Dermal fillers vs Botox: which is the better option for me?

Written in association with: Dr Anne Gormley
Published: | Updated: 06/04/2023
Edited by: Aoife Maguire

What are dermal fillers used for?

Dermal fillers are primarily used to volumise the face, which in turn slows down the aging process. Non-permanent Hyaluronic Acid (H.A) is the most common dermal filler used by cosmetic clinicians. The dermal fillers contain genetically modified hyaluronic acid, which are differentiated by their consistency. Some are very viscous and are generally used in the cheek area, while others are elastic and clinicians prefer to use them in the lips.

 

How is it different to Botox?

Dermal fillers are primarily involved in sculpting the tissues and restoring lost volume in the face. The dermal filler bonds to the residual collagen, which slows down the degradation of the H.A by the endogenous hyaluronidase. It is usual to see the results immediately and to expect the results to last at least a year.

 

Botox, on the other hand, acts by paralysing the muscles in the face. It is used to treat fine lines and wrinkles. The muscles take several days to respond to the treatment and after several months the action reverses.

 

Is it safer than Botox?

There are more complications with dermal fillers than with Botox hence it is not safer. It is not that necessary to compare the two treatments as they are usually used in different parts of the face and used to treat different problems.

 

Are dermal fillers safe? Are there any side effects?

Dermal fillers are safe to use when the product is well regulated and the clinician has been appropriately trained  to inject the materials and have the knowledge and expertise to treat any complications.

 

The side effects include short- term needle-stick injuries such as redness, swelling, bruising, bleeding or itchiness. Longer term complications include infection and biofilms, herpes infections, vascular occlusions and delayed-onset granulomas, although these long term side effects are very rare.

 

At what age should I consider getting dermal fillers?

It is advisable to wait until you are over 18 before embarking on these treatments. Older patients should consider their medical history and medication as a contra-indication to dermal fillers, no matter what age they are.

 

By Dr Anne Gormley
Dentistry

Dr Anne Gormley is a leading dental practitioner and facial aesthetics clinician based in Magherafelt. With over 30 years of experience in dentistry, Dr Gormley is also the clinical head at the renowned Spires Oral & Dermal Care clinic.

A leading and trusted specialist, Dr Gormley has combined her proficiency in both facial rejuvenation and cosmetic dentistry to create the perfect look for her clients to improve their self-confidence. Her areas of expertise include Invisalign, veneers, teeth whitening, bonds, crowns and bridgework, and the Align, Bleach, Bond (ABB) technique, as well as Profhilo, dermal facial fillers, volumising lip fillers, and skin rejuvenation to treat fine lines and wrinkles.

Dr Gormley qualified with a Bachelor of Dental Science from Newcastle University in 1991. She received membership to the Royal College of Surgeons in 1996 and went on to complete two prestigious clinical attachments in Oral Surgery and in Orthodontics at Antrim Area Hospital and at the Waveney/Mid Ulster Hospital, respectively.

She also worked for seven years as a clinical supervisor in restorative and cosmetic dentistry at Royal Victoria Hospital, excelling in advanced crown and bridgework. Additionally, Dr Gormley completed an Open University module in Paediatric Dentistry from Bristol University and finished a one-year part-time course in Implant Surgery and Prosthetics as well.

Within facial aesthetics, Dr Gormley achieved a Postgraduate Certificate on Facial Aesthetics (PG Cert Level 7) from Northumbria University, and also holds accreditations for the use of Obagi, Profhilo, and Enlighten. Thanks to her extensive training, Dr Gormley expanded Spires Oral by opening the Aesthetic Hub, where she offers an exclusive range of cosmetic dental treatments and non-surgical facial treatments. 

View Profile

Overall assessment of their patients


  • Related procedures
  • Platelet-rich plasma
    Botulinum toxin (Botox™)
    Dermal fillers
    Oral surgery
    Orthodontic Surgery
    Periodontal Surgery
    Impacted teeth surgery
    Maxillary bone grafts
    Dental implants
    Salivary glands pathology
    This website uses our own and third-party Cookies to compile information with the aim of improving our services, to show you advertising related to your preferences as well analysing your browsing habits. You can change your settings HERE.