Botox vs. Fillers: Which is Right for Me?

Has your self-confidence taken a hit because of dissatisfaction with your appearance? If so, it’s time to consider the benefits of nonsurgical aesthetic services.

As an experienced aesthetics provider, Susan J. Seman, DO, FACOS, offers several options to refresh the appearance of your face and address wrinkles, creases, and areas of lost volume.

Dr. Seman offers both Botox® injections and a selection of popular dermal fillers to help you achieve your aesthetic goals without the need for incisions or surgery.

Why you have wrinkles, lines, and creases

Getting older causes a variety of changes in the body, including your skin. Collagen is an essential protein in healthy skin, and, as you age, your body produces less of it. You also lose elastin as you get older, so your skin becomes less flexible and begins to sag.

These changes can occur on any part of your skin, but they’re generally most noticeable in your face. Without sufficient collagen and elastin, you can lose significant volume in your face, which can affect its natural contours and overall appearance.

If you smoke or are exposed to environmental pollutants or too much sun, you can develop wrinkles and creases prematurely.

To fight back against the hands of time and restore your youthful vibrancy, we offer Botox and dermal fillers. Dr. Seman performs a comprehensive skin evaluation to determine which treatment is right for you.

How Botox and fillers work

Botox and fillers are both injection treatments that we offer at the office, and they don’t require anesthesia or downtime. However, the products work differently to address specific issues.


Botox is a prescription medication made of a purified form of botulinum toxin, and it targets what are called dynamic wrinkles. These wrinkles develop due to years of making repeated facial expressions. Over time, the muscles that make these facial expressions can begin to stay in a semicontracted state, and thus push up the skin above them to form lines and wrinkles. 

Botox temporarily paralyzes these muscles, causing them to relax, and thus causing the skin above them to smooth out.  You might be a candidate for Botox if you’re bothered by deep-set wrinkles across your brow line or creases and lines around your eyes. Do know that even though specific muscles are temporarily paralyzed, you’ll look natural and won’t have a frozen-face look.

Dermal fillers

Dermal fillers target what are called static wrinkles. These wrinkles largely develop due to environmental factors — such as the sun — and the loss of naturally occurring substances in your skin, such as hyaluronic acid, collagen, and elastin.

Dermal fillers work by adding volume to your face, highlighting your natural facial contours, and giving you a more youthful look. Many fillers are, in fact, made of hyaluronic acid. The gel-like materials in dermal fillers can be used to fill in areas around your cheeks, plump up your lips, and improve your overall facial symmetry.

Choosing the right treatment for you

Dr. Seman spends time discussing your goals and the skin issues that bother you most. She can determine which dermal fillers are a good fit for your needs and can customize a treatment plan just for you.

Fillers can provide results that last for 6-12 months, while Botox results typically last three months or more. Dr. Seman can provide maintenance injections to help you retain your youthful good looks in the months after your initial treatment.

If you’re ready to look younger and refreshed but don’t want surgery, Dr. Seman can help. To learn more, book an appointment online or over the phone with Susan J. Seman, DO, FACOS, today.

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