Dermal fillers or RF microneedling better? If former, Bellafill, PLLA, Ellanse or Revanesse - which is best?

Thank you for your question. When considering whether dermal fillers or RF microneedling is better for you, it largely depends on your specific skin concerns and desired outcomes.

RF Microneedling: RF (radiofrequency) microneedling is effective for skin tightening, improving texture, and reducing fine lines and wrinkles. It works by creating micro-injuries in the skin and delivering radiofrequency energy to stimulate collagen production. This treatment can be a good option if you're looking to improve overall skin quality and address mild to moderate skin laxity.

Dermal Fillers: Dermal fillers, on the other hand, are used to restore volume, contour the face, and smooth out deeper wrinkles and folds. Here are some options:

Bellafill: This is a long-lasting filler that contains both collagen and PMMA microspheres. It's particularly good for deeper wrinkles and acne scars, providing immediate results and continued improvement over time.

PLLA (Poly-L-lactic Acid): Known by the brand name Sculptra, this filler works by stimulating your skin's own collagen production. It's a good choice for overall volume restoration and can provide a gradual, natural-looking improvement.

Ellanse: This filler offers both immediate results and long-term collagen stimulation. It comes in different formulations that last from one to four years.

Revanesse: This is a hyaluronic acid-based filler that provides immediate results. It's versatile and can be used for a variety of indications, including fine lines, deeper wrinkles, and volume loss.

For a 73-year-old male, the choice between these treatments depends on your primary concerns:

If you're looking to improve skin texture and tightness, RF microneedling might be the better choice.
If volume loss and deeper wrinkles are your main concerns, dermal fillers might be more appropriate.
Each filler has its own benefits, and the best choice depends on your individual needs and aesthetic goals. A thorough consultation with a dermatologist or aesthetic specialist is essential to determine the best treatment plan for you.

Feel free to reach out for a personalized consultation.

Best regards,

There is not a definitive answer to your question. The right treatment depends on the concerns of the patient. Often times the best result is seen when combining treatments. Fillers are great for adding volume and enhancing contours. RF microneedling such as Morpheus8 is used to improve overall skin tone and texture. For many patients the combination is better than one treatment alone.