What Is the Difference Between Botox & Fillers?

Aging can be a beautiful process, but wisdom doesn’t have to come at the cost of fine lines, wrinkles, or volume loss. Taking care of your skin can prevent these classic tells and help you keep your age a mystery. At Elite Medi Spa, we offer both Botox and dermal filler to enhance your best features, smooth the skin, and reduce the appearance of aging – but what is the difference between Botox and fillers, and which option is right for you? 

Keep reading to learn more about how these two treatments compare and how we can help you find the best solution for your concerns. 

The Difference Between Botox & Fillers

While Botox and filler both address different aspects of aging and facial enhancement, there are subtle differences in the way they work that can impact your choice between the two. Here’s how they compare. 

Treatment Method

Understanding how Botox and fillers work differently can give you a better idea of how they compare. 

Dermal Fillers Restore

Dermal fillers work by directly adding volume to the skin. When injected, they fill the space under the skin, smoothing out wrinkles and folds from the inside out and restoring lost volume. 

Botox Relaxes

Botox, on the other hand, relaxes the muscles beneath the skin that cause wrinkles rather than filling them out. By inhibiting nerve signals, Botox reduces the contractions of facial muscles that emphasize lines and creases when show facial expressions. 

Treating Volume vs. Wrinkles

What are you looking to achieve with cosmetic treatment? The concerns you want to target are a major consideration when comparing Botox and filler. 

Use Dermal Fillers for Added Volume

Typically, our Elite Medi Spa providers use dermal fillers to combat volume loss, one of the primary signs of aging. This is because, as the name suggests, fillers are best at “filling in” areas that have become hollow or creased due to age or areas that require additional volume to enhance certain facial features. 

Use Botox for Wrinkle Control

Botox works for another use: smoothing wrinkles. Instead of replacing lost tissue, Botox relaxes the muscles responsible for movements that cause wrinkles, like crow’s feet or forehead lines. This smooths the skin above the injection site and prevents the formation of wrinkles during facial expressions. 

Active Ingredients

Although Botox and fillers both achieve the same general cosmetic goals, they are made of completely different substances, which can impact which option works best for you. 

Fillers & Hyaluronic Acid

Dermal fillers are mainly made up of hyaluronic acid, which is a substance that is naturally found in the skin. This substance works to maintain moisture and add fullness, so when your Elite Medi Spa provider injects additional hyaluronic acid into the skin, you get the benefits of a natural process. 

Botox & Botulinum Toxin

Botox contains botulinum toxin type A, which is a neurotoxic protein that stops nerve signals in the muscles, preventing them from contracting. This relaxed effect reduces muscle activity, which in turn prevents new wrinkles from forming. 

Treatment Duration

The effects of both Botox and fillers can vary depending on how they are used, which type is used, and how your body responds to injections. For either treatment, you’ll need regular maintenance treatments to preserve your full effects. 

Dermal Fillers Last 6 Months+ 

Based on the type of filler your Elite Medi Spa provider uses, you can expect your results to last six months to a year after your injections. 

Botox Treatments Last Up to 6 Months

Because Botox effectively “pauses” muscle movement, these effects gradually begin to return within three to six months of your initial injection appointment. 

Target Areas

Because they work differently and provide different results, our providers recommend using Botox and filler for different treatment areas for the best results.

Dermal Fillers 

These injectable treatments are highly versatile and can work for many different areas of the face. The most common target areas are the cheeks, lips, nasolabial folds (the lines from the nose to the corners of the mouth), marionette lines (the lines from the corners of the mouth downward), and the jawline. 


Botox injections work best for high-movement, expressionistic areas where wrinkles are most likely to form. We usually use Botox to correct forehead wrinkles, frown lines, crow’s feet, and other areas like the corners of the mouth. 

At Elite Medi Spa, we offer both Botox and dermal filler to enhance your best features, smooth the skin, and reduce the appearance of aging – but what is the difference between Botox and fillers, and which option is right for you? 

Dermal Fillers vs. Botox: Which is right for you? 

Choosing the right option for you depends on a variety of factors, as well as the expert input from your Elite Medi Spa provider. In the meantime, you can use these questions to begin the decision-making process. 

What are your primary concerns? 

If you’re looking to smooth out dynamic wrinkles such as forehead lines, crow’s feet, or frown lines, Botox might be the right choice. If your concern is about restoring volume or smoothing static wrinkles and folds, such as nasolabial folds or enhancing lips, then dermal fillers could be the better choice. 

What are your long-term aesthetic goals? 

Are you just curious about injectable treatments, or are you looking for more permanent results? Botox could be the answer for patients interested in temporary improvements, while we might recommend filler for more long-term effects. 

Are you willing to commit to regular maintenance appointments? 

Both Botox and filler require touch-up appointments to maintain the original results, however, Botox upkeep requires more frequent office visits than filler. If you’re looking for a lower-maintenance option, filler might be the better choice. 

What is your budget for cosmetic treatments? 

Understanding what you would like to pay for overall treatment can help you make a good decision before you begin. Botox is generally less expensive, but it also requires more touch-up appointments than filler. 

Dermal filler is more expensive on the front end but requires fewer appointments. Choosing the treatment that best fits your pocketbook can help you maintain your results as needed. 

At Elite Medi Spa, we offer both Botox and dermal filler to enhance your best features, smooth the skin, and reduce the appearance of aging – but what is the difference between Botox and fillers, and which option is right for you? 

Rediscover Your Natural Beauty

Choosing the right injectable for your needs is an important decision, but the Elite Medi Spa team is here to help. With highly trained aesthetic experts and injectable specialists, we’ll provide you with the right techniques to achieve your goals and restore your confidence. 

To get started, schedule a consultation with our team today.