Botox And Filler Injections For Forehead

Botox and dermal fillers are cosmetic treatments given through injections, usually in a doctor’s office. They are minimally invasive, meaning they do not involve surgery. That is where their similarities end, however.

Botox and dermal filler treatments are popular, accounting for more than 9 million procedures in 2015, according to the American Society of Plastic Surgeons (ASPS).

Botox contains purified bacteria that freeze muscles. In doing so, Botox can help minimize the appearance of lines and wrinkles caused by facial expressions.

Dermal fillers contain ingredients that add fullness to areas that have thinned due to aging. This thinning is common in the cheeks, lips, and around the mouth.

People should be aware of the costs and risks of treatments and have realistic expectations of what they can do. In this article, we’ll also consider dermal filler forehead cost and average cost of fillers and botox.

Average Cost of Fillers and Botox

We’re here to get into the nitty gritty details about each of these injectables, including the price difference, pain factor, which lasts longer, which to get first, and most importantly, where to get what. You may already be familiar with the basics of injectable wrinkle relaxers like Botox and fillers from your initial research, but if you don’t really get the difference, we’re here to explain it to you. For the complete, exclusive information on Botox vs. fillers, keep reading.

Knowing what the average cost of fillers and Botox in your area can help you gauge whether or not a certain provider’s price is fair and/or suspiciously low. According to 2018 pricing data from the ASPS, the average cost of hyaluronic acid fillers is $682 per syringe. Most people require more than one syringe to achieve the desired results.

Fillers are also the more expensive of the two injectables. Dr. Henry says, “Botox typically ranges from $250 to $600 per area, while fillers can range in price from typically $600 to $1,250 depending on the location, geography of the practice, and product used.”

Botox, on the other hand, is measured in units and typically costs around $10 to $15 per unit. An average dosage of 30-40 units might be used to treat the forehead and eye area, for example, making the total cost around $300 to $600.

But keep in mind that depending on where you live, these averages can change. Hence, before making a choice, conduct research by comparing pricing from a few reliable providers in your neighborhood.

If you are working cosmetic treatments into your recurring budget, you’ll also want to factor in approximately how long each treatment will last before requiring a touch-up visit. In general, hyaluronic acid fillers can last anywhere from 6 to 18 months, while Botox usually lasts 3 to 6 months. So, while the upfront costs of fillers, for example, might seem higher, know that you may not need another treatment for a year or more.

1 Ml Dermal Filler Cost

According to board-certified dermatologist Corey L. Hartman, M.D., founder of Skin Wellness Dermatology in Birmingham, Alabama, fillers are injectable gels that work to give volume to the parts of the skin that have shrunk in. “Different fillers of differing consistency can be used to restore the volume, correct the deficit, and offer a plumper look when you observe folds, crevices, wrinkles, or crinkles.”

There are two main different types of fillers: those made of hyaluronic acid (HA) and calcium hydroxyapatite (CaHA). “Each filler has specific and unique properties,” says Dr. Henry. “This is why choosing an injector that is experienced in understanding the anatomy and the rheology of these products is critical.

Dermal fillers come in a range of products to treat various conditions and areas. Prices range from $350–$550 per ml.

What Is Botox?

First things first: plastic surgeon Dr. Matthew Schulman points out that Botox is the brand name of a specific botulinum neurotoxin. There are four FDA-approved neurotoxins available in the U.S.: Botox, Dysport, Xeomin and Jeuveau.

So, how does it work? “Botox or any neurotoxin works by temporarily weakening or paralyzing the muscles,” says Harvard and Cleveland Clinic board-certified plastic surgeon Dr. Munique Maia.

“Botulinum toxin is best used in areas of facial expression such as the frown lines, crow’s feet, and ‘11s’ between the eyebrows,” says Dr. Schulman.

Botox, adds Dr. Maia, “treats dynamic wrinkles, though some relatively non-cosmetic uses for Botox are incredibly popular as well: injections in the armpits can help stave off hyperhidrosis (excess sweating), and injections in the jaw muscle can be used to prevent teeth grinding caused by TMJ.  According to plastic surgeon Dr. Dara Liotta, Botox will start to work between 2-10 days, “depending on your individual reaction to the toxin and which toxin is used.”

woman getting an injectable

What Are Fillers?

“Hyaluronic acid fillers are gel-like products that fill folds and creases and replenish lost volume. They can also contour the face,” Dr. Maia says.

KEY INGREDIENTS 

Hyaluronic acid is a naturally occurring polysaccharide found in the human body. It acts as a cushioning and lubrication agent for our joints, nerves, hair, skin, and eyes. When used in skincare, it acts as a moisture binder, which means that it will attach itself to the water in the cells (while also attracting and holding water from the air) making them plump.

Fillers can be of a variety of temporary or permanent materials, and are used to fill lines. Hyaluronic acid fillers like Restylane, Juvederm, and Belotero, and calcium fillers like Radiesse are the most common.  Dr. Schulman explains, “While both botulinum toxin and fillers are commonly used together, they work differently and are used on different lines”.

