Juvederm vs. Restylane

Ritu Saini, MD answers: Juvederm vs Restylane?

From what i can tell juvederm is maybe better than restylane because it lasts longer. Is this true? Are there other things i should take in to account before choosing juvederm or restylane?


Ritu Saini, MD
1 month ago

Both Juvederm and Restylane are non-animal derived hyaluronic acid based fllers. As far as which should be used largely depends on what area is being injected. For example, Juvederm is a softer product so I like to use it in the lips, where you need that natural soft appearance. On the otherhand, if I am trying to correct a deep nasolabial fold or marionette line, I find Restylane to be the better product since it tends to provide greater bulk and substance. While both products have similar treatment profiles, Juvederm probably does last a bit longer. As I mentioned that is not necessarily better if it was not the best product to use for a certain area to begin with since more may be necessary to achieve the same results. Your doctor will be able to decide which is the best choice for you depending on what areas of the face you are having treated. 

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More answers to Juvederm vs Restylane?

A: Juvederm vs. Restylane - Hyaluronic acid product comparison

Richard W. Westreich, MD
17 months ago

Each product has its pros and cons. However, my personal experience has caused me to use Juvederm much more than Restylane.

Similarities:

  • Both products are safe and effective.
  • They cost about the same.
  • They are both made of hyaluronic acid, which is a normal component of your skin's matrix. That is why, unlike some other collagen based products, allergy testing is not needed. Because of this you can be treated on the same day as your consultation.
  • Both products tend to be smooth and plane out after injection.

Key Differences:

  • Although Restylane typically lasts 6-9 months, Juvederm often lasts 9-12 months and has FDA labeling saying that it "may last up to 12 months."
  • Microscopically, Juvederm is a smoother compound than Restylane, although I am not sure that it behaves much differently in patients.
  • Juvederm has a higher concentration of the active product, hyaluronic acid.
  • A treatment session with Juvederm uses a complete syringe (it can't be shared or stored for later use). Restylane is offered in both 0.4cc and 1.0cc sizes, so you have the ability to purchase a smaller syringe at a lower cost if you have a low volume issue requiring correction.
  • Also, Restylane syringes typically have 1.2 or 1.3cc while Juvederm has 1.0 or 1.1cc. So, you get more physical product with Restylane than Juvederm.
  • The reason that I use Juvederm more is that I feel it does settle in smoother. My patients agree on this fact.
  • I also believe Juvederm lasts a little bit longer than Restylane.
  • Finally, the design of the syringe makes it easier to inject, increasing the precision of the injections.
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A: Restylane vs Juvederm - Different names for similar products

A. Peter Salas, MD
13 months ago

Juvederm is a filler made of Hyaluronic Acid. There are a number of products containing the same material. these include:

Rastylane, Perlane, Elevess, Prevelle Silk, Hylaform, and Captique

The differences in the products are subtle despite claims made by the manufacturer. The newest products are Elevess and Prevelle. These 2 contain a numbing medicine that decrease the discomfort associated with the procedure.

All the products mentioned above last about 6 months regardless of claims made by the manufacturers. And they are all avaiable off the shelf with no preparation.

Therefore, in the hands of a well trained and experienced plastic surgeon, you should get similar results with any of the hyaluronic acid fillers.

Other types of fillers include Radiesse and Sculptra. These are also available off the shelf with no preparation.

Radiesse is a hydroxyapatite product (similar to the material found in bone) and lasts about 8-9 months

Sculptra is a poly-L-lactic acid product (similar to suture material used in surgery) and lasts about 2 years.

All of these products can be used to effectively. However, as mentioned, all of the products listed above are temporary fillers.

The only FDA approved permanent filler that is available off the shelf is Artefill. This product can add volume permanently to the face with excellent results.

Last but not least is fat injections. Fat injections can also permanently add volume to the face. Although this is a surgical procedure, with proper technique excellent results can be achieved.

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A: Juvederm or Restylane?

