We do all of these fillers and
often mix them depending on effect wanted and have not seen problems because of
that. And choice really depends on where you are putting it and how the rest of
the area looks – basically, which is best product given the clinical situation.
This is an excellent question. It
is safe and effective to combine fillers. I offer comprehensive treatments that
reflect my philosophy of "combineese," which means combining
different non-invasive treatments to meet specific needs. Fillers such as
Restylane® and JUVÉDERM® are both hyaluronic fillers and work well together.
Not only is mixing Radiesse with a hyaluronic acid volumizer, such as Juvederm UltraPlus XC, safe when injected in layers, but safe and sometimes preferable when specially premixed in the same syringe before injection.
In the case of the treating the upper, triangular portion of the nasolabial fold, the so-called pyriform sulcus--I find this premixed combination to be particularly useful. The Radiesse provides the lift that is needed to raise the furrow, and to give the result durability, while the Juvederm UltraPlus XC provides the smoothness and water-holding properties to fill and even out the entire crevace . Consultation with a board certified aesthetic physician with expertise and experience in injecting all kinds of fillers and volumizers is a must.
Yes it is safe to mix or layer different fillers. Looking at your photo, it doesn't look like you need a lot of correction (if any) so I would recommend that you stick with the Restylane. Restylane is the most similar to Juvederm- they are both hyaluronic acid fillers. Radiesse is a different product (calcium hydroxyapatite) and I like this for people who need a little more correction.
Best of luck!
Yes, using a combination of dermal fillers is okay and often I actually do this on purpose to achieve the desired outcome. Different areas of the face react better to different fillers and combination of fillers can often achieve a much more natural result. Based on your picture, I am not sure you need filler in your naso labial fold. However, perhaps that is not a recent picture. I would suggest an in person consultation for a full face evaluation to review your options.