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botox treatment eye furrows

Botox Vs Dermal Fillers

All of us, sooner or later, reach a point when we wake up in the morning, walk over to the mirror and see the first lines and wrinkles appearing on our faces.

And, although not all lines on our faces are directly due to aging; facial expressions cause some. The reality is that over time, all lines do tend to become deeper and more visible, making us look older.

The first thought is, of course, how to get rid of them and prevent more from coming.

Unfortunately, skin moisturizers, serums and exfoliators, and other over-the-counter products can help clear your skin and fade lines, but their effects are limited. In fact, the older you are, the less useful these become as wrinkles become deeper with age.

In this article, we’ll be talking about two of the most popular and effective non-invasive facial rejuvenation treatments, Botox, and dermal fillers. If you’re not feeling happy with the results of your home remedy routine, these treatments can really make a difference. Here’s why.

First, we need to understand the difference between lines and lines on the face. There is a difference!

You see, when you squint, frown, smile, or make other grimaces, your mimicking muscles or muscles of facial expression contract. As these muscles contract, they push and pull on the skin in such a way that eventually, in time, forms a crease.

Moreover, the constant tension in the area of the crease weakens skin collagen, creating a permanent line.

Voila, and there you have it – a wrinkle is born!

But not all wrinkle are born this way. Natural aging also weakens your skin to make it looser and saggy, and this produces wrinkles.

So, I’m sure that most of you reading this article have already heard of both Botox and dermal fillers.

But, do you know the difference between the two? In other words, when should you have Botox? And, when should you consider dermal fillers?

Let's Start with Botox

injectables lip elevation

Botox or Botulinum toxin is a nerve toxin that, when injected(small amounts) into muscle, causes temporary paralysis. Botox has many uses in medicine that I’m not going to mention now. In cosmetics, it’s mainly used to smooth out ‘dynamic’ wrinkles and lines caused by the muscles of facial expression or mimic muscles located on the upper third of the face. Ie. The forehead(forehead furrows), the frown lines between the eyes, and crows feet on the outside corners of the eyes. In some cases, Botox is also used to smooth out the so-called lip lines(‘smokers’ lines caused by lip pursing during inhalation), some necklines, and even relaxation of a ‘gummy lip.’

Trained dermatologists and plastic surgeons use Botox injections to relax these contracting muscles, which reduce the appearance of the wrinkles and lines. The result is softer, smoother, wrinkle-free skin.

The effect of Botox lasts anywhere from 3-4 months, so you’ll need to keep repeating treatment if you want to keep the lines from returning and prevent new ones from forming.

Botox is FDA approved for the treatment of fine lines and wrinkles on the forehead, frown lines, and crows feet.

The effects only start to take effect in a few days after the treatment, so plan your treatment ahead of any significant events or a big night out.

Botox is not a non-dangerous toxin. In larger dosages, it’s one of the most deadly toxins known to man. However, in small, micro dosages, it’s become the wonder treatment for wrinkle reduction and can be combined with numerous other facial rejuvenation treatments.

Botox carries a few different brand names such as Botox Cosmetic, Vistabel, Dysport, Xeomin, Myobloc, and Jeuveau. So make sure you’re getting the right stuff, and the professional administering it is an experienced clinician.

Now, let's turn to dermal fillers

lip augmentation

Dermal fillers, on the other hand, are another type of anti-wrinkle solution that you can utilize to make your face look fresher and younger.

The difference is that these substances fight wrinkles and lines that appear as a result of natural aging or damage to the skin via many years of heavy sun exposure or environmental pollutants. Free radicals damage and weaken skin collagen proteins, causing wrinkles. We experience these new wrinkles as lax, weaker, saggy skin on our lower face and neck; and elsewhere. (Usually referred to as ‘static’ wrinkles! or non-muscle associated)

Dermal fillers come in several types and work by injection either directly into the skin (below the lines and wrinkles) or underneath the skin in the subcutaneous tissues.

The most commonly used anti-wrinkle dermal filler is hyaluronic acid (HA). This substance is also produced naturally in the body. With age, the amount of HA in the skin decreases and thus needs replacement.

Injectable HA is a strong humectant gel, meaning it attracts a lot of water to it, which hydrates and thickens the skin. HA is so effective at attracting water that the wrinkle immediately plumps up after the treatment.

Wrinkles fade away or disappear altogether, leaving your skin smooth, supple, and younger-looking.

Furthermore, because HA is normally present in our skin, the injection has little risk of either complication or being rejected by the body.

The best thing is that the results are immediate!

Dermal fillers can be made of different materials like collagen, calcium hydroxyapatite, or Poly-L-Lactic Acid. Each one has a particular indication for treatment. There are a few others as well.

These materials primarily work by stimulating the production of new collagen and elastin, which adds more plump to the skin. This new collagen build-up can take 2-3 months to reach maximum effect.
The downside is that you may not get the immediate effect you want, and you may need an additional treatment session later on to reach your goal.

So, if you’re wondering why you don’t see immediate results? Don’t worry; it will take a little time!

Here are a few other common uses for dermal fillers

1.Adding volume to a sunken midface or fallen fat pads in the cheeks.

2. Augmentation of the lips

3. Reducing the appearance of nasolabial lines and folds, lip- and laugh- lines

4. Correction of skin indentations around the temples

5. Smoothing out old acne scars

6. Filling in hollow, dark under-the-eye furrows

7. Eyebrow lifts

Finally, some dermal filler gels are hard enough so that they can be used to change facial contours(chin augmentation) and correct asymmetries on the nose(‘non-surgical’ rhinoplasty).

Combine Botox injections with dermal fillers, and you have what can be referred to as the ‘liquid’ facelift.

Your trained clinician will help you choose the right dermal filler. Most specialists use dermal fillers that completely absorb and disappear in the body after 1-2 years. So if you don’t like the effects, not to worry, with time everything will revert to normal.

On the other hand, if you do like the effects, you’ll have to budget for repeated treatments every year or two.

forehead lines botox

In closing, Botox and dermal fillers are both effective and economical ways to rejuvenate your face. Both treatments can be done together at the same time, which is also very convenient.

Just remember that there’s a significant difference between the two and there uses.

Botox is used to target wrinkles caused by facial muscle expression mostly on the upper part of your face. (Forehead Lines, Frown lines, Crows Feet). Other uses can include areas around the mouth, lips, chin, and even necklines).

Dermal fillers are used for age-related and environmental-sun-related wrinkles, volume restoration, superficial skin defects, deep folds, nasal and facial asymmetries and lip enhancement, and chin augmentation,

At Medi Tours Hungary, our board-certified plastic surgeons and dermatologists offer a variety of dermal fillers and Botox treatments.

If you want to receive more information, feel free to contact me at or register yourself for a free online consultation at You’ll be able to speak with me directly and get personal recommendations from our doctors.

Bye for now,
Dr. Randy Simor

About Us

Hi Everyone!  I’m Dr. Randy and I’m an American expat here in Budapest now for 25+ years.  I completed my medical training and education at the Semmelweis Medical University in Budapest in 1999 and have been working in the local healthcare market ever since. I established Medi Tours Hungary in 2005 and have been helping patients ever since come to Budapest for high quality, affordable cosmetic treatment.

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