BELOTERO BALANCE® is a newer hyaluronic acid filler FDA-approved in 2011. The product is developed by Merz aesthetics, the makers of RADIESSE®. It is FDA-approved for injection into the mid-to-deep dermis for correction of moderate-to-severe facial wrinkles and folds, such as nasolabial folds.
For more information about the facial rejuvenation properties of Belotero®, please call Desert Hills Plastic Surgery Center at (702) 260-7707. We offer multiple injectable treatments to patients in and around Las Vegas.
What Is Belotero®?
Belotero is a sterile, bioresorbable, non-pyrogenic, viscoelastic, clear, colorless, homogenous gel derived from bacterial fermentation from Streptococcus. Belotero’s chemical structure is different from the other hyaluronic acid fillers on the market. It is a double cross linked hyaluronic gel based on "Cohesive Polydensified Matrix (CPM)" technology that creates a low-viscosity gel product with variable densities of cross-linking in one cohesive structure. This technology creates a thinner substance with uniform particle size that is smooth, easy to inject, and naturally spreads within the treated area when injected. This allows the product to be injected in a more superficial plane without risks of perceptibility or lumpiness. It has a hyaluronic concentration of 22.5 mg/ml.
The variable zones of cross-linking allow for the product to integrate nicely into nooks and crannies of the skin and the subcutaneous layer, resulting in smooth, natural-looking augmentation outcomes.
What Sets Belotero Apart?
It is the only soft dermal filler that is able to achieve natural and imperceptible results by integrating evenly into facial skin tissue. Belotero integrates so readily into your own tissue that unlike other fillers, you are unlikely to feel the implant when you touch the treated area. This is especially important in thin skinned areas like your lips and along your lower eyelids, where you will want to see contour improvements without seeing or feeling product.
When injected too superficially in the dermis, most hyaluronic fillers will create a Tyndall effect, a bluish discoloration due to light reflection from the clear filler placed under the skin. This unwanted side effect is a non-issue with Belotero because of the filler’s homogenous tissue integration pattern.
In contrast to some other filler products currently available on the market, Belotero Balance® does not come premixed with lidocaine, which may be viewed as a disadvantage to some. It’s just a matter of time before the lidocaine version becomes available!
Is Belotero Effective?
In clinical studies, 66% of patients continued to show a visible improvement 9 months after a single treatment. Most clients opt for follow-up treatments between 6 to 12 months to maintain a fresh, youthful appearance.
Belotero is a natural hyaluronic acid present normally in the skin as a volumizer and moisturizer. Traditional fillers may enlarge dermal spaces and lift the skin, leaving bumps.
Belotero and Facial Rejuvenation
Belotero is FDA-approved for injection into the mid-to-deep dermis for correction of moderate-to-severe facial wrinkles and folds, such as nasolabial folds. It is the only hyaluronic acid filler that corrects fine lines close to the skin surface with immediate results. It is ideal for eradicating fine lines around the lips, crows feet, and in other areas where there are fine lines close to the skin surface.
It is important to understand that it works best when injected superficially and is not the best product to add generalized volume, as it disperses when injected at deeper planes.
Belotero is Dr. Brown’s first choice of filler for treating lower eyelid hollows, also called tear troughs. The even and natural dispersion of Belotero into this thin and very perceptible area has the least risk of visibility and Tyndall effect (bluish tinge from clear product reflecting light differently from the skin)
Since Belotero can be injected superficially, it is ideal for applying to fine lines near the lips, eyes, and forehead.
Belotero is often used in conjunction with other fillers when volumizing the face. Certain products work better in other areas, so expect a combination of products to optimize your facial rejuvenative procedure.
When Belotero is injected into fine lines of the skin, they can disappear immediately
Belotero’s low risk of the Tyndall effect especially comes in handy when applying filler around the eyes. Lower eyelid hollows treated with injections are very susceptible to perceptibility of product and discoloration because of the thinness of the skin in this area.
The duration of a filler’s effect depends on patient metabolism as well as injection location. Belotero can last longer around the eyes (as long as a year) than around the mouth or in the neck, where there is more muscle movement.
The procedure itself is performed exactly like other hyaluronic fillers.
Risk and Side Effects
The risks and side effect profile are similar to other hyaluronic acid fillers like Restylane and Juvederm. Belotero has the lowest risk of perceptibility, lumps, Tyndall effect, discoloration, nodules, and irregularity.
Patients Who Are NOT Good Candidates for Belotero
Patients who are allergic to lidocaine may be candidates, as current formulations of Belotero do not contain lidocaine. Please let us know if you have allergies to local anesthetics, as many of our topical numbing creams have local anesthetics that can cause allergic reactions.
Find out if Belotero is the right facial rejuvenation treatment for you: call (702) 260-7707 or contact Desert Hills Plastic Surgery Center online to schedule a consultation to learn about our full range of injectable treatments.