Botox and dermal fillers work completely differently and solve different problems. Botox relaxes muscles that cause dynamic wrinkles—the lines that appear when you frown, squint, or express emotions. It’s also what stops the muscle contractions that cause TMJ pain and teeth grinding.
Fillers, on the other hand, add volume to areas that have lost fullness due to aging. Think of it this way: Botox prevents the muscle movements that create wrinkles, while fillers fill in lines that are already there even when your face is relaxed.
For TMJ treatment, you need Botox specifically because you’re targeting overactive muscles. For cosmetic concerns, Dr. Kupetz might recommend Botox for expression lines around your eyes and forehead, and fillers for deeper lines around your mouth or to restore lip volume. Many patients benefit from both treatments, but they serve different purposes and are often used in combination for comprehensive facial rejuvenation.