Key Points

Botox and dermal fillers can be used alongside each other to treat wrinkles on the face and other areas of the body. On this page you can find out:

Want to find out more about how Botox and dermal fillers can rejuvenate your skin?

The team at Health & Aesthetics will give you all the information you need, just call 01252 933133 or email

The difference between Botox and dermal fillers

  • Botox temporarily relaxes muscles by blocking chemical messages from the nerves to the muscles. This results in reduced muscle movement and less pronounced wrinkles.
  • Dermal fillers are made from hyaluronic acids that are used to fill in wrinkles and add volume to areas of the face that have become hollow. This way they create fuller, more youthful looking skin.

Typically, patients visiting a practitioner have a particular area of their face they would like to treat with Botox injections. This might be for example, frown lines, forehead lines or crow’s feet. During a consultation, an experienced practitioner will assess a patient’s entire face. Then (s)he proposes how they would treat the patient’s areas of concern, as well as suggesting other areas of their face that would benefit from treatment. In some cases, this will mean using dermal fillers alongside Botox.

Why Botox isn’t Always Enough to Treat Wrinkles

There are many articles that cover the topic ‘Botox vs dermal fillers’ but the two treatments should be seen as complementary, rather than competing.

Botox is used to treat dynamic wrinkles, these are wrinkles that develop when a muscle moves. Botox relaxes these muscles, limiting their movement and therefore the skin overlying the muscle looks smoother.

Dermal fillers are useful to smooth static wrinkles, these are wrinkles that are visible despite no muscle movement.

Dermal fillers can also be used to add structure and volume to areas of the face that have become hollow with age; Botox can’t be used for this purpose as it doesn’t fill out wrinkles or add volume, it simply reduces muscle movement.

Can Botox and Dermal Fillers be Injected at the Same Time?

Yes, but depending on the area being treated, your practitioner may suggest waiting for two weeks to see the results of the Botox injections before administering dermal fillers to the same area.

Having Botox and fillers around the same time can actually prolong the effects of fillers, as the more active your facial muscles are, the quicker dermal fillers will break down — Botox temporarily restricts the movement of your facial muscles. Another benefit of having Botox is that as the movement of muscles treated is limited, which can prevent wrinkles in these areas from getting worse.

Botox and Dermal Fillers: Quick Comparison Table

 BotoxDermal fillers
AgeMost commonly used by people in their mid-thirties and above.Most commonly used by people in their thirties and above.
Commonly treated areasFrown lines, forehead lines, crow’s feet, some areas in the lower face, jawline.Fillers can be used on the whole face, including wrinkles around the eyes, hollow cheeks, nose-to-mouth lines, down-turned mouth.
Typical patientsIndividuals looking for a quick way to reduce wrinkles, often for a special occasion.Anyone who is concerned that they look like they are ageing. Highly active individuals such as runners.Very thin people who have low fat levels in their body and therefore naturally hollow facial features.Results are visible immediately
How long does the treatment last3-4 months.Up to 12-18 months.
Treatment time20-30 minutes.30-60 minutes.
Other areas of the body that can be treatedBotox can be used to treat excessive sweating, headaches and teething grinding.Can be used on the neck décolletage, hands, ear lobes and now also the body – to treat crepey arms for example.
Approximate costPrices start from £200Prices start from £350
Who can inject dermal fillers and Botox?A qualified experienced medical practitioner – if injected by a non-medical person there is a risk of infection, irregularity and skin necrosis.

What else can be used to treat volume loss?

Volume loss occurs as we age and can cause hollowing around the eyes and flattening of the cheek areas in particular. It can also cause issues such as nose-to-mouth lines, jowls and a down-turned mouth.

Ultherapy can be used alongside dermal fillers. It is a non-surgical procedure that uses ultrasound energy to lift and tighten the face by stimulating the production of new collagen and elastin.

Ultherapy stimulates the production of collagen in the deep tissues, which then lifts the fat pads and tissues. As we age we lose collagen in the deep tissues so the tissues become lax and everything begins to droop. This happens on all areas of the face and body. Ultherapy treats the deep tissues and stimulates collagen production.

We also have pockets of fat all over our face and these begin to shrink as we age. The fat pockets in the middle part of our face are the first ones to be affected. This means there is less volume in the face and this is another reason for sagging and drooping.

If you wanted to combine dermal fillers with Ultherapy, both treatments can be done on the same day. However, the ideal is to have Ultherapy first and then have dermal fillers 1-2 weeks later.

What next?

Read more about Botox with our guide to baby Botox and learn more about choosing the right practitioner for your Botox treatment in Surrey here.

In our advice section you will also find information on Botox aftercare and dermal fillers aftercare.

To find out more about the services available at Health & Aesthetics, speak to the team today on 01252 933 133 or email

About our Consultations

At Health & Aesthetics, we believe that the fundamental basis for a successful aesthetic procedure is an in-depth consultation with a skilled qualified practitioner to assess your needs and develop a bespoke personal treatment plan so that you achieve outstanding natural looking results. You can call us on 01252 933 133.

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