Botox vs. fillers: Uses, effects, cost and differences

Botox vs. fillers

Injections of Botox Cosmetic (onabotulinum toxin A) and dermal fillers, commonly known as “Botox vs. fillers,” are common cosmetic procedures. They could be administered while you’re at the workplace. Additionally, they typically don’t require time for recovery following the procedure.

By smoothing out facial lines, these procedures can help reduce signs of aging. Dermal fillers can also assist with scars and provide more volume to the hands or face. Moreover, various Botox variants with different effects extend beyond just treating wrinkles.

You might have concerns about the safety and effectiveness of these treatments. We’ll discuss the various applications, risks, side effects, and costs of Botox and dermal fillers below.

What is Botox?

Botox before after

The injectable drug known as Botox Cosmetic (onabotulinumtoxinA) is derived from the toxins of the Clostridium botulinum bacteria. This toxin can lead to botulism, a dangerous infection, when consumed in large quantities. However, Botox injections are only used on specific muscles and are administered in extremely small amounts. Therefore, if the injections are given correctly, the likelihood of botulism is quite low.

Botox works by temporarily preventing the contraction of the muscle where it is injected, as it blocks nerves. It is commonly used for cosmetic purposes to smooth out wrinkles on the face.

Some alternatives to Botox Cosmetic include Jeuveau (prabotulinumtoxinA-xvfs), Xeomin (incobotulinumtoxinA), and Dysport (abobotulinumtoxinA). All of these can be used to address facial wrinkles.

What are dermal fillers?


Dermal fillers are subcutaneous injections used to add volume to the hands and face, effectively smoothing out wrinkles. There are options for dermal fillers that provide both temporary and long-lasting results. Instead of being classified as drugs, they are considered medical devices.

Some fillers are designed to be temporary, as the body will naturally break down and absorb the injected ingredients over time. FDA-approved fillers typically consist of one of the following three materials: poly-L-lactic acid (PLLA), calcium hydroxylapatite, or hyaluronic acid.

Hyaluronic Acid Fillers:

  • Description: Composed of a substance naturally found in the skin.
  • Examples: Juvederm, Restylane, Belotero.
  • Purpose: Adds volume, smoothens wrinkles, and enhances contours.

Calcium Hydroxylapatite Fillers:

  • Description: Contains calcium-based microspheres suspended in a gel.
  • Example: Radiesse.
  • Purpose: Fills deeper lines and stimulates collagen production.

Poly-L-Lactic Acid Fillers:

  • Description: Synthetic material that stimulates collagen growth.
  • Example: Sculptra.
  • Purpose: Gradual, natural-looking results for facial volume restoration.

Polymethyl Methacrylate (PMMA) Fillers:

  • Description: Contains tiny, non-absorbable PMMA microspheres.
  • Example: Bellafill.
  • Purpose: Provides long-lasting support by creating a matrix under the skin.

Autologous Fat Injections:

  • Description: Uses the patient’s own fat harvested through liposuction.
  • Purpose: Adds volume and can enhance contours using the patient’s natural tissue.

Platelet-Rich Plasma (PRP) Fillers:

  • Description: Utilizes the patient’s own blood plasma enriched with platelets.
  • Purpose: Stimulates collagen and can enhance the effects of other fillers.

Polycaprolactone (PCL) Fillers:

  • Description: Biodegradable synthetic polymer.
  • Example: Ellansé.
  • Purpose: Provides immediate results and stimulates collagen production.

Always consult with a qualified healthcare professional to determine the most suitable type of dermal filler for individual needs and goals.

What are the differences between Botox and dermal fillers?

CriteriaBotoxDermal Fillers
CompositionBotulinum toxin type AHyaluronic acid, calcium hydroxylapatite, poly-L-lactic acid, etc.
FunctionTemporarily paralyzes muscles to reduce wrinklesAdds volume to plump skin and smooth wrinkles
Treatment AreasForehead lines, crow's feet, frown linesVarious facial areas, including cheeks, lips, and nasolabial folds
Mechanism of ActionBlocks nerve signals, inhibiting muscle movementFills and plumps, providing volume and reducing the appearance of wrinkles
Onset of ResultsTypically within 3-7 daysImmediate, with optimal results visible in 1-2 weeks
Duration of Effects3-6 months, varies by individualVaries by type, lasting from several months to over a year
Repeat TreatmentsRegular intervals for maintained effectsPeriodic touch-ups to sustain results
Safety ConsiderationsGenerally safe when administered by a qualified professionalPotential side effects include swelling, bruising, and redness, but generally considered safe
PurposeTargets dynamic wrinkles caused by muscle movementAddresses both static and dynamic wrinkles by adding volume
FDA-Approved BrandsBotox, Dysport, XeominJuvederm, Restylane, Radiesse, Sculptra, etc.

Note: This table provides a general overview. It's important to consult with a healthcare professional to determine the best course of treatment for your individual needs.

The cost of both Botox and dermal fillers can vary based on several factors, including the type of treatment, the geographic location of the clinic, the experience of the healthcare professional, and the amount of product needed. Here’s a general overview:

Botox Treatment Cost In Bangalore:

  • Cost is typically calculated per unit of Botox used.
  • On average, the cost per unit ranges from Rs. 827.61 to Rs. 1655.21
  • The total cost depends on the number of units required for the desired treatment area.

Dermal Fillers Cost in Bangalore:

  • Cost varies based on the type of filler used and the amount needed.
  • Prices generally range from Rs. 15,000 to Rs. 25,000 per syringe.
  • Multiple syringes may be required for comprehensive facial rejuvenation.

Side effects

Side EffectBotoxDermal Fillers
Common Side Effects- Temporary bruising at injection site- Temporary redness and swelling
- Headache- Bruising
- Mild pain or discomfort at injection site- Itching or rash
- Temporary weakness or drooping of muscles- Tenderness or lumps at injection site
- Flu-like symptoms (rare)- Discoloration or changes in skin texture
Less Common Side Effects- Allergic reactions (rare)- Infection at injection site (rare)
- Nausea (rare)- Nodules or granulomas
- Fatigue (rare)- Migration of filler to unintended areas
Serious Side Effects- Difficulty swallowing or breathing (extremely rare)- Severe allergic reactions (extremely rare)
- Spread of toxin to distant areas (extremely rare)- Vascular occlusion (extremely rare)

The preceding list is not exhaustive, and side effects can vary by person. Additionally, treating with a skilled medical practitioner helps reduce side effects. Consult a doctor for personalized advice and side effects.

The bottom line

The bottom line is that both Botox and dermal fillers are popular cosmetic procedures that can effectively address signs of aging, but they work in different ways and have distinct applications. Understanding the key differences and potential side effects is crucial for making informed decisions. Consultation with a qualified healthcare professional, such as Dr. Pavithra HN at Aarna Clinic in Jayanagar, is recommended to determine the most suitable treatment plan based on individual goals and concerns. Always prioritize safety and choose a reputable practitioner for these cosmetic interventions.



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