The Injectable Decision: Botox vs. Facial Fillers

Image Credit: Ambro via

Image Credit: Ambro via

According to the latest figures provided by the American Society for Aesthetic Plastic Surgery, Americans spent roughly 2.5 billion dollars in injectables alone last year. Botox topped the most frequently performed non-surgical cosmetic procedures (up by 15.6 percent from 2012) and is closely followed by hyaluronic acid fillers (up by 31.5 percent from last year).

Despite their soaring popularity, many patients who visit for the first time here at our Honolulu dermatology practice are still confused between Botox and facial fillers. By and large, they haven’t really figured out yet which injectables are appropriate for their facial aging woes  — from reducing the appearance of crow’s feet to diminishing jowls ones once and for all. We outline their differences below!

When to Choose Botox

Botox injections are widely used in the medical industry — from treatment of severe armpit perspiration to control of overactive urinary bladder. As to its cosmetic use, Botox was first approved by the FDA in 2002 in reducing the appearance of moderate to severe lines in between the eyebrows (also known as glabellar lines). Later in 2013, Botox was also approved in diminishing mild to moderate appearance of crow’s feet (wrinkles on the outermost corners of the eyes).

The appearance of both glabellar lines and crow’s feet are a result of frequent muscle contraction underneath facial skin such as frowning and squinting. Botox works by limiting muscle contraction through inhibition of acetylcholine, the chemical that is responsible for muscle contraction in the first place.  Thus, Botox is ideal for lines and wrinkles resulting from facial expressions. It is important to note though that the aim of Botox is not to totally paralyze your muscles from making an expression but rather subtly create a look that is wrinkle-free yet natural-looking at the same time.

When to Choose Facial Fillers

On the other hand, facial fillers, as their name implies, are used to “fill” in facial areas that have lost volume such as sunken cheeks, under eye hollows, and wrinkles around the mouth area. Fillers, like Botox, may be used in conjunction with other facial rejuvenation treatments.

By and large, dermal fillers aren’t ideal for problems associated with sagging skin along the brows, jaw, chin, and neck. For these issues, a brow lift, face lift or neck lift may be more appropriate.

Choosing a Reliable Injectable Provider in Honolulu and neighboring areas

Finding a highly experienced, reliable, and trusted injectable provider is one of the key factors to obtaining your desired outcomes from Botox and dermal fillers. Here at our Honolulu dermatology practice, we understand that each individual is different and we make it a point to provide meticulously-personalized treatment plans.

Get in touch with us by calling 808-949-7568 or by filling out this contact form today to schedule a consultation. We look forward to your visit!