Microneedling vs Fillers: Choosing The Right Treatment

Medically Reviewed
Medically Reviewed by Dr. Aurora Kalmanson on
Written by Fillers Editorial Team, plastic surgery specialists.

When considering non-surgical methods to rejuvenate the skin and combat signs of aging, microneedling and dermal fillers stand out as popular choices. Microneedling, a minimally invasive procedure, promotes collagen production to improve skin texture and reduce scarring.

Dermal fillers, on the other hand, are injectables that restore volume and smooth out wrinkles. The choice between the two depends on individual concerns, desired outcomes, budget, and tolerance for downtime. Understanding the nuances of each treatment can guide you to the most suitable option for your skin goals.

Comparing Microneedling and Fillers for Skin Concerns

Microneedling and fillers each offer unique benefits for skin rejuvenation. Understanding their distinct mechanisms and results can help determine the most effective treatment for specific skin concerns, whether it’s enhancing texture, volume, or both.

Fine Lines, Wrinkles, and Skin Texture

Microneedling for Texture Improvement: Microneedling excels in enhancing skin texture and reducing the appearance of fine lines. By creating micro-injuries, it prompts the skin to regenerate and produce more collagen and elastin, leading to a smoother, firmer complexion. Over a series of treatments, patients can expect a noticeable improvement in skin texture, with a reduction in the depth of fine lines and a more even skin tone. The procedure is particularly effective for those with early signs of aging or those looking to refine the skin’s surface. Microneedling also offers cumulative benefits, with results improving over time as the skin continues to heal and rejuvenate from within.

Fillers for Volume Restoration and Skin Tone Correction: Dermal fillers are not only about smoothing lines; they are also pivotal in restoring lost volume and correcting skin tone. As the skin ages, it loses fat and collagen, leading to a hollow or sunken appearance. Fillers replenish this lost volume, particularly in areas like the cheeks, temples, and under the eyes, resulting in a more youthful and uplifted look. Additionally, certain fillers can improve skin hydration and texture, leading to a more even and radiant skin tone. This dual action of volume restoration and skin tone enhancement makes fillers a versatile tool in the fight against aging.

Acne Scars and Uneven Skin Tone

Microneedling’s Role in Scar Treatment: Microneedling has proven to be an effective treatment for reducing the appearance of acne scars. The procedure’s ability to stimulate collagen production helps to remodel scar tissue, making it less noticeable. Over time, and with a series of treatments, patients can see a significant improvement in the texture of their skin, with scars becoming smoother and less defined. Microneedling is particularly beneficial for atrophic or depressed acne scars, as the induced collagen can raise the scarred area to the level of surrounding skin.

Fillers’ Effectiveness for Skin Tone: While fillers are primarily used for volume enhancement, they can also play a role in improving skin tone. Certain hyaluronic acid fillers have properties that hydrate the skin and can lead to a more even complexion. Additionally, by smoothing out contours and adding volume, fillers can create a more uniform surface that reflects light evenly, contributing to an improved overall skin tone. However, for pigmentation issues like melasma or hyperpigmentation, other treatments may be more appropriate.

Enhancing Facial Features

Collagen Stimulation via Microneedling: Microneedling is not just for addressing skin concerns; it can also enhance facial features by stimulating collagen production in targeted areas. This natural boost can improve skin firmness and elasticity, subtly enhancing features like the jawline and cheekbones. Over a series of treatments, the skin can appear more contoured and defined without the need for fillers or surgery. This makes microneedling a natural choice for those looking to enhance their features gradually.

Immediate Volume Enhancement with Fillers: For those seeking more immediate and noticeable changes, dermal fillers offer a solution for enhancing facial features. Fillers can sculpt and define areas such as the cheeks, jawline, and lips with precision. The results are visible right after the treatment, providing instant gratification. Fillers are ideal for individuals looking to correct asymmetries, enhance shallow contours, or simply desire more pronounced facial features. The versatility of fillers allows for customized treatments adapted to each individual’s aesthetic goals.

Cost, Efficacy, and Treatment Longevity

Evaluating the cost-effectiveness and longevity of results is crucial when considering microneedling and dermal fillers. These factors play a significant role in determining the overall value and suitability of each treatment for individual needs and expectations.

