Botox + Fillers: How Combining Treatments Creates Natural Results

Achieving a youthful, refreshed appearance doesn’t have to mean looking “overdone.” At MDCS Dermatology, many patients are now combining Botox and dermal fillers to soften lines, restore lost volume, and create balanced, natural-looking results. Marisa Garshick, MD, FAAD explains how these two treatments work together to enhance your features subtly and effectively.

Understanding Botox and Fillers

Botox relaxes the muscles responsible for dynamic wrinkles, such as frown lines, forehead creases, and crow’s feet.
Dermal fillers, on the other hand, restore lost volume and smooth deeper folds—perfect for areas like the cheeks, lips, jawline, and nasolabial folds.

When combined, they address both the underlying muscle activity and volume loss, producing results that look smoother, softer, and more youthful without being obvious.

Why Combination Therapy Works So Well

• Comprehensive Rejuvenation: Botox treats movement-related wrinkles while fillers address static wrinkles and volume loss.
  
  

• Longer-Lasting Results: Relaxed muscles from Botox help fillers last longer in areas of frequent expression.
  
  

• Balanced Appearance: Prevents over-reliance on one type of treatment, which can create an unnatural look.
  
  

• Customized Plans: Every face is unique, and combination therapy allows providers to tailor treatments to your goals.
  
  

What to Expect During Treatment

Sessions typically last 30–60 minutes depending on the number of areas treated. Dr. Garshick may start with Botox to relax key muscles and then strategically place fillers to contour and restore volume. Most patients experience minimal downtime—mild swelling or bruising can occur but typically resolves quickly.

Recovery and Results

Results begin to appear within days for Botox and immediately for fillers, with continued improvement as any swelling subsides. Combining treatments also helps maintain a natural expression—patients look like themselves, only refreshed.

Expert Care at MDCS Dermatology

Marisa Garshick, MD, FAAD provides individualized aesthetic plans at MDCS Dermatology to ensure results that enhance your natural beauty safely and effectively.