Concern or Area | Usually Botox, Filler, or Both? |
|---|---|
| Forehead lines | Usually Botox |
| Frown lines | Usually Botox |
| Crow’s feet | Usually Botox |
| Brow lift | Usually Botox |
| Chin dimpling | Usually Botox |
| Neck bands | Often Botox in selected patients |
| Cheeks | Usually filler |
| Lips | Usually filler |
| Nasolabial folds | Usually filler |
| Marionette lines | Usually filler |
| Jawline | Usually filler |
| Chin projection | Usually filler |
| Temple hollowing | Usually filler |
| Under-eye hollowing | Sometimes filler, depending on anatomy |
Published Jun 19, 2026
6 minute read
Some areas may need a combination approach. For example, lower-face aging may involve volume loss, muscle pull, and skin changes. In those cases, a customized plan may include Botox, fillers, skincare, lasers, microneedling, or other treatments.
Yes. Botox and fillers are often used together because they address different parts of facial aging.
Botox can soften expression lines in the upper face, while filler can restore volume and support in the midface and lower face. Together, they can create a more complete and natural-looking rejuvenation.
Common combinations include:
The goal is not to change your face. The goal is to restore balance, soften signs of aging, and help you look refreshed.
Botox typically lasts about 3 to 4 months, although this can vary depending on the individual, the dose, metabolism, and treatment area.
Fillers often last longer, but duration depends on the type of filler used, the area treated, the amount injected, and how quickly your body metabolizes the product. Some fillers may last several months, while others can last a year or longer.
During your consultation at Awaken, we can discuss realistic expectations for both Botox and filler longevity based on your specific treatment plan.
This is one of the biggest concerns patients have, and it is a valid one.
When injectables are overdone, poorly placed, or not matched to a patient’s anatomy, the result can look unnatural. But when Botox and fillers are performed carefully, the results can be subtle, elegant, and natural.
At Awaken Face & Body Wellness, our philosophy is to enhance your features, not overpower them. We focus on facial balance, conservative dosing, and personalized treatment planning.
A good injectable result should make you look refreshed, rested, and confident — not frozen or overfilled.
Botox is commonly used as a preventative treatment because it reduces repetitive muscle contractions that contribute to wrinkles over time.
Fillers are typically used when volume loss or facial hollowing has already started, although they can also be used in younger patients for facial balancing, lip enhancement, or contouring.
For patients in their late 20s or early 30s, Botox may be used to prevent deeper expression lines, while small amounts of filler may be used to enhance lips, cheeks, or chin balance.
For patients in their 40s, 50s, and beyond, a combination approach may be more helpful because aging often involves both wrinkles and volume loss.
Choosing the right injector matters. Botox and fillers require more than technical skill. They require an understanding of anatomy, facial aging, symmetry, proportion, and natural movement.
At Awaken Face & Body Wellness in Creve Coeur, we provide physician-led aesthetic care for patients throughout the greater St. Louis area, including Ladue, Clayton, Chesterfield, Frontenac, Town and Country, Des Peres, Kirkwood, Webster Groves, Maryland Heights, Olivette, Ballwin, Ellisville, and West County.
Patients choose Awaken because we offer:
We do not believe in a one-size-fits-all approach. Your face, goals, and comfort level should guide the plan.
Botox and dermal fillers are both injectable treatments, but they work differently.
Botox relaxes muscles that cause expression lines.
Fillers restore lost volume, improve contours, and soften folds.
Botox is commonly used for forehead lines, frown lines, crow’s feet, and other movement-related wrinkles. Fillers are commonly used for cheeks, lips, smile lines, marionette lines, chin, jawline, and areas of volume loss.
Some patients need Botox. Some need filler. Many patients benefit from a thoughtful combination of both.
At Awaken Face & Body Wellness, we help patients in St. Louis create natural, customized injectable plans that enhance their features while preserving their unique appearance.
If you are wondering whether Botox or dermal fillers are right for you, schedule a consultation with Awaken Face & Body Wellness in Creve Coeur.
We will evaluate your facial movement, volume, skin quality, and goals to help determine the best treatment plan for you.
Serving patients from West County, Ladue, Clayton, Chesterfield, Frontenac, Town and Country, Des Peres, Kirkwood, Webster Groves, Maryland Heights, and surrounding St. Louis communities.
Book your consultation today and discover whether Botox, fillers, or a combination approach is right for you.
Botox relaxes targeted muscles that cause expression lines. Fillers restore lost volume, enhance contours, and soften folds or hollow areas.
Neither is better overall. Botox and fillers treat different concerns. Botox is better for movement-related wrinkles, while filler is better for volume loss and facial contouring.
Forehead lines are usually treated with Botox because they are caused by repeated muscle movement.
Smile lines are often treated with filler, especially when volume loss contributes to the fold. In some cases, cheek support or a combination approach may be recommended.
Crow’s feet are usually treated with Botox because they form from repeated smiling and squinting.
Lips are treated with filler when the goal is volume, shape, hydration, or definition. Botox may sometimes be used around the mouth for specific concerns, but it does not add lip volume.
Yes, many patients receive Botox and filler during the same visit when appropriate. Your provider can recommend the safest and most effective treatment plan.
Botox typically lasts about 3 to 4 months. Fillers often last longer, but duration depends on the product used, treatment area, and individual metabolism.
Fillers should not make the face look puffy when they are placed properly and used conservatively. Overfilling or poor technique can create an unnatural appearance, which is why provider skill matters.
Awaken Face & Body Wellness in Creve Coeur offers personalized Botox and dermal filler consultations for patients throughout St. Louis, West County, Ladue, Clayton, Chesterfield, Frontenac, Town and Country, Kirkwood, Webster Groves, Des Peres, and surrounding areas.
