Do I need Botox or dermal fillers?

Portrait of a young businessman sitting in an office with his colleagues in the background If you are interested in non-surgical rejuvenation of the face, you’re probably wondering if you will need Botox, dermal fillers or a combination of both. While a thorough consultation will help determine which treatments will address your concerns, here are some more fast facts about Botox and dermal fillers:

Dynamic vs. Static Wrinkles

Botox is a neuromodulator that works by relaxing muscles that create wrinkles in the skin above them. These wrinkles are called dynamic and they form when we make various expressions such as laughing, frowning or squinting. Botox treats dynamic wrinkles and is FDA-approved for the treatment of moderate to severe forehead lines, the 11 lines between the eyebrows and crow’s feet. 

Botox doesn’t work on static wrinkles, which are wrinkles that appear at all times and are caused by sun damage, the decline of collagen production, the aging process and other environmental factors. Dermal fillers such as Juvederm and Restylane are ideal for treating static wrinkles and “filling” areas that have lost volume. These include marionette lines, parenthesis lines and areas that have lost volume in the middle and lower part of the face. Fillers can improve the appearance of the temple area as well. 


The great thing about Botox and dermal fillers is that there is no downtime as with surgical procedures for facial rejuvenation. That means you can return to work and other regular activities after your appointment. 


The results from dermal fillers can be seen immediately and continue to improve with time. You will see results from Botox in the first few days after treatment. Results from Botox and dermal fillers are temporary, lasting anywhere from a few months to over a year depending on the treatment area and how you respond to treatment. You’ll want to return for additional treatment to maintain or prolong results. 

If you are interested in learning whether Botox and dermal fillers are right for you and help you achieve your aesthetic goals, set up a consultation with Dr. Wiener by calling (773) 763-3990 today.

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