrinkles and add volume to the skin smoothing out the wrinkle.


This is a brand name (there are others) for the formula used in aesthetic procedure, Botulinum Type A (derived from bacteria clostridium botulinum).  The treatment using this purified protein has been available since the 1980’s so has gained in popularity.   It acts by blocking the signals between the nerves and muscles reducing the contraction of the muscle(s) therefore smoothing out wrinkles and fine lines improving facial contours and giving the younger look sought after.

Botox – how it works

To block the flow of chemical messages from the nerve to the muscles Botulinum Toxin is injected into the facial muscles – the result the muscle(s) contract. The muscle(s) without these chemical messages stay in a resting state (this can be between 8 – 12 weeks) when the messages are re-established new nerve endings are produced.

Botulinum Toxin can be used to treat expression lines (sometimes referred too as dynamic facial wrinkles) treatment may not always be effective completely as the existing quality and condition of the skin. Therefore, if there are wrinkles or lines present in the face where there is little or no facial movement then the treatment will be less effective.

A practitioner should be consulted before any treatment so that can advice and guide the client to the most effective form of treatment for their desired outcome.

If wrinkle relaxing treatments are selected the procedure takes approximately 30 minutes to complete the final outcome may not be noticeable for at least 2 weeks however the initial treatment will produce results within 2 -5 days.  A natural breakdown and removal of the toxin takes place by the body so further treatments may be required or sought by the client.  (This can be between 3-6 months)

As the treatment is so effective that 90% of clients will seek further treatments.

Dermal Fillers explained

Dermal fillers are small injections of gel, typically made up of hyaluronic acid, that fill in wrinkles and add volume to soft tissue. A Dermal Filler treatment can smooth out lines and wrinkles, replace lost volume, restore elasticity and tone AND, most importantly, create a natural look and feel. Hyaluronic Acid – a naturally occurring substance – that helps the skin to retain moisture more effectively and create a ‘cushion’ to add volume and definition to ageing skin.

Injections of a gel (hyaluronic acid – this is a natural substance) are applied to the treatment area which provides volume, restores elasticity, and provides an improved  skin tone.  This treatment provides a more natural and youthful appearance.  The areas that can be treated are 

  • Around the eye
  • Jawline
  • Mouth
  • Cheeks
  • Lips

How long does the treatment last?

Typically, anything between nine months to two years, however this is dependant on the type of hyaluronic acid used and how the body reacts to the treatment

Are there side effects to the treatment?

Your practitioner will during the consultation process prior to any procedure provide you with information regarding this however in brief it should be noted that there may be a small percentage of patients who may experience minor side effects.  These can include minor bleeding (at the site of the injection), bruising, swelling and redness.  These as indicated are only minor and any of these symptoms will soon dissipate.

As there may some discomfort caused by the injection an anaesthetic cream can be applied to the injection site to minimise this (also some fillers contain an anaesthetic already thus reducing any pain or discomfort)

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