Juvederm Q&A

65%

WORTH IT RATING

744 Reviews

Ask a Question

View Before and Afters

Average Juvederm Cost: $675

Learn about Juvederm

2,118 people and 631 doctors are talking about Juvederm

Get Free Email Updates

Perlane vs Juvederm Ultra Plus

asked 1 year ago by superwoman13 in CA
Latest answer by Ronald Shelton, MD
Question viewed 909 times
Tags: nasolabial folds, comparison, Ultra

I had perlane injected in my nasal labial folds 3 years ago and it looked completely natural. I had just a slight loss of volume in my nasal labial region that I wanted filled. I tried juvederm ultra plus a few months ago for the same region and it seems to have changed the shape of the region. Instead of just filling in the loss of volume it is flat looking, different then the surrounding tissue.I need one more syringe can I try to alleviate the issue with using perlane? Why did this happen?

12 answers to Perlane vs Juvederm Ultra Plus

Radiesse is Usually Best for Nasolabial Folds

The problem you are describing is most likely due to the use of a superficial "wrinkle filler" in this area instead of a "volume filler". Several years ago a study was done where Radiesse was injected into one nasolabial fold and, in the same patient, fillers containing hyaluronic acid such as Juvederm were injected onto the other nasolabial fold. Most patients picked the Radiesse side as more natural looking. This is because of the difference between... more

Mitchell Schwartz, MD
South Burlington Dermatologic Surgeon

dorsetstreetdermatology.com

Perlane and Juvederm Ultra Plus

Although Perlane and Juvederm Ultra Plus have slightly different consistences, both can achieve significant improvement in the nasolabial folds. The variation in results, between the two injection you had, is probably not related to the filler used. Injection technique, amount of volume injected, aging, and complications such as swelling or bruising can all play a part in the outcome. However, I do have patients who are loyal to one or the other brands of hyaluronic acid... more

Vincent D. Lepore, MD
San Jose Plastic Surgeon

Perlane vs Juvederm Ultra Plus

Both fillers are excellent for nasolabial folds. Perlane tends to be stiffer, Juvederm softer. It has been 3 years since your last treatment. Consider that you may now have deeper nasolabial folds due to time, or weight loss. The injection technique may be different between the 2 treatments, particularly if the treating physician was different (and sometimes even if the physician is the same).

Madeline Krauss, MD
Boston Dermatologic Surgeon

Perlane vs. juvederm

Superwoman, I think that the result had nothing to do with the product but is more likely related to how injected. Both should give equally good results. You can touch up with either one. Most important is that you let the injector use what they are most comfortable with and you make sure that they understand what you want.

Jo Herzog, MD
Birmingham Dermatologist

Perlane and Juvederm work for nasolabial folds

Both Juvederm and Perlane both work very well to improve the nasolabial folds. If you are not as pleased with the results of Juvederm it is most likely due to injection technique. If injected very close to the surface of the skin these fillers (both are hyaluronic acid) can be noticeable. This may be what you are experiencing, but without pictures it is hard to say. I would recommend expressing your concerns with the physician who performed the procedure. Hope this helps.

Jason Lichtenberger, MD
Bellingham Facial Plastic Surgeon

Perlane and Juvederm Ultra Plus Results Quite Similar if Done Correctly

Although there are small differences between Perlane and Juvedem Ultra Plus, essentially identical results can be obtained with these products, when injected properly. These products contain Hyaluronic Acid, a normal constituent of the skin, that gradually diminishes over time, with resulting loss of skin plumpness. It is possible that, three years after your first treatment, you may require additional filler. Also, treatment is technique-sensitive, meaning that your most... more

Sheldon Pollack, MD
Toronto Dermatologic Surgeon

What is better Juvederm Ultra Plus or Perlane ?

In my practice we use both options and get excellent results with both Juvederm or Perlane treatments. Each patient is assessed individually and depending upon a variety of factors, we select either one for any particular patient.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

Perlane v Juvederm Ultra Plus

Since you had a great correction with Perlane in the past and are less pleased with Juvederm Ultra Plus, it may make sense to use Perlane again . First, I would be certain that the injections were done by the same doctor. If not, then it may be a matter of technique rather than product. In my experience Perlane and Juvederm are similar but no where near identical fillers so be sure that you get the results you want and work with your doctor to achieve optimal results.

Shawn Allen, MD
Boulder Dermatologist

The injector is at least as important as the product injected

Perlane® and Juvéderm Ultra Plus® are both excellent, safe hyaluronic acid [HA] fillers for use in the nasolabial fold area. Was the second treatment done by a different physician from the first treatment? If so, it could be that you prefer the technique and aesthetic judgement of the first physician. In any event, if I were you I'd go back to the first physician [or the one who injected the Juvéderm®] to sort this problem out. One nice feature of both... more

Kevin C. Smith, MD
Niagara Falls Dermatologic Surgeon

Juvederm ultraplus vs perlane

Both of these products are hyaluronic acids but the G prime of Perlane is much higher than Juvederm Ultra Plus and Perlane can support a heavier load above it at times. Possibly this may improve your outcome the next treatment. If you had the treatment by two different physicians, then it may be technique related.

Ronald Shelton, MD
Manhattan Dermatologist

Perlane vs. Juvaderm - The injector is what is important

You state that you had Perlnane injected 3 years ago and recently was less satisfied with your Juvaderm Ultra Plus results. The truth is that both fillers are close in terms of consistency, duration, and results. The most important thing to consider is the injector. It is possible that your injection technique was just better 3 years ago. Also, keep in mind that you are now 3 years older, so it naturally becomes more difficult to correct signs of aging as they advance. Another thing to... more

Matthew Schulman, MD
New York Plastic Surgeon

Perlane vs Juvederm Ultra Plus for nasolabial folds

Both of these fillers are excellent for the nasolabial folds. They both have a larger, more robust particle size of hyaluronic acid that gives a nice lift to the tissue where it is injected. If injected properly, both should give natural looking results. Discuss the results with your injecting physician. It may be a matter of technique rather than filler. If the results are not what is desired, hyaluronidase may be used to dissolve the Juvederm Ultra Plus that you... more