Neuromodulators vs Dermal Fillers – Which Treatment is Best for Your Patients? | Fraiche Academy

Neuromodulators vs. Dermal Fillers – Which Treatment is Best for Your Patients?

If you're new to the world of aesthetics, you’ve likely heard terms like "Botox" and "filler" tossed around. While they’re often used interchangeably, it’s important to understand the distinct roles of neuromodulators and dermal fillers to know when and how to recommend each treatment to your patients.

Neuromodulators (Botox, Dysport, Xeomin, Jeuveau, Daxxify & Letybo)

🔹 How They Work: Neuromodulators temporarily relax the muscles responsible for wrinkles and fine lines.

🔹Best For: Treating forehead lines, crow's feet, frown lines, slimming the jawline and more.

🔹How Long They Last: Results typically last 3-4 months.

Dermal Fillers (HA-based, CaHA, & Biostimulators like Sculptra)

🔹How They Work: Dermal fillers restore volume, contour, and support to areas of the face that have lost elasticity or fullness.

🔹Best For: Enhancing cheeks, lips, jawline, temples, and under-eye hollows.

🔹 How Long They Last: HA fillers typically last 6-12 months, while CaHA and Sculptra stimulate collagen and elastin production, providing results that can last 2+ years.

💡 Clinical Pearl: For patients with deep static wrinkles—those that remain visible even when the face is at rest—a combination of neuromodulators and dermal fillers often yields the best results. The neuromodulator will relax the muscle, while the filler will restore lost volume.