Qualified Practitioner
Dr Ros Debenham MBChB MRCGP

The difference between Botox & Dermal fillers



Many people think that Botox & dermal fillers are the same thing. In fact they both work in very different ways. We’ll have a quick look at each to help you decide which may be the right treatment for you.

Botox in brief

The general shape & expression of our face is managed through our muscles. In order to smile or frown a series of muscles tightens. This pulls & creases the skin. Over time these creases become ‘set’, like the 11’s between the brows, or crows feet around our eyes.

Botox works by relaxing our facial muscles, so that they don’t crease the skin. This helps prevent lines from forming, & softens the expression by removing existing lines.

At first the results last about 3 1/2 to 4 months. Doing repeat treatments before the muscles have got back to full power means that the treatment gradually lasts longer as you literally ‘forget to frown’.

Dermal fillers

As we age the flesh around our face naturally loses its plumpness. For some, their bone structure also means that they have gaunt or shallow areas around the face. Dermal fillers are used to replace this volume loss, such as around tear troughs, cheeks & lips. Most dermal fillers are made of hyaluronic acid (the skin’s natural moisturiser) which literally plumps up the skin.

Fillers last anywhere from 6-18 months depending on the area being treated, the product used, the amount of mobility in the area & the rate at which the body breaks down the filler.


Which is right for you?

Radiance will always make a proper assessment to ensure you get the right treatment, but here are a few guiding rules of thumb.

  • Botox is used from the eyes up & dermal fillers from the eyes down.
  • Botox is for lines caused by our facial expressions.
  • Filler is for volume & lines caused by the structure of our face.
  • Botox helps forehead, brow lines & crow’s feet.
  • Fillers reduce sleep wrinkles, laughter lines & lip-lines.
  • About Dr Ros

    Dr Ros Debenham is one of the South West's leading aesthetics practitioners. With over 22 years experience in general practice, Ros moved over to the aesthetics industry in 2008 having undergone advanced level approved training courses.

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