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Aesthetic Treatments

Botox vs. Dermal Fillers: What's the Difference?

Kenna Graff, FNP-C
Kenna Graff, FNP-C
September 1, 2026|2 min read|2 views
Medically reviewed by Dr. Steven Cherrington, DO
Botox vs. Dermal Fillers: What's the Difference?

Key Takeaways

What you need to know

  • Botox treats lines caused by movement (dynamic wrinkles).
  • Fillers restore lost volume and smooth static folds.
  • Botox lasts 3–4 months; hyaluronic fillers often 6–18 months.
  • Many people benefit from a combination of both.

Botox and dermal fillers are both injectables, but they do completely different things. Choosing the right one depends on what's causing the lines or changes you see.

How Botox works

Botox is a neuromodulator. It temporarily relaxes specific muscles so they can't crease the skin as strongly. It's best for dynamic wrinkles, the lines that appear when you move your face.

  • Forehead lines
  • Frown lines between the brows ("11s")
  • Crow's feet
  • Also used for jaw clenching and excessive sweating

How fillers work

Dermal fillers, most commonly hyaluronic acid, add volume under the skin. They're best for volume loss and static folds, which are visible even when your face is at rest.

  • Lips
  • Cheeks and midface
  • Smile lines (nasolabial folds)
  • Marionette lines and chin
  • Under-eye hollows (in select patients)
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How long they last

Botox typically lasts 3–4 months. Hyaluronic acid fillers last roughly 6–18 months depending on the product and area. Hyaluronic fillers can also be dissolved if needed.

Using both together

Many patients get Botox for the forehead and eyes plus filler for the cheeks or lips. Together they create a balanced, refreshed look without looking "done."

Next steps

Curious about pricing? Read our Botox cost guide, or visit our Botox & fillers page to book a consultation.

The Bottom Line

Botox relaxes muscles; fillers restore volume. Here's how to tell which one fits your concern, or whether you need both.

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About the Author
Kenna Graff, FNP-C

Kenna Graff, FNP-C

Board-Certified Family Nurse PractitionerClinical Director, Renova WellnessSpecialist in Metabolic & Regenerative Medicine

Kenna Graff is a Board-Certified Family Nurse Practitioner and Clinical Director at Renova Wellness. She brings expertise in metabolic health, hormone optimization, and regenerative medicine, with a passion for helping patients look and feel their best through personalized treatment plans.

Verified Medical Professional

Editorial Process: Initial content ideas and drafts may be generated with the assistance of AI language models. Every article is then thoroughly reviewed, edited, and medically verified by our clinical team before publication to ensure accuracy, relevance, and alignment with current medical standards.

This content is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider for personalized guidance.

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