Botox vs fillers
Botulinum toxin products (Botox and others) relax specific muscles to soften expression lines, with results that typically wear off over a few months. Dermal fillers (often hyaluronic acid) add volume to areas such as the lips, cheeks and under-eyes. Both are prescription medical treatments, not beauty products.
Choosing a safe med spa
- Rules on who may inject, and the level of physician supervision, vary by state.
- Ask who the supervising physician is and who will perform your treatment.
- Ask to see the product packaging: the FDA has warned about counterfeit and unapproved botulinum toxin.
- Ask how complications such as vascular occlusion from fillers are handled.
More in our med spa safety guide.
Free assessments and pricing
Many med spas offer a free assessment and treatment plan. Pricing can be per unit (toxins) or per syringe (fillers), so ask for a total estimate. Cosmetic injectables are not covered by insurance; Botox for medical uses such as chronic migraine may be.
Last updated: 15 October 2026
