If you’re new to cosmetic procedures, it’s easy to confuse Botox in Surrey with dermal fillers. Both are cosmetic injectables, but they work in completely different ways and address different signs of ageing.
This comprehensive guide explains the difference between Botox and dermal fillers, when each is appropriate, and when combining both gives the best results. All advice is specific to patients in Surrey.
What is Botox?
Botox injections in Surrey use Botulinum Toxin, which is a purified muscle relaxant. Botox works by blocking nerve signals to targeted facial muscles, causing them to relax and reducing the facial movement that creates expression lines. This softens dynamic wrinkles, which are lines that appear when you make expressions.
Common areas treated with Botox:
- Frown lines between the brows
- Horizontal forehead lines
- Crow’s feet around the eyes
- Smokers lines (vertical lip lines)
- Bunny lines on the nose
- Gummy smile
- Jawline slimming for facial reshaping
- Neck bands (Nefertiti lift)
- Brow lift (non-surgical)
Botox is ideal for preventing fine lines from deepening and creating a smoother, more refreshed appearance.
What are dermal fillers?
Dermal fillers in Surrey are gel-like substances, usually hyaluronic acid, injected into the skin to restore volume, structure, and contour. They treat static wrinkles and the volume loss that develops as skin elasticity reduces with age.
Common areas treated with fillers:
- Lips (lip enhancement)
- Cheeks
- Tear troughs (under-eye hollows)
- Jawline
- Nasolabial folds (smile lines)
- Non-surgical rhinoplasty (nose reshaping)
- Marionette lines
- Chin
Fillers don’t relax muscles. They add volume support and structure where it’s been lost due to ageing.
The key differences at a glance
- What they do – Botox relaxes muscles; dermal fillers add volume.
- What they target – Botox works on dynamic wrinkles, the expression lines that appear when you move your face. Fillers work on static wrinkles and volume loss, which are visible at rest.
- Common areas – Botox is most often used on the forehead, frown lines and crow’s feet. Fillers are used in the lips, cheeks, tear troughs and jawline.
- How quickly you see results – Botox develops over 3 to 14 days. Fillers are immediate, though there may be some swelling at first.
- How long they last – Botox lasts 3 to 5 months. Fillers last 6 to 18 months, depending on the product used.
- Best for – Botox for preventing and softening lines; fillers for restoring structure and contour.
How to choose: Botox or fillers?
- Frown lines, forehead lines and crow’s feet – Botox
- Smokers lines (vertical lip lines) – Botox, or a combination of both
- Nasolabial folds (smile lines) – dermal fillers
- Lip volume and shape – lip fillers
- Cheek volume loss – cheek fillers
- Jawline definition – jawline filler for contouring, or Botox for jawline slimming
- Under-eye hollows – tear trough filler
- Neck bands – Botox (Nefertiti lift)
- Brow lift – Botox, or a surgical brow lift
- Non-surgical rhinoplasty – dermal fillers
Can you have Botox and fillers together?
Yes, and in many cases, combining anti-wrinkle injections in Surrey with dermal fillers gives the best results. For example:
- Botox softens crow’s feet while fillers restore cheek volume
- Botox lifts the brow while facial fillers add structure to the jawline
- Botox treats smokers lines while lip augmentation adds volume and definition
- Botox slims the jawline while chin filler improves profile
Treating muscle and volume together in this way is what’s often described as a non-surgical facelift.
At HAVA Aesthetics, we take a consultation-led approach. Dr Hadeel Nimaa will assess your facial anatomy and recommend a treatment plan that’s right for you, not just what you think you need.
Why some patients need both
Facial ageing is complex, which is why facial aesthetics is rarely a single-treatment decision. It involves:
- Muscle movement which is treated with Botox
- Volume loss which is treated with fillers
- Skin quality changes, such as reduced collagen and elastin, which are treated with skin boosters or Profhilo
A comprehensive approach often involves combining treatments. For example, a patient in their 40s in Surrey might benefit from:
- Botox in Surrey for forehead wrinkles and crow’s feet
- Cheek filler for mid-face support and restored midface volume
- Skin boosters for overall skin quality
This tailored approach addresses multiple aspects of ageing for a balanced, natural result.
Cost comparison: Botox vs fillers
Botox treatments in Surrey typically start from £195 per area. Dermal filler treatments vary more widely depending on the product and area treated. At your consultation, you’ll receive a clear, itemised quote before any treatment is agreed.
View our Botox pricing guide →
Which treatment is right for you? Book a consultation in Surrey
If you’re unsure whether Botox in Surrey, fillers, or a combination is right for you, the best next step is a professional consultation. At HAVA Aesthetics in Esher, we’ll:
- Assess your facial anatomy
- Discuss your concerns and goals
- Recommend the most appropriate treatment plan
- Provide transparent pricing
- Give you time to decide with no pressure
Book your consultation in Surrey
If you’re unsure whether Botox in Surrey, fillers, or a combination is right for you, book a consultation at HAVA Aesthetics in Esher. We’ll give you honest, professional advice with no pressure.
Serving Esher, Cobham, Weybridge, Kingston, Surbiton, Thames Ditton, Claygate and surrounding Surrey areas.
Frequently Asked Questions
Which is better, Botox or fillers?
Neither is better because they treat different concerns. Botox in Surrey relaxes muscles to soften expression lines, while fillers add volume. Many patients benefit from both.
How long does Botox last compared to fillers?
Botox typically lasts 3 to 5 months. Fillers last longer, typically 6 to 18 months depending on the product and area.
Can I get Botox and fillers on the same day?
Yes, in many cases. Your practitioner will advise if it’s safe and appropriate for your treatment plan.
Is Botox or filler more painful?
Both are well tolerated. Botox feels like a brief pinch. Fillers may involve more discomfort, but numbing cream is used.
Which is safer, Botox or fillers?
Both are safe when administered by a qualified medical professional. At HAVA, all treatments are performed by Dr Hadeel Nimaa in a Save Face accredited clinic.
How do I know if I need Botox or fillers in Surrey?
The best way is to book a consultation at HAVA Aesthetics in Esher. Dr Nimaa will assess your facial anatomy and recommend the right treatment for your concerns.

