
If you’re starting to notice lines, wrinkles, or loss of volume, you may be wondering whether Botox or dermal fillers are the best option to restore a younger, refreshed appearance. While both treatments are extremely popular, they work very differently — and choosing the right one depends entirely on your facial anatomy and your aesthetic goals.
At Zinnia Aesthetics & Anti-Aging Clinic in Fairfax, VA, Dr. Anteneh Roba creates treatment plans tailored to your unique features to ensure natural, balanced, and long-lasting results. This guide breaks down the differences, benefits, and ideal uses for Botox and fillers, so you can feel confident in your decision.
What Is Botox?
Botox is a neuromodulator that works by relaxing the muscles responsible for dynamic wrinkles — the wrinkles formed from facial expressions such as frowning, squinting, or raising your eyebrows.
Best for:
- Forehead lines
- Frown lines (“11s”)
- Crow’s feet
- Brow lift effect
- Jawline slimming (masseter Botox)
- Lip flip (subtle enhancement)
- Gummy smile correction
How it works:
Botox temporarily reduces muscle activity to soften lines and prevent deeper wrinkles from forming.
How long it lasts:
Typically 3–4 months, depending on the area and your muscle strength.
What Are Dermal Fillers?
Dermal fillers are injectable gels — often made from hyaluronic acid (HA) — used to restore lost volume, contour the face, and fill static wrinkles.
Best for:
- Cheek enhancement
- Under-eye hollows
- Nasolabial folds (smile lines)
- Marionette lines
- Chin and jawline contour
- Lip augmentation
- Non-surgical nose correction
- Volume restoration from aging
How fillers work:
Fillers add structure and volume where the face has lost fat, elasticity, or definition. Some also stimulate collagen for long-term rejuvenation.
How long they last:
Most fillers last 6–18 months, depending on type and area.
Botox vs. Fillers: The Key Differences
| Feature | Botox | Fillers |
| Best for | Expression lines | Volume loss & deep folds |
| How it works | Relaxes muscles | Adds structure/volume |
| Areas treated | Upper face | Mid & lower face |
| Results appear | 3–7 days | Immediate |
| Duration | 3–4 months | 6–18 months |
| Goal | Smooth lines | Restore youthfulness |
Which Treatment Do You Need?
Choose Botox if you want to:
- Smooth forehead wrinkles
- Soften crow’s feet
- Reduce frown lines
- Lift the brows
- Slim the jawline
- Relax expression lines
Choose Fillers if you want to:
- Restore cheek volume
- Lift sagging skin without surgery
- Soften deep folds
- Enhance lips
- Sculpt jawline or chin
- Correct hollow under eyes
Many patients benefit from BOTH
This is known as a liquid facelift — a customized combination of Botox and fillers that rejuvenates the entire face with natural, nonsurgical results.
The Most Common Botox + Filler Combinations at Zinnia Aesthetics
- Botox for forehead + filler for under-eye hollows
- Botox for crow’s feet + cheek filler for lift
- Botox masseter slimming + chin filler for balance
- Botox lip flip + HA lip filler
- Full-face liquid lift (custom combination by Dr. Roba)
This approach refreshes the entire face while keeping results subtle and balanced.
What to Expect During Treatment with Dr. Roba
1. Personalized Facial Assessment
Dr. Roba examines muscle movement, skin elasticity, and facial symmetry.
2. Tailored Treatment Plan
He explains where Botox or filler is recommended — always customized to your facial anatomy.
3. Gentle, Precise Injection Technique
Most patients describe discomfort as minimal.
4. Natural, Youthful Results
You’ll look refreshed — never frozen, overfilled, or artificial.
How Quickly Will You See Results?
- Botox: Effects start at 3–5 days, full results in 7–14 days
- Fillers: Results are immediate, with final settling at 1–2 weeks
Safety & Side Effects
When performed by a qualified physician like Dr. Roba, Botox and fillers have an excellent safety profile.
Possible (temporary) side effects:
- Mild swelling
- Pinpoint bruising
- Tenderness
All typically resolve in a few days.
Why Choose Zinnia Aesthetics in Fairfax, VA?
Patients choose Dr. Roba for his:
- Medical expertise in anti-aging
- Precision injection technique
- Conservative, natural aesthetic philosophy
- Ability to restore youthful structure without overfilling
- Warm, detailed approach to patient care
You’ll always look like your best self, not a different person.
Still Not Sure If You Need Botox or Fillers?
During your consultation, Dr. Roba will guide you through:
- What treatment will work best
- How to sequence Botox and fillers
- What results you can expect
- What fits your goals and proportions
Ready to Refresh Your Look?
Schedule your Botox and filler consultation at Zinnia Aesthetics in Fairfax, VA and let Dr. Roba help you achieve natural, elegant rejuvenation.

