Botox®️ or Fillers: Which Is Right for Me?

Injectables like Botox®️ and dermal fillers have changed the way people think about cosmetic enhancement — and for good reason. In fact, Botox and fillers are so popular, over 10 million treatments are performed each year in the United States, helping women and men look and feel more youthful and confident.

With practices in Middletown and Jefferson Valley, New York, Mrudangi S. Thakur, MD, is an expert plastic surgeon who also offers an array of injectable treatment options, which means she can help you get just the results you’re looking for.

If you’re confused about what injectables do — and how they differ — this quick overview can help you decide which is right for you.

Treating dynamic wrinkles

Dynamic wrinkles form when you frown, smile, laugh, or cry. Every time you make a facial expression, nerves carry signals between your brain and your facial muscles, telling specific muscles to contract. In turn, those contractions pull on your skin, creating dynamic wrinkles — wrinkles formed by facial movements.

Over time, thousands of expressions cause those lines to become etched into your skin so they’re visible even when you’re not moving your muscles. Neuromuscular agents work by blocking nerve signals, so dynamic wrinkles and folds don’t form.


Botox is the most popular neuromuscular agent. It’s typically used for wrinkles around the eyes (crow’s feet), forehead lines, and brow furrows, but it can also be used to relax wrinkles and lines around your lips.

Dysport®️ and Xeomin®️

Most people think of Botox as being the only agent used to treat dynamic wrinkles — and certainly, it’s the one that’s been around the longest. But other neuromuscular agents work the same way on those dynamic wrinkles, using slightly different formulations for slightly different effects.

Dysport tends to take effect a bit faster than Botox, but the results don’t last quite as long. Dysport also uses a more diluted formula that spreads more easily — for slightly more subtle results.

Xeomin is pure botulinum toxin A, while Botox is botulinum A combined with proteins. That means people who might be allergic to Botox may be able to use Xeomin without those worries. Xeomin’s “Naked” formula doesn’t require refrigeration, so it’s more readily available in some settings, and Xeomin tends to last a bit longer than Botox.

Fillers for static wrinkles and lost volume

Dermal fillers are used to treat a second type of wrinkle — static wrinkles that mainly form as a result of aging, gravity, sun exposure, and genetics. Injectable fillers also add volume to smooth away lines and give your skin a more youthful look.

Dermal fillers use different formulations to achieve varying results. These differences allow Dr. Thakur to choose just the right products to help you achieve your goals. For instance, some fillers are designed to plump lips or cheeks, while others work best in filling in wrinkles or scars. 

Depending on their formulas, some fillers last longer than others, and some products provide a better result in specific areas of your face. Dr. Thakur takes all these variables into consideration when designing a custom treatment plan, so you can feel confident you’ll get the most natural, attractive results.

Combining Botox and fillers

One of the biggest benefits of injectables is that all these products can help you look great without surgery, incisions, or downtime. Another benefit is that they can be combined. 

Depending on the issues you want to address, Dr. Thakur may recommend using multiple products to help you address lost volume, static wrinkles, and dynamic wrinkles, helping you enjoy a more youthful result overall. In fact, the results of combination treatments can be so effective at restoring a more youthful look, the approach is often referred to as a “liquid facelift.”

It’s easy to fit cosmetic injectable treatments into your beauty routine. To learn how Dr. Thakur can design a treatment plan based on your needs and goals, call the office convenient to you, or book an appointment online.

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