Botox vs. Fillers - What's Right For You?

Written By Dr. Glen Brooks,
Plastic Surgeon, Spa on the Green

Dr. Glen Brooks

Are you amongst the many people these days looking at your mirror image and wondering if Botox is the answer? What about fillers? What role do these products have in producing facial improvements?

In recent years, the world of non-surgical treatments to maintain a youthful appearance has become increasingly popular. Among the most sought after treatments are neuromodulators and dermal fillers. Though often mentioned together, they serve different purposes and work in very distinct ways. If you're considering these treatments or just curious about what they involve, we can help you understand the basics.

Neuromodulators are substances that target and block the nerve receptors that signal muscles to contract. In the cosmetic world, the most well-known neuromodulator is Botox. Botox, along with similar products like Daxxify, Dysport, Xeomin, and Jeuveau, is used to temporarily relax muscle contraction, which softens the appearance of wrinkles and lines caused by repeated facial expressions, such as frowning, squinting and smiling.

Common cosmetic uses for neuromodulators include forehead lines, frown lines (the vertical lines between the eyebrows called "11" lines), crow's feet (the outer corners of the eyes), bunny lines (the wrinkles on the sides of the nose) jawline slimming (by reducing the size of the masseter muscles), improving a gummy smile and performing a lip flip (relaxing the muscle of the upper lip causes the lip to “flip”making it appear fuller).

Neuromodulator treatments are non-invasive and quick with most treatments taking about 15 minutes. There is minimal to no downtime and depending on the product, results are noted 24 hours to 10 days after treatment. The effects are temporary-lasting (3-6 months) which allows you to decide if you want to continue treatment. Possible side effects include temporary bruising, swelling, or headache, but more serious complications are rare when performed by a trained professional. Of course, this treatment is not for everyone. Pregnant or breastfeeding women, and those with certain neurological conditions should avoid neuromodulator treatments.

What about dermal fillers? These are injectable substances used to restore volume, smooth out deeper wrinkles, and enhance facial contours. Unlike neuromodulators which relax muscles, fillers add volume to specific areas of the face. Fillers are typically made of hyaluronic acid, a naturally occurring substance in the skin that helps keep it hydrated and plump. Common dermal filler treatment areas include nasolabial folds (the lines running from the nose to the corners of the mouth), marionee lines (lines that extend from the corners of the mouth downward) and lips (adding volume and shape to the lips). Dermal filler can also restore cheek volume that has lost its youthful plumpness, enhance jawlines and chins for a more sculpted profile, fill under-eye hollows and even change nose shape without surgery.

Unlike neuromodulators, fillers give instant results and can last from six months to two years. The most common risks are bruising and swelling but these usually subside within a week. There are rare complications - fillers can cause lumps, asymmetry, or even block blood vessels - so it's essential to have the procedure done by an experienced injector working under the supervision of a Board Certified Plastic Surgeon, Dermatologist, Ophthalmologist or Facial Plastic Surgeon.

The choice between neuromodulators and fillers depends on your specific concerns and aesthetic goals. Neuromodulators are ideal for wrinkle prevention and treating dynamic wrinkles caused by muscle movement. Fillers are beer suited for adding volume, shaping the face, and addressing static wrinkles (those present even when the face is at rest). In many cases, a combination of both treatments, often referred to as a "liquid facelift," is used to achieve a balanced, youthful appearance. A qualified healthcare provider can assess your needs and recommend the best approach for you.

Neuromodulators and fillers offer effective, non-surgical options for those looking to enhance their appearance and combat signs of aging. Whether you're smoothing out wrinkles, adding volume, or reshaping your facial contours, understanding the differences between these treatments will help you make an informed decision. Always consult with a trained and experienced professional to ensure best results.

If you have questions or would like to schedule a consultation call or text Dr. Glen Brooks at Spa of the Green at 413-565-4400 - or stop into the spa at 776 Longmeadow Street, nestled in between historic homes. We look forward to meeting you.



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