Filler vs. BOTOX®: When Should You Use Each?

By: Dr. David Alonso

11/22/2025

If you're looking to smooth out wrinkles and restore a more youthful appearance, cosmetic injectables offer a powerful, nonsurgical solution. With so many products available, you may be wondering what the differences are between them. While both JUVÉDERM® dermal fillers and BOTOX Cosmetic address signs of aging, they work in very unique ways. We recommend choosing fillers when you want more volume and plump skin. BOTOX is better for treating wrinkles caused by facial expressions, such as frowning and smiling.  

At Amour Medical Aesthetics, Dr. David Alonso can help you understand which treatment is right for your cosmetic goals. Call now to book a consultation in Chico, CA. 

What is BOTOX Cosmetic? 

BOTOX Cosmetic is a trusted injectable that targets dynamic wrinkles, or the lines that form from facial expressions, like smiling, frowning, or squinting. It works by relaxing the underlying facial muscles, which softens the appearance of expression lines. This treatment is particularly effective for smoothing out frown lines between the eyebrows, creases in the forehead, and Crow's feet around the eyes. Because BOTOX targets the muscular activity that causes these wrinkles, it provides a refreshed and relaxed look. 

What are JUVÉDERM dermal fillers? 

Dermal filler products are designed to address a different sign of aging: volume loss. As we age, our bodies lose collagen and hyaluronic acid, leading to hollowed cheeks, thin lips, and deep facial folds. JUVÉDERM dermal filler is a smooth gel that restores volume and structure to these areas. It's excellent for plumping lips, filling in smile lines (also known as nasolabial folds), and adding contour to the cheeks. By adding volume beneath the skin, fillers create a fuller, smoother, and more youthful contour. 

Comparing treatments: Which is right for you? 

Choosing between BOTOX Cosmetic and JUVÉDERM dermal filler depends on your specific concerns. If you want to smooth out creases caused by muscle movement, like frown lines, BOTOX is the ideal choice. However, if your main concern is volume loss, such as deep nasolabial folds or thinning lips, then a dermal filler is the better option. During a consultation at our office in Chico, CA, Dr.  Alonso can evaluate your facial anatomy and recommend a cosmetic injectables to help achieve your desired outcome. 

Can you combine fillers and BOTOX? 

Yes, you can! In fact, combining BOTOX and fillers is a popular approach known as a "liquid facelift." This technique allows for comprehensive rejuvenation by addressing both dynamic wrinkles and volume loss at the same time. For example, Dr. Alonso might use BOTOX to smooth your forehead and frown lines while using a JUVÉDERM dermal filler to restore volume to your cheeks and soften your nasolabial folds. This combination creates a balanced, natural-looking result that revitalizes your entire appearance without the need for surgery. 

Look and feel your best 

Whether you're interested in BOTOX Cosmetic, fillers, or a combination of both, the first step is a professional consultation. Dr. David Alonso and the team at Amour Medical Aesthetics in Chico, CA, are here to guide you. We can listen to your goals, answer all your questions, and create a personalized treatment plan with the right cosmetic injectables. Contact us for an appointment and discover how we can help you look and feel your best.

* All information subject to change. Images may contain models. Individual results are not guaranteed and may vary.