Botox versus Filler

Posted by Dr. Orin Zwick

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Oct 9, 2014 11:49:01 AM

What is the difference between Botox and filler? This is a very reasonable question since they are both used to treat facial lines and wrinkles, but there is in fact, a difference between them.

Botox versus Fillers



Botox and its competitor, Dysport, are made from the botulinum neurotoxin, which blocks the action of nerves on muscles. Botox and Dysport are used to treat dynamic wrinkles. Dynamic wrinkles are the wrinkles caused by muscle activity. They are the wrinkles you see when you animate your facial muscles, such as the "11" between your eyebrows when you frown or the lines across your forehead when you look up or raise your eyebrows. The smile lines in the corner of your eyes, also known as crow's feet, are another good example of dynamic wrinkles.

What are fillers? 

Fillers on the other hand, are used to increase the volume of tissue underneath lines and folds. Usually administered to the lower half of the face, fillers are commonly used on the creases that run from the nose to the mouth (nasolabial folds). They can also be used to enhance cheekbones, lips and the area under the eyes. Fillers are used to treat lines that develop in tissues that are normally at rest, versus those treated by the neuromodulators as a result of overuse.

Why you should see an Oculoplastic surgeon for Botox treatments

An oculoplastic surgeon specializes in cosmetic, corrective, and reconstructive surgery of the structures surrounding the eye. These structures include the eyelids, tear ducts and orbit (bony socket surrounding the eye). Oculoplastic surgeons are board-certified ophthalmologists who have completed several years of additional, highly specialized training in plastic surgery. Because of this advanced training, they are especially qualified to assess the impact of the eyelids on the health of the eye.  When it comes to cosmetic treatments, such as Botox®, having a doctor with this level of expertise and knowledge, is reassuring to people.  If you are considering Botox® treatments, make sure your doctor has the experience and qualifications to give you the results you want.

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Topics: Cosmetic


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Dr. Orin M. Zwick joined the practice in 2006. As a partner at Chesapeake Eye Care and Laser Center, his specialty is Oculofacial Plastic and Reconstructive Surgery. This specialty encompasses medical management and cosmetic and reconstructive surgery of the structures surrounding the eye. Dr. Zwick performs surgery of the eyelids and eyebrows when there is drooping skin or weak muscles, eyelid malpositions including lids turning inward or outward, and removal and repair of benign or malignant eyelid lesions. He also treats tear duct (lacrimal) problems that can cause watering eyes or infections, difficulty closing eyes from problems such as facial nerve palsy, spasms of the eyelids, orbital inflammatory problems such as thyroid eye disease, orbital fractures and orbital tumors. He also performs non-surgical cosmetic enhancements such as Botox injections and dermal facial fillers.

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