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Saturday 18 January 2020

Botox Vs Fillers: Which is the best treatment for you?

Science bit: Botox is popular now, but could be overtaken by more radical procedures.
Science bit: Botox is popular now, but could be overtaken by more radical procedures.

Sasha Brady

Blame our image-obsessed culture, the Internet, the media, the Kardashians or even yourself for caring too much when you know better, but the truth is we’re obsessed with slowing down the ageing process.

The popularity of injectables has been on the rise for over a decade and while Botox is still the number one treatment of choice for those looking to stop the clock, dermal fillers are becoming a favourite with people looking for more subtle results.

Knowing the difference between treatments and how to use them is a job for the pros so we spoke to Dr Kuldeep Minocha of Absolute Clinic in London's Harley Street to give us the details and this is what we learned.

Botox Vs Fillers: What's the difference?

Botox is the brand name of a specific botulinum neuroxin. It's injected into the muscles that control facial movement. It prevents contractions, therefore allowing fine lines or wrinkles to fade or disappear.

Fillers are colourless gels that are injected into the areas of facial tissue in which moderate to severe folds or loss of volume occur. They temporary add volume to the targeted facial areas, restoring a smoother and plumper appearance to the face.

Fillers like Restylane is considered one of the best on the market, according to Dr Minocha it's the "gold-standard" of dermal fillers.

It consists of a highly purified form of hylauronic acid which is naturally found in the body and is used to bind collagen with elastin, which is what gives the skin its stretch.

When to use Botox or fillers?

Dr Minocha explains that Botox is best for hitting those crease points but deep lines that permanently appear, regardless of our facial movements, require fillers.

So simply, Botox is used for lines of expression and fillers are used for lines at rest, as well as accentuating contours and improving the overall appearance of the skin.

Where to use Botox or fillers?

So yesteryear: Close up of woman receiving botox injection in lips

Wrinkles appear with age as we lose collagen, elastin and muscle tone. The first place to show signs of ageing is the nasial labia folds (the area from the nose to the corners of the mouth); the marionette lines (the area from the corners of the mouth to the chin), under-eye area and glabeller lines (in between the eyebrows).

Botulinum toxin is best used in areas of facial expression such as crow's feet, and glabellar lines, while fillers are best used to fill in volume in the fat pads of the face – around the eyes, and in the cheeks or lips.

Fillers can also be used to improve the overall appearance of the skin, accentuate contours and enhance the symmetry of the face by adding definition to areas such as the chin, jawline and lips.

How long do the results last?

Botox can last between three to six months while fillers can last between six months to a year in the skin and three in the lips.


Some people experience minor discomfort during the injection of fillers and Botox. Topical anesthetics applied to the skin before the procedure can minimise pain. Slight bruising and swelling can occur afterwards.

Dublin's Therapie Clinic have introduced micro-fine needles, which can make getting treatments such as Botox practically pain free and greatly reduces the chance of bruising. These painless needle treatments are making anti-wrinkle treatments more accessible to people who have a phobia of needles.

The most important advice?

"Seek out a board-certified professional and do your research," wanrs Dr Minocha.

"The results should be subtle enough that people wonder if you've changed your make-up or perhaps you've just returned from a relaxing holiday.

"Remember you want to look like the best version of yourself. The results should be subtle, nobody should be able to know that you've had work done. You don't want to turn the clock back 20 years. You should look like you... only fresher.

He explains that facial treatments should complement your overall appearance.

"I once had a girl request lip fillers and I had to refuse. Yes she had small lips but they suited her face beautifully. If I had enhanced her lips it would have ruined the symmetry of her face, making her look almost cartoonish," he explains.

A good doctor will evaluate the entire face and help you select the best treatment for your skin, desires, budget and facial symmetry.

Dr Minocha recently introduced progressive new training in Restylane and fillers for the medical team at Thérapie Clinic.

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