Ultherapy®, BOTOX® Cosmetic, or Fillers: Which Is Right for You? (Quiz)

Smiling woman with hands in a V shape on either side of face (model)

In the world of nonsurgical aesthetic treatments, several products and procedures offer similar benefits. For example, many patients assume the best way to reduce wrinkles is through BOTOX. But patients from Fort Myers and surrounding areas often are surprised to learn of other treatments that produce comparable results. These similarities can make it tough to decide which option is the best for your particular situation.

Most people ultimately select the treatment that best matches their lifestyle, suits their budget, and gives them the longevity they want. We offer three popular and effective rejuvenating treatments you can consider: Ultherapy, BOTOX, or fillers. Let’s take a look at the specific pros and cons of each.

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BOTOX Cosmetic

Pros: This injectable product is an incredibly popular wrinkle-smoother. According to a report from the American Society of Plastic Surgeons, about 7.23 million Americans received BOTOX injections in 2017, easily making it the leading cosmetic procedure for the year. In fact, BOTOX at our med spa in Fort Myers is one of our most popular procedures as well.

Although the active ingredient in BOTOX has many different medical indications, in cosmetic applications it’s typically used to fade wrinkles between the brows, on the forehead, and at the corners of the eyes. BOTOX works by gradually relaxing the muscles it targets, reducing the appearance of lines that form as a result of facial movements. My team and I are among the top 5% of BOTOX injectors in the nation, and we’re proud of the results we consistently create for our patients.

Cons: BOTOX’s most common side effect is temporary bruising around the injection sites. This symptom can be concealed with makeup, but this solution may give male patients pause. Also, the injected product can migrate to unintended muscle groups, which can cause a temporary drooping or uneven appearance. These symptoms are temporary and will naturally fade as the product wears off. Because of the potential for side effects, it’s extremely important to see a qualified injector, such as a board-certified plastic surgeon or a practitioner who is supervised by one.

Best for: Patients who want a common, straightforward procedure with a history of proven results.

Before-After BOTOX® Cosmetic
*Actual patient. Keep in mind that each patient is unique and your results may vary.


Pros: This ultrasound-based treatment is completely non-invasive. During a treatment, a practitioner (Dr. Hasen or Brandie, his physician assistant) moves the Ultherapy handpiece over your skin to stimulate its natural collagen production. The Ultherapy device emits ultrasound waves that penetrate beneath the skin’s surface to the deeper dermal structures. Because Ultherapy is totally non-invasive, it doesn’t require any type of recovery period.

Cons: The results of Ultherapy can take some time to develop. Most patients see their final results a few months after treatment. The Ultherapy treatment can produce some discomfort, although most patients find it tolerable.

Best for: Ultherapy is ideal for people bothered by mild laxity and looseness on the lower face. It’s especially useful for those with limited time to devote to treatment or recovery.


Injectable Fillers

Pros: Available in a wide array of formulations, injectable fillers are used to add volume beneath the skin, smoothing many different types of wrinkles and re-creating the contours of a more youthful face. Their results are instant and can endure for up to 2 years, depending on which products are used. Different filler products may also be administered in the same treatment session, leading to fully customized results.

Cons: The quality of your results is highly dependent on who’s performing your treatment. It’s very important to choose an injector with demonstrable skill in injections. He or she should take an artful, conservative approach to avoid an overdone or obviously artificial look.

Best for: Patients who want to add volume to their face in addition to smoothing wrinkles

Before and After Image of Filler
*Actual patient. Keep in mind that each patient is unique and your results may vary.

Of course, you can always take the route many of my patients do and combine 2 or more of the above treatments for maximum results. During your consultation, we’ll discuss your primary concerns as well as the options to treat them.

Want to learn more about nonsurgical cosmetic procedures? Visit our photo gallery to see real results from different nonsurgical treatments or contact our office to ask questions or book your visit.

Quiz: Answer 3 Quick Questions

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