Both Botox and facial fillers are effective methods of rectifying signs of aging. Their popularity and prevalence have risen over the years. Yet, it is often asked what is the difference between the two, as they are often confused as one another and considered synonymous. The truth is that they are not and tackle specifically different problems.<>

What is Botox?

Botox is the common trade name for this substance. It is also known by its scientific name botulinum toxin. Its primary objective is to treat and prevent facial wrinkles, although it can also be used to treat blepharospasms, strabismus, and muscle dystonias. In 2002, Botox was approved by the FDA as a cosmetic treatment for frown lines above the eyebrows and wrinkles. Since then, it has become one of the most sought-out treatments for those who want to prevent the signs and effects of aging from occurring in their face or to correct any present signs.

What are Facial Fillers?

Facial fillers are also known as dermal fillers. Like Botox, it is also used to prevent or eliminate signs of aging in the face like wrinkles. This is where they often get confused. The primary difference between the two is that Botox reduces the activity of muscles in the face that cause wrinkles. Facial fillers, however, fill the trouble areas with collagen, which helps to stimulate collagen growth in the face as well as plump and lift the skin to replace collagen loss. This helps your skin achieve as youthful of a look as possible, as well as eliminate signs of aging that occur as a result of collagen depletion.

Choosing Between the Two

The important things to consider when choosing between Botox and facial fillers is what kind of wrinkles you want to get rid of and how. Botox is the better choice for dynamic wrinkles as it will reduce their motion and visibility. These wrinkles occur when the face is in motion or making expression. They are usually positioned in the forehead and around the eyebrows. Facial fillers are ideal for static wrinkles, which are visible even when your face is relaxed and making no expression. These areas are depleted and sunken in and will benefit from the fullness that facial fillers give them.

Knowing the difference between Botox and facial fillers and how they work matters significantly when seeking treatment for your wrinkles. Whichever one you choose, both forms of treatments are very efficient ways to recapturing and maintaining a youthful appearance.

Above Image Source: Flickr/EverJean

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Dr. Jeffrey Spiegel


Dr. Jeffrey Spiegel

With special expertise in all aspects of facial plastic surgery, and a particular skill for revision surgery, it’s clear why Dr. Spiegel is one of the most celebrated facial plastic surgeons in the world. If you are seeking the best possible results, or have a uniquely challenging problem, you’ve found the right doctor.

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Dr. Onir L. Spiegel


Dr. Onir L. Spiegel

Dr. Onir (pronounced “oh-near”) has years of experience in facial aesthetics and treats some of the most recognizable and famous faces. Dr. Onir started her career in oral health, earning doctorate degrees from both New York University and Boston University. She has been the recipient of numerous awards for her cutting-edge medical research as well as her technical skills in dentistry.

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Dr. Jacob Tower


Dr. Jacob Tower

A board-certified specialist in facial plastic surgery, Dr. Jacob Tower brings a thoughtful approach and an artistic eye to New England’s premier plastic surgery practice, The Spiegel Center in Newton, Massachusetts. In addition to being an in-demand surgeon, Dr. Tower is an assistant professor at the Boston University School of Medicine, a sought-after lecturer, and an expert in facial plastic surgery.

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