Can I Get Botox® and Fillers at the Same Time?

You’ve decided that 2025 is your year to go wrinkle-free, and you’re ready to schedule your treatment — but which one should you choose?

At Holladay Dermatology & Aesthetics, Dr. Robert Topham and our expert team can help you navigate your options. We explain when and why to choose fillers or Botox® and when to consider both simultaneously. 

Botox and fillers: Two different approaches

Any search for wrinkle-reduction treatments leads you to Botox and fillers. You see them mentioned together so often that you think they do the same thing — but they’re very different treatments that work very differently.

Botox

Botox is a purified botulinum toxin. It blocks your nerve signals and relaxes your facial muscles. When your muscles relax, they stop creasing your face when you make repeated expressions like smiling or squinting. 

We use Botox to treat crow’s feet and forehead lines, but we’re careful to preserve your ability to express emotions. In the wrong hands, Botox can freeze your face, but our experience and medical training enable us to smooth your wrinkles without affecting your natural expressions.

Botox subtly refreshes your face over several days and lasts three to six months. 

Fillers

On the other hand, fillers tackle different concerns. As you age, your skin loses that youthful plumpness. 

Fillers like Juvéderm®, which contain hyaluronic acid, restore volume to areas like the cheeks and lips. 

Belotero Balance® helps with fine lines around your mouth by integrating into your skin’s structure.

Radiesse® not only boosts volume but also stimulates collagen production for long-lasting benefits.

Fillers deliver immediate results that can last from six months to two years, depending on the product used and area treated. 

What kind of wrinkles do you have?

Wrinkles fall into two main categories: dynamic and static. Understanding these helps determine whether Botox, fillers, or both are right for you. 

Dynamic wrinkles

Dynamic wrinkles form from muscle movement when you frown or laugh. Botox is the go-to treatment here. It temporarily relaxes those muscles, preventing new lines and softening existing ones.

Static wrinkles

Static wrinkles are a different story. They appear due to aging factors like loss of collagen and elasticity. These lines don’t disappear even when your face is at rest — enter fillers, which plump up your skin, fighting gravity and time.

For those stubborn wrinkles that fall into a gray area, a combination approach is just the ticket.

Using Botox to ease muscle tension and fillers to restore plumpness, you can tackle deeper lines and areas prone to volume loss for smoother, fuller skin. 

When and why to combine Botox and fillers

While Botox and fillers each have their strengths, using them together maximizes benefits. We recommend a combined approach if you want a comprehensive anti-aging treatment. This dynamic duo offers significant advantages.

First, this combo saves you time. Instead of separate sessions, one appointment addresses multiple issues, reducing your downtime. 

Next, combining Botox and fillers leads to a more natural and balanced look. Botox reduces the intensity of muscle contractions, while fillers smooth and plump, giving you a softened appearance — so you get the best of both worlds.

Finally, Botox and fillers have a synergistic effect. Botox’s relaxation effects prevent the creation of new dynamic lines, prolonging the life of the fillers. 

If you’re ready to give your wrinkles a one-two punch with Botox and fillers, call Holladay Dermatology & Aesthetics and make 2025 a year without wrinkles.