Botox, Fillers, or Laser? Choosing the Right Anti-Aging Treatment

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Tired of looking tired? Discover the right anti-aging solution to refresh your look. Book your consultation today.

Aging gracefully doesn’t mean you must accept every wrinkle and fine line without a fight. Today, more people are exploring non-surgical cosmetic treatments to refresh their appearance and restore confidence. St. Louis Dermatology & Cosmetic Surgery (SLD) offers several state-of-the-art options, including Botox, dermal fillers, and laser skin treatments. But how do you know which one is right for you?

Call now or book online to start your journey to smoother, younger-looking skin.

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K T
14 hours ago
Dr. Beal is always so friendly and pleasant. He takes care of what is going on at the time and gives you options as to what you can do then and in the future. Office staff is always friendly and accommodating. Wait times are usually short and it is easy to get an appointment. Nice to have a doctor who cares and listens to you.
I just saw Kaylee for my yearly checkup and she was extremely friendly and pleasant. Gave me options as to treatment and was a pleasure to deal with .
Response from the owner:Thank you so much for leaving us a stellar review!
Dennis Hines
3 days ago
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
RD
4 days ago
Very professional on time. Would highly recommend. 5 stars. The whole staff was pleasant.
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
Terry Prudhomme
5 days ago
Everyone was very nice and friendly. I was happy with the attention was paid to my concerns and was happy to learn I was worried about nothing. I wouldn’t hesitate contacting this office again if I had any further issues in the future.
Response from the owner:We are thrilled to learn that you had a positive experience with us!
Quick and easy, appointment ran on time. Service was great.
Response from the owner:Thank you so much for leaving us a stellar review!
Patty Wieland
7 days ago
Great Great place! Excellent care, thorough, very easy to talk to and makes sure you are fully taken care of before you leave. Everyone is pleasant & friendly.
Response from the owner:Your feedback is highly appreciated. Thank you for the review!
Bruce Hubbard
1 week ago
So greatful to have this office in Troy. Dr Beal and Dr Swofford are awesome. I've had skin cancer surgery, red light procedure and a plantar wart removal on my foot. All with great results. Staff in the office is always polite and professional. If you need a dermatologist, I highly recommend them.
Response from the owner:We appreciate the kind words and are glad we could provide you with a positive experience!
ref9742
1 week ago
As always -staff is friendly,prompt and professional.
Response from the owner:Thanks for taking the time to share your positive experience. We truly appreciate it!
I got there early for my appointment time expecting to wait until the time of my appointment, but instead I was seen promptly with very kind and personable staff. I was home by the minute my appointment was supposed to start. My issue was addressed and a plan of care was decided between the Dr and I instead of just getting ordered what to do. I felt heard. I enjoyed this office very much!
Response from the owner:We are thrilled to learn that you had a positive experience with us!
Donna Ryan
2 weeks ago
Very thorough/ good experience
Response from the owner:Thank you so much for leaving us a stellar review!

Understanding the Big Three: Botox, Fillers, and Laser

Botox: The Wrinkle Relaxer

What it does: Botox temporarily relaxes the muscles that cause dynamic wrinkles – the lines formed by facial expressions like frowning, squinting, or raising eyebrows. Common treatment areas include forehead lines, crow’s feet, and the “11s” between the brows.

Best for:

  • Smoothing fine lines and wrinkles caused by muscle movement
  • Preventing deeper wrinkles from forming
  • Quick results with minimal downtime

Ideal candidate: Men and women looking for subtle, natural-looking wrinkle reduction without surgery.

Results: Visible within 3–5 days and lasts about 3–4 months.

Dermal Fillers: Volume and Contour Enhancers

What they do: Fillers are gel-like substances injected under the skin to restore lost volume, smooth lines, and enhance facial contours. Hyaluronic acid-based fillers (like Juvéderm and Restylane) are the most popular and effective.

Best for:

  • Adding volume to cheeks, temples, and lips
  • Smoothing nasolabial folds and marionette lines
  • Enhancing facial symmetry and definition

Ideal candidates are patients experiencing volume loss due to aging or weight loss or those looking to enhance specific facial features.

Results: Immediate with minimal downtime; typically lasts 6–18 months, depending on the product used.

Laser Skin Rejuvenation: Resurface and Restore

What it does: Laser treatments use focused light energy to stimulate collagen, reduce pigmentation, and resurface the skin. At SLD, we use advanced fractional CO2 lasers and non-ablative devices to target multiple skin concerns precisely.

Best for:

Ideal candidate: Patients with early to moderate signs of aging, sun damage, or uneven skin texture who want long-lasting rejuvenation.

Results vary by treatment type. Some offer noticeable results after one session, while others require a series. Depending on intensity, downtime can range from mild redness to several days of peeling.

microneedling v laser therapy

How to Choose the Right Anti-Aging Treatment

Define Your Primary Concern

Ask yourself: Are you most concerned about expression lines, volume loss, or skin texture? This is the first step in narrowing down your ideal treatment.

  • Wrinkles from movement? Go with Botox.
  • Sagging or hollowness? Try Fillers.
  • Sun damage or texture issues? Consider Laser.

Consider Your Downtime Tolerance

  • Minimal downtime: Botox and most fillers
  • Moderate downtime: Laser resurfacing (especially CO2-based)

If you have an upcoming event, we recommend planning – Botox and fillers can be done within a week, while laser may require more recovery time.

Think About Long-Term Goals

If you’re looking for:

  • Preventative maintenance: Botox every 3–4 months
  • Full facial rejuvenation: Combine Botox and Fillers
  • Skin transformation: Laser series for collagen stimulation and pigment correction

Why Choose SLD for Your Anti-Aging Treatment?

At SLD, you’re not just receiving a cosmetic treatment – you’re getting a personalized, physician-guided experience that prioritizes safety, results, and natural beauty. We take the time to understand your goals and recommend the best course of action, whether a single treatment or a customized combination approach.

  • Board-certified experts in cosmetic dermatology and facial rejuvenation
  • State-of-the-art lasers and injectable techniques
  • Trusted by patients from Troy to Wentzville, O’Fallon, and beyond

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