Botox and Fillers: What's the Difference?

Even if you’ve been diligent about moisturizer and sun protection, time takes its toll. Fine lines and wrinkles appear, skin texture changes, and your skin begins to sag.

The team at SINY Dermatology in New York City understands what your skin is going through and how to fix it. If you have concerns about your aging skin, there’s no team more qualified to help you decide on the best way to achieve your aesthetic goals safely and effectively.

Why does my skin look old?

You stand in front of the mirror and use your fingers to hold up sagging skin to smooth out the wrinkles and lines criss-crossing your face, wondering when and how this happened. The answer is that it’s been gradually going on for years as changes have taken place in your body, such as:

Depending on your main complaints, we can help you correct these signs of aging and restore your youthful look with BOTOX® and dermal fillers.

Similarities between BOTOX and dermal fillers

BOTOX and dermal fillers share some things in common. They both:

With so many shared traits, it’s easy to see why some people may think the two are the same. But they’re two distinct treatments that work very differently. To choose, ask yourself what kind of wrinkles you have.


If you’re happy with your face in its resting state but you hate the lines that pop up when you smile, frown, or concentrate, you have what’s called dynamic wrinkles. They’re caused by the expressions you’ve made countless times every day throughout your life. BOTOX was made for this. 

BOTOX is made from botulinum toxin, which our team can safely inject into your facial muscles to temporarily paralyze them. By stopping the muscle contractions, we stop the action that causes the lines to form, and your skin relaxes and smooths out. 

This treatment is perfect for those vertical lines between your brows, the curved lines on either side of your mouth, your horizontal forehead lines, and of, course, crow’s feet around your eyes. Any lines that appear when you make a facial expression can be reduced by BOTOX. 

Typically, BOTOX stops your muscle movement for about 3-4 months, but a quick follow-up session can maintain the more youthful look you want. In fact, many of our patients find that BOTOX retrains their muscles over time so that touch-up treatments aren’t needed as often.

Dermal fillers

If you notice wrinkles even though you’re not smiling or frowning, these are called static wrinkles. If you’re a smoker or a sunbather, you may see them sooner than other people, but everyone sees them eventually, no matter what. And it’s all because of the loss of essential elements like collagen, elastin, and fat we mentioned above. 

Dermal fillers replace those elements by injecting various substances under the surface of your skin. If you’ve noticed that your lips look thinner than before or your cheeks appear slightly sunken, dermal fillers can restore the volume you once had and give your face a more youthful appearance. You can expect your dermal filler treatment results to last up to a year and a half, depending on which product you choose and your individual skin condition. 

Better together

Because BOTOX and dermal fillers approach anti-aging in completely different ways — one stops muscle movement; the other adds volume — we may recommend that you consider a combination to treat both types of skin issues at once.

The best way to choose between BOTOX, dermal fillers, or a combo treatment for younger-looking skin is to come in for a consultation. Call our office or use our online booking tool to set up an appointment.


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