Botox or Fillers?

I just turned 60 and I think its finally time for my first cosmetic procedure.  Although I probably need both, what is the better option for me?


F, 64, Saskatchewan

First and foremost, it depends on your area of concern. If it's forehead lines and crows feet, I'd recommend Botox. Botox lasts for about 3 months, is minimally invasive with small injections at various muscle locations. Essentially Botox temporarily paralyzes muscle from acting under the area of the skin to cause the wrinkles. If hollow eyes or fallen cheeks are your concern, fillers are used. Volume loss is an issue not fixed with neurotoxins like Botox. Most fillers are made up of hyaluronic acid, which is already found in our joints. Cheek fillers, like Voluma, can last up to 18 months in some studies and aid in rejuvenating the ace. Finally, Botox and fillers can only do so much if the skin quality is poor. Appropriate sunscreen, moisturizers and even growth factor products will help to improve the quality of the skin impacted by gravity, photodamage (sun) and age.

Thank you GreenEyedGirl! I have green eyes too :)

I agree with GreenEyedGirl. Once you reach a certain age, it's typically not one or the other. Both Botox and fillers serve their purpose. Botox is a paralytic and will prevent deeper lines from forming by freezing your muscles. Filler is used to fill in deeper lines and replace volume in your face. As we age, our faces go from being pear-shaped to apple-shaped. Filler will help replace the volume lost in your cheeks and fill in the deep lines on your forehead. 

Thank you StarFlight!