The Difference Between Botox® and Fillers

Botox® and fillers are in every aesthetic injector’s toolkit, but the two cosmetic injectables are far from the same thing. Both aim to smooth out wrinkles, but the ingredients involved go about doing it in very different ways, and each works better when tackling certain kinds of wrinkles and lines.

The team at The Med Spa at Matthews Internal Medicine in Matthews, North Carolina, provides both Botox and dermal fillers to rejuvenate your face. We can help you determine which products are right for you and inject them precisely where you need them for the best results.


Botox is a purified form of Botulinum neurotoxin type-A. When injected under your skin, Botox paralyzes the nerves that allow dynamic wrinkles to form. 

Dynamic wrinkles appear when you crease your face by frowning, squinting, and knitting your brows. They typically include vertical lines between your brows, horizontal lines across your forehead, and crow’s feet radiating from the outside corners of your eyes. 

Botox can take years off of your face by relaxing the tiny muscles that pull at dynamic frown lines. However, Botox isn't as good at treating static wrinkles — the ones caused by volume loss. This is where fillers come in.

Dermal fillers

As you age, the elasticity of our skin begins to decrease, leading to static wrinkles like marionette lines. Dermal fillers replace lost volume in your face, literally filling in areas that are susceptible to wrinkles, lines, and creases. 

Fillers often contain hyaluronic acid, a substance your body produces naturally. When injected, this fills in your wrinkles and plumps your skin. Fillers can also be used to plump your lips and give your cheeks a more supple youthfulness.

Deciding which is best for you

You should always consult with a doctor before getting cosmetic injections, especially if you've never had them before. Static and dynamic wrinkles require different treatments, and using the wrong product can lead to unsatisfactory results.

The good news is that a trained injector knows exactly which injectable to use and where to use it. If you're bothered by dynamic wrinkles like crow’s feet and forehead lines, Botox can be used on the underlying muscles to reduce the appearance of those wrinkles. If static wrinkles are your problem, fillers can rejuvenate your face, adding volume to give you a younger-looking complexion.

It's also possible to combine both treatments. If you're having trouble with multiple areas of your face, these and other injectables can be used in tandem.

Curious about what injection regimen is right for you? You can schedule a consultation by calling 704-912-5928, or requesting an appointment online.

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