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Botox® vs. Fillers: Which Treatment Is Right for Me?

Category:
February 14, 2023

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Botox® and fillers are two of the most popular aesthetic treatments available today. But how do you know which one is right for you? Learn the differences here.

If you notice wrinkles forming around your eyes and mouth or want to lose the appearance of sagging and scarred skin, you’ve probably considered cosmetic treatments. But with so many options, how do you know which to choose?

Botox® and fillers are two of the most commonly used injectable aesthetic treatments on the market, but they treat different problems in different areas.

Our team at Colorado Skin and Vein offers both of these popular cosmetic injections to our Denver-area patients. And we want you to know the differences so you can decide which is best for you and your aesthetic goals.

What is Botox?

Botox is an injectable medication made of a protein that affects how nerves talk to each other..It alters the nerve signals to decrease muscle movement.  This medication was originally studied in very large doses to help children with muscle contraction issues secondary to diseases like cerebral palsy.  About 20 years ago it was noted to improve muscle spasms around the eyes and smooth the appearance of wrinkles caused by muscle contraction.  Since then over 50 million patients have been treated with Botox to safely reduce the appearance of fine lines and wrinkles that cause expression lines.

What are fillers?

Fillers — also called dermal fillers or soft tissue fillers — are injections that add volume and fullness to your skin. Most contain hyaluronic acid or similar ingredients and have a gel-like consistency that mimics the volume in the deep layer of skin and upper fat to give natural looking and natural feeling results.

Fillers can enhance shallow areas of skin, treat large wrinkles or scars, and plump up the lips.

Which should you choose?

Both Botox and fillers can give you a more youthful and rejuvenated appearance, but that’s where the similarities end. These aesthetic treatments have different ingredients, give different results, and treat different areas. So, which one is right for you?

Choosing Botox

If you’re looking to treat fine lines and small wrinkles around your face, Botox is the way to go. Botox temporarily paralyzes the muscles that cause wrinkles and fine lines to form, so the wrinkles fade over time.

Botox injections need to be repeated every 3-4 months for optimal results.

Choosing fillers

If you’re looking to plump up areas of thinning skin or you have deep scars that you want to minimize, fillers are your best option. Once injected, fillers give your skin a much fuller appearance.

You can use fillers anywhere on your face, from your lips to your cheeks. Depending on the target area, fillers can last 6-24 months.

Both Botox and fillers are great choices for cosmetic treatments. What’s best for you, however, depends on your aesthetic goals. Your expert provider at Colorado Skin and Vein can help you make the right choice.

If you’d like more information about Botox or fillers or want to schedule an injection, call our Englewood, Colorado, office at 303-683-3235 or use our online scheduler to request an appointment with us today.

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Colorado's Vascular & Aesthetic Medicine

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Danielle Killingsworth, NCMA, Aesthetics Coordinator at Colorado Skin & Vein in Denver

Danielle Killingsworth

NCMA, Aesthetics Coordinator

Danielle is a Colorado native who brings more than 22 years of experience in the medical field. Throughout her career she has developed a diverse clinical background across infectious disease, general surgery, and pain management — giving her a well-rounded understanding of patient care and of what it takes to create a safe, comfortable, and personalized experience.

As Aesthetics Coordinator at Colorado Skin & Vein, Danielle combines that clinical knowledge with a genuine passion for aesthetics. She is dedicated to helping patients feel confident, informed, and supported throughout their aesthetic journey, from the initial consultation through treatment and follow-up care.

She believes one of the most rewarding parts of her career is building meaningful relationships with patients and helping them look and feel their very best.

Outside of work, Danielle enjoys spending time with her family, including her four boys, getting lost in a good book, and working in her garden. Fun fact: she is a dedicated Dallas Cowboys fan.

Nikki Moyta, Operations Director at Colorado Skin & Vein in Denver

Nikki Moyta

Operations Director

For over 26 years, Nikki has dedicated her career to the dermatology and aesthetics industry, building her experience from the ground up — starting in a patient scheduling call center, moving to the front desk, and rising to executive leadership overseeing multiple providers and locations.

