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Anti-Wrinkle Injections vs Dermal Fillers: What’s Best for Where and When?

When it comes to facial aesthetics, two of the most popular treatments are anti-wrinkle injections and dermal fillers. They’re often spoken about in the same breath, but they actually do very different things. Knowing the difference is key to choosing the treatment that’s right for you – or, in many cases, combining both for the best results.

At Cosmedicare St. Ellen’s Hospitals, our registered aesthetic nurse prescribers take the time to explain each treatment clearly, so you can feel confident in your choice.

Anti-Wrinkle Injections

What they do:

Anti-wrinkle injections (commonly known by brand names like Botox®) work by relaxing the muscles that cause lines and wrinkles. By reducing muscle activity, the overlying skin looks smoother and fresher.

Best for:

  • Frown lines (between the brows)
  • Forehead lines
  • Crow’s feet (around the eyes)
  • Brow lift effect
  • Reducing “gummy smile” or teeth grinding in some cases

When to choose them:

  • When lines are caused by facial expressions or repetitive muscle movement
  • For preventative treatment (before deep wrinkles form)
  • For patients wanting a smoother, rested look without adding volume

Dermal Fillers

What they do:

Dermal fillers are made of hyaluronic acid gels that are injected under the skin to restore lost volume, enhance shape, and improve hydration. They don’t affect muscle movement – instead, they plump, contour, and lift.

Best for:

  • Lip enhancement (shape and volume)
  • Cheek or mid-face volume loss
  • Jawline and chin definition
  • Nasolabial folds (lines from nose to mouth)
  • Marionette lines (from mouth to chin)
  • Tear troughs (under-eye hollows)

When to choose them:

  • When you’ve noticed areas of volume loss, sagging, or hollowing
  • For structural improvements (jawline, chin, cheeks)
  • To restore youthful proportions or subtly enhance features

Which is Best for You?

The truth is, it depends on your goals:

  • Lines from movement? → Anti-wrinkle injections are the go-to.
  • Loss of volume, contour, or structure? → Dermal fillers are more effective.
  • Want both smoother skin and refreshed contours? → A combination treatment plan often works best.

At Cosmedicare, our HIS-registered hospital setting and experienced aesthetic nurse prescribers mean your care is guided by medical expertise, tailored to your unique needs. We use premium products across all brands, with affordable options, so you get the results you want safely and transparently.

Getting Your Treatment At Cosmedicare

Anti-wrinkle injections and dermal fillers are powerful treatments in their own right – but they work differently, and knowing when to use which is key to natural, balanced results.

  • Anti-wrinkle injections smooth expression lines.
  • Dermal fillers restore volume and contour.
  • Together, they can rejuvenate and refresh the face without surgery.

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