How to Choose Between Botox and Fillers for Facial Rejuvenation

Discover the difference between Botox and dermal fillers. Learn which treatment is right for wrinkles, volume loss, and facial rejuvenation at Village Family Medicine.

Lines, wrinkles, and volume loss can change the way your face looks and feels, but not everyone wants surgery. That’s why non-invasive treatments like Botox, Dysport, and dermal fillers have become popular options for facial rejuvenation. Each offers unique benefits depending on the areas being treated and your individual goals.

This guide breaks down the differences between Botox and fillers, explains how they work, and helps you decide which is right for you.

What Botox and Dysport Treat Best

Botox and Dysport are neuromodulators. These treatments work by relaxing overactive facial muscles that create dynamic wrinkles. These are the lines that form from repeated expressions like squinting, frowning, or raising your eyebrows.

Common areas treated include:

  • Horizontal lines across the forehead
  • Vertical frown lines between the eyebrows
  • Fine lines at the outer corners of the eyes

By limiting muscle movement in these areas, Botox and Dysport smooth the overlying skin and help prevent deeper lines from forming.

Results typically appear within 3 to 7 days and last around 3 to 4 months.

Learn more about Botox treatment options.

What Dermal Fillers Are Designed For

While neuromodulators treat wrinkles caused by facial movement, dermal fillers address static wrinkles and volume loss. These are concerns that appear even when your face is at rest. Fillers are usually made of hyaluronic acid, a naturally occurring substance that helps retain moisture and firmness in the skin.

Fillers are ideal for:

  • Adding lift to flattened cheeks
  • Restoring volume to the temples or jawline
  • Smoothing deep smile lines
  • Filling marionette lines around the mouth
  • Plumping and defining the lips

Filler results are immediate with little to no downtime, and depending on the product, they can last from 6 months to over a year.

Botox vs Fillers: Quick Comparison

Feature Botox/Dysport Dermal Fillers
Function Temporarily relax facial muscles Restore facial volume and structure
Best For Crow’s feet, forehead, frown lines Smile lines, cheeks, lips, jawline
Results Timeline 3–7 days for full effect Immediate
Duration 3–4 months 6–24 months (varies by product)
Downtime None to minimal None to minimal
Maintenance Every 3–4 months Every 6–12 months

Botox vs Dysport: Is There a Difference?

Botox and Dysport are both FDA-approved neuromodulators, but they have slight differences in formulation, spread, and onset time.

Botox is more concentrated and may be preferred for smaller, targeted areas such as frown lines. Dysport spreads a bit more, making it useful for larger areas like the forehead. Some patients also report that Dysport kicks in a little faster—sometimes within 2 to 3 days.

Your provider can help you decide which option fits your face and goals best.

Can You Combine Botox and Fillers?

Yes, and many patients choose to do so. Botox helps relax muscle movement while fillers restore facial volume, making them a powerful combination. Used together, they create more complete and natural-looking results.

How to Know What You Need

The best way to choose is through an in-person consultation. At Village Family Medicine, we assess your facial structure and aesthetic goals to recommend a personalized treatment plan.

In some cases, patients also explore treatments like microneedling to improve skin texture and tone.

Book Your Facial Rejuvenation Consultation

Whether you're considering Botox, fillers, or both, our team offers personalized care to help you feel confident and refreshed.

Start your facial rejuvenation journey today.

Schedule a consultation here