Originally from Pittsburgh, she moved to Orlando before starting 10th grade and later attended Seminole State College of Florida. Her career in dermatology began in 2002, scheduling appointments for a multi-location practice. She grew quickly within the organization, moving into front-desk and checkout roles before being promoted to Office Manager in 2008. In 2012, her leadership and operational expertise led the CEO to seek her out for an expanded role overseeing multiple providers and locations — a position she held through 2022.

Outside of her professional career, Nikki is passionate about giving back to the community:

  • Community outreach
  • Voted “Cheerleader of the Practice”
  • 1st Place Winner — Miles for Melanoma

With a career built on leadership, dedication, and a genuine passion for patients and the aesthetics industry, she is excited to bring her experience and enthusiasm to the Colorado community. When she is not in the office, you can find Nikki with her Siberian husky, Compass, somewhere on top of a mountain.

Betina Lacson, RVT at Colorado Skin & Vein in Denver

Betina Lacson

RVT

Betina graduated from the Cardiovascular Technology Program at Grossmont College in California in 2020, and brings more than six years of experience in the duplex world of venous insufficiency. Much of her career has centered on superficial vein mapping and assisting in surgery while providing attentive patient care.

At Colorado Skin & Vein, she assists with venous ablation procedures as well as ultrasound-guided sclerotherapy. She is committed to quality care at every stage — from the initial consultation, through surgery, to post-operative appointments — making sure each patient feels fully supported.

In her free time, Betina loves Kizomba dancing with her Afro-Latin dance community, and can often be found at electronic dance music shows in different cities. If you are feeling generous, she will happily accept a karaoke room or an iced Thai milk tea.

Brooke Owens, PA-C, MPAS at Colorado Skin & Vein in Denver

Brooke Owens

PA-C, MPAS

Brooke Owens, PA-C, MPAS is a compassionate Physician Assistant who brings a strong clinical foundation, exceptional attention to detail, and a patient-centered approach to Colorado Skin & Vein.

Prior to joining the practice, Brooke spent several years in pediatric primary care, caring for patients with a wide range of acute and chronic conditions. She became known for her thorough evaluations, thoughtful clinical decision-making, and ability to build lasting relationships with patients and their families. That experience strengthened her diagnostic expertise while reinforcing the importance of listening carefully, educating patients, and creating individualized treatment plans.

Drawn to the unique blend of medicine, procedures, and patient transformation, Brooke was excited to move into vascular medicine and aesthetic care. She is passionate about helping patients improve not only their health but also their confidence — whether they are seeking treatment for vein disease, skin concerns, or cosmetic enhancements. By combining broad medical experience with advanced specialty training and a meticulous eye for detail, she delivers safe, effective, and personalized care.

Brooke believes the best outcomes begin with trust. She values taking the time to understand each patient’s goals, answer questions, and ensure they feel informed and comfortable throughout their care.

Angel Croce, Staff Manager at Colorado Skin & Vein in Denver

Angel Croce

Staff Manager

Angel has been in healthcare for more than 20 years. Her journey began in 2004, after her father suddenly passed away from a stroke. Losing him was a life-changing experience, and it inspired her to choose a career where she could help others and give patients and their families the care, compassion, and support they need during difficult times.

Throughout her career she has worked across cardiology, neurology, family practice, and urgent care — each experience helping her grow both personally and professionally. She now works in vascular care and aesthetics, where she enjoys building relationships with her patients, helping them understand their care, and making sure they feel comfortable and supported throughout their journey.

Outside of work, Angel is a proud mom of two. Family is incredibly important to her, and in her spare time she loves being outdoors with her husband and their two dogs — hunting, fishing, and enjoying Colorado.

For Angel, healthcare is more than a career — it is personal. What started as a way to honor her father’s memory has become more than two decades of caring for others, and she is grateful to keep doing something that means so much to her every day.