Botox vs. Filler: What's the Difference and Which Is Right for You?

In the world of non-surgical facial rejuvenation, two treatments often come up in conversation: Botox and dermal fillers. While both are injectable treatments that smooth and refresh the skin, they work in very different ways and are designed to treat various signs of aging.

At Sunset MedSpa, we believe in empowering our clients with knowledge, enabling them to make confident and informed decisions. Here's everything you need to know about the difference between Botox and fillers, and how to determine which treatment is best for you.

What Is Botox?

Botox is a neuromodulator made from botulinum toxin. It works by relaxing the facial muscles that cause dynamic wrinkles — the type that form from repeated facial expressions, such as smiling, frowning, or squinting.

Common areas treated with Botox:

• Forehead lines

• Frown lines (the "11s" between the brows)

• Crow's feet around the eyes

• Bunny lines on the nose

• Chin dimpling

• Neck bands

Botox results typically appear within 3–7 days and last about 3–4 months.

What Are Dermal Fillers?

Dermal fillers, on the other hand, are gel-like substances (most often made of hyaluronic acid) that are injected to restore lost volume, enhance facial contours, and smooth static wrinkles. Such wrinkles appear when your face is at rest.

Common areas treated with fillers:

• Cheeks (to restore volume or lift)

• Lips (to plump and define)

• Nasolabial folds (smile lines)

• Marionette lines (lines from the corners of the mouth downward)

• Under-eye hollows (tear troughs)

• Jawline and chin

Depending on the type of filler used, results can last 6 months to 2 years.

Botox vs. Fillers: Key Differences

Feature	Botox	Dermal Fillers
Function	Relaxes muscles to smooth wrinkles	Adds volume and structure
Best For	Expression lines (dynamic wrinkles)	Volume loss and deeper folds
Areas Treated	Forehead, eyes, between brows	Cheeks, lips, jawline, and under eyes
Onset of Results	3–7 days	Immediate
Duration	3–4 months	6–24 months
Active Ingredient	Botulinum toxin type A	Hyaluronic acid or other substances

Can Botox and Fillers Be Used Together?

Absolutely! Many clients achieve optimal, natural-looking results by combining Botox and filler treatments. Botox smooths expression lines in the upper face, while fillers restore volume in the mid-to-lower face, working together to create a more youthful, balanced appearance.

This approach is often referred to as a "liquid facelift," providing a refreshed and rejuvenated look without the need for surgery or downtime.

Which Treatment Is Right for Me?

The best way to determine whether Botox, fillers, or a combination of both is right for you is through a personalized consultation with one of our experienced injectors at Sunset MedSpa.

We'll take the time to understand your goals, assess your facial anatomy, and create a custom treatment plan that delivers beautiful, natural results.

Discover the Power of Injectable Aesthetics

Whether you're smoothing fine lines, adding subtle volume, or doing both, we're here to help you look and feel your best.

Serving clients from Beaverton, Portland, Hillsboro, and surrounding areas with advanced, artistic aesthetic care.