We hear about fillers all the time. Really, all we need to do is leave the TV to see smiling women jumping around talking about how Botox/Juvederm/Restalyne makes them feel younger and amazing. That’s great. But we have no idea what the difference between any of those products are, because all of those ads are identical. So we called Dr. Derrick Moody, a dermatologist located in Lawrenceville, Georgia for a better rundown. This is what the difference is: Juvederm: It’s a filler mainly used for lines around the mouth. Most of the time that means the one crease that goes from the nose to the corner of the mouth called the nasolabial fold. Juvederm is great for softening that crease. In many ways it’s similar to Restalyne – they’re both hyaluronic acids, which is a protein we have in our body anyway. Hyaluronic acid is part of the cell wall, so it’s natural and we don’t have to worry about bad reactions. Juvederm is a thinner consistency than Restlyne, which means there’s a little less bruising and swelling after the injection. It’s $500 per vial and typical injection would be one to two vials. It usually lasts six to nine months when you inject it around the month.
Pros: It’s smooth in consistency and easy to inject with not too much bruising. It’s also correctible by a simple injection of an enzyme that will dissolve the amount you injected. The only thing that ever goes wrong is that they might get a lump. That’s a good safety factor. You don’t have to worry you’ll live with a problem.
Cons: It might not last as long as something like Restalyne, and can’t fill out deep lines quite as well.
Botox: It’s a type of injection that’s mostly used for wrinkles and lines around the eyes and the forehead. It’s popular among younger people because there’s some preventative aspect to it. What Botox is made of is a very diluted form of botulism toxin, it’s been used for 35 years in various applications in medicine. When you inject it in the small muscles around, say, the eyes, they don’t squeeze quite as hard. It works especially well for brow creases and crow’s feet. It’s generally something people start on in their early 30s, but I’m seeing some patients in their late 20s with some lines on the brow. Those lines can occur early and Botox can really soften those or, if you catch them early, make them go away altogether. The price varies depending on the number of locations, we charge $250 for one area. If you wanted to get multiple spots injected – your eyes and your forehead and mouth lines, for instance – it might be between five and six hundred. It will last for three to four months, though it’s different in each patient.
Pros: It works extremely well, it’s probably one most effective injectables. It can be done in a very few minutes. It’s a very high reward low risk procedure, and you don’t see many things that work that well. It’s hard to match Botox for reducing wrinkles, so it’s been a huge revolution for us.
Cons: I would say the con is that there’s the cost and consistent upkeep. You have to commit to doing it regularly, and it’s going to be $275-$600 every three to four months. Other than that I haven’t found any specific negatives to using it, some small bruising. It’s a very safe choice.
Restalyne: Just like Juvederm, Restalyne is made out of hyaluronic acid. They’re made by different companies and Restalyne is slightly thicker, a slightly larger particle. I happen to like it because I think you get a little more fill and correction of the lines. I use it for all of the same areas for wrinkle correction that I do Juvederm, but I base it on how deep the lines are. Juvaderm is better when you have finer lines, say around the lip. Restalyne is also $500 per vial. It lasts 6 to 9 months around the mouth, we sometimes inject it around the eye where some people have dark circles. It can fill those areas where it looks dark, and there it can last up to two years. In the most common regions they both last 6 to 9 months.
Pros: You get slightly better correction of the lines, especially nasolabial folds.
Cons: It can cause more bruising and swelling, and that can last for around 48 hours. Don’t do it right before an event. Do it on a Friday when you have time to rest.