Botox VS Dermal Fillers

By: Our Team


**Botox vs. Filler: Understanding the Differences and Choosing the Right Treatment**

When it comes to non-surgical cosmetic procedures, Botox and dermal fillers are among the most popular choices. Though often mentioned together, they serve different purposes and are suited for distinct types of facial enhancements. Understanding the differences between Botox and fillers can help you make an informed decision about which treatment might be best for your aesthetic goals.

What is Botox?

Botox is a neurotoxin derived from Clostridium botulinum. Other brand names for this medication include Dysport/Jeaveau/Daxxify/Xeomin. Botox and all other brands are often referred to as “Tox” for short.  It works by temporarily paralyzing muscles, which helps to smooth out wrinkles and fine lines. Tox is most effective for dynamic wrinkles—those that appear when you make facial expressions, such as frown lines, crow’s feet, and forehead lines. The effects of Botox usually last between three to five months, after which the treatment can be repeated.

Common Uses of Botox:

- Reducing forehead lines

- Softening crow’s feet around the eyes

- Minimizing frown lines between the eyebrows known as the Glabella 

- Creating a subtle brow lift

- Reduce the amount of gum that shows when you smile often called a “Gummy Smile”

- Minimize the chin dimpling sadly called “Chinullite” 

-Reduce jaw clenching, grinding, and pain associated with TMJ

- Enhance the appearance of your upper lip and help your upper lip look fuller by slightly turning out the lip and showing more pink without filler. 

- Treating excessive sweating (hyperhidrosis)

What are Dermal Fillers?

Dermal fillers, on the other hand, are substances injected beneath the skin to add volume and fullness. Unlike Botox, which relaxes muscles, fillers are used to plump up areas of the face, smooth out static wrinkles (those present even without facial movements), and enhance facial contours. Common types of fillers include hyaluronic acid (like Revanesse, Versa, Juvederm and Restylane), calcium hydroxylapatite, and poly-L-lactic acid. The results of fillers can last from six months to two years, depending on the type of filler and the area treated. Dermal fillers are present in your tissues longer than 6-24 months, but visually due to the natural volume loss that occurs, retreating an area is desired to maintain the full look you had when you were first treated. 

Common Uses of Fillers:

- Plumping thin lips

- Enhancing shallow contours

- Softening facial creases and wrinkles

- Improving the appearance of recessed scars

- Adding volume to cheeks and temples

Key Differences Between Botox/Jeaveau/Dysport/Daxxify/Xeomin and Fillers


- Tox: Relaxes muscles to reduce wrinkles.

- Fillers: Adds volume to plump and contour the face.

Target Areas:

- Tox: Best for dynamic wrinkles (caused by muscle movements).

- Fillers: Best for static wrinkles and adding volume.

Duration of Results:

- Tox: Lasts 3-6 months.

- Fillers: Lasts 6 months to 2 years.

Procedure Time and Recovery:

Both treatments are relatively quick, often completed within 30-60 minutes, with minimal downtime. Side effects can include minor bruising or swelling at the injection site, which typically resolves within a few days.

At Zodiac Spa we offer oral Arnica supplements from Sinnec-i that are available at your visit if bruising is a concern. We also have a comfort menu with a vibrating T-bar that helps distract from the injection site, Numbing cream, as well as Pro-nox (“laughing gas”) to help with numbing and easing anxiety. 

Choosing the Right Treatment

The choice between Tox and dermal fillers depends on your specific concerns and desired outcomes. If you’re looking to reduce the appearance of wrinkles caused by facial expressions, Tox might be the right choice. For those wanting to add volume or smooth out deeper wrinkles and folds, dermal fillers could be more suitable.

Consult with a Professional:

It's crucial to have a consultation with a qualified professional to determine the best treatment for your needs. At Zodiac Spa, Beauty & Wellness, you can rest assured that you will have a thorough consultation, as well as a nurse injector that will work to enhance your natural beauty and never distort with over filling. They can assess your skin, discuss your goals, and create a personalized treatment plan.


Tox and fillers are effective, non-surgical options for enhancing your appearance and combating signs of aging. By understanding their differences and benefits, you can make a more informed decision about which treatment aligns with your aesthetic goals. Always seek treatments from licensed practitioners to ensure safety and optimal results.

Whether you choose Tox, fillers, or a combination of both, these treatments can help you achieve a refreshed, youthful look without the need for invasive surgery.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.