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Botox/ Dysport vs. Fillers: What’s the Difference and Which One Do You Need

  • Writer: vanassa8
    vanassa8
  • Jun 1
  • 2 min read

Updated: Jun 9


When it comes to non-surgical cosmetic treatments, Botox / Dysport aka "Wrinkle Relaxers" or "Neuromodulators" and dermal fillers are two of the most popular—and often misunderstood—options. If you're considering enhancing your look but aren't sure which treatment is right for you, you're not alone. Many first-time aesthetic patients ask the same question:

"What’s the difference between Botox / Dysport and fillers, and which one do I need?"

In this blog, we’ll break it down clearly so you can make the most informed (and confident!) decision.


💉 What Is Botox / Dysport?

Botox / Dysport are a neuromodulator made from botulinum toxin type A. They work by temporarily relaxing muscles that cause wrinkles—most commonly expression lines like:

  • Forehead creases

  • Frown lines (the “11s” between your eyebrows)

  • Crow’s feet around the eyes

By reducing muscle movement, Botox / Dysport smooths the skin and prevents new wrinkles from forming over time.


How long does Botox / Dysport last?

  • Results typically last 3–4 months

  • Maintenance is required for continued effect


What Are Dermal Fillers?

Dermal fillers, such as Juvederm or Restylane, are gel-like substances—most commonly made of hyaluronic acid (HA)—that are injected under the skin to restore lost volume, enhance facial contours, or smooth out static wrinkles.

They are ideal for areas like:

  • Cheeks (volume loss)

  • Lips (enhancement or hydration)

  • Nasolabial folds (smile lines)

  • Under-eye hollows (tear troughs)


How long do fillers last?

  • Depending on the product and area treated, 6–18 months on average


Botox / Dysport vs. Fillers: The Quick Comparison Table

Feature

Botox

Fillers

Main Use

Relax muscles to reduce expression lines

Add volume, contour, smooth static wrinkles

Best For

Forehead, crow’s feet, frown lines

Lips, cheeks, smile lines, jawline, under-eyes

Results Seen

3–7 days after treatment

Immediately

Duration

3–4 months

6–18 months

Pain Level

Minimal, feels like a small pinch

Very mild discomfort, can use numbing.

Downtime

None

Minimal, may have mild swelling or bruising

So, Which One Do You Need?

Here’s how to decide:

  • Choose Botox / Dysport if: You want to soften wrinkles caused by facial movements (like frowning or squinting).

  • Choose Fillers if: You’re noticing volume loss, deep folds, or want to enhance specific facial features like lips or cheeks.

Tip: Many clients benefit from both Botox / Dysport and fillers as part of a custom anti-aging or facial balancing plan.


What a Consultation Looks Like

At our clinic, we begin every treatment with a personalized consultation. We’ll assess your facial anatomy, listen to your goals, and create a treatment plan tailored to you—whether that includes Botox / Dysport, fillers, or a combination of both.


Final Thoughts

Botox / Dysport and fillers each serve a unique purpose, and together, they can help you achieve a natural, refreshed look without surgery. The key is working with a skilled, medically-trained injector who understands facial anatomy and tailors treatments to your goals.

 
 
 

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860.598.8340

8 Davis Rd West

Old Lyme, CT 06371

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International Society of Plastic and Aesthetic Nurses: ISPAN

*Results can vary between patients. Every patient is a unique individual and every procedure has unique aspects. Therefore no two procedures or rejuvenation treatments will get the exact same results. In terms of results and expectations, there are numerous variables with every patient, each treatment and every recovery and healing period. Vanassa J Sebastian, APRN & Connecticut Medical Aesthetics take pride in evaluating every patient for their individual treatment needs.

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