Which works best for lines around the mouth – Restylane or Juvederm?
Doctor Answers (9)
Restylane and Juvederm
Web reference: http://www.gbkderm.com/procedures/injectables/juvederm
Restylane versus Juvederm around the mouth
Lip Line Treatment
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Perioral Rejuvenation May Require Neuromodulators (Botox, Dysport, Xeomin), Injectable Volumizers &/or Fillers
Without knowing the specifics or at least a photo to examine, it is impossible to determine which therapy(ies) are appropriate in this situation.
In general terms, however, the mouth unit, is an extremely important aesthetic region of the face, probably second only to the eye unit in its contribution to our overall look and youthful appearance. The mouth unit consists of the red lips themselves, and the white areas around them, which include the philtrum, Cupid's Bow, and the vertical "lipstick bleeding" lines (aka "smoker's" lines) and the droopy, so-called "marionette" lines at the angles of the mouth.
If in this case, the "lines around the mouth" referred to here are the vertical lipstick bleeding lines, then a combination of a neuromodulator (such as Botox) to diminish the muscular contribution to their formation and a filler, such as Belotero Balance instilled very superficially within the lines themselves to raise and straighten them would be the most appropriate approach. Belotero Balance has not been associated with the bluish skin discoloration that can sometimes be seen when either Restylane or Juvederm when injected superficially. The combination of neuromodulator and filler has been shown to sometimes significantly increase the longevity of the cosmetic result.
If on the other hand, the marionette lines at the corners of the mouth are the problem, neither Restylane nor Juvederm, both fillers best reserved for treating more shallow lines and wrinkles, would be appropriate. More robust volumizing fillers, would be more appropriate. Radiesse, a calcium-based product or Voluma, make better choices, or even Perlane L, a member of the Restylane family of products known for its lifting capacity and volumizing capabilities.
The point is that there is no substitute for consultation with a board certified aethetic core physician with extensive experience with all available modalities who can tailor a treatment plan specifically for you.
Web reference: http://YoungerLookingWithoutSurgery.com
Restylane or Juvederm for wrinkles around the mouth
Filler for vertical lip lines
Which filler best around mouth
Which works best around the Mouth- Restylane or Juvederm
1.1 Lips -This is the only place in the face where I will consider even remotely using Juvedrem because its softness and elasticity. In general I find Restylane to be a superior product.
2. Vertical wrinkles of the upper lip:
Depending on depth:
2-1. Very pronounced - pretreat with very low dose Botulinum toxin (preferably Dysport) followed by Restylane a week later. The above can be combined with t with fractional non ablative laser/factional ablative laser treatment especially in sun damaged skin.
2-2.Superficial- pretreat with very low dose Dypsort followed by Belotereo.
3. Deepened Nas-Labial folds and marionette lines:
Retylane and Perlane will give you better and longer lasting results than any of the Juvederm preparations with less side affects.
DO NOT consider Juvederm under any circumstances for treatment of the area of the upper cheek bones and around the eyes especial around the lower eyelid. Juvederm is very hydrophilic(attracts water) as it broken down in the tissue. There is very high chance for prolonged lower eyelid swelling which is difficult to treat.
Hope this will assist your decision process.
David Evdokimow MD
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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