Botox® and Dermal Fillers: The Ultimate Combination

When Botox® first burst onto the cosmetic scene almost 25 years ago, it launched us into a new world where injections, not surgery, reign supreme when it comes to making both subtle and dramatic changes.

It’s no exaggeration to say that when Botox® was first approved by the FDA for cosmetic purposes almost 25 years ago, it completely changed the way we approach aesthetics and anti-aging.

This injectable proved that cosmetic improvements don’t need to come at the edge of a costly and potentially risky knife. Instead, a few injections are enough to make a dramatic difference, especially when you combine Botox and its counterparts with dermal fillers. To illustrate their popularity, the use of cosmetic injectables continues to grow and, in 2024 alone, nearly 20 million of these treatments were performed in the United States.

As leading dermatologists in the area (we just won GOLD in the 2025 Best of Las Vegas Awards under the dermatologist category), our team at Vivida Dermatology is both experienced and skilled in the area of cosmetic injectables.

What we’ve found in working with neurotoxins like Botox and dermal fillers is that they create a powerful duo that can handle a wide range of cosmetic goals.

Botox and smoothing out dynamic wrinkles

Botox and its counterparts, such as Dysport®, can tackle many cosmetic concerns. Arguably, their biggest use is for the dynamic wrinkles that form around the top half of your face, including:

Horizontal forehead lines
Crow’s feet
Vertical frown lines between your eyebrows

We call these dynamic wrinkles, which form when your facial muscles contract to create expressions. Over time, and as your skin loses elasticity and tone, these wrinkles may become more persistent. For example, frown lines between your eyebrows can take up permanent residence, making your resting face look angry.

With Botox, we can relax the muscles that form these wrinkles, allowing the skin to smooth back out and for your expressions to come and go, giving you a more pleasant and youthful resting face.

Dermal fillers and the bottom half of your face

To complement the work we do with Botox around the top half of the face, many of our clients want to tweak the bottom half as well. Thanks to dermal fillers, we can do things such as:

Plump thinning lips
Address vertical lines around your lips (smokers’ lines)
Fill in nasolabial folds
Smooth out wrinkles (marionette lines) around your chin
Add volume to your cheeks and lift sagging skin
Lift sagging skin around your jawline
Even out bumpy under-eye areas

To do this, our dermal fillers contain a natural ingredient called hyaluronic acid, which excels at retaining moisture to give your skin more volume.

Other uses for cosmetic injectables

As you can see, combining neurotoxins like Botox with dermal fillers is an excellent way to address your entire face. Given that we’ve had decades to work with these products, we’ve found more great uses for cosmetic injectables, such as:

Releasing the cords in your neck, called platysma bands, with Botox
Liquid nose jobs that lead to subtle changes in the shape of your nose
Fine-tuning microexpressions, such as lifting the outside edges of your brows or lifting the corners of your mouth
Improving the chin-neck connection for an improved profile
Filling in craggy hands with fillers

In the right hands, cosmetic injectables can really help you put your best face forward, no matter what stage of life you’re in.

To see for yourself why so many of our clients make cosmetic injectables a regular part of their beauty regimens, we invite you to contact one of our offices in Las Vegas or Henderson, Nevada, and St. George, Utah, to schedule an appointment.