Complete Guide

Complete Facial Harmonization Guide

Everything you need to know about botulinum toxin and hyaluronic acid fillers for facial harmonization: how they work, how long they last, what to expect, and how to care for yourself afterwards. Expert guide prepared by Dr. Lindsay Sancho, specialist in advanced aesthetic medicine at Daley Clinic.

🕐 6-minute read 🌟 Daley Clinic 🇨🇷 Quepos, Costa Rica

What are botox and fillers?

Botox and dermal fillers are two of the most popular aesthetic medicine treatments worldwide. While both are administered through small injections, they work in completely different ways and target different concerns. Understanding how each one works will help you choose the right treatment for your goals.

Botulinum Toxin (Botox)

Relaxes muscles that cause expression wrinkles

Temporarily blocks the nerve signal that contracts specific facial muscles

Ideal for expression lines: forehead, frown lines, crow's feet

Natural result: face looks rested, not "frozen"

Results last 3 to 6 months

Quick procedure: 15-20 minutes

Hyaluronic Acid (Fillers)

Restores volume and smooths deep folds

A substance that occurs naturally in the body; attracts and retains moisture in the skin

Ideal for lips, cheeks, nasolabial folds, under-eye hollows

Restores volume lost through the natural aging process

Results last 6 to 18 months depending on the area

Reversible: can be dissolved with hyaluronidase if needed

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Can they be combined? Yes. Many patients achieve more natural and complete results by combining botox and fillers in the same session. Our doctor will evaluate what is most appropriate for your specific case.

What is each treatment used for?

Each treatment has its ideal application areas. Here we explain the most common ones to help you get oriented — though a personalized evaluation by our specialist always determines the most suitable plan for you.

💉 Botox — Ideal areas

Forehead: horizontal lines from raising eyebrows

Frown lines: vertical lines between the brows ("11 lines")

Crow's feet: fine lines at the outer corners of the eyes

Brow lift: non-surgical eyebrow elevation

Excessive sweating: underarms, palms (hyperhidrosis)

💧 Fillers — Ideal areas

Lips: volume, definition, and symmetry

Cheeks: restoring volume and projection

Nasolabial folds: smile lines from nose to mouth

Under-eye hollows: softening the tear trough area

Chin and jawline: defining facial contour

Preparation before your session

Proper preparation minimizes bruising risk and maximizes results. Follow these guidelines in the days leading up to your Daley appointment.

1

Avoid natural blood thinners

For 7-10 days before, avoid aspirin, ibuprofen, vitamin E, omega-3, garlic supplements, and alcohol. These increase the risk of bruising at the injection sites.

2

Disclose your medications

Let our doctor know if you take anticoagulants, anti-inflammatories, or any regular medication. Some may require temporary adjustment or pausing before treatment.

3

Arrive without makeup

Come to your appointment with clean skin and no makeup on the treatment areas. This allows for more hygienic application and better skin assessment.

4

Avoid intense sun exposure

Stay out of strong sun and avoid self-tanners 48 hours before your appointment. Tanned or irritated skin can be more sensitive during the procedure.

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Daley Tip: If you have an important event coming up, schedule your appointment at least 2 weeks in advance. This allows the product to settle completely and any temporary bruising to fully disappear before the big day.

Post-treatment care

The first hours and days after treatment are critical for the best results. Care instructions vary slightly between botox and fillers, but here are the essential guidelines for both.

First 4 hours: facial rest

Do not touch, massage, or press the treated areas. For botox, avoid lying face down or bending forward significantly to prevent product migration before it sets.

First 24 hours: no intense exercise

Avoid high-intensity exercise, saunas, and very hot baths. Heat and increased blood flow can displace the product before it properly settles in place.

Days 1-3: minimal makeup

If you apply makeup, do so very gently. Avoid direct pressure on the injection points. Some light bruising is normal and typically resolves within a few days.

Days 3-14: visible effect

Botox gradually shows its effect; the final result is visible between 7 and 14 days. Fillers take effect more immediately, though some swelling in the first few days is normal.

How long do results last?

Duration varies depending on the treatment, area treated, your metabolism, and lifestyle habits. Here's a general guide based on Daley's clinical experience.

3-6
Months — Botox
Highly active zones (frown lines, forehead) tend to have shorter duration
6-12
Months — Lip fillers
Lips metabolize hyaluronic acid faster than other areas
12-18
Months — Cheek fillers
Less mobile areas retain the product significantly longer
With regular treatments, many patients notice that over time they need less product to maintain the same results. The muscle gradually adapts and skin quality progressively improves.
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Maintenance: To maintain continuous results, we recommend scheduling your next botox appointment before the effect fully wears off. This prevents wrinkles from re-establishing themselves. Our doctor will guide you with the ideal calendar for your specific case.

Safety, side effects and contraindications

When administered by certified physicians with experience, botox and fillers are safe, globally proven procedures. Understanding possible side effects and contraindications allows you to make well-informed decisions.

Normal temporary effects

Redness and swelling

At the injection site. Typically resolves within a few hours to days.

Small bruises

May appear at the puncture point. Resolve on their own within 5-7 days.

Feeling of pressure or tightness

Normal with fillers in the first few days as the body adjusts to the product.

Temporary asymmetry

May be slightly noticeable while botox finishes taking effect (7-14 days).

Contraindications

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Pregnancy and breastfeeding

Not performed during pregnancy or while breastfeeding

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Neuromuscular diseases

Such as myasthenia gravis (for botox)

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Active infection in the area

Treatment is postponed until the area is completely healed

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Known allergy to the product

Always disclose any prior allergies to any ingredients

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Safety key: At Daley, all aesthetic medicine treatments are performed by Dr. Lindsay Sancho, a physician with certified experience in advanced aesthetics. We never delegate these procedures to non-medically qualified staff.

Conclusion and how to get started at Daley

Botox and fillers are aesthetic medicine tools that, when applied by certified professionals, deliver natural, safe, and predictable results. The key lies in personalized assessment, proper technique, and a plan tailored to your goals.

At Daley we don't sell procedures — we design personalized aesthetic plans. Our goal is for you to look like the best version of yourself, always in a natural way.
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Book your consultation

Free medical evaluation of your face and aesthetic goals

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Personalized plan

Dr. Lindsay designs the ideal protocol for your case

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Safe treatment

Procedure performed by certified medical hands

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Natural results

Look radiant and refreshed without losing your essence

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Certified physician

Dr. Lindsay Sancho, specialist in advanced aesthetics

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Quality products

Certified brands with health registration

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Post-treatment follow-up

Continuous support throughout your aesthetic journey

The change you're looking for starts here

Book your consultation with Dr. Lindsay at Daley and discover which treatment is right for you. No commitments — just all the information you need.

Book consultation with Dr. Lindsay