How to Tell If You Need Filler, Botox, or Both

When considering cosmetic injectables for facial rejuvenation, it’s essential to understand the differences between Botox and filler.

Botox is a neuromodulator that temporarily relaxes muscles, smoothing out wrinkles that result from repeated facial expressions like frown lines or crow’s feet. In contrast, dermal fillers restore volume to thinning areas due to aging, such as the cheeks, lips, and under the eyes.

If you are seeking the best non-surgical facial rejuvenation, understanding the role of cosmetic procedures can help you make the best choice. 

Do I Need Botox or Filler?

Choosing between Botox and filler depends on the specific signs of aging you are experiencing.

Botox is typically recommended when fine lines and wrinkles appear due to muscle movement. Common treatment areas include the forehead, around the eyes (crow’s feet), between the brows (frown lines), across the nose (bunny lines), and the chin, where dimpling can occur. Botox relaxes these muscles, smoothing the skin for a refreshed look.

Fillers, on the other hand, are ideal when volume loss becomes noticeable. You might need injectable dermal fillers if you observe sunken cheeks or temples, thinning lips, deep nasolabial folds, marionette lines around the mouth, or hollow areas under the eyes. Fillers restore youthful fullness and soften deep facial lines, helping to enhance your natural contours.

Understanding how to choose between filler and Botox often depends on whether your primary concern is wrinkles caused by expression or loss of facial volume. Both offer excellent wrinkle treatment options with minimal downtime.

When a Combination of Botox and Filler Is Best

Botox and filler combination treatments often produce the most natural and effective results. They allow for a comprehensive approach to facial rejuvenation, addressing both dynamic wrinkles and areas of volume loss.

For example, someone might use Botox to relax forehead lines while using fillers to lift and contour sunken cheeks. Another common combination is treating crow’s feet with Botox while using fillers to correct hollowing under the eyes.

Knowing when to combine Botox and filler depends on the pattern and severity of aging. A skilled provider can personalize your treatment plan for the most balanced and refreshed results.

Benefits of Professional Assessment

While online research can be helpful, nothing replaces a professional evaluation. A consultation ensures the correct combination of cosmetic injectables is chosen based on your facial anatomy, skin quality, and aesthetic goals.

At Westchester Cosmetic Dermatology, we specialize in personalized wrinkle treatment options. Whether it’s Botox, fillers, or an alternative like Dysport, our goal is to create natural, long-lasting results tailored just for you.

Dr. David Kriegel, our lead provider, was selected by his peers as a 2024 New York Super Doctor after an extensive nomination and research process conducted by MSP Communications. The results were published in New York Super Doctors, a special section of the May 4, 2025 issue of The New York Times Sunday Magazine.

His expertise ensures you receive the highest level of care and the most natural-looking outcomes.

Refresh Your Look: Schedule Your Consultation

If you’re considering facial rejuvenation but unsure where to start, schedule your consultation today.

Our team of expert providers will help you decide whether Botox, fillers, or a custom combination will give you the best, most natural-looking outcome.