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Hyaluronic acid vs. Botox®: which one to choose

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Hyaluronic acid or Botox®? The most common question in aesthetic medicine

They're the two most sought-after injectable treatments and, while they're sometimes confused, they solve different problems. Neither is "better" than the other — it depends on what's actually happening with your skin.

What does hyaluronic acid do?

Hyaluronic acid is a dermal filler. It restores volume lost over time or enhances specific areas — lips, cheeks, under-eyes. It's the same substance your body naturally produces, which is why it's gradually reabsorbed. Results are immediate, visible from the same session.

What does Botox® do?

Botox® doesn't restore volume — it relaxes the muscles responsible for dynamic expression lines, the ones that appear when you make facial expressions (forehead, frown lines, eye area). It's not a filler: it's a localized muscle relaxant. Results show up in 3 to 7 days, as the muscle relaxes.

How do I know which one I need?

A simple way to tell: if the problem is a wrinkle that only appears when you make an expression (frowning, smiling), it's a candidate for Botox®. If the problem is lost volume or a line that's already visible even with a relaxed face, it's a candidate for hyaluronic acid. Both are often combined on different areas of the face for a more complete result.

How long do results last?

Hyaluronic acid lasts 8 to 12 months, depending on the area and your metabolism. Botox® lasts 4 to 6 months. Neither is permanent — both need periodic maintenance to keep the result.

Does it hurt? Is there downtime?

Both are outpatient medical procedures taking 20 to 45 minutes, with no downtime. Mild redness at the injection site is common and fades within hours.

How much do they cost?

Cost varies by treatment area and, for hyaluronic acid, the number of syringes needed. Ask our team to build a plan around what you're looking for.

Related treatment

Hyaluronic Acid Fillers →