Botox vs. Fillers: Which One Do I Need?
At Mira Med Spa, one of the most common questions we hear is: “Do I need Botox or fillers?”
If you’ve ever looked in the mirror and wondered whether smoothing out a few lines or restoring some youthful volume could help you feel more refreshed and confident, you’re not alone. But with so many injectable options available, knowing which treatment is right for you can feel overwhelming.
This guide is here to help you understand the key differences between Botox and dermal fillers, how they work, and how they can be combined to help you achieve natural, balanced results. As always, our calm, nurturing, and expert team is here to support and educate you on your journey to feeling your best.
Understanding the Basics: Botox vs. Fillers
Although both Botox and fillers are injectable treatments that rejuvenate the face, they work in very different ways and are designed to treat different concerns.
What is Botox?
Botox (as well as Dysport and Xeomin, which are similar neuromodulators) is best known for its ability to smooth dynamic wrinkles - the lines that form from repeated facial expressions like smiling, frowning, or squinting.
Botox works by temporarily relaxing the muscles beneath the skin, preventing them from contracting as strongly. This reduces the appearance of lines and helps prevent new ones from forming.
Botox is best for:
Forehead lines
Frown lines (between the eyebrows)
Crow’s feet (around the eyes)
Bunny lines (on the nose)
Lip flip (to subtly enhance the upper lip)
Jawline slimming or TMJ relief
What are Dermal Fillers?
Dermal fillers, such as Juvederm, Restylane, and Revanesse, are injectable gels made primarily of hyaluronic acid, a substance that naturally occurs in your skin and helps it stay hydrated and plump.
Fillers are used to restore volume, enhance facial contours, and smooth deep lines or folds caused by aging or volume loss - not muscle movement.
Fillers are best for:
Lip enhancement
Cheek contour and volume
Chin and jawline definition
Under-eye hollows
Smile lines (nasolabial folds)
Marionette lines (around the mouth)
Hand rejuvenation
When Should You Use Botox?
You may be a great candidate for Botox if you:
See visible expression lines when you raise your brows, squint, or frown
Want to prevent deeper lines from forming over time
Desire smoother, more relaxed skin in your upper face
Experience tension headaches or TMJ discomfort
Want subtle changes without downtime
Botox works best on expression lines that result from movement. It’s a proactive and preventive treatment just as much as it is corrective.
When Should You Use Fillers?
You may benefit from dermal fillers if you:
Have volume loss in the mid-face, lips, or under eyes
Want fuller, more defined lips
Wish to sculpt or balance your cheeks, jawline, or chin
Notice deeper folds or sagging in the lower face
Feel like your face looks tired or deflated
Fillers excel at restoring youthful contours and adding soft, natural fullness where it’s been lost.
Our expert team at Mira Med Spa can help you determine if Botox or fillers is the best option for your needs. Contact us below to schedule a free consultation.
When Should You Use Both Botox and Fillers Together?
For many of our clients at Mira Med Spa, the best results come from combination treatment plans. Botox and fillers complement each other beautifully because they target different layers and causes of aging.
Combination treatment is ideal when:
You have both fine lines from muscle movement and areas of volume loss
You want to refresh multiple areas of the face in a balanced way
You're looking for a natural, “you but rested” result
You want long-term facial rejuvenation that evolves with you
Example: Botox softens crow’s feet around the eyes, while filler restores volume under the eyes and in the cheeks - creating a youthful, refreshed appearance from all angles.
Cost and Timeline: What to Expect
Botox Cost and Results:
Cost: Typically priced per unit (average 20-60 units per session depending on area being treated)
Onset: Results appear within 3-7 days
Duration: Lasts 3-4 months on average
Maintenance: Recommended 3-4 times per year
Filler Cost and Results:
Cost: Priced per syringe (1-3 syringes common per treatment area)
Onset: Results are immediate, with full settling in 1-2 weeks
Duration: Lasts 6-18 months depending on product and area
Maintenance: Typically once or twice a year
At Mira Med Spa, we’ll always review the best plan for your goals and budget and space out treatments when needed to make it comfortable and manageable.
Will It Hurt? What’s the Downtime Like?
Both Botox and fillers are minimally invasive and require little to no downtime.
Botox: Feels like tiny pinches. You may have mild redness or swelling at the injection site, which fades quickly.
Fillers: We use numbing cream and gentle techniques. Some swelling or bruising is possible and usually resolves within a few days.
You’ll receive aftercare tips for both and our team is always here for support if you have questions post-treatment.
The Mira Med Spa Difference
Choosing where you get your injectables matters just as much as what product you choose. At Mira Med Spa, our approach is never one-size-fits-all. We take time to understand your goals, educate you on your options, and create a personalized treatment plan that reflects your natural beauty - not trends or overdone results.
You’ll feel supported every step of the way with:
A calm, welcoming environment
Advanced, licensed injectors
A gentle, balanced approach to cosmetic enhancement
A focus on natural results that evolve with you
Ongoing support and care beyond the injection
This isn’t just about looking younger - it’s about feeling confident, empowered, and at home in your skin.
Not Sure Where to Start? Let’s Talk.
If you’re still wondering whether Botox or fillers - or both - are right for you, we invite you to schedule a personalized consultation. We’ll answer all your questions, evaluate your facial anatomy, and help guide you toward the best next step - gently and honestly.
Call us today to book a free consultation with the Botox and filler specialists at Mira Med Spa.