Belotero vs. Restylane - Is it true that bolotero lasts only 6 to 7 months under eye? And Restylin lasts close to two years?

Question

Is it true that bolotero lasts only 6 to 7 months under eye? And Restylin lasts close to two years? I have never gotton any work done but looking at my options will fly to different state if find a right doctor

Kian Karimi, MD, FACS · Answer

There have not been any head to head studies that I am aware of comparing the longevity of Belotero versus Restylane in the tear troughs.  After hundreds of tear trough injections with both Restylane and Belotero over the last several years, I believe anecdotally that Belotero does not last as long as Restylane -- part of the reason for this is that Belotero does not come with lidocaine so many doctors will dilute the restylane with a small volume of lidocaine for increased comfort.  Now that we are using microcannulas for tear trough injections (the only way one should ever have tear troughs injected), I have not been diluting Belotero anymore so this may lead to a longer lasting result.

Harold J. Kaplan, MD · Answer

Hi Mona.  You are correct that Belotero does not last as long as Restylane.  I would say the different would be more like 6-9 months vs. 9-12 for Restylane, but it depends on the amount of product and how it is injected.  For examples of other Los Angeles patients that have under eye correction with Restylane, click the link below.

Jason Emer, MD · Answer

In essence they should last the same amount of time.  I am finding that Belotero lasts a little shorter time period only because it fully integrates into the tissue and doesn't have lift capacity the other fillers do.  It works to flatten out wrinkles very well especially superficial ones.  Without photos it is hard to tell which filler is best for you.  I suggest a formal consultation with a cosmetic dermatologist or plastic surgeon with experience using fillers.  Best, Dr. Emer.

Kimberly Finder, MD · Answer

Restylane and Belotero are both hyaluronic acid fillers for improving the under-eye hollows. In the hands of an experienced physician who understands anatomy and aesthetic considerations, they both create a softening of the under-eye hollows, which so often are the cause of looking tired and aged. They have different characteristics, however. Restylane is more "structural" and provides good lifting when placed in the deepest area of the hollow. If it's placed too superficially, it can create a bluish appearance that isn't helpful.Belotero is a "softer" filler suitable for more superficial placement because it flows well under the thin skin of the under-eye area. It doesn't show as a bluish color under the thin skin.I use both fillers and take advantage of their differing characteristics to create the best look depending on each person's needs and goals. Restylane probably does have greater longevity, but that isn't the only reason for selecting a product. I will frequently "mix and match" the fillers to create the most harmonious appearance.Always seek a physician to do your treatments, and ask about his/her philosophy about why s/he is recommending a particular treatment option.

Hratch Karamanoukian, MD, FACS · Answer

Belotero, Restylane and Juvederm are HA type facial fillers and as far as I know, there are no RCTs comparing one to the other in terms of duration of efficacy. What is known emperically is that areas where HA fillers are injected, such as tear troughsvthat are less prone to movement than corners of the mouth, lips, marionette lines, the HA fillers last longer in the same individuals. Of course, genetics as well as body metabolism and smoking play a significant role in how long HA fillers last in any particular individual.

Manjula Jegasothy, MD · Answer

In a non-dynamic (not much movement) area such as the under eyes, most fillers usually last roughly 12-14 months. Individual fillers brands have different longevities in any given patient and vary widely, so I would recommend trying either Belotero® or Restylane® injected by an experienced board-certified Aesthetic Dermatologist to see which brand is best for you.

Michele S. Green, MD · Answer

Belotero and Restylane both have advantages for the tear trough.  Belotero has little risk of the Tyndall effect and is ideally suited for the under eye area.  Restylane is injected deeper and tends to last a little longer.  The product used also depends on the depth of the tear trough that needs injection.  There have been no studies comparing the longevity of both of these products in a single study.  For the best cosmetic results please consult a board certified dermatologist with a great deal of experience with tear trough injections.

Kris M. Reddy, MD, FACS · Answer

While I am not aware of any head to head scientific studies between belotero and restylane, I do believe that restylane will last much longer. Consult with an experienced and expert master injector who can provide you a variety of options.

Nissan Pilest, MD · Answer

Both
products are Hyaluronic Acid based, and generally last 6-9 months but can last
longer depending on how your body absorbs the product.

Undereye
hollows are a very common concern for many people of all ages. This is one of
the most popular procedures in my office. 
Currently I like to inject Restylane into the hollows of my patients.  I find that it causes less swelling than
Juverderm and gives better correction than Belotero, but each physician has
their own preference.

Consult with
a Board Certified Dermatologist to see if this which filler is best for your
concerns.For more information on Restylane under eye treatment click link below:

Andrea Hui Austin, MD · Answer

Hi there! Both Restylane and Belotero are hyaluronic acid (HA) fillers. Longevity depends on several things. 1) Your body's metabolism. Everybody has an enzyme in their skin called hyaluronidase, which breaks down HA and helps your skin remodel itself all the time. Over time (months to years), hyaluronidase will dissolve the HA fillers.2) Amount of HA injected and injector technique.3) Use of neuromodulator (Botox, Xeomin, Dysport) which can help relax the muscles in the treated area and prevent breakdown of HAI hope this helps!

Belotero vs. Restylane - Is it true that bolotero lasts only 6 to 7 months under eye? And Restylin lasts close to two years?

Answers (13)

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