Investment and Results Duration of Microneedling

Microneedling is often perceived as a cost-effective treatment due to its ability to address multiple skin concerns with relatively few sessions. The initial investment may vary depending on the treatment area’s size and the number of sessions required. Typically, a series of treatments is recommended for optimal results, which can last from several months to a year. The longevity of microneedling effects depends on the individual’s skin condition, lifestyle, and importance given to post-treatment care. Maintenance sessions may be necessary to preserve the results, adding to the long-term investment.

Dermal Fillers Cost vs. Longevity

The cost of dermal fillers is generally higher per session compared to microneedling, reflecting the immediate and dramatic results they provide. The longevity of fillers varies by type, with some lasting six months and others up to two years or more before being naturally absorbed by the body. While the upfront cost may be significant, the long duration of results can make fillers a worthwhile investment for those seeking immediate improvement without frequent treatments. Periodic touch-ups will be necessary to maintain the desired volume and smoothness, influencing the overall cost over time.

Average Costs Comparison

Microneedling: The average cost of microneedling can range widely based on geographic location, provider expertise, and the specific needs of the patient. A single session may cost anywhere from a few hundred to over a thousand dollars, with package deals often available for multiple treatments. When considering the cumulative cost, it’s important to factor in the potential need for maintenance treatments to sustain the benefits of microneedling over time.

Dermal Fillers: Dermal fillers typically come with a higher price tag per treatment compared to microneedling. The cost can vary greatly depending on the type of filler used, the amount required, and the provider’s experience. Prices can range from several hundred to a few thousand dollars per syringe, with more extensive treatments requiring multiple syringes. Despite the higher initial cost, the long-lasting nature of fillers may offer a cost-benefit for those seeking a more durable solution to their aesthetic concerns.

Frequently Asked Questions

How do I choose between microneedling and fillers?

The choice depends on your specific skin concerns; microneedling is ideal for texture and tone improvement, while fillers are best for volume restoration and wrinkle reduction.

How long do the effects of microneedling and fillers last?

Microneedling results can last several months, while fillers can last from 6 months to over a year, depending on the type of filler used.

Are there any risks in combining microneedling with fillers or radio frequency treatments?

Combining treatments can be safe when performed by a skilled professional, but there is a higher risk of inflammation and complications.

How do I know if microneedling or fillers are right for me?

Consult with a skincare professional to assess your skin concerns and goals to determine the most suitable treatment for you.

Are there any risks associated with combining microneedling and fillers?

There are risks such as increased swelling or bruising; however, a professional can minimize these risks with proper timing and techniques.

How long should I wait between microneedling and filler treatments?

It's typically advised to wait at least 2 weeks between treatments to ensure proper healing and reduce the risk of complications.


In the world of non-surgical aesthetic treatments, both microneedling and dermal fillers offer unique benefits for skin rejuvenation. Microneedling is a versatile option for improving skin texture and promoting collagen production, while fillers provide immediate results in volume enhancement and wrinkle reduction. The choice between the two, or the decision to combine them, should be made in consultation with a skincare professional, taking into account individual skin concerns, desired outcomes, and lifestyle. With proper care and maintenance, both treatments can lead to a more youthful and refreshed appearance.

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Bano, R., Brar, B. K., & Kumar, S. (2023). Comparative Evaluation of Therapeutic Efficacy and Safety of Microneedling Alone Versus Microneedling with Hyaluronic Acid in Post-Acne Scarring.

Alqam, M., Wamsley, C. E., Hitchcock, T. M., Jones, B. C., Akgul, Y., & Kenkel, J. M. (2023). Efficacy and tolerability of a microneedling device for treating wrinkles on the face.

Peng, J. H., & Peng, P. H. (2020). HA Filler Injection and Skin Quality-Literature Minireview and Injection Techniques.

Dr. Aurora Kalmanson

Always Consult a Medical Specialist

The information provided in this blog is for informational and educational purposes only and should not be interpreted as personalized medical advice. It's crucial to understand that while we are medical professionals, the insights and advice we provide are based on general research and studies. They are not tailored to individual health needs or conditions. Thus, it is essential to consult directly with a healthcare provider who can offer personalized medical advice relevant to your specific situation.