11 Jul 2024 | by Dr. Vickram Tandon

The last decade has seen an explosion in non-surgical techniques to address aging skin and tissues. Patients want effective procedures for turning back the clock that have minimal downtime. One of the most popular options for my Boston area patients continues to be injectables. This is a category that includes both dermal fillers and neurotoxins. Many patients, however, don’t understand that there is a difference between Botox® and fillers. While I often use the two in tandem as they work synergistically, dermal fillers and neurotoxins perform two totally unique functions. Here’s a primer on the fundamental difference between Botox® and fillers.

Botox® Reduces Muscle Activity

The primary objective of any injectables procedure is to improve some of the earliest signs of facial aging such as:

  • Fine lines
  • Wrinkles
  • Volume loss
  • Moderate skin laxity

A neurotoxin, like Botox® or Dysport®, works by temporarily relaxing the underlying muscles in the treatment area. With less muscle contraction or activity, there is less stress and pulling on the surface of your skin. The end result is a visible reduction in fine lines and wrinkles and a smoother, more youthful-looking countenance.

Dermal Fillers Increase Volume in Boston

Dermal fillers, on the other hand, work by replacing and/or creating volume. This can make them ideal for addressing:

  • Deeper lines and wrinkles
  • Sunken cheeks
  • Under-eye circles
  • Weak chin
  • Hollow temples
  • Lack of fullness in the lips

At Boston Center for Plastic Surgery, we offer our patients a wide range of dermal fillers. The right one is going to depend on your anatomy and needs. For example, a fine line requires a filler with a smaller-sized molecule than a bigger hollow area in your mid-face or cheek. This is why it is critical to see a really experienced injector such as myself. Furthermore, as a plastic surgeon, I have the training and expertise to assess whether or not an injectables procedure is going to actually deliver on your goals. While everyone wants a non-surgical solution, there comes a point where skin laxity is best addressed surgically. I am always honest about what you can expect to achieve from any given procedure so that you can make the best decision for you.

To find out more about dermal fillers, neurotoxins, or any other surgical or non-surgical procedure with Dr. Vickram Tandon at the Boston Center for Plastic Surgery, contact us today or call 617-402-2768 to schedule a consultation.


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