BOTOX® Cosmetic Vs. Dermal Fillers: Which Injectable Should I Choose?


The wide range of available cosmetic injectables makes non-surgical facial rejuvenation a highly customizable option for many patients. As an extensively trained plastic surgeon, Dr. Neal Goldberg often utilizes these minimally invasive treatments to achieve a more youthful-looking appearance for people seeking quick results with minimal downtime. Each method offers unique benefits, and the right approach for your needs and goals will depend on several factors.

BOTOX® Cosmetic is one of the most popular cosmetic injectables in the nation. This treatment is distinct from dermal fillers in that it does not “fill” but instead temporarily halts excess muscle movement in the targeted area. By pausing the movement of wrinkle-forming muscles, BOTOX® injections can smooth lines and creases, particularly on the forehead, between the brows (glabellar lines), and around the eyes and mouth. If your wrinkles are located in these regions, BOTOX® Cosmetic may be the best option for you.

Dermal fillers come in many formulas. JUVÉDERM®, Radiesse®, Restylane®, and Belotero® Balance are all examples of dermal fillers. These treatments typically offer immediate results in the treated area, and they can last anywhere from about six months to two years, depending on the composition of the product. Fillers add volume to smooth over fine lines, plump skin, stimulate collagen production, enhance contour, and soften depressions. As with BOTOX® Cosmetic, downtime is brief and most patients can return to normal activity immediately following the procedure.

One or the other type of cosmetic injectable may be right for you; however, in many cases, a combination of BOTOX® injections and dermal fillers can help to achieve more comprehensive facial rejuvenation. During your initial consultation, Dr. Goldberg will discuss your concerns and develop a customized treatment plan designed to optimize your outcome.