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Can wrinkles on the glabella and sunken cheeks be resolved with the same injection? Both affect facial impressions, but their causes and approaches differ. Because Dermal Fillers and Botulinum Toxin are often mentioned together, they can easily be mistaken for similar procedures.

However, it is necessary to first distinguish which problem is central to determine the necessary procedure and appropriate scope. If you are looking for a plastic surgery clinic in Pyeongtaek, we recommend checking whether you receive a detailed explanation of the diagnosis and treatment plan, rather than judging solely by the region or clinic name.

Wrinkles that deepen when smiling or frowning are often related to the movement of facial expression muscles. In contrast, wrinkles that remain even without making expressions involve both changes in the skin itself and volume loss. Sunken cheeks are also affected not only by fat loss but also by the sagging of the skeleton and surrounding tissues. Therefore, simply injecting along visible lines may not create the desired change.

During a plastic surgery consultation, it is advisable to check whether the face is examined both at rest and when making expressions. Understanding the reason for your concerns can help you understand the necessity of the procedure.

Dermal Fillers are procedures used to fill tissues to compensate for sunkenness or to enhance contours. Botulinum Toxin, commonly known as Botox, is used to temporarily reduce muscle contraction to alleviate expression wrinkles. It is not a method of filling areas lacking volume with Botulinum Toxin or reducing muscle movement with Dermal Fillers. Therefore, even if both procedures are considered together, the reasons and goals for each must be clear.

When choosing a plastic surgery procedure, we recommend first considering what role is needed for your face now, rather than simply because it is included in a package. If skin sagging is the main cause, other treatments might be more appropriate than Dermal Fillers or Botulinum Toxin.

The criteria for choosing Dermal Filler products differ for the lips and chin due to their distinct movements and tissue characteristics. If the injection amount is only increased without reflecting the original skin thickness or volume state, it may lead to unnatural swelling or an uneven surface. For Botulinum Toxin, the injection sites must also be planned according to muscle size, strength, and left-right differences. When reducing forehead movement, eyebrow position and eye-opening habits must also be considered.

When comparing plastic surgery clinics, we recommend checking whether the practitioner directly evaluates your face and informs you of the product name and amount used. Whether the practitioner is a specialist and their experience with the procedure are also important criteria to consider.

You should inform us in advance of the type of Dermal Fillers and Botulinum Toxin you have received previously, as well as the treatment areas and dates. Information such as allergies, medications, neuromuscular diseases, and pregnancy or breastfeeding status is also necessary for judgment. After the injection, bruising, swelling, and pain may occur. Botulinum Toxin may cause eyelid ptosis, facial asymmetry, or a weakening of chewing strength depending on the area.

Dermal Fillers can lead to nodules or infections, as well as the possibility of blood vessel blockage, which can result in tissue damage or vision problems. If severe pain, whitening or blue discoloration of the skin, or changes in vision occur during or after a Dermal Filler procedure, you should seek medical attention immediately. In rare cases, difficulty breathing or swallowing may occur after an injection, in which case emergency medical attention is needed without delay.

Can Dermal Fillers and Botulinum Toxin be administered together? Because their purposes are different, they can be considered together, but you must first confirm whether there is a clear reason for each. Can satisfaction be judged immediately after the procedure? No. The volume immediately after Dermal Fillers includes swelling, and the response to Botulinum Toxin can only be properly evaluated after a certain period. You should not continue to add more based solely on the appearance on the day of the procedure. What if I am concerned about adverse reactions? You should be informed in advance of contact methods and the next evaluation time, and you should not arbitrarily massage the treated area vigorously.

When looking for a plastic surgery clinic, in addition to proximity and cost, we recommend checking whether follow-up care can be provided. Whether Dermal Fillers and Botulinum Toxin are suitable is not a matter that can be judged solely by the clinic's location. It requires a thorough examination to identify the cause, the establishment of different plans for each area, confirmation of the products used, and a response plan in case of adverse reactions. If you wish to receive an accurate diagnosis of your current condition and create a personalized plan rather than simply adopting the injection amounts and designs applied to others, please feel free to inquire via Chat Consultation.

• American Academy of Dermatology (AAD), Botulinum Toxin Procedure Guide
• U.S. Food and Drug Administration (FDA), Dermal Filler Safety Information

This article was reviewed by Representative Director Park Min-soo (7th President of the Korean Society for Laser, Dermatology, and Hair, Adjunct Professor at Hanyang University College of Medicine) and Representative Director Lee Yu-seok (Vice President of the Korean Society for Laser, Dermatology, and Hair, 20 years of clinical experience). Last reviewed 2026-09-20.