It seems like everyone is getting dermal fillers; youtub-ers are broadcasting their live experiences getting lip fillers or co-workers are coming back from lunch “refreshed.” And with the widening acceptance of these practices, companies like Allergan and Galderma are happily producing a variety of dermal fillers to meet various patient concerns. What once was a choice of – well, only Restylane – has now exploded into Restylane, Restylane Silk, Belotero, Juvederm, Voluma, etc. Feeling confused by the choices? Or just want to know which dermal fillers are best for your concern? Us, too. So we reached out to board certified dermatologist, Dr. Jessica Wu, and board certified facial plastic surgeon, Dr. Kristina Tansavatdi, for some clarity.
Best for – giving structure, lift, fullness to face
Fillers: Voluma, Restylane Lyft & Juvederm
Thickness: Thick, medium
Where: Upper cheeks, lower cheeks, chin, temples, jawline
Why: “For giving structure, I prefer to use, in order: Restylane Lyft, Voluma and Juvederm. Restylane Lyft and Voluma are thicker materials and they can hold more weight. This makes them great for supporting thicker skin or if you have a larger area that needs to be filled. Juvederm is the softest of the three; its a good first choice if you have thinner skin,” says Dr. Wu.
Best for – filling deep wrinkles
Fillers: Juvederm, Restylane
Where: Nasal labial folds “laugh lines”, cheeks, chin, temples, marionette lines
Why: “For filling in deep wrinkles I like to use Juvederm and Restylane. Restylane Lyft and Voluma tend to be too thick for areas like the nasal labial folds and could be visible or look uneven when person smiles or speaks. Juvederm and Restylane can be used anywhere you would use Voluma or Restylane Lyft, like the cheeks, but they just won’t give as much lift. Often times, if you don’t think you need a lot in your cheeks, it may make sense to use Juvederm or Restylane so you can put a little in the cheeks and little in the lips,” says Dr. Wu.
Best for – smoothing fine lines
Fillers: Volbella, Restylane Silk, Belotero
Where: Fine lines around mouth, “eleven” lines between brows, crows feet
Why: “For fine lines where the injection plane is very superficial right underneath the skin you want a soft filler. Thicker filler won’t do a good job because it could create a bubble or be visible. I prefer using Restylane Silk or Belotero because they are very soft,” says Dr. Tansavatdi.
“Thin filler like Belotero, Restylane Silk and as of this week, we now have a brand new filler called Volbella we can use. The main difference between the three is that Belotero has no lidocaine anesthetic; it stings more when injected,” explains Dr. Wu, “However, Belotero has the least amount of swelling and redness.”
Best for – replacing lost volume below eyes
Where: Hallows below eyes
Why: “The go-to for most injectors below the eye is Restylane,” says Dr. Tansavatdi, “It gives a lift and it fills in the hallows well. The filler is placed deep on the bone, and it won’t move or migrate around as much as other fillers.”
In addition, there’s less swelling with Restylane, says Dr. Wu, “Some of the other dermal fillers can swell if you are bloated or eat a lot of salty foods. You under eyes may swell because the product attracts and holds water. Restylane attracts water the least.”
Best for – plumping & smoothing lips
Fillers: Juvederm, Volbella
Thickness: Medium, thin
Why: “I really like using Juvederm for the lips and I like Volbella. Juvederm will last longer, but Volbella is softer; it doesn’t give as much structure. Volbella is for someone who wants a very subtle look, who doesn’t need a lot, and wants it to look super natural,” says Dr. Wu.
Best for – defining lips
Fillers: Volbella, Restylane Silk
Where: Vermillion border
Why: “The vermillion border is a fine area that gives your lips a slight roll and scoop that runs right where the red portion of the lip starts; it’s called the white roll. The purpose of injecting in the vermillion border is to accentuate this roll. You don’t want a thicker filler like Juvederm, which will blunt it and swell from absorbed water making it harder to get definition. I like using Restylane Silk, or now that we have the option of Volbella, that’s one we can use. The filler is injected right under the skin level so you want something that is soft and subtle,” says Dr. Tansavatdi.
Disclaimer: Any information in the publications, messages, postings or articles on the website should not be considered a substitute for consultation with a board-certified dermatologist or plastic surgeon to address individual medical needs. Your particular facts and circumstances will determine the treatment which is most appropriate for you. And the outcomes.
-by Amy Chang
Image source: Harper’s Bazaar
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