Is Juvederm Volbella or Restylane Silk better for periorbital lines?

Question

Which product, juvederm volbella or restylane silk, is more natural looking for those pesky periorbital lines? Thank you!

John L. Burns Jr., MD · Answer

Either filler is designed to treat perioral rhytids or smoker's lines.  Personally, I have noticed more swelling with Silk.

Sam Naficy, MD, FACS · Answer

Thank you for your question. Both Volbella and Restylane Silk are used to treat rhytids and creases around the lips (ie. "smoker's lines"), and both yield great results. Personally, I've noticed that Restylane Silk tends to swell a little more initially, but Volbella takes a little longer to settle into the skin tissue. As for longevity, one is not better than the other. For periorbital lines, I suggest trying Botox initially, and determine whether that is enough to soften the lines to your liking. If creases are deeper than what Botox can correct, consider resurfacing modalities for a more corrective treatment, or dermal filler for temporary resolution of the creases. Best of luck!

J. Jason Wendel, MD, FACS · Answer

Thank you for your question in regards to Volbella. For periorbital lines I think Volbella gives the most natural look due to its lower concentration of hyaluronic acid per m (this along with the cross-linking of the molecules means less swelling). Volbella's consistency is so incredibly smooth, like honey, and it's as if you are adding another layer of skin under those lines! Juvéderm Volbella and Restylane Silk are both wonderful products, but Volbella is amazing for any area where you want a very natural look, with longevity up to a year. It is a beautiful tool we now have! To find out what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Both fillers can effectively be used to treat smokers lines, but in my hands I have found Volbella to offer a more natural appearance.  Hope this helps.

Jason Emer, MD · Answer

Restylane Silk or Belotero are good fillers for this area, along with Botox. Volbella is the newest treatment for this but I find actually gives more volume here. A combination of laser, radiofrequency and microneedling/prp to stimulate collagen along with fillers work best for this area.  I suggest going to a facial contouring expert who injects fillers with cannulas as they can be used above the mouth as well for the smokers lines.  Best, Dr. Emer.

Kouros Azar, MD · Answer

It is really going to depend on your anatomy and the depth of your wrinkles. Both Volbella and Restylane Silk can deliver natural looking results. Schedule a consultation with a really experienced injector to be assessed in person and discuss which option is best for your needs.

Alex Eshaghian, MD, PhD · Answer

Thank you for
your question lolo8921. Volbella
is a hyaluronic acid filler designed to enhance the lips. Restylane Silk is another example of a soft filler suitable for lines around the lips. Both work well but Volbella is cleared to last longer. Please
consult with a doctor for specific recommendations. Good luck!

Faiyaaz Kalimullah, MD, FAAD · Answer

This is an excellent question, and one that I'm hearing more and more from my patients after Volbella was approved by the FDA last year.  I think it's possible to achieve very natural, beautiful results with both Volbella and Restylane Silk in the perioral lines.  That said, I think Volbella has a slight edge in my experience - it a very soft, malleable product and it fills in superficial lines without adding significant volume or projection to the lip, and I notice less swelling after Volbella injections.  That said, Volbella may not provide enough support to fill in deeper wrinkles.  
As always, I would recommend scheduling a consultation with an experienced cosmetic dermatologist or plastic surgeon to discuss the best treatment plan for you.  Best of luck!

Kory Kitagawa, MD · Answer

Juvederm Volbella and Restylane are both excellent solutions to remedy smoker's lines. The choice of which filler is best in your case will be made based on the depth of your wrinkles and your skin quality when you consult with a board-certified dermatologist.

Lesley A. Rabach, MD · Answer

Volbella is the newest hyaluronic acid filler FDA approved specifically for fine lip lines. It is outstanding for reducing or getting rid of them! Restylane silk is also an excellent alternative and depends on the lines as to which is preferred. The bottom line is you should seek out a board certified dermatologist or board certified facial plastic surgeon who has specific advanced training in these techniques! Hope this helps

Is Juvederm Volbella or Restylane Silk better for periorbital lines?

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