Does Juvederm last longer than Restylane? How else do they compare?

Both Juvederm and Restylane are FDA approved hyaluronic acid fillers. There are minor technical differences in the two products. Both are proven to provide lasting results. Having said that, I think an experienced physician can do just about anything with just about any product. What is important to the consumer is what happens to a product when it is used by a less experienced physician. This is important because not everyone is going to be treated by the "world's greatest." As a physician with a great deal of experience with these products, I prefer Restylane and Perlane. The "smoothness" of Juvederm is not a clinically meaningful expression. It is a marketing term of art. The marketing people are making lemonade out of lemons. Having said that, when injecting tiny volumes, Juvederm is less likely to form a bump because it readily diffuses in the tissues. This is an advantage for doctors who are not prepared to mold and work with the filler once it is in the tissue. Restylane is more cohesive and tends to stay where it is placed. It needs to be carefully molded once injected. The advantage of this cohesion is that Restylane can be used to build up the face in away that is impossible with Juvederm. This is especially evident in the lower eyelid/tear trough hollow under the eyes. Juvederm injected in this area in enough volume to make a difference can readily drift into the top of the cheek creating unwanted fullness. This does not happen with Restylane. On the other hand, one has to expect lumps with Restylane and actively work to smooth these if they occur. This can easily be done and it is my opinion that the results are worth the effort. Some authors here suggest that Juvederm does not last, and I think the reality is that it does last but it tends to get flattened in the tissue and over time appears less effective. Recognize that some offices push products because the doctors get financial incentives from the companies to do so and these incentives increase based on how much of the company's product the offices uses. For example, Allergan incentivizes plastic surgeons by counting any of the Allergan products, this includes BOTOX, Juvederm, Prevage, as well as Allergan manufactured breast implants. For Allergan, the offices that use enough of their product not only get a significant discount on product, they get favorable placement on the Allergan doctor referral website. Medicis, the company that makes Restylane, has a similar type program, but it only applied to its hyaluronic acid filler products. So be aware of this because it creates a potential bias in what the doctor may recommend. Ultimately it comes down to trust. Do you trust the doctor to make a recommendation that is right for you and not the doctor's wallet?

I used Restylane before Juvederm was introduced.  When Juvederm became available, I switched because the material hurts less when it is injected, it has a better viscosity for injection control, the results look nicer, and the material lasts longer.  Now there is Juvederm with powdered lidocaine so the injection is even less painful.

After using both of these products for several years and performing hundreds of injections to all the common areas, I find that they are very similar in both effectiveness and duration of action. In my practice, we find that some patients have a definite bias toward one product or the other depending on which company has most effectively reached them with their marketing. They are both excellent products for enhancing lips, smoothing wrinkles of the face. In my practice I feel some patients may get a little less bruising with Juviderm. On the other hand, I think I get a little more effective correction of wrinkles around the mouth with Restylane because it is slightly thicker. Often, I suggest patients use Arnica to help speed the resolution of mild bruising which can occur. In my practice it really is a tie. The take home point is both are great products so you really can't go wrong.

Both of these products are comprised of hyaluronic acid. Both are safe and effective.
Juvederm tends to last longer than Restylane. Juvederm has a higher concentration of hyaluronic acid compared to Restylane. Both products last longer in areas that are not as mobile (e.g., cheeks) compared to those areas that are very mobile (e.g., lips).
Juvederm tends to be smoother when injected and appears as such under the microscope when compared to Restylane.
Juvederm has slightly less product in each syringe compared to Restylane.
Lastly, there is an option to purchase a smaller syringe of Restylane which is not currently available with Juvederm.
At present, neither of these products currently comes pre-mixed with local anesthetic, though this will likely change in the near future.
The skill of the physician who is injecting the material is the most important factor to consider. Make sure your physician has the proper training, credentials, and experience.
It is of the utmost importance to communicate your goals to your physician. This will allow your physician to meet and exceed your expectations.

Comparing Juvederm and Restylane is much like comparing Coke and Pepsi - the differences are very subtle and typically only understood by a very experienced, board-certified injector. Both of these fillers work well in similar treatment areas, producing comparable results. It is much more important for you to choose an expert injector who will be able to select the best filler for you and inject it precisely to produce a natural, beautiful result.

