Facial fillers-Which one is the best?
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!
American Board of Facial Plastic and Reconstructive Surgery, American Board of Plastic Surgery
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: https://spamedica.com/non-surgical-procedures/dermal-fillers-toronto/
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
Yorkville, Toronto