Botox vs. Dermal Fillers: Expert Insight from Marielaina Perrone, DDS

In today’s aesthetic world, the terms Botox and dermal fillers are often mentioned together—but they are not the same. While both are injectable cosmetic treatments that help rejuvenate your appearance, they work in very different ways and target different facial concerns.

To help clarify the confusion, we consulted with Dr. Marielaina Perrone, DDS, a renowned expert in cosmetic dentistry and facial aesthetics in Henderson, NV. Her extensive experience and use of both treatments in her comprehensive smile and facial rejuvenation services make her a trusted source of information.

What Is Botox?

Botox is a purified neurotoxin that temporarily relaxes overactive facial muscles. It is most commonly used to reduce the appearance of dynamic wrinkles, which are caused by repeated facial expressions such as frowning, squinting, or raising your eyebrows.

“Botox is incredibly effective at softening fine lines caused by muscle movement, particularly in the forehead, between the eyebrows, and around the eyes,” explains Dr. Perrone. “It helps create a smoother, more relaxed appearance without surgery or downtime.”

Botox treatments are quick, typically taking less than 15 minutes. Results appear within 3 to 7 days and last up to 3 to 4 months.

What Are Dermal Fillers?

On the other hand, dermal fillers are gel-like substances (often made of hyaluronic acid) that are injected beneath the skin to restore lost volume, smooth static wrinkles, and enhance facial contours.

“As we age, we naturally lose collagen and fat, which leads to volume loss in the cheeks, lips, and around the mouth,” says Dr. Perrone. “Fillers help to replenish that youthful fullness.”

Popular uses for dermal fillers include:

• Plumping thin lips
• Lifting cheeks
• Smoothing nasolabial folds and marionette lines
• Contouring the jawline and chin

Unlike Botox, which takes a few days to show results, dermal fillers provide immediate volume restoration. The effects can last 6 to 18 months, depending on the product used and treatment area, offering long-lasting satisfaction.

Should You Choose Botox or Fillers?

According to Dr. Perrone, the right treatment depends on your specific concerns and goals.

“If your primary concern is wrinkles caused by movement—like frown lines—Botox is your best choice,” she explains. “Fillers may be the better option if you're more concerned with facial hollowness or sagging. In many cases, combining the two yields the most natural, balanced results.”

Why See a Dentist for Facial Aesthetics?

Dr. Perrone brings a unique perspective to cosmetic facial treatments. As a cosmetic and implant dentist, she has an intricate understanding of facial anatomy, muscle movement, and symmetry.

“Facial aesthetics go hand-in-hand with a beautiful smile,” she says. “My training in smile design complements my approach to Botox and fillers, ensuring patients achieve results that are both attractive and harmonious.”

Final Thoughts

Botox and dermal fillers offer non-surgical options with powerful results, whether you're looking to soften lines, restore volume, or refresh your appearance. Understanding their differences—and seeing a qualified expert—is key to a safe and satisfying experience.

“When administered with skill and artistry, these treatments can enhance your natural beauty without making you look ‘done,’” Dr. Perrone reassures. “It’s all about balance, subtlety, and confidence.”

About Dr. Marielaina Perrone, DDS

Dr. Marielaina Perrone is a top-rated cosmetic and implant dentist in Henderson, NV. She has advanced training in facial aesthetics, including Botox and dermal fillers. She delivers exceptional, natural-looking results through personalized care and artistry.