Combining Botox & Fillers: Your Complete Guide to Facial Rejuvenation

Injectable treatments like Botox® and dermal fillers are popular treatments — the most popular aesthetic treatments, in fact, with millions of procedures performed every year. 

Why so popular? Because they’re very good at what they do — and for many people, combining products can yield even better results.

Jacob Simhaee, MD, FACOG, describes the benefits of individual products and just what makes them so effective when used in combination.

The basics of Botox

Botox is a neuromodulating agent — a product that changes how specific nerves function or communicate. In cosmetic treatments, Botox is designed to treat dynamic wrinkles, lines that form as a result of facial movements and expressions, like frowning.

Once injected, Botox temporarily blocks nerve communication between specific facial muscles and your brain. As a result, muscles aren’t “told” to contract, and your skin stays smooth instead of forming lines and wrinkles.

Crow’s feet, brow furrows, forehead lines, and “smoker’s” lines are all examples of dynamic wrinkles, and all can be improved with Botox. Injections around the upper lip are used to achieve the popular Botox “lip flip.”

Injections take just a few moments and last about 3-4 months. Touch-up treatments help maintain those results for as long as you’d like.

How dermal fillers work

While Botox and similar neuromodulators work on dynamic wrinkles, dermal fillers are designed to smooth out static wrinkles, lines that typically form as a result of sun damage and aging. Fillers help smooth lines by boosting volume to “fill in” wrinkles and bring them level with the surrounding skin.

Dermal fillers can also restore or enhance volume elsewhere, like in your cheeks, under-eye area, or lips, to improve overall facial balance and aesthetics. They’re also an excellent choice for restoring volume lost to aging or significant weight changes, helping your skin look buoyant and youthful.

Many dermal fillers contain hyaluronic acid, a natural substance that helps your skin retain moisture for natural, long-lasting plumpness. Many fillers also promote collagen development, supporting long-term results.

The benefits of combination treatment

Because Botox and fillers work on different types of wrinkles and different signs of aging, combining these two treatments can help you address multiple issues without resorting to more invasive options like surgery.

In fact, the combination of neuromodulators and fillers is so effective at providing comprehensive results that it’s often referred to as a liquid facelift. And since both treatments are fully customizable and repeatable, you can achieve natural-looking results and maintain them indefinitely with regular touch-ups. 

Using both types of products together also enables us to achieve an optimal balance and facial symmetry compared to treating only one type of cosmetic concern. Custom dosing also enables us to adjust each treatment as your own needs and goals change.

Tailored treatment with your goals in mind

Botox and fillers work great on their own to help you reach your aesthetic goals without the drawbacks of surgery or other invasive treatments. Combined, these two state-of-the-art treatments enhance each other for beautiful results without looking stiff or unnatural.

To learn more about Botox and filler combination treatments and how they can help you look and feel your best, request an appointment online or over the phone with Dr. Simhaee and his team at his Manhasset and Forest Hills, New York, practices today.