Plastic and reconstructive logo

« Back to Blog

Category: Injectables

Should I Get BOTOX® Cosmetic or Fillers?

Woman sitting on couch holding an electronic tabletWhether to get BOTOX® Cosmetic or injectable fillers is a common question for patients desiring subtle touch-ups to their aging faces. Everywhere you look there are advertisements for BOTOX® Cosmetic and fillers such as JUVÉDERM®. Restylane®, and RADIESSE®, but you may wonder, what’s the difference? The answer is quite a bit. While both types of injectables reduce the appearance of fine lines and wrinkles, they go about it differently, and not all of the areas they treat are the same. The good news is all of them can make you look younger without looking overly-done or overly-made up. When used properly, others may notice or comment on how rested and rejuvenated you look, but they won’t be able to tell that you’ve had anything done.

BOTOX® Cosmetic

BOTOX® Cosmetic, which is derived from botulinum toxin, has long been the gold standard for non-surgical facial rejuvenation. This popular facial injectable reduces the appearance of moderate to severe frown lines between the eyebrows, lines on the forehead, and fine lines and wrinkles on the outside corners of the eyes (crow’s feet) by temporarily paralyzing the wrinkle-causing muscles in those areas. While BOTOX® Cosmetic can also be used to treat lip lines and neck bands, it is most commonly used to combat wrinkles and signs of aging on the top portion of the face.


Fillers can be used to treat multiple areas all around the face. Most fillers, such as the JUVÉDERM® family of injectables, Restylane®, and Perlane®, are made from hyaluronic acid, which is a naturally occurring substance in the body). These fillers provide immediate relief for many aging concerns by filling in areas that have lost volume due to aging. These fillers can treat nasolabial folds (parenthesis lines between the nose and mouth) and marionette lines (lines that run down from the corners of the mouth). Some fillers, such as JUVEDERM VOLUMA® XC, can restore lost volume and fullness to the midface and cheek area, allowing the cheeks to look lifted and youthful. Others such as JUVEDERM® Ultra XC, JUVEDERM VOLBELLA® XC, Restylane® SIlk, and BELOTERO BALANCE® can add volume and fullness to the lips.

Final Thoughts

Both BOTOX® Cosmetic and fillers are often used as a precursor to the more invasive surgical option. Although these injectables provide beautiful results, their results are only temporary, which means repeat treatments are needed to retain your youthful appearance. These procedures are proven non-surgical ways to reduce the signs of aging with little downtime, little pain, and are a fraction of the cost of invasive surgery. Whether small corrections are all you desire or you are simply trying to put off surgery, facial injections of any kind can provide relief from the signs of aging and boost your confidence so your face can shine. However, keep in mind that injectables cannot match the results facial surgery offers. Injectables cannot address more substantial facial aging issues such as excess sagging skin or loose facial muscles. For those with significant facial aging, a facelift will provide more dramatic results that can last for years.

How to Lose a Double Chin

Close up of woman with beautiful neckExercise doesn’t always work when you are trying to tone a specific area. So-called “spot reduction” through a healthy lifestyle is a myth, and no amount of dieting or exercises are guaranteed to successfully eliminate a double chin. The following four cosmetic procedures can help you achieve a slender and defined neckline once and for all with long-lasting results.


KYBELLA® is one of the newest injectables on the market. This prescription medicine is specially formulated for the treatment of submental fullness (a double chin). The active ingredient in this non-surgical treatment is deoxycholic acid, which aids in the breakdown and absorption of fat. After KYBELLA® is injected, patients return to their typical daily activities, and the deoxycholic acid begins to destroy the fat cells under the chin. As the weeks and months pass, the body will flush away the destroyed cells, leading to a noticeable reduction in submental fullness. Depending on the amount of fat distribution under their chin, patients may need between one and six treatment sessions with KYBELLA® to achieve their desired results.


Liposuction is a popular body contouring procedure that removes fat from targeted areas. If you have stubborn fat under your chin, liposuction can help. There are several different surgical techniques, but they all require small incisions, the insertion of a thin tube, and the extraction of fat through the tube via suction. There is typically a short period of recovery with some swelling and bruising, after which you can return to normal life. Many patients need only one treatment session with liposuction to remove their double chin.


PrecisionTx™ is a laser contouring and skin tightening system for the neck and lower face. If you have mild to moderate skin laxity and desire better definition along the jawline and neck, PrecisionTx™ can help. This one-hour, minimally invasive treatment is performed under either local anesthesia or IV sedation. Dr. Schlechter makes small incisions under the chin and below each ear. He then inserts the PrecisionTx™ laser fiber through a tube just under the skin, where it delivers laser energy wavelengths. This laser energy disrupts the underlying tissue, causing collagen formation and tissue contraction. After a short recovery period, patients can return to work and will see the results gradually improve over the next three to six months. PrecisionTx™ is a one-time treatment that offers lasting results for tightening and toning the skin beneath the chin.


truSculpt® is an optimized radio frequency fat reduction and skin tightening system that can target stubborn fat without invasive surgery. Safe for use on numerous areas of the body, including the neck and chin area, truSculpt® can improve skin tone and get rid of unwanted fat. Anesthesia is not required. The truSculpt® device is held to the target area, and pulses of radio-frequency energy are transmitted through the skin. This energy destroys the fat cells, and the body gets rid of them naturally. There is no downtime with truSculpt®. The results become noticeable within a few weeks and improve for a few months. Two or more treatments may be needed to achieve your desired results. This non-invasive procedure can help those who wish to get rid of stubborn fat on the neck or other areas but are not good candidates for surgical procedures.

Dr. Benjamin Schlechter, M.D., F.A.C.S. has over 20 years of experience as a board-certified plastic surgeon. Having performed tens of thousands of procedures as a plastic surgeon, Dr. Schlechter can help you determine which treatment is best for your needs and will help you eliminate your double chin for good. To request your appointment, please call (847) 737-5036 or complete our online contact form today.