Can You Get Botox and Filler at the Same Time – Informative Aspects

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

Yes, it is perfectly feasible to receive Botox and dermal fillers in a single appointment. Targeting different aspects of facial aging, the combination of these treatments provides complete anti-aging results, addressing volume loss with fillers and reducing the appearance of dynamic wrinkles with Botox.

As they work through distinct mechanisms and are typically applied to different facial areas, they can be used simultaneously without interference. This strategy allows for a multifaceted approach to rejuvenation, often likened to the effects of a nonsurgical facelift. Utilizing both treatments opens the door to a highly personalized aesthetic plan, addressing unique facial concerns effectively and safely.

Combining Botox and Dermal Fillers

When looking to achieve a more youthful and rested appearance, the strategic pairing of botox and dermal fillers can offer an effective solution. These treatments complement each other, targeting various signs of aging simultaneously by relaxing muscles and restoring lost volume.

Benefits of Combining Treatments

Comprehensive Anti-Aging Results: By combining botox with dermal fillers, patients can experience a non-surgical rejuvenation that addresses multiple signs of aging. Botox effectively softens dynamic wrinkles created by repetitive muscle movements, such as crow’s feet and frown lines. In contrast, dermal fillers restore volume and smooth static wrinkles, like nasolabial folds and marionette lines.

The use of both treatments can result in a more youthful appearance without the invasiveness of surgery. The effects of botox can also extend the longevity of fillers by reducing muscle movement, which typically leads to a quicker breakdown of the filling agents. Together, botox and fillers can provide a balanced and refreshed look that maintains facial dynamics, offering an anti-aging solution that is both effective and subtle.

Customized Treatment Plans: Combining botox and dermal fillers allows for a highly customized approach to facial aesthetics. Each treatment lends itself to different areas and concerns, giving providers the flexibility to adapt the approach according to individual patient needs. Whether a patient looks to enhance the contours of their cheeks, soften deep furrows, or refine lip shape, the options are diverse.

This level of customization extends beyond addressing immediate concerns; it includes consideration of the patient’s long-term aesthetic goals. Providers can design a treatment plan that accounts for the natural aging process and lifestyle factors, ensuring enduring results that grow with the patient over time.

Safety of Combining Botox and Dermal Fillers

FDA Approval: Addressing the safety and effectiveness of combining botox and dermal fillers, it’s important to acknowledge that both treatments are FDA-approved and have been extensively studied. They have well-established safety profiles when administered by qualified professionals and offer predictable results.

FDA approval ensures that both botox and dermal fillers have undergone rigorous testing for safety and efficacy. This reassurance, coupled with personalized consultation and treatment by experienced injectors, effectively minimizes risks and optimizes patient outcomes. It is essential to have these treatments performed in a reputable clinic with experienced professionals to ensure the proper application and safety standards are met.

Minimal Side Effects: The pairing of botox and dermal fillers is notable for its minimal side effects, a major advantage for patients seeking non-invasive cosmetic enhancements. Following treatment, some individuals may experience temporary, mild discomfort at the injection sites, slight bruising, or swelling, all of which typically reside within a few days. These minor effects are often easily manageable and don’t impede daily activities, making the dual-procedure approach as convenient as it is effective. It’s crucial for patients to follow aftercare instructions provided by their practitioner to minimize the chances of any side effects and ensure the best possible outcome.

Optimal Treatment Sequence

Botox First, Then Fillers: There can be an advantageous strategy in addressing the optimal sequence for administering botox and dermal fillers during the same treatment session. By initiating the process with botox, the treatment allows for the temporary relaxation of targeted muscles, creating a smoother canvas. Once the botox has taken effect – typically within a week to two – fillers may then be introduced to address volume loss or static lines with greater precision. This staggered approach can lead to a more refined enhancement, as it permits the injector to fine-tune filler placement in accordance with the newly settled muscular landscape.

Allowing Time for Botox to Take Effect: For those interested in both botox and dermal fillers, there’s merit in waiting for botox to reveal its full effects prior to introducing fillers. This interval allows the skin to attain maximum smoothness as muscle activity diminishes, which can then guide the strategic placement of fillers. In practice, this waiting period – typically around 10-14 days – ensures that the neuromodulator has reached peak performance, therefore ensuring that subsequent filler injections complement the relaxed areas for an harmonious and natural-looking rejuvenation.

