Which Is Better for Wrinkles: Dermal Fillers or Laser Skin Resurfacing?

Better for Wrinkles
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With the plethora of wrinkle treatments available today, it can be challenging to determine the most effective option for you. Two of the most popular choices on the market are dermal fillers and laser skin resurfacing. Each offers its benefits and drawbacks, and in this article, we’ll delve into them to help you decide which is best for you.

Dermal Fillers

What Are Dermal Fillers and How Do They Work?

Dermal fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth lines, and soften creases. They are made from ingredients that improve the skin’s hydration and elasticity, like hyaluronic acid. When injected, dermal fillers help create a fuller, more youthful appearance.

The dermal filler procedure is minimally invasive and can yield immediate results, making it a popular choice for those seeking non-surgical cosmetic treatment.

Types of Dermal Fillers

There are several types of dermal fillers, each designed to address specific concerns. The main types include:

  • Hyaluronic Acid Fillers: These fillers provide a plump, hydrated appearance. Examples include Juvederm and Restylane.
  • Calcium Hydroxylapatite Fillers: These fillers stimulate the production of collagen, leading to longer-lasting results. A popular example would be Radiesse.
  • Poly-L-lactic Acid Fillers: These fillers are known for their ability to stimulate collagen production over time, yielding natural-looking results. Sculptra is a well-known example.
  • Polymethylmethacrylate (PMMA) Fillers: These fillers contain tiny microspheres suspended in a collagen gel, providing a semi-permanent solution for deep wrinkles and furrows. Bellafill is a popular example.
  • Fat Injections: This method involves harvesting fat from another part of the patient’s body and injecting it into the face to add volume and smooth wrinkles. While it’s more invasive, it offers natural and potentially long-lasting results.

Who Is a Good Candidate for Dermal Fillers?

A good candidate for dermal fillers generally meets the following criteria:

  • Has fine lines or wrinkles they wish to smooth out
  • Wants to add volume to areas such as the lips or cheeks
  • Is in good overall health with no severe skin conditions
  • Has realistic expectations about the outcomes of the procedure
  • Does not have a history of severe allergic reactions or skin conditions in the treatment area(s)
  • Is not pregnant or breastfeeding

Can Fillers Reverse Wrinkles?

Dermal fillers don’t permanently remove wrinkles, but they can temporarily smooth out fine lines and deep creases by adding volume beneath the skin. These fillers, which are often composed of substances like hyaluronic acid, collagen, or calcium hydroxylapatite, work by plumping the targeted areas, thus diminishing the visibility of wrinkles.

Are Dermal Fillers Safe?

Dermal fillers are generally considered safe when administered by a qualified professional. However, like any cosmetic procedure, they come with potential risks and side effects. Some of the most common risks and side effects of dermal fillers include:

  • Bruising
  • Swelling
  • Redness
  • Tenderness
  • Lumps/bumps

How Long Do Dermal Fillers Last?

The effects of dermal fillers can last anywhere from six months to five years, depending on the type of filler used, the amount injected, the area(s) being treated, and how rapidly the body metabolizes the filler material. Regular maintenance treatments are usually required to sustain the desired look.

Laser Skin Resurfacing

What Is Laser Skin Resurfacing and How Does it Work?

Laser skin resurfacing is a cosmetic procedure that uses concentrated beams of light to improve the appearance of the skin. The treatment can address a variety of skin conditions, including wrinkles, acne scars, and sun damage.

The process involves removing the outer layer of the skin, known as the epidermis, while simultaneously heating the underlying skin, called the dermis. This stimulates the growth of new collagen fibers, which are essential for maintaining the skin’s elasticity and firmness. As the treated area heals, it results in smoother, tighter, and more youthful-looking skin.

Different types of lasers can be used for this procedure, including ablative lasers, which remove layers of skin, and non-ablative lasers, which promote collagen growth without removing skin.

Who Is a Good Candidate for Laser Resurfacing?

Good candidates for laser resurfacing typically meet the following criteria:

  • Light to medium skin tone
  • Non-smoker
  • Absence of active acne
  • Good overall health
  • Realistic expectations

Does Laser Treatment Work on Wrinkles?

By targeting the underlying structure of the skin, laser treatment can effectively smooth out fine lines and wrinkles and generate a more youthful appearance. Like dermal fillers, though, laser treatment generally does not eliminate wrinkles altogether.

The success of laser treatment can vary based on factors like skin type, age, and the severity of wrinkles. Most patients require multiple sessions to achieve optimal results.

What Are the Risks and Side Effects of Laser Resurfacing?

Laser resurfacing, while generally safe, does carry risks and side effects. These include:

  • Redness and swelling
  • Scarring
  • Infection
  • Changes in skin color
  • Burns
  • Acne flare-ups

Is Laser Resurfacing Permanent?

The results of laser resurfacing are not permanent, but they are long-lasting. After undergoing the procedure, many patients experience significant improvements in their skin’s texture, tone, and appearance, and these results can endure for several years as long as you maintain a proper skincare regimen and protect your skin from the sun.

However, factors such as aging, lifestyle choices, and environmental exposure can negatively affect the skin over time, making it necessary to undergo periodic maintenance treatments.

Which Is Better for Wrinkles: Dermal Fillers or Laser Treatment?

The answer as to whether dermal fillers or laser treatment is better for wrinkles depends on several factors, including the type and depth of the wrinkles, the desired outcome of the treatment, and your individual skin characteristics.

Dermal fillers offer immediate results and can be particularly effective for nasolabial folds and marionette lines. On the other hand, laser treatments can be more suitable for fine lines, acne scars, and pigmentation issues.

Both treatments have their merits, and a consultation with a qualified esthetician is essential to determining the most appropriate option for you.


In conclusion, both dermal fillers and laser skin resurfacing offer effective solutions to combat signs of aging like wrinkles, fine lines, and loss of skin elasticity. Each treatment has its own unique benefits and downsides, making it crucial to assess your specific needs and goals before picking one.

If you’d like to achieve a more youthful appearance, Bella Medspa can help. Book a free consultation today to discover whether dermal fillers and/or laser treatment are right for you.

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