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Botox And Fillers: Interactions Between Cosmetic Injections

Botox injections and injectable dermal fillers are two of the most-performed cosmetic procedures in the world, and it's easy to see why. With their ability to treat issues like fine lines, frown lines, nasolabial folds, and other facial wrinkles, they're a great help to a client looking to combat the signs of aging.

But what happens when you use Botox and dermal fillers at the same time - and are there situations where one injectable is preferable over the other? Because both treatments rarely interfere with each other, they can be used together. In fact, most providers will recommend their joint use for treating something like a significant loss of facial volume or severe wrinkles. But depending on the situation, you're better using one treatment over the other.

Volume and Plump Are Just an Injection Away

Aging can take away your natural, youthful plump, but the right fillers can bring it all back in no time. Our master injectors at Evolve Med Spa are here to make you look as young and beautiful as you once did.

Why Botox And Fillers Work Well Together

Botox treatments and dermal fillers are both injectable treatments that can achieve a wide array of improvements with your face and skin, though their primary use is to manage the signs of aging. With skilled application and consistent treatment, these procedures can replicate the benefits you’d normally get from plastic surgery - often with less cost, effort, and time required.

The reason why these two treatments work so well together is that they’re similarly non-invasive, and their effects don’t get in the way of how the other one works. 

What Exactly Is Botox?

Botox injections use botulinum toxin, a compound that blocks the neurotransmitters in your facial muscles. This effectively stops any muscle activity from happening, paralyzing your muscles and preventing any muscle movement or contraction.

Muscle movement is one of the primary causes of wrinkles - particularly dynamic wrinkles, which occur when you're facially expressive and compound over time. A Botox injection works as an excellent wrinkle treatment for the skin with this issue since paralyzed muscles can't move and are less likely to form facial wrinkles.

Botox treatments also have the benefit of compounding over time, so the earlier you start your Botox treatments, the less Botox you'll need over time. You can get them done with a plastic surgeon, but most trained aesthetic staff can also perform this procedure.

What Exactly Are Dermal Fillers?

Dermal fillers are injectables that fill in a treated area in different ways, which all help restore volume to your face and skin. Dermal fillers are classified by their active ingredients - some of which work on some clients better than others.

  • Hyaluronic acid filler uses hyaluronic acid (or hyaluronan) to add more volume to the skin, usually with an injectable gel that fills in deep wrinkles and other treated areas. HA fillers can be used on a variety of areas on the face and body.
  • Collagen fillers work by increasing the collagen production of your skin, which allows your body to regenerate and repair your skin cells. These fillers are designed to work on deeper wrinkles and restore a lot of volume by using poly-L-lactic acid.
  • Calcium hydroxylapatite is a dermal filler that doesn't contain animal components, which means it's an excellent choice for anyone that may be allergic to the animal ingredients of other fillers. It works similarly to other facial fillers by adding material to the treated area, which restores lost volume.
  • Polymethylmethacrylate (PMMA) fillers are a mix of microspheres and collagen that plump up the skin and last longer compared to other dermal fillers. However, it needs a careful application for the best results. They’re designed for use on areas that need extensive lifting and plumping like the cheeks and chin.
  • Fat grafting uses your body's own excess fat (usually gathered from the hip, belly, or thigh area) to fill in deep wrinkles. It usually involves liposuction to remove the fat, and it can require extensive time and effort to undergo and recover from.

The exact choice of dermal filler will depend on the type of facial wrinkle that you want to treat and the recommendation of your provider.

How Would I Know Which Treatment To Get?

A Botox provider draws white dots on a client's forehead

For anyone looking for the best treatment to get for getting rid of facial wrinkles, deciding between Botox or dermal fillers can be a bit tricky. Since everyone’s facial anatomy differs, injectables won’t always guarantee the same results across clients. However, there are some specific scenarios where one type can work better than the other.


Botox treatments work particularly well if you’re looking for treatments for forehead lines, glabellar lines, or crow’s feet - dynamic wrinkles that are exaggerated as you get older. They’re also sometimes used to manage a droopy eyelid or eyebrow.

Dermal Filler

Injectable dermal filler is more versatile with its application, so you can use it for a wide variety of treatment areas and skin conditions. It also lasts longer than Botox treatments, so they’re an excellent choice if you want a solution that doesn’t need reapplication that often.

However, dermal filler (depending on the brand) needs skilled application to give you the results that you want. If you’re looking to get dermal filler injections, it’s best to find a provider that’s experienced to get the best possible results.

Typically, your aesthetic provider will make a recommendation about the best treatment that you can use. You can also swap between treatments if your initial results aren’t as good as you’d hoped they would be.

Injectable Filler And Botox Cosmetic Treatments At Evolve Med Spa

A Botox treatment is different from a dermal filler procedure, but both types of injectable treatments can work together on your face. These two treatments can help improve your facial features, manage deep wrinkles, and treat facial lines, with results comparable to plastic surgery. In the hands of a skilled provider, a cosmetic treatment like Botox or injectable facial filler is an excellent solution for facial rejuvenation.

At Evolve Med Spa, our staff is skilled in the use of injectables as wrinkle fillers and for facial improvements. Whether it's a dermal filler injection or Botox treatment, you're guaranteed to be receiving the best care and result possible from your treatment. Contact us today to learn more about how injectables can work for you.

Read More: Chin Augmentation Fillers: Non Surgical Chin Augmentation For A Better Jawline

Volume and Plump Are Just an Injection Away

Aging can take away your natural, youthful plump, but the right fillers can bring it all back in no time. Our master injectors at Evolve Med Spa are here to make you look as young and beautiful as you once did.

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