Dermatologist vs. Plastic Surgeon for Fillers: Who Should You Choose?

Considering dermal fillers to smooth wrinkles, restore volume, or enhance facial features? Then you're likely wondering: Should I go to a dermatologist or a plastic surgeon for fillers?

It’s a common and important question. After all, facial injections may be non-surgical, but they still require expert knowledge of anatomy, technique, and aesthetics.

In this guide, we’ll compare dermatologists and plastic surgeons when it comes to fillers—so you can make an informed and confident decision.

Who Can Perform Dermal Filler Injections?

Both board-certified dermatologists and board-certified plastic surgeons are qualified to perform dermal filler injections. But their training, focus, and approach can differ significantly.

What Is a Dermatologist?

A dermatologist is a medical doctor specializing in the health of the skin, hair, and nails. Within dermatology, many physicians further specialize in cosmetic dermatology, which includes injectables like dermal fillers, lasers, and skin resurfacing.

Strengths of Dermatologists for Fillers:

• In-depth knowledge of skin layers and structure

• Expertise in treating facial aging and skin conditions

• Focus on minimally invasive aesthetic procedures

• Often the first to adopt newer filler techniques and technologies

Reference: American Academy of Dermatology (AAD). “What is a dermatologist?” www.aad.org/public

What Is a Plastic Surgeon?

A plastic surgeon is a medical doctor trained in performing surgical and non-surgical procedures to reconstruct or enhance physical appearance. They often specialize in facial anatomy, surgical lifting, and structural rejuvenation.

Strengths of Plastic Surgeons for Fillers:

• Deep understanding of facial anatomy (muscles, fat pads, bone structure)

• Skilled in both non-surgical and surgical facial rejuvenation

• Able to recommend surgical alternatives if needed

• Often experienced in complex or reconstructive cases

Reference: American Society of Plastic Surgeons (ASPS). “What is a plastic surgeon?” www.plasticsurgery.org

Dermatologist vs. Plastic Surgeon: A Comparison for Fillers

Which One Should You Choose for Fillers?

The truth is: both can be excellent choices. What matters most is the individual practitioner's experience, technique, and aesthetic judgment.

Choose a Dermatologist if:

• You’re looking for subtle, skin-focused improvements

• You’re new to fillers and want a conservative approach

• You also want treatment for pigmentation, acne, or skin texture

• You’re interested in minimally invasive anti-aging procedures

Choose a Plastic Surgeon if:

• You have moderate to severe volume loss or facial asymmetry

• You’re considering both fillers and surgery

• You want to address deep-set wrinkles, hollow cheeks, or jawline sculpting

• You prefer someone with surgical backup options if needed

Reference: Sadick, N. S. (2008). Aesthetic dermatology: current perspectives. Clinics in Dermatology, 26(6), 627–631.

Key Factors to Consider Beyond the Title

While the specialty is important, the experience and reputation of the injector are often more critical. Ask about:

• Board certification

• Years of experience with fillers

• Before-and-after photos

• Product familiarity

• Clinic hygiene and safety protocols

Patient Tip: Ask These Questions Before Your Appointment

1. How many years have you been injecting dermal fillers?

2. What brands and types of fillers do you use?

3. Can I see before-and-after photos of your patients?

4. What would you recommend for my facial structure?

5. What happens if I don’t like the result?

Who Should You Avoid for Fillers?

No matter who you choose, avoid going to unlicensed or poorly trained injectors, including:

• Non-medical personnel at salons or spas

• Providers without board certification or relevant training

• Clinics offering deep discounts that seem “too good to be true”

  
  

Reference: FDA. “The Risks of Injectable Silicone and Unlicensed Fillers.” www.fda.gov

Final Verdict: It’s About Skill, Not the Title

Both dermatologists and plastic surgeons can deliver beautiful, natural-looking filler results. The real question is not "who," but "how skilled are they?"

So whether you choose a dermatologist or a plastic surgeon, make sure they:

• Are board-certified

• Specialize in facial aesthetics

• Have a strong portfolio and great reviews

• Listen to your goals and offer a customized plan

References

1. American Academy of Dermatology. “What is a dermatologist?” www.aad.org/public

2. American Society of Plastic Surgeons. “What is a plastic surgeon?” www.plasticsurgery.org

3. U.S. FDA. “The Risks of Injectable Silicone and Unlicensed Fillers.” www.fda.gov

4. Sadick, N. (2008). Aesthetic dermatology: current perspectives. Clinics in Dermatology, 26(6), 627–631.

5. Gold, M. H. (2007). Soft tissue augmentation in dermatology. Clinics in Dermatology, 25(5), 424–434.

6. Lemperle G, Holmes RE, Cohen SR. (1998). A classification of facial wrinkles. Plastic and Reconstructive Surgery, 108(6), 1735–1750.