What is the difference between Micro dermabrasion & Botox?

I have been thinking about Botox injections, however, I have read some of the "horror stories" of Botox gone wrong and now I'm the little leery. Im now about other options and what comes to mind is Micro dermabrasion. Is it a good alternative to Botox or what would you recommend Or is Botox best way to go? Again I'm looking for alternatives to Botox that are recommended.

Doctor Answers 9

Botox and Microdermabrasion

Microdermabrasion takes off the top dead layer of skin cells to leave the skin smoother, brighter and softer.  In addition, removing these old cells actually stimulates the lower levels to grow. Botox injections at problem areas can erase fine lines and wrinkles, especially around the eyes and forehead.   It can change contours of the face, while Microdermabrasion changes the texture and color of the surface of the skin.The two tools actually work very well together. Microdermabrasion is however specifically to improve the texture and color of the skin and Botox to deal with contours that are a half a century old.


Summit Emergency Medicine Physician
5.0 out of 5 stars 23 reviews

What is the difference between Micro dermabrasion & Botox?

Microdermabrasion is a "buffing" procedure that only addresses the top most of the top layer of the skin.  Botox is a medication that is injected into the facial muscles and relaxes them.  These procedures are totally different.  I would suggest consulting with a facial plastic surgeon or plastic surgeon to review non-surgical facial rejuvenation alternatives with you so that you can be examined in person and a plan could be formed that approximates your expectations.  I wish you well!

Parker A. Velargo, MD
New Orleans Facial Plastic Surgeon
5.0 out of 5 stars 42 reviews

Botox and microdermabrasion

These procedures are vastly different so much so you should discuss with your dermatologist as there is no similarity whatsoever between them. 

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon
5.0 out of 5 stars 4 reviews

Botox and Microdermabrasion

Botox and microdermabrasion are two completely different treatments. Yet both are aimed at treating facial wrinkles. Botox is a neuromodulator, or medication, that causes short-term paralysis of the muscles it is injected in to. As the muscle becomes weaker, it's ability to cause wrinkles in the overlying skin is diminished. The result is smoother skin. Microdermabrasion involves using a device to exfoliate (remove the top layer) the facial skin. Like Botox and other neuromodulators, the result is smoother skin. These two treatments are often used to compliment each other. 

Brian Harmych, MD
Cleveland Facial Plastic Surgeon
5.0 out of 5 stars 9 reviews

Botox vs Microdermabrassion

Botox is used to treat wrinkles on the forehead and in the crow’s feet area. These wrinkles are a result of the contraction of your muscles. You use these muscles to make expressions, the continuous contraction of these muscles will deepen the wrinkles you currently see.

If this is the area you want to improve then the best treatment would be Botox or something similar like Dysport or Xeomin. Botox is injected into muscles to temporarily treat moderate to severe lines in the forehead and in the area around the side of the eyes improving the look of moderate to severe crow’s feet lines.

Microdermabrasion exfoliates the top layer of skin bringing newer healthy skin cells to the surface. This treatment improves the look of the skin and allows for better absorption of your skincare products. It’s an excellent first step to improve and maintain healthy skin. Typically patients repeat this treatment about once a month for maintenance if there are no other skin issues.

It is best to consult with a Board Certified Dermatologist to see what the best treatment for you would be.

For more information on Botox click on link below:

Nissan Pilest, MD
Irvine Dermatologic Surgeon
4.7 out of 5 stars 17 reviews

Apples and Oranges.... Botox and Microdermabrasion are both aesthetic treatments but for different goals

Hi there-

Unfortunately I'm afraid you are a bit confused... Microdermabrasion is not a good alternative to Botox at all, as they are very different treatments...

Microdermabrasion is a process which buffs away the outer most layer of the skin, called the stratum corneum. This is made up of a layer of dead skin cells, which help to protect us from outside substances and exposures. Immediately following a microdermabrasion treatment, the skin feels smoother and softer. Makeup goes on much smoother and our skin care products are able to penetrate deeper. Over time and with repetitive treatments, there is collagen stimulation that occurs due to the body speeding new skin cells to the surface, to take the place of those removed. Because of this, there can be improvement in blemishes, fine lines and pore size with repeated microdermabrasion treatments.

Botox is a neurotoxin, which works at the deeper, muscle layer of the face to relax muscular contraction and smooth expressional wrinkling in a matter of days to weeks. It typically lasts 3-4 months before re-treatment is necessary. For people that have more moderate wrinkling of the frown lines, forehead or crows feet, Botox is usually a much quicker and more effective treatment.

So while microdermabrasion microdermabrasion can still play an important role in overall maintainence of the skin appearance, deeper lines and wrinkles that are caused by muscle contraction will not benefit and are better managed with Botox or another neurotoxin.


Botox, Microdermabrasion

Botox and microdermabrasion are two completely different treatments.  Botox is injected into the muscle to weaken it so the muscle doesn't pull down on the skin so hard.  This results in less wrinkles but more than that it relaxes the skin so that we can then treat it.  So, Botox is always early in the treatment pathway in my office.  After the forces that are causing the wrinkles are relaxed then further resurfacing of the skin can be done to more permenantly help the wrinkles.  This can be done with chemicals, laser or physically.  A microdermabrasion is one of the lightest types of physical resurfacing.  You need to consult with someone who does all of these things so they can better guide you on best treatment plans for you.  Good luck!

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon
4.7 out of 5 stars 40 reviews

The difference between botox and microdermabrasion

Botox is a purified protein referred to as neurotoxin which is diluted and injected intp muscles to relax dynamic lines or wrinkles caused  by muscle movement.
if done carefully and properly by a cosmetic dermatologist or plastic surgeon your results should be a softening of the lines or wrinles and quite pleasing to look at.
on the other hand microdermabrasion is a gentle mechanical buffing or sanding of the skin which causes exfoliation or the removal of the surface layer of the skin which is dead. This procedure can be performed by a trained and qualified medical assistant or anaesthetician. 

Difference between Botox and microdermabrasion.

Botox is a purified protein injected into muscles to relax dynamic lines caused by muscle movement. Treatment by a cosmetic dermatologist or plastic surgeon will give very pleasing results.  Microdermabrasion is a very mild sanding or buffing of the skin to remove the dead surface layer of skin and is performed by an aesthetician.  The two treatments are totally different and cannot be compared since they do different things; however, both procedures should be done by a specialist trained in the particular treatment. 

Martie Gidon, MD, FRCPC
Toronto Dermatologist
5.0 out of 5 stars 21 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.