Results and Longevity

The intersection of immediate enhancements and enduring results is a defining character of botox and dermal filler treatments, making them a preferred choice for non-surgical facial rejuvenation.

Immediate and Long-Term Results

Smoothing of Dynamic Wrinkles with botox: Botox offers an immediate visual softening of dynamic wrinkles, those formed from repeated facial expressions, with results typically visible within a few days. Over time, with regular treatment, patients may notice a longer interval between sessions as the muscles adaptively relax, thereby extending the youthful appearance of the skin.

Restoration of Volume with Dermal Fillers: Dermal fillers deliver instantaneous volume restoration and contour enhancement, visibly reducing signs of aging. The effects can last from several months to a couple of years, depending on the filler composition. With touch-up treatments, the benefits can be prolonged, allowing individuals to maintain their rejuvenated look.

Factors Affecting Longevity

Individual Metabolism and Lifestyle: The lasting impact of botox and dermal fillers is influenced by individual metabolism rates and lifestyle choices. A faster metabolic rate can lead to a quicker absorption of the product, thus reducing its duration. Lifestyle factors, including sun exposure, smoking, and diet, also play significant roles in how long the rejuvenated appearance will last.

Type and Amount of Products Used: The formulation of the injectable product and the volume administered determines the longevity of the results. Heavier fillers tend to last longer due to slower absorption, and a greater amount injected may also prolong the aesthetic benefits. Subsequent treatments, expertly calibrated in response to these factors, help maintain consistency in the anti-aging effects.

Maintenance Treatments

Botox Touch-Ups Every 3-6 Months: To maintain the smoothing effect on dynamic wrinkles, botox touch-ups are typically recommended every 3-6 months. With regular maintenance, some patients may find that the interval between their touch-ups can be extended as the muscles adapt to a less active state. Consistency in scheduling these touch-ups is key to preserving the anti-aging effects and preventing the full return of expression lines.

Filler Touch-Ups Every 6-18 Months: The schedule for dermal filler touch-ups can range from 6 to 18 months, largely depending on the type of filler used and the area treated. Regular follow-up sessions help sustain volume enhancement and the smoothing of static wrinkles. Over time, as the body naturally absorbs the filler product, touch-ups can refine and adjust the results, maintaining a continuous youthful appearance.

Frequently Asked Questions

How long does the combination treatment take?

The combined botox and filler treatment typically takes between 30 to 60 minutes, depending on the areas being treated.

Is there any downtime after getting botox and fillers together?

There is usually no significant downtime required after botox and fillers; most patients can return to normal activities immediately.

How much does a combination botox and filler treatment cost?

The cost varies widely depending on geographic location, the experience of the injector, and the amount of product used but typically ranges from several hundred to a few thousand dollars.

Are the results of botox and fillers permanent?

No, the results from botox and fillers are temporary, with botox lasting around 3-6 months and fillers lasting anywhere from 6-18 months.

Can I get botox and fillers if I'm pregnant or breastfeeding?

Botox and fillers are not recommended during pregnancy or breastfeeding due to the lack of research in these populations.

Will getting botox and fillers make me look fake or frozen?

When administered correctly by a qualified professional, botox and fillers can enhance appearance while still looking natural and allowing expression.

How often should I get botox and filler touch-ups?

Botox typically requires touch-ups every 3-6 months, and filler touch-ups can range from 6-18 months, depending on the individual and the product used.


Botox and dermal fillers offer an effective avenue for facial rejuvenation with minimal invasiveness and downtime. These treatments address various aging signs, providing customized solutions that align with individual aesthetic goals. For optimal outcomes, seeking consultations and treatment from qualified practitioners and adhering to post-treatment advice is crucial. While the results are not permanent, maintenance treatments help preserve the youthful effects, affirming both botox and fillers as staples in contemporary cosmetic care.

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Moon, H., Fundaro, S. P., Goh, C. L., Hau, K. C., Paz-Lao, P., & Salti, G. (2021). A Review on the Combined Use of Soft Tissue Filler, Suspension Threads, and Botulinum Toxin for Facial Rejuvenation.

Coleman, K. R., & Carruthers, J. (2006). Combination therapy with BOTOX and fillers: the new rejuvnation paradigm.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.