Hyaluronic acid fillers, which come in a variety of thicknesses so that the right one can be chosen for each particular skin type, last 5-24 months. “There are other fillers composed of [calcium hydroxyapatite] (like Radiesse), which are better for deep filling and can last 12 to 14 months,” Dr. Schulman says.

Botox vs. fillers: Which is more effective?

Close-up of woman's face overlayed with injectable annotations

The effectiveness of either procedure depends on what you’re in need of. Botox, for instance, can be used preventatively (ie. even before you’re really noticing any deep-set wrinkles).

“I have a lot of patients in their mid-twenties that do preventative Botox,” says Dr. Maia. “They want to prevent wrinkles from forming. They are hyper aware of their faces and want to improve their appearance.”

The most common areas for fillers, meanwhile, are “under eye, cheeks and jawline,” Dr. Maia says. “The choice of each product depends on the area of concern.”

The simple rule? “Lines of expression need botulinum toxin. Lines at rest need filler.” Dr. Schulman says that while Botox is a great choice for hitting those “crease points” where muscles contract, fillers are best for deep lines that are present even when facial muscles are not contracting. Check out the chart below for a guide to the lines on the face for which botox and fillers should be used, respectively.

Possible Side Effects
  • Bruising or swelling at the injection site
  • A bluish cast to the skin
  • Acne-like bumps under the skin

“The fillers currently available and FDA-approved in the United States have been tested extensively and are safe,” says Dr. Dara Liotta.

The most likely side effects of either Botox or filler are bruising and pain at the injection site—the same as any injection, not exactly a toxic reaction.  If you’re experiencing something like eye dryness, a crooked smile, drooling, or a drooping eyelid, this is not normal. Per Dr. Liotta, “Under no circumstances are trouble seeing, speaking, or breathing reasonable reactions to Botox.” If you experience any of these symptoms, you need to contact your board-certified injector immediately.

The solution in Botox and other brands like Myobloc is a very, very diluted form of botulinum and the formula itself is honestly the last thing you should be worried about. At the top of your list should be getting a qualified doctor, because that’s the easiest way to avoid any negative side effects.

Side effects specificially from filler include the Tyndall effect, which Dr. Liotta explains is the appearance of a bluish cast to the skin, and “can occur if thicker hyaluronic acid fillers are injected too superficially beneath the surface of the skin. The Tyndall effect can be treated by injecting a small amount of hyaluronidase (the enzyme that dissolves hyaluronic acid filler) into the area.”

Dr. Liotta continues: “Acne-like bumps beneath the skin are an exceedingly rare complication. Much more common are bruising, tenderness, and mild swelling at the injection sites that may last up to 2 weeks.”

Keep in mind that the more severe “side effects” like the Tyndall effect and bumps beneath the skin are not actually true side effects, but rather complications that occur from improper injection.  That’s why it’s crucial to only receive injections (whether medical or cosmetic) from a board-certified injector.

The Costs

The average cost of Botox injections is $466, according to 2020 statistics from the American Society of Plastic Surgeons. The cost, of course, can vary, and is generally based on how advanced wrinkles are (and therefore how much product is needed) and the qualifications of the person performing the procedure.

The price of fillers varies widely depending on the product. The most recent statistics from the American Society of Plastic Surgeons found the average syringe of Radiesse was $717, while hyaluronic acid fillers such as Juvederm and Restylane were priced at $684.

Dermal Filler Forehead Cost

Injectable dermal fillers are well-loved and popular mostly because of their ability to eliminate forehead wrinkles and other types of facial lines. But not all facial fillers are created equal, as there are particular dermal filler treatments that work best for the forehead area. Apart from the components of your chosen dermal filler, you also have to consider the pricing of the treatment that you’ll be getting.

So how much should you expect to pay for forehead wrinkles fillers? Their average cost of treatment may range anywhere from $750 to $2750. The dermal filler treatment pricing varies depending on the facial area being treated, the number of syringes to be used, what the fillers are made of, and even the expertise of your provider. Different dermal filler choices like Juvéderm, Restylane, Radiesse, and Bellafill are priced differently, and you’ll need a proper consultation to determine which among these is an excellent fit for you.

Average Cost Of Fillers And Botox

Botox typically ranges from $250 to $600 per area, while fillers can range in price from typically $600 to $1,250 depending on the location, geography of the practice, and product used.

Conclusión

Botox and fillers have more impact on quality of life than we initially thought, explains Dr. Maia, and could have impacts that go further than skin-deep. “The impact of these products in facial appearance and expressions are much more complex than what it seems.” For example, there is a new concept that fillers can modulate the action of muscles of facial expressions resulting in improvement of facial appearance. Botox has a wide range of indications that goes beyond wrinkle reduction. It can reduce sweating, teeth grinding, headaches, and more recently there are studies showing that it may lessen depression.”

Of course, both fillers and Botox come with their own risks and sets of advantages, and they’re not really used for the same thing. While botox is used to deal with wrinkles, it does so by paralyzing the muscles surrounding them. Fillers, on the other hand, do exactly what they sound like by filling in the areas they’re injected into.

“The best thing to do is to see a board-certified plastic surgeon or a dermatologist,” Dr. Schulman says. “They will be able to evaluate your skin and help you select the best treatment for your skin, desires, and pocketbook.”

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