Is BOTOX® or RF Microneedling Better for Treating Wrinkles?

Woman with mature skin admiring her reflection in the mirror (model)

One of the questions my patients sometimes ask me is, “Which treatment works better for treating wrinkles: BOTOX or RF microneedling?” As with many questions in the art of aesthetics, the answer is different for everyone.

Both treatments are exceptional for rejuvenating the skin, but they tackle wrinkle reduction with totally different approaches. The right treatment for you depends on the kinds of wrinkles you’re looking to treat and your preferences for your treatment experience, recovery, and more.

To help you understand the differences between these two options, I’ve put together this handy table.


How It Works


Injectable neuromodulator relaxes the muscles responsible for creating wrinkles

RF Microneedling

Tiny needles stimulate collagen production, and RF energy promotes deep rejuvenation

What It Treats

Dynamic wrinkles (crow’s feet, frown lines, forehead lines)

Fine lines, laxity-related wrinkles, crepiness (plus other non-wrinkle concerns such as stretch marks and scars)


Redness near injection sites for a few hours

Sunburn-like redness and swelling for a day or two


Appear within a week and last 3 to 4 months

Appear gradually and last about a year

The bottom line: BOTOX is best for specific lines caused by squinting, frowning, or raising your eyebrows. RF microneedling is generally better for fine lines, crepiness, and overall texture and tone. (If you’re new to BOTOX, check out our past blog post for tips on what to expect during your first appointment.)

Still not sure which option you should try? Ask a facial plastic surgeon! I’m happy to make a personalized recommendation based on your specific goals. To get started, request a consultation online or call my Scottsdale office at (480) 214-9955.

2 Responses to Is BOTOX® or RF Microneedling Better for Treating Wrinkles?

    • Dr. Todd Hobgood says:

      This is a great question. I will always refer patients to my website where we have a detailed summary of the individual procedures, and the estimated costs, including surgeons fee, Anesthesia, and facility fees associated.

Leave a Reply

Fields marked with * are required.