Injectable Fillers: Q&A

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Best Wrinkle Filler

I have marionette lines, lip lines, and wrinkles all at once! What's the best wrinkle fillers to get rid of these lines!?

19 Doctor Answers | Asked by anon
+10

Correcting marionette lines and plumping lips with dermal fillers

I am a board-certified plastic surgeon practicing in the Los Angeles area for 20 years. I have a vast experience with dermal fillers. For "marionette lines" (medically-termed labio-mental rhytides), I prefer Juvederm Ultra Plus or Perlane. These fillers give substantial and lasting support to the heavier tissues in the marionette area. The skin here is thicker and the muscle activity is quite powerful, so a more supportive filler is required. Also, many of the marionette... more
+7

Juvederm is my favorite wrinkle filler

When we graduated medical school, our professors told us "primum non nocere", first don't harm people. I interpret this as meaning that the treatments we give our patients should be safe. I am proud now that the reports of granulomas with Artecoll and Radiance are surfacing that not one single patient of ours has ever been injected with that substance. Now that silicone horror stories are well-known, not one patient has ever been injected with silicone in our office. While... more
+6

Best Wrinkle Filler

I.P. The "best filler" will depend on many factors including: 1. The length of time the filler will last. 2. The area on the face that needs to be filled. 3. Your skin type, thick or thin, if you have sun damage or acne scarring. 4. The amount of "fill" that is required (fine wrinkles, etched wrinkles, troughs and major volume - cheeks and mid-face). Hyaluronic acid fillers have become the "gold standard" these days. I believe the other fillers still have... more
+5

The Best Wrinkle Filler

A number of 'soft tissue fillers' are available for temporarily improving facial areas that have lost volume or have developed deep lines and creases. Probably the most popular fillers currently are hyaluronic acid products like Restylane, Perlane or Juvederm Plus or Juvederm Ultra Plus, which can be used to plump up thin lips and to fill out nasolabial folds (lines that run from beside the nostrils to the area beside the corners of the mouth) and marionette lines (lines that run... more
+5

Smiling is the best wrinkle filler

Smiling is the best non-invasive wrinkle filler. Of the temporary fillers mentioned by others (Restylane, Juvederm, and Radiesse, etc.), I believe that a patient's own fat is the best "wrinkle filler." Fat transfer returns volume to the face, and has the advantage of being a permanent filler. The stem cells in the fat also work over time to improve the tone and texture of the overlying skin. Prior to 2008, I did not use Sculptra in my practice because of some extremely mutilating... more
+4

A variety of wrinkle fillers work for different facial wrinkles

In my experience, hyaluronic acid fillers such as Juvederm and Restylane (Perlane) have given consistent results lasting 8-12 months. Radiesse, which is calcium-based, also gives long-lasting results in deeper lines. All of these are fairly thick fillers. I am starting to use more of the lasting collagen Evolence on thinner more superficial lines, as well as along the lip border because I feel I can be a little more precise in these areas. I liked the results I was getting from... more
+4

Overall, the most versatile, long lasting, and effective...

Overall, the most versatile, long lasting, and effective filler currently is Juvederm. I like it because it comes in two concentrations, Ultra and Ultra Plus, that can be used for finer or deeper lines. After injection, this product has excellent longevity (upwards of 6 months), is soft and supple, and causes minimal skin reaction. It can be used anywhere, including the lips, and, worst case scenario, it can be dissolved with hyaluronidase. Radiesse is an excellent choice for deep... more
+3

Restylane is the best wrinkle filler for fine lines

To I.P., Hi! I don't think you want another lecture on fillers. So, reading your question very carefully, I conclude that your marionette lines, lip lines, and wrinkles are NOT very deep. For more superficial lines, Restylane is the most forgiving (least likely to give you bumps), and so it is the one I use. And it lasts 5-6 months. Injection technique is very important. Also bear in mind that there are other non-invasive treatments for lines and wrinkles besides fillers which might... more
+3

Juvederm wrinkle filler can achieve beautiful results

There are many fillers on the market today. Many of them work fine. I prefer to use Juvederm for most of my patients. I will use Radiesse as well, but not in the lips. Juvederm is a hyaluronic acid sugar and can be used in many places. It is soft and forgiving. Additionally, it will last 6-8 months in many areas, perhaps less in the lips. The nice thing about this is that it will not persist for years as the rest of the face ages, and if someone does not like having a filler, it will... more
+3

Finding the Best Wrinkle Fillers: The best facial fillers for wrinkles

Although the market is flooded with facial fillers, my plastic surgery practice in Santa Monica strictly limits facial filler use to Juvederm for the lips and Radiesse for the mid face and lower face, including the nasolabial folds and marionette lines. Meticulous care is crucial to injecting into the deep dermal plane or intradermal plane. This expertise makes the difference between a great result and an average result.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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