Can You Do Botox and Fillers at the Same Time?



TL;DR: Neuromodulators interfere with nerve signals to muscles, temporarily immobilizing them, while dermal fillers physically plump and lift the skin by restoring lost volume. They both result in smoother, more youthful-looking skin.

* Take note that this blog is purely for educational purposes. During your consultation, you can get more personalized details and clarification.


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ACHIEVING the right balance is key for natural-looking results when it comes to injectables – Nuceiva, Botox, fillers, you name it.

For example, Botox is well known for smoothing out wrinkles; dermal fillers are a fan favorite for restoring volume and plumping up the skin.

But what if you could have both? Can you do Botox and fillers at the same time?

At Delta Laser and Skin Centre, located in Delta, British Columbia, we’ve seen how combining neuromodulators such as Nuceiva or Botox with fillers can do wonders to refresh and rejuvenate the skin.

In this blog post, we’ll explore how neuromodulators paired with fillers can work wonders for giving your face a fresh look.




Neuromodulators vs Fillers: How Do They Work?

You have likely heard of Botox, but what you may not realize is that Botox is just a brand name for neuromodulators. The way we refer to Kleenex when speaking of tissues, Botox is a household name.

Common FDA-approved neurotoxins are:

  • Nuceiva
  • Dysport
  • Xeomin

But beyond working to relax muscles, leading to smoother overlying skin, neuromodulators also address other medical concerns such as jaw clenching and excessive sweating (hyperhidrosis).

On the other hand, fillers are substances designed for injection into the skin to restore lost volume, resulting in a more youthful and rejuvenated appearance. Because they are compatible with our body’s biology, they are well tolerated with minimal risk of causing adverse reactions.

Common filler materials are:

  • Hyaluronic Acid: Restylane, Juvéderm, Revanesse, Teosyal
  • Poly-L-Lactic Acid (PLLA): Sculptra
  • Calcium Hydroxylapatite (CaHA): Radiesse

Apart from filling up areas of low volume in the skin, certain types of fillers have an extra function.

For example, PLLA stimulates collagen production in the skin to provide more structural support to the skin; hyaluronic acid fillers attract water molecules, leading to increased hydration in the treated area and further volume restoration.

Check out more Before and After photos for Botox or Fillers.




Neuromodulators vs Fillers: What and Where Do They Treat?

It might come as a surprise, but there are actually different kinds of wrinkles on your face, and guess what? They need different ways to fix them.

That’s where neuromodulators and fillers come into play.

Dynamic wrinkles form due to constant facial expressions, such as smiling (causing crow's feet) and frowning (causing what we call 11’s).

 before and after botox face-2


before and after botox face-1

(Before and After: Botox)


To treat this, we inject neurotoxins in controlled quantities into the active muscles causing the lines. This temporarily blocks nerve signals and, by effect, relaxes the muscles and reduces the appearance of these dynamic wrinkles.

On the other hand, static wrinkles are caused by volume loss in the face. Fillers are used to restore volume in these areas and fill in these static lines.

before and after filler

(Before and After: Fillers)




Can You Do Botox and Fillers at the Same Time?

One word: yes.

While fillers work to plump up the skin, neurotoxins work to relax facial muscles — the combination yielding remarkable results.

But here are other benefits you may not have realized:

  • Fewer treatment sessions: By getting these treatments as a combination, you can spend less time in the clinic and more time on your regular activities. It’s a time-saving hack to feeling and looking your best. So why not take advantage?
  • Minimal downtime: Closely related to the above point, you can get half the cumulative time spent on healing. Although these treatments already have minimal downtime, this combination means you can avoid extended breaks from your everyday life. No prolonged recovery periods and no disruptions to your busy schedule.
  • Comprehensive treatment: This duo takes on wrinkles from all angles. Neurotoxins tackle dynamic wrinkles brought about by repetitive muscle movement (crow’s feet, frown lines etc.), while fillers can address static wrinkles (laugh lines, marionette lines, nasolabial folds etc.).
  • Natural-looking results: Ultimately, what happens is that this combination creates a more balanced and harmonious look because it syncs both effects.
  • Overall satisfaction: At the end of the day, what matters to us is your overall satisfaction.




Possible Side Effects of Neuromodulators and Fillers

Although mostly safe, these treatments are associated with certain side effects, which are important for you to note.

Different studies have shown the potential temporary side effects of neuromodulators and fillers, but here’s a summary of what you need to know:

  • Swelling at the site
  • Redness at the site
  • Tenderness (pain on touching the site)
  • Bruising
  • Allergic or hypersensitivity reaction

Your treatment provider should be informed of any side effects promptly.

At Delta Laser and Skin Centre, we ensure you get your injections from only qualified, board-certified injectors. For example, some of the measures we take include taking a comprehensive medical history and giving a test dose to ensure there are no reactions.




Try Our Complimentary Consultation at Delta Laser

It’s all about achieving a balanced look that feels just right.

Using both neuromodulators, such as Botox, and fillers together can make a big difference in how you look and feel; it’s a winning combination for your face!

We understand concerns about “looking too frozen” and that’s why we address this by listening to your skin goals and not over-injecting.

Here’s an extra tip from our experts:

“For both fillers and neuromodulators, you can't exercise for 24 hours after the procedure. You can do your usual skincare routine but don’t rub the area(s) too much.”

Whether you’re ready to get started with this treatment combo (or even separately) or need more clarification, you can take advantage of our complimentary consultation offer to you.

Get in touch today, and let’s explore your options towards an even more confident and refreshed version of yourself.

Get your complimentary consult here

FILED UNDER: Delta Laser


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