Dallas Botox or Fillers? 5 Things to Consider

Over the course of the past two decades, Botox and fillers have become wildly popular as effective, non-invasive anti-aging procedures. These particular procedures themselves are often confused because the clinical aspects of each are similar and – when administered by a skilled plastic surgeon like Dr. Teotia – they can both erase years in moments. However, these two categories of injectables do serve different purposes and deliver different types of effects. If you’re in or near Dallas, Botox vs facial fillers is a debate we can weigh in on! Here are 5 things to consider to ensure that you achieve the results you’re envisioning.

1. How They Work


Botox, the most commonly-known brand name of injectable botulinum, remains the single most popular type of cosmetic procedure. Botox works by blocking muscle impulses, which results in smoothing of dynamic wrinkles, which are created when we frown, smile, squint, purse our lips or make other facial movements. If you choose Botox, your facial expressions will soften and your dynamic wrinkles will be dramatically reduced.


Fillers like Juvederm, Restalyn, and Sculptra work by replacing lost facial volume, or even creating volume where none previously existed. While they can be used to reduce wrinkles, they are best used if you desire a plumped effect in an area that has lost fullness over the years.

2. Longevity

The effects of Botox can be expected to last anywhere from three to six months, though occasionally a patient will report seeing benefits for up to a year. Botox can be repeated indefinitely on adult patients.

Fillers last from six months to two years, depending on the type of injectable selected for treatment as well as the target area. Though fillers do carry a higher price tag than Botox treatments, the long-lasting effects can mean fewer procedures over time.

3. Treatment Zones

Botox-type injectables are most commonly used to treat areas where muscle movement creates the most dramatic, noticeable lines and wrinkles. Great places to utilize Botox include:

  • Crow’s feet and other eye creases
  • Forehead wrinkles
  • Puckered or “cobblestone” chin concerns
  • Corners of the mouth
  • Frown lines

Facial fillers target regions of the face that are impacted by reduced or inadequate volume. The most common treatment zones for fillers include:

  • Cheeks
  • Lips
  • Smile lines
  • Nasolabial folds
  • Small nose imperfections
  • Acne scarring
  • Lost volume due to low body fat

4. Risks and Side Effects

When performed by an experienced, board-certified plastic surgeon like Dr. Stephanie Teotia, the risks of both Botox and fillers is minimal. However, any effective medical treatment does carry some risk.

Potential Botox Risks

Because Botox does not last as long as fillers, the potential for unpleasant side effects is likewise limited. However, side effects can include some bruising and swelling near the injection site, red or irritated eyes, drooping eyelids, and headaches.

If you are pregnant, nursing, have weakened facial muscles, are suffering from skin concerns or a neuromuscular disease process, Botox may not be right for you.

Potential Filler Risks

There are over a dozen types of filler, each with their own unique clinical niche and intended use. Generally speaking, the potential side effects of fillers include redness, tenderness, bruising, swelling, allergic reaction, itching, scarring, and sores. While long-term swelling occurs only rarely, temporary swelling is common and should be expected. Ice packs will help reduce both swelling and numbness.

Because fillers do work for an extended period of time, the side effects may last longer as well, which is why it’s essential to choose a highly skilled surgeon to perform your filler procedure.

5. What To Expect During and After Your Treatment

Dr. Teotia is an experienced injector of both Botox and fillers, and always performs her injections herself. If you choose injectables, you may be given a topical anesthetic. While most patients do not report significant discomfort during injectable procedures, this initial anesthetic will fully numb the area with a very small needle, ensuring that you will feel only a small pinch during the procedure itself.

Immediately following Botox-type injections, you will not see much of a difference. Depending on your body’s individual makeup, the injection site, and the exact formula used, you can expect to see full results in five to seven days.

If this is your first Botox injection, Dr. Teotia will use a conservative amount of Botox, as she is always careful not to overtreat. If you do need another treatment, Dr. Teotia will adjust your future doses accordingly.

By contrast, fillers look more dramatic immediately after treatment. This is a result of the body’s own swelling and should not be a cause for concern. Within the first week or two after treatment, you will begin to see a more accurate representation of your achieved result.

As with any medical procedure, patients who are in good health will see fewer side effects and better overall results. Take care of your body by feeding it a wide variety of wholesome foods, getting enough sleep, and fully hydrating every day.

Remember that both Botox and facial fillers are excellent treatment modalities for difference parts of the face experiencing different issues, and some patients receive the most benefit by strategically combining these regimens. Before deciding on a course of treatment, take the time to ask Dr. Stephanie Teotia any and all questions. Don’t be afraid to bring a list of questions; Dr. Teotia always wants every patient to make a fully informed choice regarding even routine procedures like Botox and fillers.NOVEMBER SPECIAL: “Giving Thanks and Giving Back” – Bring us a picture of you helping those in need and receive 10% off the surgeon’s fees for your procedure. (Examples include donating your time to projects like: Meals on Wheels, food pantries, homeless shelters, Big Brother/Big Sister programs, and volunteering at your local school or hospital.)