Botox vs Fillers


Posted By:Dr. Ritesh Anand On 2022/02/02


Botox, also known as Botulinum toxin (BTX) is a protein formed by a bacterium (Clostridium botulinum) found in the natural environment. It is a neurotoxic protein that prevents the release of neurotransmitter acetylcholine that is the primary cause of flaccid paralysis. Botulism is a life-threatening respiratory illness caused by botulinum toxin. Although, the toxin is poisonous when used correctly can be beneficial for medicine, cosmetics, and research.
Medically, the toxin is taken in its powdered form and diluted in saline water. It is then injected into the neuromuscular tissues blocking the nerve signals and muscle contractions temporarily. It is primarily used as anti-wrinkles treatment and treats eye disorders such as crossed eyes, wrinkles around the eyes, uncontrolled blinking or muscle stiffness. It can also treat movement disorders such as cervical dystonia, torticollis. The procedure is minimally invasive and usually, three injections are inserted on the side of each eye. The results may be observed in one to three days. The doctors do not recommend the use of toxin for pregnant or lactating mothers.


Who can/can’t have Botox?

The ideal candidate for Botox cosmetic procedure is anyone who is physically fit. Also, the person who wishes to undergo the treatment should not have any history of any kind of neuromuscular diseases such as multiple sclerosis or myasthenia gravis.
However, the doctor does not recommend Botox treatment for:

  • Pregnant women or lactating mothers
  • A person with drooping eyelids
  • A person with deep facial scars or thick facial skin
  • A person with skin disorders around planned injection sites

Does Botox have side effects?

Botulinum toxin may cause some undesired effects including:

  • Numbness
  • Headache
  • Mild pain around the affected area
  • Bruising and redness at the injection site
  • Fluid accumulation
  • Nausea
  • Swelling or drooping in the eyelid area
  • Fatigue
  • Trouble in swallowing(dysphagia)
  • The weakness of lower eyelid
  • Gallbladder dysfunction
  • Decreased eyesight or blurred vision
  • Dry mouth

How much does Botox cost?

The average cost of botulinum toxin may vary depending upon the number of injections, the body part where the treatment is done, geographical location and the qualification and experience of the doctor. This elective procedure does not fall under health insurance plans due to its cosmetic nature.



What are Fillers and how do they work?

Dermal Fillers are soft tissue fillers injected into the skin to fill in facial wrinkles to restore a smooth and supple appearance. The filler cosmetic treatment is different from botox cosmetics. Fillers provide smooth skin by filling wrinkles while botox and Dysport freeze the muscles to reduce wrinkles on the skin. The filling can be done with various substances such as calcium hydroxylapatite, hyaluronic acid, polyalkylimide, polylactic acid, etc. With the help of dermal fillers, one can plump thin lips, enhance shallow contours, soften creases and reduce wrinkles as well as scar marks on face.
The procedure of filling involves facial assessment by the dermatologist in the first place. The doctor makes markings on the face for the precision incision. The target site is cleansed with an antibacterial agent. Thereafter, anesthesia is given and injections are inserted at the markings. Mild swelling may be observed at the incision site which can disappear with an ice pack.


What should you ask your consultant before considering fillers?

Before you decide to go for the dermal filling procedure, you must take proper guidance from your dermatologist about the most appropriate dermal filler for you. This is so because each derma filler is uniquely formulated to have a certain texture, density, and injection depth. Also, you should tell your cosmetic surgeon about your medical history as well as any ongoing medicines or treatments.


Who can/can’t have fillers?

Derma filler is the best choice for one who is physically fit. The person should be a non-smoker and might have moderate to severe wrinkles or other problem areas which are intended to be corrected without surgery. Ideal candidates should have the following traits:

  • Thin or evenly shaped lips
  • Sunken cheeks caused by loss of volume
  • A receding chin
  • Lines around the mouth
  • Deep nose to mouth lines
  • On the other hand, any person who has a history of extreme allergies are not recommended to opt for this cosmetic surgery.


    Do Fillers have side effects?

    Facial fillers have certain side effects which may last for one or two weeks. They are as follows:

  • Swelling and bruising
  • Redness
  • Pain around the incision site
  • Itching
  • Rashes
  • An inflammatory reaction to the filler

  • How much do fillers cost?

    The average cost of dermal fillers may vary depending upon the number of injections, the body part where the treatment is done, geographical location and the qualification and experience of the doctor. Health insurance plans do not cover this cosmetic procedure.


    More Information

    Anti-Wrinkle Injections, Botox And Fillers