Botox® Cosmetic vs. Dermal Fillers

Wednesday - January 07, 2009

Learn the difference between Botox Cosmetic, a muscle relaxer, and dermal fillers such as JUVDERM Injectable Gel, and Restylane.

By Milad Estivan, CEO/Member Pan Pacific Laser Vision Center


If you are not aware of the difference and how each product works, the article below is a good start to understand the difference between the two.

Botox vs. Dermal Fillers: How To Choose The Best One For You

It is important to understand the difference between Botox, a muscle relaxer, and Juvderm, Restylane, Collagen, etc. which are fillers. The easiest way to visualize the difference is to think of a crease as a valley between two mountains. Botox prevents the mountains from being pushed together, and fillers fill in the valley.

Botox Cosmetic: If someone has a crease that is apparent only when frowning or squinting, Botox should be all that is necessary. Botox is most often used on the forehead, crow’s-feet, and frown lines. It can also be used to treat neck lines and bands. (Its most recent FDA approval is for armpit sweating and sweaty hands. For these conditions, results can last 6 months or longer.) Botox works on creases in two ways. First, it weakens the muscles that cause the creases. Second, and even more important, as the muscles get weaker, the patient gets out of the habit of creasing and using those muscles. In this way, Botox actually prevents the progression and deepening of creases:

Injectable Wrinkle Fillers: The difference between fillers has to do with thickness and longevity. In general, the thicker the filler, the better it will fill creases, but the greater the chance of possible bumps. Bumps are more likely in thinner skin such as the lower eyelids, and crows feet. Zyderm (a type of Collagen), and Restylane Fine Line are the least thick and can be used around the eyes, but they are also the shortest lasting. Juvderm Ultra Plus is one of the longer lasting hyaluronic acid fillers. It can be used for deeper creases. Juvderm Ultra Plus can last between 6 months or longer.

Fillers can also be used to improve or enhance facial structures such as:

* Filling in acne scars * Enhancing cheekbones to make them fuller and more defined * Enlarging lips for a fuller, softer pout * Filling in hollows under the eyes that contribute to dark circles


Botox vs. Fillers: In summary, as we get older, our creases also age. They become deeper and deeper, even when we are not frowning, squinting, or using facial muscles. If creases are only apparent when we squint, only Botox is needed. If creases are visible at rest, and not made worse by squinting, then fillers are necessary. If creases are present at rest and get worse with facial expressions, then Botox AND fillers will be necessary.

At Pan Pacific Laser Vision Center we offer both Botox and Fillers at an affordable price injected and administered by our surgeon, Stephen Gee, MD. For more information you may call us at 949-9200 or visit our website at

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