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What's a More Permanent Filler Than Restylane?

asked 2 years ago by tortilla in Seattle
Latest answer by Steven Hacker, MD
Question viewed 2,370 times
Tags: lips, permanent

I've used Restylane on my lips and disappointed it lasted 2 months. I won't use it again. What could I use that wouldn't be absorbed so quickly?

12 answers to What's a More Permanent Filler Than Restylane?

Try Juvederm Ultra

Perlane is a thicker Restylane and might be used but your lip might not need a thick product. Longer term fillers have greater risks of lumps and bumps, some could even be permanent, such as Silicone. You have to be very concerned about using a long lasting filler in the lip in case you don’t like the result! You should try Juvederm Ultra, and although it is a hyaluronic acid, similar to Restylane, it may react differently in your body and last a little longer.

Ronald Shelton, MD
Manhattan Dermatologist

www.thenyac.com

Restylane and duration of effect

It is important that your dermatologist explain prior to any injection the duration normally expected with Restylane. Typically, it is 6-8 mos in the nasolabial folds and commonly it is only 2 months in the lip lines. This is not unusual in my experience. Other fillers such as Juvederm may last a few months longer. Other options though not for the lips but for longer duration include Sculptra.

Steven Hacker, MD
West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

Lip Augmentation

You may want to try Juvederm as your HA injectable of choice. The other options are perlane and radiesse which both last longer than restylane but they are too thick to place into the lip. Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon

Lip Augmentation, What is the Best Long Term Filler?

Hi Tortilla, The thicker form of Restylane may last longer, but because of your previous experience you might consider trying Juvederm Ultra Plus. A new hyaluronic acid filler with lidocaine, Hydrelle, has been used off label in lips, but it's too early to recommend. The problem with other fillers that may last longer in the lips is that there is the potential for severe long term problems including lumps, bumps, granulomas, and nasty infections, all of which are most difficult to remedy... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Fillers for lips

Juvederm may work better for you and last longer. Unfortunately, there aren't many choices for lip enhancement and augmentation off the shelf. If you're considering surgery, fat grafting or Alloderm may offer better long term results, but this requires an operation. Also, the fat and Alloderm may also decrease over time so be aware of this before jumping into an operation. Good luck!

Jeffrey E. Schreiber, MD
Baltimore Plastic Surgeon

Restylane loss in the lips at 2 months

There are longer lasting and permanent fillers used off label, but I'd not recommend you "go there". Permanent fillers mean just that, so if you don't like the look, what will you do? The longer term fillers tend to be too dense for the lip and could form very displeasing lumps or granulomas. Restylane and Juvederm are both widely used for Lip Augmentation, as well as Perlane in some instances. All the hyaluronic acid gels can be removed simply, but the other fillers can not... more

Nissan Pilest, MD
Irvine Dermatologic Surgeon

Juvederm may last longer

Juvederm, especially the ultra plus variety is a more heavily cross-linked hyaluronic acid product than Restylane and may last longer in the lips. You will never know, however, unless you try it. For safety reasons, I would stick with hyaluronic acid products in the lips at this time. Good luck.

Bryan K. Chen, MD
San Diego Dermatologist

Lip fillers

While restylane is a good hyaluronic acid filler for the lips, there are others that last longer. Perlane and juvederm ultraplus will definitely last more than 2 months in the lip.

Steven Wallach, MD
Manhattan Plastic Surgeon

Permanent Filler for Lips

Silicon can be used as a permanent filler for lips. I WOULD NOT RECOMMEND IT THOUGH. Restylane and Juvederm are the safest to use in the lips. They should last for 4 to 6 months. I am not sure why yours lasted only 2 months. I would try either of these two again. Other fillers are not suitable for lips. Regards

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon

Long lasting injectable fillers for facial rejuvenation

As others have already stated, Juvederm or Evolence are a good alternatives for longer lasting results for possible lip augmentation or wrinkle reduction. These fillers may last several months, potentially up to one year. Don't forget fat injections. Fat has the potential of long-lasting permanent facial rejuvenation. Fat is obtained from your abdomen, purified, then injected into areas which need enhancement. Speak with a cosmetic specialist to see what alternatives are available for... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Options for long-lasting fillers in lips

Restylane usually lasts longer than 2 months in the lips in my experience but all fillers seem to re-absorb more quickly in lips. One issue is that longer lasting fillers such as Radiesse tend to get lumpy in the lips, and no clear winner has emerged that has a natural feel but lasts a lot longer. Evolence is a great product but it may have the same lumping problem in lips so I don't use it there. Juvederm Ultra Plus or Perlane are probably the best choices. Also, if you get re-injected... more

Richard Baxter, MD
Seattle Plastic Surgeon

Evolence Breeze (when approved by FDA) may be a better option for tear trough or lip augmentation

Restylane or Juvederm is a hyaluronic acid (HA) filler. HA filler works partially via its humectant property where water is drawn to the areas of injection. In another words, good amount of the clinically visible augmentation is due to tumescence or controlled 'swelling'. After the tumescence from HA filler subsides, the visible augmentation may abruptly diminished. Although HA fillers do stimulate collagen, most people would require re-injection of HA every 4-9 months along nasolabial... more