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Facial fillers-Which one is the best?

Question posted by Hilda from British Columbia

I’m looking to get facial fillers for some wrinkles I’m starting to see around my eyes and on my cheeks. From what I can tell, the two best brands are Restylane and Juvederm. Which one would you recommend for my specific problem areas? Please help!

Doctor's Response

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One thought on “Facial fillers-Which one is the best?

  • Dear Hilda,

    Thank you for your clinical
    post.  There is no one best soft tissue
    filler.  But what is most important is
    you determine what soft tissue volumization or filler techniques are required to
    achieve your aesthetic goals.  Once the
    technique has been decided then the soft tissue filler it is best for that
    procedure should be decided upon.  In
    general, you can select soft tissue fillers from broad categories such as the
    temporary but long lasting reversible Hyaluronic sugar acid gels such as
    Juvederm, Perlane, Restylane and Tiosol. 
    These simple sugar gels require no skin test, can be injected with a
    fine needle or microcannula and can last a year or more.  They are generally good for soft tissue
    shaping and volumization as well as the management of indentation lines and
    wrinkles.  There is also a category of
    fillers called the biostimulants.  These
    include products such as Polymethacrylate, Polygalactic acid and Polycalcimic oxy
    appetite [ph] or Articol, Sculptra and Radiesse respectively.  These products work not by soft tissue
    spacing, but by biostimulation of the collagen. 
    They can be somewhat unpredictable, are not reversible and can lead to
    nodules in rare circumstances.  They’re good,
    however, for small defects or improving the deeper subcutaneous collagen
    network in areas of deflation.

    The final soft tissue fillers
    autogenous and that can be fat grafting or the use of plasma rich protein or
    PRP.  These products occupy space and
    contain stem cells that can result in hypertrophy growth and stimulation of the
    body’s own host tissues.

    There is no right answer in many
    cases multiple techniques and products are used in a layered fashion to give
    the best possible result.

    Rather than the best possible filler
    the usual question that is more important is who’s the best possible injector
    for you.  Some with experience in
    shaping, wrinkle reduction, scar management or facial rejuvenation using gentle
    fillers with years of experience is generally the type of specialist you should
    seek out.

    Best of luck.  I’m sure you’ll get an excellent result.

    To schedule a consultation or to find
    out more, please visit:

    R. Stephen Mulholland, M.D.

    Certified Plastic Surgeon

    Yorkville, Toronto

Additional Information

Dermal Fillers (Soft Tissue Fillers)

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