Which facial filler lasts the longest? - Dermal Fillers Questions & Answers

Answers

Replied on 3/12/2010

By: Nova Cosmetic Center | Jan V. Karlin, M.D.
Plastic Surgeon
Phlebology Specialist
Orlando, FL

Sculptra

Replied on 10/26/2009

By: Colorado Laser Clinic | Robert T. Motazedi, MD
Colorado Springs, CO

There are a lot of facial fillers now on the market. The bulk of them are made of hylauronic acid which is naturally occuring in our bodies. This makes those products safe with little or no allergic reactions. Juvederm and Restylane can last up to six months. Perlane can last up to 9 months and Radiesse made from a calcium based product has been advertised to last around one year. Evolence is promoted to last through 12 months. I have seen these products last longer than advertised and I have seen them last half the time. It really depends upon the person and how fast their body breaks down the product. Which ever you end up going with, they all last longer than the old fashioned collagen versions that were made from cows or cadavers.

Replied on 10/8/2009

By: Eppley Plastic Surgery/Ology Medical Spas | Barry L. Eppley, MD, DMD
Carmel, IN

While there are now nearly a dozen available injectable fillers, the practical differences between them come down to how long they last and how much they cost for the traditional uses of nasolabial reduction and lip augmentation. The differences in them chemically and in their brand names does not change what they are all approved for...soft tissue augmentation. Many doctors favor one over another and they may have very valid reasons, but you should ask why.

Replied on 10/2/2009

By: Robert A Young, M.D. | St. Louis Plastic Surgeon
Chesterfield, MO

The temporary fillers include Collagen from a bovine source {Zyderm,
Zyplast], from a human source [Cosmoderm, Cosmoplast], from a
porcine source [Evolence], and Hyaluronic Acid [Restylane, Prevelle
Silk, Juvederm]. Which is "best" depends upon the location and
experience of the injector. The results are highly dependent upon the
skill and experience of the injector. The injector can explain why they like a
particular product for a particular problem. Some of these products
may be part of studies which show them to last longer than other ones.
However, I would think of them as a similar group of products.

Semi-permanent fillers include Radiesse, which is calcium
hydroxyapppatite, and Artefill, which is polymethylmethacrylate. These
products may last for several years, so they can be more cost
effective. However, this means that if there is any problem it will
also be there for a long time. These products may be more appropriate
in areas with thicker skin coverage like the nasolabial crease. It
may be safer to have a shorter acting filler first to see if the
effect is what you want before trying the longer acting filler.

Some newer fillers like Sculptra, which is poly-L-lactate, act by
stimulating the body to form collagen. Sculptra is used deeper to
provide bulk rather than for fine lines.

There are many other products available in other countries and new ones
are regularly approved in the United States, so the options available
are constantly changing.

Replied on 10/2/2009

By: Aspen Medical Aesthetics and Laser Clinic | Dr Chris Knuth
Mequon, WI

There is no "best" dermal filler. All of the dermal fillers have different properties in terms of ease of use, longevity, smoothness, risk of allergies and other characteristics that need to be considered before a filler is chosen for a particular patient. It is important that a provider evaluate the goals of the patient, their risk tolerance and the physical needs to determine which dermal filler would be best. In many cases, different fillers may be used on the same patient for different areas.

Patients should ask their physician why a particular filler is recommended for them and inquire about the risks and benefits of its use. With the numerous fillers on the market today, providers have a variety of choices that enable them to give the desired results while limiting the risks. Together the patient and the physician can agree on a filler that is best for them.

Replied on 10/1/2009

By: Ajuva Medical Spa | Dr. Debra Ravasia, MD & Dr. John Bullis, MD
Spokane, WA

Currently, Radiesse has FDA approval and clinical data showing results up to
13 months from the time of injection. Evolence is approved for 12 months;
Juvaderm for 9, although, in practice, we tend to actually get closer to 12.
So, they are all very close in terms of duration, but Radiesse seems to
last the longest for now.

Replied on 10/1/2009

By: Esta Kronberg, M.D. | Board Certified Dermatologist
Houston, TX

I personally like Juvederm and Evolence the best. We know Juvederm lasts around a year. Evolence has gotten the approval for 1 year but I have only been using it about 8 months. Patients seem to like it a lot. One of it's benefits is that it does not bruise much.It flows very nicely and has minimal bruising. Sometimes you need 2 syringes to get the same filling as Juvederm. Juvederm can definitely bruise. For the most long term filler, I like Artefill. I would prefer to use this on a patient that has had fillers in the past and knows that they like the look. Artefill lasts years. It also requires a 1 month skin test.

Replied on 10/1/2009

By: Advanced Dermatology and Laser Center | Dr Ben Treen, MD
Piedmont, SC

Sculptra - last longest.
All fillers have certain attributes which may make them ideal for specific situations.

Replied on 10/1/2009

By: Greenwich Medical Skincare and Laser Spa | Serving all of Fairfield County
Old Greenwich, CT

There are many new fillers in the market. The choice depends on what you
are looking to correct.
Some of the popular fillers are:
Restylane
Perlane
Juvaderm Ultra
Juvaderm Ultra Plus
Radiesse
Evolence, recently introduced
fillers made of hyaluronic acid (HA), which is a substance naturally found
in our body. The difference between these fillers are the manufacturers and
their manufacturing process. They can last any where from six months to a
year. At our practice we mainly use the HA fillers and achieve great
results. We like Juvaderm Ultra for the lips.
facial fold and wrinkles. We like Radiesse for volumizing the hands. The
results can last up to a year or more depending the client and how his/her
body metabolizes the product.
collagen, a protein that is responsible for skin structure and strength. It
does not require any skin testing. Unlike other dermal fillers, Evolence
causes little or no swelling, or bruising, or even redness. It can last six
to 12 months.

