Botox and dermal fillers are two of the most popular non-surgical cosmetic treatments for facial rejuvenation. They’re often mentioned together, but they work in completely different ways and target different concerns. Understanding the differences can help you decide which (or both) is right for you.
| Aspect | Botox | Dermal Fillers |
|---|---|---|
| What it is | Neurotoxin (botulinum toxin) that relaxes muscles | Gel-like substances (often hyaluronic acid) that add volume |
| Primary use | Smooth dynamic wrinkles (caused by muscle movement) | Restore volume, fill static wrinkles, enhance features |
| Common areas | Forehead lines, crow’s feet, frown lines (11s) | Cheeks, lips, nasolabial folds, marionette lines, under eyes |
| How it works | Temporarily paralyzes muscles to prevent wrinkling | Physically plumps and fills hollow or deflated areas |
| Onset of results | 3–7 days (full effect in 2 weeks) | Immediate (with some swelling) |
| Duration | 3–6 months | 6–18 months (depending on type and area) |
| Pain level | Minimal (tiny needles) | Minimal to moderate (numbing cream often used) |
| Cost (approx.) | PKR. 25,000 – 45,000 depending upon area | PKR. 20,000 – 50,000 per syringe depending upon brand |
Botox: For Dynamic Wrinkles
Botox is derived from botulinum toxin and works by blocking nerve signals to muscles, preventing them from contracting. This softens expression lines that form from repeated movements like frowning or squinting.
Best for:
- Horizontal forehead lines
- Glabellar lines (between eyebrows)
- Crow’s feet around eyes
Dermal Fillers: For Volume Loss and Static Lines
Fillers are injectable gels (most commonly hyaluronic acid-based, like Juvéderm or Restylane) that restore lost volume, hydrate skin, and fill in deeper folds. They don’t affect muscle movement.
Best for:
- Tear troughs (under eyes)
- Hollow cheeks
- Thin lips
- Nasolabial folds (smile lines)
- Marionette lines
Can You Combine Them?
Yes! Many people get both for a complete rejuvenation at GoldyZ, Botox for upper face movement lines and fillers for lower face volume. This “liquid facelift” approach often provides the most natural, balanced results.
Important Notes
- Both are temporary and require maintenance.
- Results vary by injector skill, always choose an experienced, qualified provider (board-certified dermatologist, plastic surgeon, or trained injector).
- Side effects are usually mild (bruising, swelling) but rare complications exist.
Consult a master injector like Dr. Zeshan Ahmed at GoldyZ Multan Aesthetics to assess your needs. What works best depends on your age, skin type, and goals!



