Difference between Botox and fillers

What is the difference between Botox and fillers?

Botox is not a filler. Botox (botulinum toxin) relaxes muscles and mainly works against wrinkles caused by movement, such as frown lines or forehead wrinkles. Fillers, on the other hand, restore volume, for example in hollow cheeks or lips. They often contain hyaluronic acid, a substance naturally found in the body.

Top 5 differences between Botox and fillers

Botox	Fillers
No immediate result (takes effect after 3 days)	Immediate result
Smooths dynamic wrinkles	Fills the skin (and wrinkles)
Lasts 3 to 5 months	Lasts up to a year
Also used for medical purposes such as hyperhidrosis and teeth grinding	Multiple uses: to restore volume, fill wrinkles and improve contours (such as jawline and lips)
Does not treat volume loss (thinning skin)	Does treat volume loss (thinning skin)

What is Botox and how does it work?

Botox (botulinum toxin) is a muscle relaxant used to reduce dynamic wrinkles – wrinkles caused by facial expressions. It temporarily blocks the nerve signals to the muscles, causing them to relax and the skin to appear smoother.

Popular Botox treatments:

Removing frown lines
Reducing crow’s feet
Softening forehead wrinkles
Correcting a gummy smile
Eyebrow lift with Botox

Benefits of Botox:

Visible effect after 3–7 days
Results last 3 to 6 months
Prevents the formation of new wrinkles
Quick and almost painless

What are fillers and how do they work?

Fillers are injectable gels made from hyaluronic acid or collagen-stimulating substances that restore volume and smooth out deep wrinkles. They are mainly used to correct volume loss and enhance facial contours.

Popular filler treatments:

Lip fillers for fuller lips
Jawline tightening and chin projection
Cheekbone enhancement
Tear trough fillers for dark circles
Non-surgical nose correction

Benefits of fillers:

Immediate visible result
Results last 6 to 24 months
Restores volume and softens deep wrinkles
Natural look with hyaluronic acid fillers

When should you choose Botox and when fillers?

Choose Botox if you want to treat expression lines, such as frown lines, forehead wrinkles or crow’s feet.
Choose fillers if you want to add more volume or firmness to your face, for example in the cheekbones, lips or under the eyes.

Sometimes a combination is the most effective option.

Can you combine Botox and fillers?

Yes, this is often done. Botox targets muscle activity, while fillers restore volume. Together they can create a fresh, natural look. A doctor will assess each face to decide which treatment plan is most suitable.

Are there alternatives to Botox or fillers?

Yes, there are alternatives such as Profhilo (a skin booster with pure hyaluronic acid), thread lift treatments or laser therapy. These usually have a milder effect but can still contribute to skin improvement. Sometimes treatments are combined.

When should you start with Botox?

Many people start between the ages of 25 and 35. It is not necessary, but it can work preventively: Botox helps stop wrinkles from becoming deeper. So it is not only about correction, but also about prevention.

From what age can you have fillers?

Fillers are safe from the age of 18, but most people start between 25 and 45, when the first signs of volume loss become visible. This can include under-eye hollows, sunken cheeks or less defined contours.

How do I know if I am ready for an injectable?

Are you bothered by wrinkles, a tired look or volume loss? Then an injectable treatment may help. A consultation with a qualified doctor will give you clarity. On Injectablesbooking you can compare clinics and book directly.

Does Botox really work preventively against ageing?

Yes. Botox prevents muscles from making the same repeated movements, which helps the skin stay smooth. Regular treatments can help delay or reduce wrinkle formation.

What are the risks of Botox?

Botox is safe when used correctly by a qualified doctor. Possible side effects include mild swelling or bruising. Rare but possible are temporary drooping eyelids or headaches. Always choose a doctor registered with the GMC.

Can you get complications from fillers?

Yes, although rare. Risks include allergic reactions, swelling or – in very rare cases – blockage of a blood vessel. This is why the technique and experience of the doctor are crucial.

Is Botox harmful to your muscles in the long term?

No, Botox does not cause permanent muscle damage. The muscles are only temporarily less active. After a few months, their function returns. However, long-term use may lead to adaptation of certain muscle patterns.

Can a filler end up in a blood vessel?

Yes, and this is one of the most discussed risks. An experienced doctor can recognise this quickly and act immediately. The use of hyaluronidase (a dissolving agent) can often prevent serious complications.

How does Botox actually work?

Botox temporarily blocks the signal transmission between nerves and muscles. As a result, the muscle relaxes and the skin above it becomes smoother. The effect starts after 2 to 5 days and lasts 3 to 4 months.

What does hyaluronic acid do in fillers?

Hyaluronic acid attracts moisture and fills the space beneath the skin. It provides volume, hydration and a smoother skin texture. It is biodegradable and safe when injected correctly.

Which fillers are the best?

Well-known brands include Juvéderm, Belotero and Restylane. Which brand is most suitable depends on the treatment area and the desired effect. A good doctor will choose the right filler for each case.

What is the difference between temporary and permanent fillers?

Temporary fillers (usually hyaluronic acid) are broken down by the body after 6–18 months. Permanent fillers last much longer, but are now used less often because of the risk of complications.

Do you look unnatural after Botox?

Not if it is done properly. With an experienced doctor, your face will remain expressive. Botox softens wrinkles but does not block emotions. However, overuse or incorrect placement can give an unnatural appearance.

Can you still look or smile normally after a Botox treatment?

Yes, with the correct dosage your facial expressions remain intact. Only the treated muscles become less active. You can still smile and look as usual – just without the frown or crease.

How natural do fillers look?

That depends on the dosage, technique and choice of product. With a subtle approach, you won’t see an “overfilled face,” but rather a fresh, well-rested appearance. Less is often more.

How do I know if I won’t look ‘overdone’?

A good doctor will discuss your wishes and maintain balance. On Injectablesbooking you can view other people’s experiences and results. Trust a professional who aims for a natural outcome.

Botox vs. Fillers: Which treatment suits you?

Feature	Botox	Fillers
Function	Muscle relaxant	Volume restoration
Best for	Dynamic wrinkles	Static wrinkles & contours
Effect	Visible after 3–7 days	Immediate result
Duration	3–6 months	6–24 months
Examples	Frown lines, forehead, crow’s feet	Lips, cheeks, tear trough

Combination treatments

Sometimes a combination of Botox and fillers is the best option. For example, in a liquid facelift where different injectables are used to achieve a rejuvenating effect without surgery.