Botox & Fillers — precision drop sculptural imagery symbolizing the 4 treatments

Botox & Fillers · Facial botox · Body Botox · Dermotoxin · HA Filler

"Surgery feels like too much, but I want to look better naturally" — the reason injectable procedures remain popular. The two main axes are botox (muscle-relaxing principle) and filler (volume-filling principle), each subdivided into facial botox, body botox, dermotoxin, and HA filler1.

Bong Bong Plastic Surgery accurately identifies fat and muscle positions, and which wrinkles to improve versus which to leave natural, then injects verified precise doses of botox. This article covers the mechanisms, differences, and post-treatment care of the 4 treatments.

The 3-minute summary

Treatment
Botox & Fillers
4 subcategories
Facial botox · Body botox · Dermotoxin · HA filler
Procedure time
About 10 min · topical anesthesia cream · same-day discharge
Recovery
Immediate makeup possible · no hospitalization
Botox onset
Gradually from 2 weeks
Filler duration
Average 1 year (as fast as 6 months)

What is botox (Botulinum Toxin)

Botox creates treatment points across various skin layers, acting on the skin with minimal muscle paralysis to produce significant effects in skin firmness improvement, square-jaw reduction, and fine-line improvement2.

Bong Bong Plastic Surgery's botox treatment acts on various skin layers, restricting muscle movement through a simple procedure to naturally improve skin firmness and fine lines. We precisely identify fat and muscle, natural versus improvement-target wrinkles, and muscle location, then inject a verified precise dose of botox.

Natural enhancement without surgery — safely, and lasting.

Dr. Seongsoo Park · Chief Director, Bong Bong Plastic Surgery Clinic

Body Botox

Body Botox — also called trapezius, clavicle, or shoulder botox — is popular with women seeking a beautiful shoulder line. Using botox's muscle-relaxing principle, injections into the trapezius reduce its muscle size, creating a slim, ideal shoulder line and a much more feminine silhouette.

Who benefits from Body Botox

Dermotoxin (Skin Botox)

"Dermotoxin" — a combination of "derma" (skin) and "toxin" (from botulinum toxin) — also known as "Skin Botox," uses a new procedure technique different from traditional botox3.

Dermotoxin is administered across various skin layers, and firmness improvement, square-jaw reduction, and fine-line improvement act across the entire face — improving overall skin firmness for tighter, more elastic skin.

Dermotoxin vs. standard botox

Comparison Standard botox Dermotoxin (Skin Botox)
Injection methodSmall dose to local areaMesotherapy-style, small doses distributed across layers
Action layerFacial expression muscleSkin layer with reduced firmness
Effect rangeLocal wrinkle improvementOverall skin firmness enhancement
TargetGlabellar, forehead, crow's feetPores, fine lines, overall firmness

HA Filler

HA (hyaluronic acid) filler works on the volume-filling principle. It's naturally absorbed over time and can be dissolved with hyaluronidase if needed — a reversible procedure with well-established safety.

Used across various areas including nose, nasolabial folds, forehead, cheeks, and lips, with an average duration of 1 year (as fast as 6 months). Immediately after injection, filler has not yet settled, so caution against irritation and pressure for 3–4 weeks helps prevent asymmetry and deformation.

Comparison of 4 treatments

Treatment Mechanism Main targets Duration
Facial BotoxFacial expression muscle relaxationGlabellar, forehead, crow's feet, square jaw3–6 months
Body BotoxReduction of large muscles like trapeziusShoulder line, clavicle definition, pain relief4–6 months
DermotoxinSmall-dose distributed dermal injectionOverall firmness, pores, fine lines3–4 months
HA FillerVolume fillingNasolabial, cheeks, lips, nose, foreheadAverage 1 year

Post-treatment care principles

For both botox and filler, post-treatment care determines outcome quality.

01
Makeup

Washing and makeup

Both possible immediately after treatment. Avoid strong stimulation of the treatment site.

02
Massage

No massage

Avoid meridian massage and vigorous rubbing. Especially careful for 3–4 weeks with filler.

03
Alcohol

Alcohol and smoking

Avoid for the first week. Small amounts possible after 4–5 days. Affects inflammation and recovery.

04
Effect Timing

When to check effects

Botox gradually from 2 weeks, full effect at 3–4 weeks. Filler stabilizes 1–2 weeks after swelling.

Curious about the right botox and filler combination for your face? Book a consultation.

Diagnosed personally by the chief director of Bong Bong Plastic Surgery. Consultation and diagnostics are complimentary.

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Frequently Asked Questions

QWhen does botox take effect?
Effects gradually appear about 2 weeks after injection. There is individual variation, and full effect is confirmed at 3–4 weeks.
QCan I massage immediately after botox?
It is recommended to avoid irritation as much as possible. Avoid meridian massage or vigorous rubbing of the botox site.
QCan I apply makeup after filler or botox?
Washing and makeup are fine immediately. Makeup is possible right after the procedure.
QHow long does filler last?
Absorption ranges from as fast as 6 months to an average of 1 year.
QCan filler be dissolved?
Yes. It is semi-permanent and absorbs over time, but if the shape is unsatisfactory it can be dissolved with hyaluronidase.
QDoes filler shift if pressed after treatment?
Before it is stably settled, irritation or pressure risks displacement, so caution for 3–4 weeks helps prevent asymmetry or deformation.
QWhen can I drink alcohol or smoke?
Avoid for the first week after filler or botox to calm inflammation. Alcohol and smoking raise inflammation and slow recovery. Small amounts are permissible after 4–5 days.
References
  1. Overview Injectable Cosmetic Procedures — overview of botox and filler mechanisms. Botox induces muscle relaxation by inhibiting acetylcholine release at the neuromuscular junction. Filler immediately improves depression and wrinkles through volume filling. The two treatments have completely different purposes and mechanisms and are used in combination. American Society of Plastic Surgeons guidelines. ASPS → Back
  2. Mechanism Botulinum Toxin Type A — facial expression muscles and cosmetic applications. FDA/KFDA-approved botulinum toxin type A products including Botox® (Allergan), Xeomin®, and Dysport®. Cosmetic indications for glabellar lines, forehead, and crow's feet wrinkles. Square jaw reduction is an off-label use targeting the masseter muscle. Back
  3. Technique Microbotox / Mesobotox (Dermotoxin) — small-dose distributed dermal injection technique. Microbotox technique established by Wu et al. Small doses distributed at superficial dermal points improve skin firmness, pores, and fine lines without muscle paralysis. Known domestically as "Dermotoxin" or "Skin Botox." Extensive related literature in journals including Plast Reconstr Surg. Back

Closing thoughts

Botox and filler are the representative "no-surgery" injectable treatments, but the 4 subcategories have different mechanisms, targets, and effects. Facial botox for expression muscles · Body botox for large muscle reduction · Dermotoxin for overall skin firmness · Filler for volume filling. Accurately selecting the right combination determines outcome satisfaction.

More clinical columns are available on the Bong Bong Plastic Surgery Blog.