Pure Health Aesthetics & Wellness

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Beautiful young woman getting botox cosmetic injection

Botox vs. Filler

What’s the Difference and Which Is Right for You?

When it comes to achieving a youthful, refreshed appearance, two of the most popular treatments in the aesthetic world are Botox and dermal fillers. You’ve probably heard both terms used interchangeably, but while they may seem similar, they actually serve very different purposes. So if you’re considering using into injectables, understanding the difference between Botox and fillers is key to choosing the treatment that’s right for you.

Let’s break it down.

What Is Botox?

Botox is a neuromodulator made from botulinum toxin type A. While that may sound intimidating, Botox has been FDA-approved for cosmetic use since 2002 and has a long-standing safety record when administered by trained professionals.

How it works:

Botox temporarily relaxes targeted facial muscles that cause expression lines. Think of the repetitive motion of smiling, frowning, or raising your eyebrows—over time, these motions create wrinkles. Botox helps soften those lines by limiting the movement of the underlying muscles.

Common areas treated with Botox:

  • Forehead lines
  • Crow’s feet (lines around the eyes)
  • Frown lines (between the eyebrows)
  • Bunny lines (on the nose)
  • Chin dimpling or gummy smile

Results & longevity:

You’ll begin to see the effects of Botox within 3–5 days, with full results appearing by day 14. Results typically last about 3–4 months before a touch-up is needed.

What Are Dermal Fillers?

Dermal fillers are injectable gels designed to restore lost volume, sculpt facial features, and smooth out deeper wrinkles. Most fillers are made from hyaluronic acid (HA), a naturally occurring substance in the skin that retains moisture and provides plumpness.

How they work:

Unlike Botox, which affects muscles, fillers work by physically “filling in” areas of volume loss or enhancing facial contours.

Common areas treated with dermal fillers:

  • Cheeks (volume loss)
  • Lips (enhancement and shape)
  • Nasolabial folds (smile lines)
  • Marionette lines (lines that run from the corners of the mouth)
  • Jawline and chin
  • Under-eye hollows (tear troughs)

Results & longevity:

Fillers offer immediate results, and depending on the product and area treated, they can last anywhere from 6 to 18 months. Some thicker fillers used for jawlines or cheeks may last even longer.

So… Botox or Fillers?

Choosing between Botox and fillers really comes down to what you want to achieve:

Your Concern or Goals

Best Option

Fine lines from facial movement (like frowning or squinting)

Botox

Volume loss in cheeks or under-eyes

Filler

Deep folds around the mouth

Filler

Lip enhancement

Filler

Preventative aging

Botox

Jawline sculpting or facial balancing

Filler

In many cases, the best results come from a combination of both treatments. For example, Botox can soften forehead wrinkles, while fillers add volume to the cheeks or lips, creating a full-face refresh.

Are They Safe?

When administered by a licensed and experienced provider, both Botox and fillers are very safe and effective. The key is finding a reputable medical spa or clinic where the injector understands facial anatomy and tailors treatments to your unique features—not a one-size-fits-all approach.

At Pure Health Aesthetics & Wellness, we pride ourselves on delivering natural-looking results that enhance—not change—your appearance. Our team of nurse practitioners and injectors are highly trained and take the time to develop a personalized plan based on your goals.

What’s the Downtime Like?

One of the biggest benefits of both Botox and filler is that they’re considered “lunchtime treatments”—you can return to most daily activities immediately. Minor swelling, redness, or bruising can occur but usually subsides within a few days.

Tip: Avoid strenuous exercise, alcohol, or touching the injection site for 24 hours after treatment.

We Can Customize Your Look with Injectables

If you’re still unsure which treatment is right for you, don’t worry—that’s what we’re here for. During your consultation, we’ll assess your facial structure, talk through your goals, and recommend a treatment plan that enhances your natural beauty while respecting your budget, timeline, and comfort level.

Whether you’re looking for a subtle refresh or a more dramatic rejuvenation, Botox and fillers are powerful tools when used artfully. And when done right, your friends won’t know you had something done—they’ll just say you look amazing.

Ready to look refreshed and feel more confident?

Book a consultation at Pure Health Aesthetics & Wellness today, and let’s create a treatment plan just for you.

Before and After Treatments for Loss of Skin Volume and Wrinkles

RHA Filler

client who received filler in lips

This is a client at Pure Health who received one syringe of RHA filler.  Fillers is best to increase volume in minutes.

Tox Injections

person who received Tox

This is a client who received Tox into the forehead and crows feet area. Took approximately 5 days to kick in.

FAQ about Botox vs Filler

Q: How do Botox and fillers work?

A: Botox relaxes facial muscles to reduce wrinkles caused by movement. Fillers add volume to areas like cheeks, lips, and under the eyes.

Q: Which lasts longer, Botox or fillers?

A: Fillers typically last 6–18 months. Botox lasts about 3–4 months.

Q: Can you get both at the same time?

A: Yes, combining Botox and fillers is common and can offer more complete facial rejuvenation.

Contact Pure Health Aesthetics and Wellness Today

Pure Health ReceptionAt Pure Health, we specialize in providing personalized treatment for each of our clients. See why we’re different right away when you enter our clinic and speak with our knowledgeable team. 

If you are ready to schedule a skin and beauty consultation call or text 614-839-1044. We can’t wait to meet you!