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To get rid of moderate lines around the nose to mouth area, which would be best, Restylane or Juvederm injections?

Q:

I am a young man and have moderate lines around the nose to mouth area.  I was thinking of having Restylane Perlane injections after reading up on the reviews of this product.  After speaking to the injector she advised that I have Juvederm instead.  I have read horror stories of people looking like they have had a stroke after Juvederm injections.  In the hands of an experienced practitioner, how likely would a bad result occur with Juvederm?  Why should I choose Juvederm over Restylane in my case?

A:

Restylane and Juvederm are both hyaluronic acids and very similar.  I used Restylane for years but switched to Juvederm because it lasts almost twice as long and gives the same result otherwise for about the same price.  Another option is Radiesse, a longer lasting filler that can be placed deep to fill folds and other depressions, but not lines.  It is generally not the product, but the injector and their experience.  This determines whether they pick the proper filler and the results from that filler.  The horror stories you refer to are not related to the specific filler, but who was doing the filling.  The same filler could have gotten the same results with Restylane or Perlane.  The problem would just have persisted longer without injection of a reversal agent (which is possible with all three).

A:

Both Restylane and Juvederm are excellent hyaluronic acid dermal fillers, and I use both depending on the area. Juvederm is generally my choice for the folds although Radiesse is an option for deeper folds. For the folds, Juvederm is more cost effective as it will provide better coverage with fewer syringes.

The key is to choose an experienced and expert injector who can choose the correct filler for the appropriate patient and case. With an experienced injector, the probability of an adverse result is small.

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