BOTOX and dermal fillers treat different causes of facial aging. BOTOX temporarily reduces targeted muscle activity that creates expression lines. Dermal fillers add volume or structural support beneath the skin. The best option depends on whether movement, volume loss, or another process is causing the concern.
| Concern | Likely approach | Examples |
|---|---|---|
| Wrinkle caused mainly by repeated muscle movement | BOTOX | Forehead lines, glabellar “11” lines, crow’s feet |
| Loss of volume or structural support | Dermal filler | Lips, cheeks, nasolabial folds, marionette lines |
| Fine surface texture or etched lines | Often another treatment | Laser resurfacing or chemical peel may be more appropriate |
| Significant laxity or jowling | Injectables may be insufficient | A surgical consultation may be appropriate |
How Does BOTOX Work?
BOTOX® Cosmetic temporarily blocks the nerve signal that activates a treated muscle. Reducing repetitive contraction can soften dynamic wrinkles while preserving expression when the treatment is appropriately planned.
Dr. Bogue uses BOTOX for three treatment areas: the forehead, the glabella—including bunny lines when appropriate—and crow’s feet. Effects may begin within three to five days and generally last four to six months.
How Do Dermal Fillers Work?
Dermal fillers do not stop muscle movement. They are injected at selected depths to add volume or support a facial feature. Dr. Bogue uses three hyaluronic-acid fillers from the JUVÉDERM® collection:
- JUVÉDERM® Ultra XC for lip volume and selected facial folds
- JUVÉDERM® Ultra Plus XC for deeper wrinkles and folds, including nasolabial folds
- JUVÉDERM® VOLUMA® XC for deeper support and cheek or midface volume loss
Dr. Bogue treats selected concerns involving the lips, nasolabial folds, marionette lines, lines and volume loss around the mouth, and cheeks or midface. He does not use filler for facial scars or under-eye hollows.
Which Treatment Is Better for Wrinkles?
Neither treatment is universally better. If a line appears mainly when you frown, squint, or raise your eyebrows, targeted BOTOX may be appropriate. If the concern relates to lost volume, a thin lip, a deeper fold, or reduced cheek support, filler may be more useful.
Not every line should be injected. Very fine surface wrinkles around the mouth may respond better to resurfacing. Significant loose skin or jowling may not improve adequately with injectables alone. Dr. Bogue recommends treatment according to the cause of the concern, not simply its location.
Can BOTOX and Fillers Be Used Together?
Yes. Because BOTOX and filler address different problems, they can be combined when a patient has both movement-related wrinkles and volume loss. However, not every patient needs both, and using more product does not necessarily create a better result.
How Quickly Will I See Results?
BOTOX develops gradually over several days. Filler volume is visible immediately, although temporary swelling can affect the early appearance. The filler may also be palpable initially and generally becomes smoother as it integrates with the surrounding tissue.
How Long Do Results Last?
- BOTOX: generally four to six months
- JUVÉDERM Ultra XC: up to one year
- JUVÉDERM Ultra Plus XC: up to 18 months
- JUVÉDERM VOLUMA XC: up to two years
These are general ranges with optimal treatment. Individual results vary by anatomy, treatment area, product, amount, and metabolism.
What Do BOTOX and Fillers Cost?
BOTOX is $250 per treatment area. JUVÉDERM Ultra XC, Ultra Plus XC, and VOLUMA XC are each $800 per syringe. Cosmetic injectable consultations and the one-week follow-up are complimentary.
An appropriate BOTOX touch-up in the original area is included. In most cases, Dr. Bogue reserves approximately 10–15% of the original filler syringe for a possible one-week touch-up and limited refinement. The filler touch-up does not include another syringe; additional syringes are priced separately.
Discuss Injectable Treatment in Boca Raton
Dr. Bogue personally performs every BOTOX and filler injection. To receive a recommendation based on your anatomy and goals, request an appointment or call 561-886-1000.