Botox vs Dermal Fillers: What’s the difference and how can they be used together?

Dermal Filler

Botox and dermal fillers are cosmetic treatments given through injections. The main difference between Botox and dermal fillers is that dermal fillers are injected beneath the surface of the skin to add volume and fullness whilst Botox is a prescription-only, medicinal treatment that blocks nerve signals in the muscles where injected. Although they both have similarities, they are two very different types of treatment. Let’s look in more detail…

What is Botox?

Botox is a purified form of the botulinum toxin, that can be used in small amounts to correct wrinkles. Anti-Wrinkle Injections as we call them in clinic, work by blocking nerve signals in the muscles where injected. When those nerve signals are interrupted, the injected muscle is temporarily frozen. Without movement of these selected muscles in the face, certain wrinkles may be softened, reduced, or even removed.

At VIVA Skin Clinics, we are proud to use Botox by Allergan, one of the safest and most renowned brands, however, there are lots of other products on the market.

What areas can Botox treat?

Upper Face

Botox can be used on the upper face to treat a number of concerns like; forehead wrinkles, eleven lines (between the eyebrows), frown lines and crow’s feet. They can also be used to lift the eyebrows in a non-surgical brow lift.

Botox London

 Lower Face

These range from wide jaw, teeth grinding, lip lines and gummy smile to neck bands (the lines that run horizontally across the neck).

gummy smile

Mid Face

Botox can be used on a number of conditions that have occurred through the repeated use of muscles in the face that have resulted in the appearance of wrinkles. The use of Botox injections to the mid face requires an advanced understanding of the facial muscular anatomy.


Botox for the body is typically used to control excessive sweating, medically known as hyperhidrosis. This may be from the armpits, palms of the hands or soles of the feet. Small doses of Botulinum Toxin are injected into the site to block the nerve signals that are responsible for sweating, temporarily inhibiting the overproduction of sweat.

It should be noted that Botox is not a permanent treatment. Repeated treatments are necessary for continued wrinkle-reducing effects. Most people find that the muscle-relaxing effect of Botox lasts for 3 to 4 months, with the most effective time being 6 weeks after treatment.

What are Dermal Fillers?

Dermal fillers are substances designed to be injected beneath the surface of the skin to add volume and fullness. Largely used as an anti-ageing injectable treatment, they help to restore lost volume to the face and hands as well as accelerating the production of collagen in the skin where collagen and elastin production has begun to deplete due to the ageing process.

At VIVA Skin Clinics, we are proud to use Juvederm Fillers, one of the safest and most renowned brands. This product makes for lovely natural dermal fillers.

What areas can Dermal Fillers Treat?

They are commonly used to treat: lines & wrinkles, marionette lines, thin lips, lip lines, nasolabial folds, jowls and sagging skin. Dermal fillers can also be used to restructure facial features such as the nose (Non-Surgical Nose Job or Non-Surgical Rhinoplasty)  and jawline.

Here at VIVA, we specialise in full-face dermal filler treatments. By targeting key anti-ageing zones in the face, we’re able to prevent these signs of ageing from developing, allowing for age prevention over time.

We will use small doses of dermal filler coupled with our signature VIVA Method technique to subtly enhance different areas of the face, such as the nasolabial folds (fold between the nose and mouth), jawline, cheeks and chin, temples and lips.

One of the most important considerations is that we keep it natural. We only use small amounts of dermal filler so that you look refreshed as opposed to different. Using the latest range of Juvederm fillers with VYCROSS™ technology, this 3D Face Refresh smooths lines and wrinkles, boosts hydration and corrects asymmetry.

Non surgical nose job

(Non-Surgical Rhinoplasty)

How can Botox and Dermal Fillers work together?

Even though Botox and dermal fillers are very different types of injectables; they complement each other nicely. Combining Botox and dermal fillers is beneficial because they treat different types of wrinkles. While Botox relaxes dynamic wrinkles, dermal fillers smooth out static wrinkles, which are visible even when the face is at rest. Dermal fillers also restore lost volume and help to sculpt youthful looking contours and definition, which unfortunately Botox cannot help with.

Using Botox and dermal fillers together can also prolong the results of treatment. The hyaluronic acid in many fillers tends to break down faster in areas of the face that are very animated and active (such as around the mouth). It can be beneficial to first use Botox to relax muscle movement, so the hyaluronic acid is then less likely to break down as quickly.

Finally, both Botox and dermal fillers are non-invasive and well-tolerated by patients. There is very little down-time and the results appear within a few days, therefore they are great alternative to surgery.

Interested in any of these treatments? Book in for a consultation with us today! You can also find our price list here.




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