Botox or Filler

What is the difference and which procedure is right for you

Botox (botulinum toxin) injections and hyaluronic fillers are the most commonly performed aesthetic corrections in the world. The likelihood of either of these being your next procedure is huge. So it’s good to know the difference and which procedure is right for you.

ботокс или филър
ботокс или филър

What is Botox

Botox (Botox) is a name for the botulinum toxin used in aesthetic medicine. Botulinum toxin is a neurotoxic protein produced by the bacterium Clostridium botulinum and related species and has the ability to cause mild paralysis. In medicine, botulinum toxin is used to treat a number of muscle disorders, migraines, excessive sweating and some allergic symptoms. In aesthetic medicine, botulinum toxin is used to relax facial muscles and smooth skin and mimic wrinkles, as well as to correct facial asymmetry. Botox Cosmetic and Vistabel (in Europe) are trade names for botulinum toxin type A (onabotulinumtoxinA) from the American pharmaceutical company Allergan.

ботокс или филър

What is a hyaluronic filter?

Hyaluronic acid is an important structural component of articular cartilage and an essential building block of the deep layer of our skin – the dermis.  It is responsible for the smoothness of the skin due to its ability to bind large amounts of water molecules. Hyaluronic acid is able to bind water in an amount that is 1000 to 4000 times its own weight. This is much more than other natural or man-made substances can bind. In aesthetic medicine, hyaluronic fillers are used for lip augmentation, cheekbone shaping, wrinkle filling, chin contouring, non-surgical rhinoplasty, and overall facelift.

Botox or filter injection areas

Botulinum toxin

Hyaluronic filter

ботокс или филър

Botulinum toxin reduces wrinkles that appear when lifting the eyebrows

Botulinum toxin softens wrinkles around the eyes when we laugh

Botulinum toxin smooths the skin in between the eyelids to minimize wrinkles

Botulinum toxin smoothes wrinkles on and around the nose when we laugh

Fillers can add volume to correct a tired look or bags under the eyes

Filters can add volume
in the cheekbone area to shape the face

Fillers can soften deep creases around the mouth for a more youthful appearance

Fillers can smooth fine vertical lines on the lips or add volume for juicier and better shaped lips

Direct comparison of botulinum toxin and hyaluronic acid filters

Botox or filter - for what age are they suitable?

Botox – botulinum toxin can be started as early as 20-25 years of age to prevent mimic wrinkles. After the age of 65, botulinum toxin injections are not recommended for aesthetic purposes.

Filer – there are no age restrictions when placing hyaluronic fillers for aesthetic purposes

Botox or filter - which is the better procedure?

Botox – botulinum toxin blocks the work of the muscles in the injection area. It is used to relax expression lines (those that appear when we laugh, for example).

Botox – botulinum toxin blocks the work of the muscles in the injection area. It is used to relax expression lines (those that appear when we laugh, for example).

Botox or filter - which areas are injected?

Botox – botulinum toxin is usually placed in the upper third of the face – the “crow’s feet” wrinkles, between the eyebrows and forehead.

Filer – hyaluronic fillers are most commonly placed in the middle and lower third of the face – to fill in fine lines and wrinkles, correct lips, for volume loss and lifting.

Botox or filter - are they suitable for treating wrinkles?

Botox – botulinum toxin relaxes the musculature in the injection area and smoothes the expression lines that appear when we laugh, for example.

Filter – the hyaluronic filter replenishes the consumed hyaluronic acid in the subcutaneous depressions, filling and smoothing static wrinkles on the skin surface.

Botox or Filler - are they suitable for aesthetic corrections and adding volume?

Botox – by relaxing or blocking certain muscles with botulinum toxin, skilled injectors can lift eyebrows, nose or correct certain asymmetrical facial conditions.

Filter – the hyaluronic filter directly adds volume to the injection area. It is used for lip correction or augmentation, cheekbone shaping, chin contouring, full facelift or non-surgical rhinoplasty.

Botox or filter - what is the durability of the result?

Botox – the result of botulinum toxin injection develops gradually and after 14 days it reaches its maximum. Depending on your individual characteristics, it is retained for a period of 3 to 6 months.

Filter – the result of the injection of the hyaluronic acid filter is instantaneous and depending on the rate at which your body consumes the hyaluronic acid is retained between 6 and 12 months.

Botox or filter - what is the role of the injector?

The aesthetic dermatologist who inserts botulinum toxin or a filler is called an injector. It is very important that he or she correctly estimates the number of units of Botox in order to produce an essay-looking result.

The injector is an “artist” who “paints” on your face with the hyaluronic filter. A good injector will assess your face thoroughly and know where to place the right amount of filter to achieve the desired effect.

Botox or filter - what is the cost of the procedure?

Botox – the injection of one unit of botulinum toxin costs between 11 and 14 leva and to relax the forehead, for example, need up to about 20 units. For the most commonly done areas we also have a price per area which is 250 BGN.

Filer – the highest grade of hyaluronic fillers are Juvederm’s Vycross fillers – between 600 and 700 BGN, as they integrate best into the skin, giving the most natural and long-lasting result, thanks to Vycross – hyaluronic acid cross-linking technology.
There are also cheaper fillers on the market that do not integrate as well into the skin and can migrate outside the injection area.

Can botulinum toxin and hyaluronic acid be used together?

In fact, the best wrinkle treatment results are achieved when botulinum toxin and hyaluronic acid are used together in one treatment. The botulinum toxin blocks the mimic wrinkles and the hyaluronic filter fills in the existing ones. Thus, a comprehensive and long-lasting result is achieved.

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