Replied on 10/1/2009

By: Renew Medi Spa | Dr. Lisa Hatzos, MD
Windham, NH

The choice of 'best' filler depends on the amount of volume loss and where it is going. Radiesse lasts in tissues the longest (well over a year) and stimulates new collagen production- however, it cannot be used in the lips, for examples, where restylane or juvederm ultra are preferable. Among the softer (hyaluronic acid)fillers, Juvederm Ultra or Ultra Plus in my experience last the longest. Any filler can be used in the nasolabial folds (side of nose to corner of mouth) or marionette region (corner of mouth to jawline). Sometimes we use a combination- such as a syringe of Radiesse plus one of Juvederm Ultra. Most important also is the technique/experience of the injectortoo so be sure that the person you consult with is very experienced and shows you before and after photos of their own clients (not stock photos from the company that makes the filler!!)
Hope this helps!

Replied on 10/1/2009

By: Cosmetic Rejuvenation Medical Center | Sebastian Bonacio M.D
West Hollywood, CA

The longest lasting filler in today's market is Artefill. The unique microspheres within Artefill are not absorbed by the body. It provides the support your skin needs for natural, long-lasting results. As stated by the company, results last 5 to 10 years.

Replied on 10/1/2009

By: Mountain View Dermatology | Richard G. Levine, M.D.
Boulder, CO

Artefil will generally last at least 5 years.
Permanent fillers include your own fat ("fat transfer") and silicone.

What dermal fillers can be injected underneath the eyes? (11 answers)
underneath my eyes are sunken in. i have had my own fat moved around and injected to puff out under my eye; what eles is available for me to do?

Under eye hollowness (11 answers)
Can dermal fillers be used under the eyes to lessen the hollowness? If not, is there anything that can be used? Thank you.

Does the cost of Dermal Fillers say something about the qualification of a practitioner? (11 answers)
What is an approximate amount to pay for Dermal Fillers? Would a company offering a cheaper service suggest a unqualified practitioner and if so what qualifications should I look for in a cosmetic practitioner?

Can a dermal filler help close a hole on the tip of my nose? (10 answers)
I have a hole in the tip of my nose , it was caused by a pimple and it does not want to close back, is there any injection to place at this point, to make the skin even and close it?

While traditionally dermal fillers are injected into the face is it possible to inject it into your body? (10 answers)
Can dermal fillers be effective in other areas of the body. For example cellulite on the legs or saggy arms?

What can I do if I have lost weight in my face? (10 answers)
Hi, I have lost volume in my face, what's the best treatment to correct my face? I lost the weight because of a car crash. I was looking at either fillers or fat transfer.

Why do Dermal Fillers pose a risk to those who get cold sores? (10 answers)
I heard that I need to tell the specialist if I get cold sores before getting dermal filler injections in my lips. Why is this?

I saw no results with my Restylane treatment, what should I do? (8 answers)
I had a dermal filler by a dermatologist (Restylane) & was very unhappy with the results. I saw no results and looked the same 3 weeks later as I did before the procedure. Maybe the doctor was not experienced not sure. Please Advise me on my options.

Are the swelling and lumps side effects of Dermal Fillers and will this go away? (7 answers)
I had esthelis done 3 days ago, my face looks horrible and bruised, and there is lumps. None of the wrinkles are gone or the hollowness under the eyes. Will it go away and settle?

Is a black eye from Perlane a normal side effect? (7 answers)
I got Perlane four weeks ago in the folds around my mouth and under my eye. My eye immediately bruised. I applied ice and continue to use Arnicare. I have had Juvederm and Restylane before without bruising. What advice can you give me?

Lip Augmentation Dermal Fillers (6 answers)
Can any dermal filler be used for lip augmentation? Which is the best one to use?

Should an esthetician or physician inject a dermal filler or botox? (6 answers)
I was wondering if an esthetician is allowed to inject a dermal filler or Botox in a patient, or are these injections only administered by a Doctor?

How does the physician avoid injecting Zyplast in an artery in the lips? (6 answers)
Can this be avoided by aspirating the syringe to see if there's blood?

Can Dermal Fillers be used to non-surgically reshape the nose? (6 answers)
I’m afraid of going under the knife, and just want some minor adjustments made to the structure of my nose. Could carefully injected dermal fillers work?

Can Dermal Fillers cause skin cancer? (5 answers)
Does injecting fillers beneath the skin raise the likelihood of developing skin cancer? Is the way the skin absorbs the material over time dangerous at all?

Can heat dissolve Dermal Fillers? (5 answers)
I had one of the newer fillers that helps produce collagen. Then I had a facial with a laser?It seems the filler dissolved, can this be attributable to the laser/heat?

Is it safe to have a facelift while Dermal Fillers are still taking effect? (4 answers)
Or should I wait until the effects have worn off?

Is it safe to use dermal fillers in the decolletage? (4 answers)
Is it a good idea to get dermal injections in the upper breast area? I just want a little bit more fullness, but want to make sure it is safe to do this.

Permanent Dermal Fillers (3 answers)
The dermal filler maintenance treatments that I need to keep receiving to maintain my youthful look are getting expensive. Are there any permanent dermal fillers available, and what are the pros and cons of long-term dermal fillers?

Dysport vs. Reloxin (2 answers)
I’ve been trying to research different dermal fillers and I’m really confused. Is Dysport the same thing as Reloxin? How is it different from Botox?

Do Dermal Fillers contain gluten? (2 answers)
How would I find out if an injectable filler has gluten in it? I have celiac disease and want to make sure the product is safe for me.