Fillers simply “fill” or add volume. If addition of volume fixes the problem then fillers are the answer. But in some cases “dynamic wrinkles,” or wrinkles that get worse with expression or movement, need to be treated with Botox or Dysport. The wrinkles that are already present at rest known as “static wrinkles” can be improved with Restylane, Perlane, Juvederm, Belotero as long as the wrinkles or lines are not extremely superficial. Lines or wrinkles that are extremely superficial need additional procedures such as CO2 laser chemical peels or dermabrasion. Addition of fillers to very superficial lines may create a lump in the area. Also some lines may not be present at rest but show up with expression. Addition of fillers to these lines in order to improve their appearance during expressions or movement may result in lumps appearing at rest.