I had the pleasure of sitting down with our aesthetic nurse Kim — she truly is amazing and is a wealth of knowledge— to discuss the differences between fillers and neurotoxin injections.
Fillers can be used on many different areas on the face, typically from the eye down. Common areas are:
Fillers are wonderful at replacing volume loss. Less commonly, fillers can help smooth brow furrows, soften crow’s feet, and address frown lines.
Each area of the face is in need of a different filler. For instance, to plump the lips we would typically use Juvéderm Ultra. To smooth under the eyes/tear troughs, Juvéderm or Restylane are perfect for those areas. Effects can last a few months to a year, depending on which filler line Kim suggests based on your goals that you discuss at your initial consultation with her.
Botox is a neurotoxin typically associated with treatment of areas around and above the eye, but it can be used on many different parts of the face, including:
Both dermal fillers and neurotoxins are used in various areas of the face. Both enhance areas and smooth over fine lines— and of course boost confidence as your area of concern is reduced with Kim’s magic touch. However, some areas respond to one type of injection better than another.
You may want to treat some areas with Botox instead of getting a filler, such as deep lines between your eyes, wrinkles on the forehead and outer eye or saggy brow line. These areas respond well to a neurotoxin. To address deep lines around the mouth that weigh down your face or to change the contour of your jaw or lips, you will need a filler that can replace volume loss.
Most fillers are hyaluronic-acid-based, such as the Juvéderm Collection. These injections can sometimes be dissolved if the results are not what you were anticipating. Results last a shorter period of time overall.
On the other hand, Radiesse injections are calcium-based and can last up to 18 months. It takes longer to dissolve and cannot be undone. Kim only recommends Radiesse-brand injections for more seasoned patients who have already tried hyaluronic-acid-based fillers and know how their face responds.
As a scientist would explain it, Neurotoxins prevent the release of the neurotransmitter from the axon endings at the neuromuscular junction, causing paralysis. So before Botox, nerve signals release chemicals that contract the muscle —which in time causes those pesky lines we despise so much. After Botox, the chemical signals to the muscle are blocked, reducing contractions. You are not fully paralyzed in that area — you’ll just have less movement for less lines!
When getting injections, whether it be a filler or botox, Kim expressed that she isn’t necessarily changing your face, but only refreshing and enhancing it. You’ll still be you, only younger, softer looking, and less tired. Kims’ demeanor and confidence put you at ease. When done by a seasoned professional, such as Kim, these cosmetic procedures can take years off your appearance and boost your confidence.