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Can You Combine Neuromodulators and Fillers? Why the Best Results Come from Both

Updated: May 15

When it comes to looking and feeling your best, many women focus on either smoothing wrinkles or restoring lost volume. But the most natural, refreshed results often come from doing both. Today’s best aesthetic outcomes are achieved through a combination approach, using neuromodulators like Dysport® or Botox® and dermal fillers such as Restylane®, RHA and Revanesse Versa®.


In this article, we’ll take a closer look at how personalized combination treatments can enhance your natural beauty. By addressing both muscle movement and volume loss, this strategic combination can help you achieve your best results.


Understanding the Difference: Fillers vs. Neuromodulators


Both dermal fillers and neuromodulators are injectable treatments, but they work in different ways and they treat different types of concerns.


Neuromodulators (such as Dysport® and Botox®) work by temporarily relaxing specific muscles. This softens the fine lines and folds caused by repeated facial expressions like frowning, squinting or smiling. We typically call these dynamic wrinkles and they are a normal part of aging. Neuromodulators are a completely safe way to relax the muscles, and have been used for cosmetic purposes since 2002.


Age-related volume loss leads to sagging skin and a less youthful appearance. Dermal fillers restore lost volume and enhance facial contours like the cheeks, lips and jawline. They can also be used to improve facial symmetry or address issues like hollows under the eyes.


Most fillers are made with hyaluronic acid (HA), a substance naturally found in the skin. HA fillers gained popularity in the early 2000s and now products such as Restylane® and Revanesse Versa® are FDA-approved and used every day to keep the skin plump by attracting and holding moisture.


Using a combination of fillers and neuromodulators addresses multiple areas of the face simultaneously. By addressing both movement and volume loss, we can create results that look natural, balanced, and long-lasting.


What Concerns Can Be Treated with a Combination Approach?


Combining these two types of injectable treatments allows us to address multiple areas of the face at once. Here are several common combination treatments:


●       Frown lines combined with sunken temples

●       Forehead lines plus mid-face volume loss

●       Crow’s feet along with under-eye hollowing

●       Vertical lip lines paired with lip volume restoration

●       Marionette lines enhanced with jawline contouring


Every face is different and each patient will have their own aesthetic concerns that they want to address. By addressing both the surface wrinkles and the deeper structural changes, we can enhance your natural beauty. No single feature will appear overtreated or out of balance, which leads to a refreshed look rather than an unnatural one.


Why the Best Results Come from Treating Both Volume and Wrinkles


As we age, the face undergoes two distinct types of changes:


●       The skin creases from years of repeated muscle movement.

●       At the same time, volume loss occurs as fat pads shrink and collagen production declines.


Treating only one aspect often leaves results feeling incomplete. Relaxing wrinkles without restoring volume can leave the face looking flat. Adding volume without addressing expression lines can make results seem less natural.


What to Expect from a Combination Treatment Plan

At Visage MedSpa, your journey begins with a comprehensive consultation. We take the time to understand your aesthetic goals, evaluate your individual needs, and create a plan that addresses both muscle movement and volume concerns.


In many cases, neuromodulators and fillers can be administered during the same appointment. In other cases, treatments are staged over several visits to allow for optimal refinement.


Neuromodulators and dermal fillers are non-invasive and well-tolerated by patients, so the downtime is very minimal and results appear within a few days.


Is It Safe to Combine Neuromodulators and Fillers?


Yes, combining fillers and neuromodulators is a well-established, safe practice when performed by an experienced medical professional.


Each treatment works in a different layer of the face:


●       Neuromodulators act on the muscle layer

●       Fillers restore structure and volume in the dermis


At Visage MedSpa, all injectable treatments are performed by our nurse practitioner-led team with years of experience in advanced aesthetic techniques. Patient safety, precision and exceptional care are at the core of everything we do.


Why Choose Visage MedSpa for Comprehensive Aesthetic Care?


When it comes to facial rejuvenation, experience matters. Our team at Visage MedSpa combines medical expertise with an artistic approach to help patients achieve their best, most natural-looking results.


We specialize in advanced combination treatments that prioritize natural beauty, individualized plans and long-term results. Patients from Mayfield, Beachwood, Orange Village, Willoughby, Kirtland, and throughout Cleveland’s East Side trust us for customized care that exceeds expectations.


Ready to See the Full Picture? Book Your Consultation Today


If you’ve been searching for “botox near me” or wondering if you can combine Botox® with fillers, we’re here to help. Contact us today to schedule your consultation and learn how dermal fillers can help you achieve your aesthetic goals.



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