George J. Beraka, MD
17 months ago
We really like both Juvederm and Restylane and use both of them a lot, but I think that they have different indications. Juvaederm lasts longer than Restylane. In fact, Juvaderm can last as long as a year. But Restylane is better and more forgiving when it is used in superficial areas or delicate areas.
 
Therefore we use Restylane in the lips and in the "tear trough" area under the eyelids, and we tend to use Juvaderm for the nasolabial folds and to replace lost volume in the cheeks. 
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A: Juvederm vs. Restylane: Which is "Better?"

Adam D. Schaffner, MD
17 months ago

Both of these products are comprised of hyaluronic acid.  Both are safe and effective.

Juvederm tends to last longer than Restylane.  Juvederm has a higher concentration of hyaluronic acid compared to Restylane.  Both products last longer in areas that are not as mobile (e.g., cheeks) compared to those areas that are very mobile (e.g., lips).

Juvederm tends to be smoother when injected and appears as such under the microscope when compared to Restylane.

Juvederm has slightly less product in each syringe compared to Restylane.

Lastly, there is an option to purchase a smaller syringe of Restylane which is not currently available with Juvederm.

At present, neither of these products currently comes pre-mixed with local anesthetic, though this will likely change in the near future.

The skill of the physician who is injecting the material is the most important factor to consider. Make sure your physician has the proper training, credentials, and experience. 

It is of the utmost importance to communicate your goals to your physician. This will allow your physician to meet and exceed your expectations.

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A: Juvederm and Restylane are Both Excellent Fillers

Arash Akhavan, M.D.
20 months ago

Restylane and Juvederm are both hyaluronic acid fillers that can produce excellent aesthetic results as facial fillers. Juvederm is available as both Juvederm Ultra, as well as Juvederm Ultraplus, a formulation suited for correcting deeper wrinkles and folds.

Some practitioners find the products to be essentially equivalent, whereas others find one product to be easier and/or better to use. I agree with some of the others on this board that Juvederm has a somewhat smoother consistency and flows easier into certain areas such as the lips. This does not necessarily make it a better product, however, and I find that both Restylane and Juvederm produce similar results for a similar length of time.

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A: I do not think one is better than the other in all...

Jordana S. Gilman, MD
19 months ago

I do not think one is better than the other in all people.

Depending on the location it is being used, and the type of problem being addressed, I will choose one product or another.

For example, are you treating deep, narrow grooves between the nose and the mouth? Or are you addressing an overall loss of volume on the lower face? Are you addressing the very fine lines on the upper lip? Are you filling the lips?

One size doesn't fit all, and each of the fillers has its place in our arsenal against aging.

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A: Juvederm vs. Restylane - Much is up to the skill of the injector

Laurie Polis, MD
17 months ago

As a cosmetic dermatologist, I inject both Juvederm and Restylane, both are excellent products from the same class of fillers: hyaluronic acid based gels.  They are not that different except in subtle ways. 

Some patients have anecdotally claimed they feel Restylane lasts a bit longer, and some patients claim they feel Juvederm feels 'smoother' in their skin. Much of this is up to the skill of the injector. 

In general, these fillers can be used in the:

  • Nasolabial folds (laugh lines)
  • Marionette lines (sides of chin)
  • Lips
  • Earlobes
  • Under the eyes (tear troughs). 

Both can last up to a year in ideal cases.  Neither appears to have any allergenic problems and test spots are not necessary.  Neither is formulated with anesthesia yet (stay tuned, it is coming), so topical anesthesia or a nerve block might be necessary if you are pain-sensitive.

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A: Juvederm vs Restylane - They are roughly equivalent

Ronald Shelton, MD
15 months ago

The jury is still out, but it is possible that Juvederm does, in fact, last a few months longer than Restylane in some, not all, patients. I have seen the reverse as well.

I am in the midst of a one year test checking the longevity of Restylane vs. Juvederm. In general, they are roughly equivalent when you ask most physicians who perform filler injections.

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A: Both are very good products. It appears that in...

Steven Wallach, MD
17 months ago

Both are very good products.  It appears that in scientific studies, Juvederm may last longer than restylane.  I prefer Juvederm for this reason as well as for the ease with which I can inject the product.

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