Dermal filler pearls: The hyaluronic acids

Abstract

Dermal fillers are an outstanding adjunct to botulinum toxin® and in many situations are superior to surgery. With the newer fillers, skin and allergy testing is not required and there is no risk of disease transmission. Both the patient and physician can immediately enjoy the postinjection rejuvenative effect. Our preferred hyaluronic acid dermal fillers are Belotero Balance®, Restylane®, Perlane®, and Juvederm®. Each of these has a very high safety profile and is easier to inject than Radiesse®. They are outstanding for lip enhancement, including the vermillion border, perioral rhytides, and for less severe glabellar and nasolabial folds or as a superficial fine-tuning for deeper filling, which is best performed with Radiesse®. The higher viscosity hyaluronic acids, however, are excellent for deep lip augmentation, nasolabial folds, and deep rhytid filling.