Hi and thank you for your question! Both Juvederm and Restylane are hyaluronic acid fillers that can be used in the lips. The two products have different properties and offer different advantages depending on the individual patients goals. I recommend you meet with a Board Certified Plastic Surgeon or certified experienced injector to go over your goals and discuss a treatment plan. 

Thank you for your question. Both Juvederm and Restylane are FDA approved hyaluronic acid fillers and tend to last anywhere from 6 months to 1 year. I would advise you to schedule a consultation with an expert injector.

Juvederm
and Restylane are hyaluronic acids and will ultimately give similar results. Many
patients prefer Juvederm because they feel it gives them a more natural look
due to its smoother consistency. Restylane is of a thicker consistency and is
best used in area that are more structured, such as the jowl.

What are the differences between Juvederm and Restylane? This is a very common question for patients, students, nurses and basically anybody interested in facial rejuvenation.  If you attend a medical conference , visit multiple doctor offices or even as you read the current thread of the answers you will likely become only more confused.  The reason is that both of these products are very similar in nature, they are hyaluronic acid based fillers and hyaluronic acid is a common substance of human cell.  So while it was a brilliant idea to come up with a filler that mimics human cell so closely, different companies have taken advantage and have come up with different products that slightly defer from each other based on how tightly the molecules are bound together. In parallel, such differences in tightness and cohesiveness affects how they absorb and retain water.  Such differences in firmness and fluidity can be advantageous or disadvantages based on what anatomical parts are to be augmented and what is the desired texture of the tissue after the injection . So it is not surprising that Juvederm at the moment has multiple sub categories of products as does Resylane. These sub-categories are again differentiated based on the above properties, and as such some sub categories of Juvederm have closer properties to the corresponding ones in the Restylane family rather than to the other types of Juvederm products.Based on the above knowledge, it is very difficult to conduct good scientific studies that may reveal substantial evidence to prove superiority of one product over the other, and thus there has not been much universally agreed preferences amongst the experts. The preferences are more subjective and based on personal experiences and familiarities with one product versus the other. That is why when it comes to even a particular anatomic location such as the lips, there are still no consensus and  so many experienced injectors will have their own preferences as far as what type of a filler and what type of a needle to get the optimal result for a given patient. Now on top of that, you need to factor in the individuality of the patient and the particular goal he/she has from the filler treatment. The choice of the filler even amongst the Juvederm products would be different if the patient wants to get just a subtle improvement of the texture of the lips versus a substantial increase in the pulp. 

Both Restylane and Juvederm are hyaluronic acids, can be dissolved, are short acting (1-2 years), and soft materials.  They both have different properties which make them unique for certain situations.  Younger patients (under the age of 45 typically) usually need more volume than lifting.  Both products do well in this category.  After the age of 45, most patients need more lifting than volume to simulate a minifacelift.  This is where the Restylane products take over.  They have twice the lifting ability of Juvederm.  The strongest Juvederm product is Voluma and works well to lift the face; however, it's half as strong at lifting tissue as Restylane.  Juvederm is a hydrophilic filler meaning it draws water towards itself.  Restylane is also hydrophilic but not as much as Juvederm.  In areas where we want increased plumpness, such as in the lip, Juvederm works well.  With newer products on the market, however, for Restylane such as Restylane Refyne and Defyne, Juvederm is no longer the filler of choice for lips and these fillers do equally well.  Overall, both are good products and in the younger population, either one will give you a good result.  As we get older, however, Restylane definitely wins out.  It's best to consult with a plastic surgeon who does a high volume of fillers to see your best options.  There are other products such as Sculptra, Bellafill, and Radiesse that haven't been discussed here.  Another reason to see a plastic surgeon is because they offer other options that aren't just nonsurgical that may last longer and save you money in the long run.  Good luck!!

Hi there!This really comes down too the expertise of the practitioner and what they feel works with personal techniques. Restylane and Juvederm are both different types / brand of hyaluronic acid. I use the juvederm vycross range as I find the product consistent / natural looking and easy to inject. Results are long lasting and I ultimately have client satisfaction which is the most important factor. This is however my own preference. Hope this helps and good luck! Best wishes,Dr Rupert