Wrinkles Treatment: Botox or Fillers?

With the increasing availability of injectable treatments for wrinkles, we can be spoilt for choice. Should we choose Botox or fillers? Well, this depends on the type of wrinkles we are looking at. Wrinkles can be divided into dynamic wrinkles or static wrinkles. Dynamic wrinkles only appear when you make a facial expression and work the facial muscles. When the face is relaxed, we do not see these dynamic wrinkles. However, static wrinkles are visible even when the face is completely relaxed. Dynamic wrinkles can become static wrinkles over time.

Different areas where both dynamic and static wrinkles can appear:

  • Forehead lines: run horizontally across the top of the T-zone
  • Frown lines: create an “eleven” between the brows
  • Bunny lines: etch the bridge of the nose horizontally between the eyes
  • Crow’s feet: radiate from the outer corners of the eyes
  • Laugh lines: also called nasolabial folds, create parenthesis around the upper lip
  • Lip lines: form vertical hatches around the perimeter of the mouth
  • Marionette lines: frame the chin vertically, and as the cheeks droop, jowl wrinkles form

Botox: for the treatment of dynamic wrinkles

Botox® is the brand name of a neurotoxin produced by the bacterium Clostridium botulinum, known as botulinum toxin type A.  We only use HSA-approved brands in our clinic, namely Botox and Dysport®. Our doctor is certified and accredited with Singapore Medical Council (SMC) to perform the treatment. Botox works by relaxing specific muscles according to the injection points.

Vale Medical Aesthetics Clinic │ Botox Treatment Areas

Fillers: for the treatment of static wrinkles

Our clinic carry a variety of hyaluronic acid dermal fillers and Radiesse filler. Our HSA-approved hyaluronic acid dermal filler brands include Juvederm (Voluma, Volbella), Restylane (Lyft, Refyne) and Belotero (Balance). Hyaluronic acid dermal fillers usually last up to 12 months and can be dissolved with an enzyme called Hyaluronidase should there be any issues with the injected filler. As such, we usually advise patients whom are having dermal fillers injectables for the first time to go with hyaluronic acid dermal fillers.

Radiesse filler is a longer lasting filler made up of Calcium Hydroxyapatite (CaHA) microspheres (25 µm to 45 µm) suspended in an aqueous gel carrier of sodium carboxymethylcellulose (CMC). Radiesse filler lasts up to 18 months. It is suitable for patients whom have tried hyaluronic acid fillers and wish to have a longer lasting effect. However, it cannot be dissolved with Hyaluronidase.

Schedule an appointment with us so we can advise you on the best treatment regime for your skin!

Disclaimer: The material contained in this article is for informational purposes only and do not constitute medical advice. The content is not intended to be a substitute for doctor’s advice, diagnosis, or treatment.

Dr Cheak Wan Ying
Dr Cheak Wan Ying

Ministry of Health Accredited Doctor

Bachelor of Medicine, Bachelor of Surgery (MBBS, NUS)
Master of Medicine in Family Medicine (NUS)

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