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Risky to Use Both Restylane and Juvederm?

asked 2 years ago by chikkita in Australia
Latest answer by Kris M. Reddy, MD, FACS
Question viewed 1,605 times
Tags: mouth, nasolabial folds, tear trough, female, risk, smile lines

Can I use Restylane around my tear troughs and Juvederm plus around my nasal area down to mouth corners? Or am I putting my self at risk?

22 answers to Risky to Use Both Restylane and Juvederm?

+1

Restylane and Juvederm Combination

There is no cumulative risk in using the combination of dermal fillers. Patients in our practice frequently combine restylane and juvederm.
Kris M. Reddy, MD, FACS

West Palm Beach Plastic Surgeon

www.drkrisreddy.com

+1

There is no problem.

There is no problem in combining these two dermal fillers. They can be used in the same area if desired, but I don't understand the need of combining them in the same patient. Both Allergan (Juvederm) and Galderma/QMed-Medicis (USA)(Restylane) have a broad scope of products to treat all facial areas in the same individual.
Enrique Etxeberria, MD

Spain Plastic Surgeon
+1

Juvederm + restylane

I'm not sure why you would switch off, but what the heck. It doesn't make a difference. enjoy.
Rafael C. Cabrera, MD

Boca Raton Plastic Surgeon
+1

Combining Fillers

Using a combination of dermal fillers as you describe is perfectly safe and appropriate. This particular plan exploits the subtle differences amongst available products and is a very sound treatment strategy.
Brian M. Braithwaite, MD

Chicago Plastic Surgeon
+1

Restylane and Juvederm Together?

Hi Chikitta.  Both of these products are very appropriate for the areas you have noted and they are fine when used together.  Good luck.
Harold J. Kaplan, MD

Los Angeles Facial Plastic Surgeon
+1

No greater risk

There is no evidence that you are putting yourself at more risk by having two different products used in different places. There are risks of each procedure individually and that should be discussed by your physician.
Ronald Shelton, MD

Manhattan Dermatologist

www.thenyac.com

+1

Not risky to use both Restylane and Juvederm

Both Restylane and Juvederm are hyaluronic acid fillers. They can be used interchangeably and in different parts of the face at the same time. HA fillers can also be used in conjunction with other different type fillers, such as Sculptra. Sculptra takes weeks to have full effect and HAs can be added to give a much more immediate response. I have also used Radiesse and HA in the same area at the same time too with no problem whatsoever. The Radiesse is injected deeper and the HA more... more
Hassan Galadari, MD

Dubai Dermatologist
+1

Facial Fillers

Not sure why you would be mixing the two, but to my knowledge there is no added risk to using both products in the face. Good luck.
Farbod Esmailian, MD

Orange County Plastic Surgeon
+1

Restylane and Juvederm

Hyaluronic acid fillers such as restylane or juvederm can be used separately or in conjunction to fill areas of facial depressions.  I do not see the point of mixing the two but it certainly can be done.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

No risk at all

Physicians often use a variety of facial fillers when rejuvenating the face. I particularly like to use Restylane in the tear-trough area. You will find the Juvederm will be smooth in the cheek folds. Occasionally we even layer the products, putting the thicker product deep and the thinner product more superficial. You will not be putting yourself at any risk, whatsoever, using a combination of products.
Theda C. Kontis, MD

Baltimore Facial Plastic Surgeon

facialplasticsurgerymd.com

+1

Fillers such as Juvaderm and Restylane can be combined

Restylane and Juvaderm are both the same class of fillers and I do not see any reason why you could not combine them. In your particular case, you have mentioned using them in different parts of the face so as the fillers will be placed in geographically separate areas, there is even less reason to have any worries.
Darrick E. Antell, MD

Manhattan Plastic Surgeon
+1

Restylane and Juvederm Combination, Is it Safe?

Hi Chikkita, It is perfectly safe to combine Restylane under the lower eyelids with Juvederm in the cheeks and other areas of the face. In fact, that is the most frequent combination of fillers that I use in my practice daily. One must be very careful when having injections around the delicate and unforgiving eyelid area. Make sure that your injecting physician is experienced and very well trained in this area. Good luck and enjoy. Dr. P
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+1

Combinations common

We often combine different fillers on the same day in different areas, or at different depths. Each FDA filler has unique characteristics and a good dermatologist or plastic surgeon understands how to use each for maximum advantage.
Mary Lupo, MD

New Orleans Dermatologist
+1

Risk of using Juvederm and Restylane

There appears to be no cumulative risk by using different fillers in different areas.  If you can tolerate Juvederm, then in general, you can tolerate Restylane (and vice versa) with no increase in side effects when using one for one area of the face and one for another area of the face. 
Steven Hacker, MD

West Palm Beach Dermatologic Surgeon

www.palmbeachdermasurgery.com

+1

No issue with combining fillers

There is no issue with combing fillers. They are all essentially the same product. Different products come in various sizes and inject slightly differently. Many physicians have favourites for particular uses and areas. I often use combinations of various fillers to get optimal results.
Julia Carroll, MD

Toronto Dermatologist
+1

No

Should be no problem in "mixing", as long as you do not have any contraindication to either one.  You should be fine to go ahead.
Scott E. Kasden, MD

Dallas Plastic Surgeon
+1

Using Restylane and Juvederm at the same time

Yes, it is common practice to use different fillers at the same time. You can use even Radiesse and Sculptra at the same time. Medically speaking it is all safe. However, aesthetically if you inject too much filler at one time, it might not look great. Regards
Tanveer Janjua, MD

Bedminster Facial Plastic Surgeon
+1

No risk in using both Restylane and Juvederm

None. We frequently combine differ filler, matching them for the tissues they are placed in and the characteristics we are looking for. Restylane is thought to be associated with less swelling when placed around the eyes but is frequently used elsewhere. Juvederm has a slightly smoother spread and is suited for other facial folds. You run NO risk by using a combination of fillers. Good Luck.
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Perfectly fine to use Restylane and Juvederm together

Dear Chikkita There is absolutely no problem mixing these fillers. However, a bigger question in my mind is, why bother? I personally feel that it is hard to improve on the benefits of the Restylane and Perlane. Restylane hold in the tissue better than Juvederm which is why it is preferred for the under eye area. The marketing for Juvederm characterizes the product as "smooth." However, another possible interpretation for this is "runny." I think both the Restylane and... more
Kenneth D. Steinsapir, MD

Los Angeles Oculoplastic Surgeon
+1

Combination of different fillers in the same patient

I would see no problem with using this combination and I freqeuntly vary the filler for the particluar injection site even in the same patient in order to obtain the desired result.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

No Risk

This is done quite commonly. Many physicians prefer one filler for one purpose and another filler for another. For instance, I like Juvederm for the naso-labial folds (smile lines) since it is smoother and responds to very minor "molding". Restylane, on the other hand, seems a bit stiffer and I like it on areas that require a firmer support such as the corners of the mouth. On occasion, I have ran out of one filler and just used its competitor, in the same area. After all they... more
Arnold R. Oppenheim, MD

Virginia Beach Dermatologist
+1

Using Restylane & Juvederm

There is no problem combining these fillers which are both versatile hyaluronic acids and both have potential to be reversed with hyaluronidase if there were a problem. 
Benjamin Barankin, MD

Toronto Dermatologic Surgeon

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