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A large number of injectable fillers are now available forthe treatment of facial wrinkles and contour irregularities. These fillers are especially helpful fortreating thin lips, nasolabial folds and marionette lines. The best injectable filler is the subject ofintense debate amongst plastic surgeons. Although most surgeons have preferences regarding their filler ofchoice, all agree that the choice of filler needs to be individualized based onthe patient’s needs.Whenpicking a filler material several variables should be considered. These include how long the fillers will last,the amount of filler needed, the location of the injection, and the skin typeto be injected. Based on these considerations,results can be optimized for the majority of patients by choosing the rightfiller material.Severaldermal filler options are available for patients with facial wrinkles andcontour irregularities. These includeboth Juvederm and Radiesse.In mostsituations, hyaluronic acid fillers such as Juvederm are the treatment ofchoice for facial wrinkles. Thesefillers are highly effective and very safe. They can also be reversed with hyaluronidase if patients aren’tsatisfied with their results. In mostcases, they last for 6 to 9 months and may last up to a year followinginjection. Because of their versatilitythey are currently the gold standard for injectable fillers.Radiesseis a synthetic filler that contains hydroxyapatite particles. It last for longer periods of time and mayactually stimulate collagen growth. Itmay be associated with significant complications including inflammation,infection, granuloma formation, and scarring. For these reasons Radiesse has limited applications for treating facialcontour issues.Ifyou’re considering treatment of facial wrinkles, it’s important to consult asurgeon with experience in this area. This surgeon should be able to determine which filler is best for you.
Juvederm is a hyaluronic acid based gel filler that tends to be softer and more malleable. It can be dissolved with hyaluronidase if necessary. Radiesse is a calcium hydroxylapatite filler. While it may be thicker and more prone to lumps, if injected at the right depth, it can offer great results, but it cannot be injected into the lips or the under eye area. Radiesse is not reversible. It is always best to have a consultation in order to determine which products will best address your needs.
Both Radiesse and Juvederm are capable of producing excellent and natural looking results. The choice of filler really depends on the objective of the treatment. Juvederm is a hyaluronic acid filler which hydrates and augments tissue. It is ideal for lip enhancements as well as wrinkles. Radiesse is made of calcium hydroxyapatite particles which allows it to provide a greater degree of firmness and support for designated treatment areas. It is ideal for filling creases and issues that require more structural support (e.g. jowls, undereye hollows and even corrections on the nose) Side effects of Juvederm and Radiesse include slight bruising and swelling. And some patients may experience allergic reactions to hyaluronic acid. With Radiesse, there is also the potential for lumps to develop. But this really depends on the skill and experience of the practitioner.
Thank you for your question. Radiesse is not a good filler for the fine lines around the mouth. Hyaluronic acid fillers such as Restylane or Juvederm are better for this area. Also, hyaluronic acid fillers can be dissolved if you are unhappy with the results, whereas Radiesse cannot. I recommend having a consultation with an expert injector to discuss your concerns and to determine the best treatment plan for you. Best of Luck!
Radiesseand Juvederm are both good products that we use frequently. Juvederm is thinner and does not last aslong. Radiesse is generally injected deeper and can provide a longer lastinglift in some areas. Juvederm can easily be corrected or dissolved if acomplication occurs or the result is somehow unfavorable. See an experiencedboard certified physician and talk to them about their preferences and why.
