Restylane vs Juvederm for lip augmentation? (Photo)
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Doctor Answers 15
Individual reactions to fillers fillers for the lips are different - go with the one that is personally better for you
I can certainly provide you with some assistance on this matter. As a member of the Y Lift® network, I use Juvederm quite a lot on the face for something which we call structural volumizing, in order to create a facelift-like effect. I’ve been using Restylane since it was first approved by the FDA, so I’ve gained a significant amount of experience on both fillers. I’m a Board-certified cosmetic surgeon, practicing in Manhattan and Long Island for over 20 years.
It’s important to keep in mind that reactions to treatments or products are highly individual. A patient can experience a tremendous amount of swelling with a certain product, and then have considerably less swelling with another product. It works both ways—we’ve seen swelling from Juvederm and swelling from Restylane. Regardless, there’s always a heated debate regarding which fillers are optimal for certain areas, but ultimately it depends on the patient and the doctor. Personally, I prefer using Restylane when doing finer work along the border of the lips.
With regard to swelling, it’s important to distinguish between reactive swelling from the trauma of the treatment, and hydrophilic swelling, which is a result of liquid being pulled to the area. I’m sure your doctor is familiar with this and has probably guided you with navigating through the swelling. I always tell my patients to expect a certain amount of swelling after the procedure, though we try to reduce this during the procedure with a variety of methods. Post-op swelling usually takes about two weeks to settle down, which is why we routinely follow-up with our patients after two weeks, to make sure the contours achieved when I did the procedure are maintained. If there’s a need for enhancement, we’ll sometimes add a bit more.
I think that based on your experience you may want to just use Restylane. In my experience of using hyaluronic acid fillers, I think it is something that should be customized for the individual. Some people will switch from one product to another, for the sake of the longevity. Certain products will also last longer than what is indicated by the manufacturer. In fact, I’ve had patients who I did Restylane for in their lips and their results lasted over a year. It is not absolute and really depends on how your body metabolizes the product.
That said, I would probably advise you to just use the product that is more consistent. I think we have to be practical, even if it means that a material like Restylane won’t last as long, at least you will be able to avoid the undesirable effects of disproportionate swelling.
I hope that was helpful and I wish you the best of luck!
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Restylane vs. Juvederm for lip augmentation
Despite minor differences in particle size, both fillers usually behave well in the lips and I actually prefer injecting Juvederm in the lips because it behaves so well. It's difficult to say why you had an adverse outcome with Juvederm. If you've never had an issue with Restylane, just insist on that -- you're the patient, you're in the driver's seat. No injector should have a problem with that.
Best wishes! Harry V. Wright MD, Sarasota, Florida
Restylane vs Juvederm for lip augmentation?
Generally, the technique is the cause of these complications rather than the products. I suggest always using a micro-cannula such as the DermoSculpt for injecting lips or around the eyes. These cannulas have rounded tips and tend to push blood vessels aside rather than perforating them like a needle.
As a matter of interest, taking a look at the actresses in the movie, Martian. Most, if not all, of the actresses had inflated lips, but the inflation was in the center of the upper lip in a very non-anatomical way. This looked very strange and weird to me and certainly not like someone blessed with full lips.
In addition, look at the cheeks in the main actresses. Whoever performed the filler apparently has never looked carefully at a face before. Cheeks are not a simple lump on the cheekbone like half of a walnut or such, leaving the tear trough like a sinkhole. The tear trough is the concavity seen in the aging person between the cheek and the nasolabial fold. The point of fillers is to reduce or eliminate the facial shadows that occur with aging.