Between Revanesse, Juvederm or Stylage, which fillers should I use for lips and tear troughs?

After a careful review of some of the Versa Revanesse complications reported on realself, I would think twice before having this filler injected into the eyelids and tear troughs. In the USA, I would suggest Belotero or Restylane as a wonderful option.

Best,
Dr. Karamanoukian
Realself100 Surgeon

These fillers, (Volbella, Restylane, Juvederm) are good to create a symmetrical and full lip. Volbella is a thinner filler and long-lasting. PDO Nova threads can also be used to improve shape and also provide lift. Fat or implants are a permanent alternative. For under the eyes, a combination approach will give the most improvement. Fillers (Belotero, Volbella, Restylane Silk), lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

sashd.  I favor Juvederm Ultra plus for the lips because it is a bit thicker and lasts longer.  Tear troughs can be tricky because the eyelid skin is so thin.  Juvederm, placed conservatively deep, on the bone below using a blunt applicator provides the best, safest results for me.  Be sure to consult with a board certified plastic surgeon or dermatologist. Good luck!

Thanks for your question.  I would encourage you to see your board certified dermatologist or plastic surgeon who is very experienced with fillers and has excellent credentials and reputation.  The lips and tear troughs are advanced areas to inject and should be done by an expert.  It's not really possible to make a specific product recommendation without an in-person consult with your physician injector.  The complication rate of under eye (tear rrough) injections can be high, and you wouldn't want to have lumps under your eyes or a risk of blindness.  Best of luck!

Ravenesse just recently received FDA approval in the USA.  I have used it several times now and quite like the way it injects.  I have seen far less post treatment swelling with Ravenesse and find it a nice product to use under the eyes, cheeks, lips and just about anywhere.  What makes Restylane, Juvederm and Ravenesse different from each other are partly their particular hyaluronic particulate shape.  Restylane particles are more jagged while Juvederm particles are smoother.  Ravenesse particles are even smoother and spherical in shape.  Studies have shown that the more spherical products are not as readily broken down, hence we might expect longer lasting results with Ravenesse.  Having said this, it's almost more important to have a great injector than worry too much about the product itself.  Placement and artistry along with product selection is what will give you that soft and natural look.  I hope you get a great result!

I think that the best beginners filler for the lips is Volbella, one of the latest HA products from Juvéderm. It gives a very subtle, natural look to the lips without making them overly plump.  I also use Volbella in the tear trough area as well so I would recommend that you start there. 

I stick primarily with hyaluronic acid filler products. Many of these products can get you what you want to achieve.....

The more important choice is to choose an experienced and expert physician injector who understands your aesthetic goals and objectives as these areas require advanced injection techniques. Each injector will have his/her preferences for product.

Thank you for your question. I like to use Juvederm Volift (Vollure in the USA) for the lips. It is a longer lasting filler and will give you soft and natural results. Stylage M is also very good, comparable to Juvederm Ultra Plus, but a little bit thicker and harder as a filler compared to Volift, Volbella or Juvederm Ultra. Teosyal Redensity II, Stylage S or Belotero are great fillers for the tear troughs. The bottom line is that there are many dermal fillers on the market, however the experienced of the injector and technique used are the most important factors to consider. I recommend seeing an expert for a proper consultation and treatment plan. I hope this help. All the best, Dr. Michon

Since this is your first experience with injectables, I would likely chose Restylane ReFyne for your lips and Belotero for your tear troughs. Those products have proven very reliable and dependable in my experience and would be a conservative way for you to begin.