Injectables vs. Fillers

The fountain of youth and the elixir of life may be myths, but looking younger can be a reality thanks to cosmetic injectables like Botox and dermal fillers. These noninvasive procedures can smooth out wrinkles, make scars less noticeable and enhance your lips for months at a time.

More people than ever are seeking minimally invasive facial enhancement procedures. According to the American Society of Plastic Surgeons, about 7 million Americans received Botox injections in 2016, making it by far the most common cosmetic procedure. Another 2.6 million opted for dermal fillers the same year.

Here at The Plastic Surgery Center, we offer a number of different injectables, from the tried-and-true to the latest hot products. But how do you know if Botox or fillers are right for you, and what can you expect once you decide on a treatment? During your consultation with one of our board-certified plastic surgeons, your doctor will work with you to develop a personalized treatment plan. Before your visit, you may want to review the different types of injectables that are available to help you make the right decision.

What are Dermal Fillers?

As people age naturally, hormone changes and exposure to ultraviolet light cause our skin to become dry and less elastic, which leads to wrinkles around the eyes and mouth, among other places. There are various surgeries—such as facelifts—that can address these wrinkles, but surgical procedures are not for everyone.

Enter fillers. Dermal fillers are injectable materials that can add moisture to the skin and fill out the face to make wrinkles disappear. Fillers are made from different materials and used for different purposes, so it’s important to know your options.

Types of Fillers

At the Plastic Surgery Center, we offer a number of fillers to meet any need. Want fuller lips? We have an injectable for that. Looking to zap crow’s feet or frown lines? We can help. We even have fillers to reduce double chins and make hands look more youthful.

Our options include:

  • Juvéderm— One of the most important molecules for skin moisture is hyaluronic acid, which becomes depleted as we age. A popular treatment to enhance the lips, Juvéderm uses hyaluronic acid. Juvéderm is injected directly into the lips to give them volume and smooth them out. Expect Juvéderm to last between four and six months.
  • Kybella—Got a double chin? Not anymore, after a Kybella injection. Kybella uses a molecule called deoxycholic acid, which is injected into the fat under the chin. Most patients require three treatments for maximum results. Deoxycholic acid destroys fat cells for good—no need for more injections.
  • Radiesse—Radiesse is another facial injection, the effects of which are similar to those of Voluma and Juvéderm. Radiesse uses a different molecule, however: calcium hydroxylapatite. Radiesse is a good choice for getting rid of lines around the nose and lips, filling out the cheeks, and making the hands appear more youthful.
  • Volbella – Volbella blends different molecular weights of hyaluronic acid, which allows it to create subtle, lasting volume for a more natural look. This injection is used for lip enhancement and correction of the small, thin lines around your mouth.
  • Voluma—Voluma is an injection of hyaluronic acid, usually in the mid-face. It helps moisturize and soften the skin and fill out sunken cheeks, giving your face a fuller, younger look. The effects of Voluma injections can last up to two years.
  • Vollure – A first of its kind hyaluronic acid filler that is FDA approved for the correction of moderate to severe wrinkles and nasolabial folds (also known as “smile lines”) while allowing for natural facial expressions and movements. Patients can enjoy results up to 18 months with this long-lasting filler.

What about Botox?

Botox is a wildly popular treatment that has similar effects to dermal fillers but works differently. It’s a toxin produced by the Clostridium botulinum bacterium, the same one that causes botulism. Botox injections paralyze muscles and block nerves.

Botox is best used to treat dynamic wrinkles—those caused by facial movement—such as laugh lines. It relaxes the muscles that cause these wrinkles. In addition to wrinkle treatment, Botox is also used to treat crossed eyes, twitching eyelids, movement disorders, excessive sweating, chronic migraines and overactive bladder. The effects of Botox injections usually last between four and six months.

What to Expect from the Procedures

Whether you’re going for fillers or Botox, the procedure is a simple one. A surgeon will mark and clean the injection site. You may be given a local anesthetic to numb the area and reduce pain prior to having your injection. Both dermal filler injection procedures and Botox injection procedures generally take less than an hour.


Recovery from dermal filler injections and Botox injections is minor. Expect to resume normal activities right away, but intense physical activity should be avoided for one or two days.

Dermal filler side effects—which last, at most, a few days—can include:

  • Swelling or bruising
  • Numbness or redness
  • Lumps at the injection site
  • Hives

After a Botox injection, you may notice pain, swelling or bruising where you were injected. Flu-like symptoms such as a headache and nausea can also occur. Avoid pressing on or massaging the injection site, as this can send the toxin to other areas of the face, potentially causing drooping or facial weakness.


The cost of Botox and dermal filler injections can vary based on the type and amount of product used, the nature of the area being treated, and the expertise and qualifications of the surgeon.

We offer a free cosmetic consultation to help you decide which procedure is right for you and to go over the costs. Call (866)591-8090 to schedule a consultation today!