Your forehead shows dynamic wrinkles from years of expressions, while your cheeks have lost volume, and your nasolabial folds have deepened. These different aging concerns require different solutions, and you don’t need to address them separately.
At The Rawal Institute for Hair Restoration and Aesthetic Medicine in Madison, Wisconsin, Shamila Gupta Rawal, MD, regularly combines Botox® and dermal fillers in single appointments. This approach often delivers better overall results than treating each concern individually.
Botox and dermal fillers target completely different aging mechanisms. Botox blocks nerve signals to muscles, stopping the contractions that create dynamic wrinkles like crow’s feet and frown lines. Dermal fillers add volume directly under your skin, lifting static wrinkles and replacing lost facial volume.
When you address muscle-related wrinkles and volume loss simultaneously, the result is comprehensive facial rejuvenation.
Dr. Rawal evaluates your entire face before recommending specific combinations. She might suggest Botox for your forehead and crow’s feet while using Juvéderm® to restore cheek volume and smooth nasolabial folds.
This comprehensive approach prevents the unbalanced look that can happen when you treat isolated areas. For example, smoothing your forehead with Botox while ignoring volume loss in your cheeks can make the lower face appear more aged by comparison.
Botox takes up to seven days to show full results, while most dermal fillers show immediate improvement. Getting both on the same day means your final results develop together over the first few days.
You also coordinate your touch-up schedule more easily. If you need Botox every four months and filler adjustments every 6-12 months, Dr. Rawal can time your appointments to maintain consistent results.
Your upper face typically benefits most from Botox because that’s where repetitive muscle movements create the deepest lines. Your lower face usually needs volume replacement more than muscle relaxation.
Dr. Rawal might use:
Each product serves a specific purpose, and combining them addresses multiple aging concerns comprehensively.
Dr. Rawal starts with a thorough facial analysis to determine which areas need muscle relaxation versus volume restoration. She explains which products will work best for your specific concerns and how they'll work together.
Some patients benefit from starting with Botox and adding fillers at a follow-up appointment. Others get better results from simultaneous treatment. The decision depends on your individual facial anatomy and aesthetic goals.
Choose an experienced injector who understands facial anatomy and how different products interact. Dr. Rawal’s background as an otolaryngologist and head and neck surgeon gives her detailed knowledge of facial muscles and structures.
This expertise matters when combining treatments because the products need to work together harmoniously. Poor injection technique or inappropriate product selection can create unnatural results.
If you’re considering both Botox and fillers, schedule a consultation at The Rawal Institute for Hair Restoration and Aesthetic Medicine. Dr. Rawal evaluates your face, discusses your goals, and creates a customized treatment plan that addresses all your concerns.
Call us at our Madison office at 608-721-6132 or schedule your appointment online to learn how combination injectable treatments can help you achieve comprehensive facial rejuvenation.
