Back Bay · Boston · Beacon Street
Honest comparison of how they work, how long they last, and which is right for you.
Botox relaxes the muscles that cause wrinkles. Fillers restore the volume those muscles have worked away over time. Most clients need one or the other — many benefit from both. Here is the direct comparison so you can make the right call before booking.
| Botox | Dermal Fillers | |
|---|---|---|
| Mechanism | Relaxes muscle movement | Adds volume beneath the skin |
| Duration | 3–4 months | 6–18 months (area-dependent) |
| Cost | $12–$18/unit ($280–$700/session) | $600–$900/syringe |
| Best For | Forehead, crow's feet, glabella | Lips, cheeks, under-eye hollows |
| Recovery | No downtime. Avoid heat/exercise 4 hrs | Minor swelling 24–48 hrs. No major downtime |
Yes — and it is common. Combining Botox and fillers in a single appointment is sometimes called a liquid facelift. The logic is complementary: Botox addresses lines caused by movement, while fillers restore structural volume lost over time.
A typical combination session might address forehead lines and crow's feet with Botox while using filler to restore cheek volume or soften nasolabial folds. Your injector will assess your anatomy and recommend a treatment plan based on your specific concerns — not a preset package.
Not sure which treatments are relevant for you? Start with a complimentary consultation at our Back Bay Botox page or browse our full treatment menu.
Botox (botulinum toxin) relaxes the muscles that cause dynamic wrinkles — lines formed by repeated facial movement like frowning and squinting. Dermal fillers add volume to areas that have lost fullness, such as lips, cheeks, and under-eye hollows. Botox smooths existing lines; fillers restore lost structure.
Botox typically lasts 3 to 4 months before the muscle gradually regains movement. Hyaluronic acid fillers (Juvederm, Restylane) last 6 to 18 months depending on the area — lip fillers metabolize faster than cheek fillers. Longer-lasting filler options exist but carry higher risk profiles.
Yes. Combining Botox and fillers in a single session is common and often called a liquid facelift. Botox addresses movement-related lines while fillers restore volume — the two treatments complement each other. Your injector at Forever Young Spa will assess your anatomy and recommend which combination produces the best outcome.
Both treatments use fine needles and are generally well tolerated. Botox injections cause a brief pinch. Filler injections may cause more pressure, especially in sensitive areas like the lips. Most filler products contain lidocaine, which numbs the area during injection. A topical numbing cream is applied beforehand at Forever Young Spa.
In Boston, Botox is priced per unit, typically $12 to $18 per unit. Most treatment areas require 20 to 50 units ($280 to $700 per session). Dermal fillers are priced per syringe, typically $600 to $900 per syringe in Back Bay. At Forever Young Spa, members receive 15% off both services.
Candidates with static wrinkles — lines visible even at rest — benefit more from fillers than Botox. Clients seeking lip augmentation, cheek volume, or under-eye hollowing correction are filler candidates. Botox works best for expression lines: forehead, crow's feet, glabella. Your injector will recommend the right treatment based on your anatomy at a complimentary consultation.
262 Beacon Street, Suite 3 · Boston, MA 02116 · (617) 982-6186