Belotero Vs. Juvederm Vs. Restylane for a Lip Augmentation?

Tags:woman age 25-34 lips lip lines juvederm

I met with one of my friends and she said that Belotero wasn't used for lip augmentation but for filling lip lines. I was also told Juvederm is better for giving you more volume. Is this true? Which one is better for a lip augmentation? What about Restylane Lyft?

LuckyStrike

F, 32, Connecticut

Great question. Unfortunately, there’s no one answer because the choice of which injectable dermal filler to use depends on the specific presentation of the patient, and what kind of results we are trying to achieve.

Belotero, Juvederm and Restylane Lyft are all excellent hyaluronic acid fillers and each has their own specific uses. In general I prefer to use Belotero for precise work like correcting fine lines around the mouth. Belotero is less viscous and easier to work with.

Juvederm is slightly more viscous than the others and is a great product when we need to create volume. Not only does it have superior lifting qualities, it’s also a longer-lasting filler than Belotero, which appeals to many of my patients.

As for Restylane Lyft -- please understand that using Lyft in the lips is considered a non-FDA approved “off label” usage of the product. While it’s not uncommon to use Lyft in an off-label manner, your dermatologist or plastic surgeon should communicate this to you prior to injection.

Because Restylane Lyft is a thicker product, I primarily use it to address facial contours in the mid-face, deeper lines and nasolabial folds. It’s an excellent product for creating volume in areas where volume loss has occurred.

Remember, if you’re not happy with the results of any hyaluronic acid based filler, the results can be reversed with a hyaluronidase enzyme injection.

For youthful, "pillowy-looking" lips, Juvederm Volbella gives superior results. Its formula includes both long and short-chain hyaluronic acid particles, which enhances crosslinking technology. Cross-linking refers to the longevity of the product, and its capacity to swell. The result is a subtle lip enhancement with a softer feel, and the reduction of vertical lines on the lips.

Belotero is not used as frequently for lip augmentation. That being said, Belotero Intense can be used to create a fuller, more voluptuous pout.

A more popular Restylane filler for the lips is Restylane Silk, which has similar properties to Juvederm Volbella. In truth, many HA-based injectable fillers can be successfully used on the lips, depending on the patient's aesthetic goals.

All three filler brands you mentioned are hyaluronic acid fillers, but each one is best suited for a different part of the face. There's no single best filler of the bunch, and all three are sometimes used in tandem as part of a liquid face lift.. A liquid facelift combines multiple filler types across multiple injection sites to plump lips, reduce fine lines and wrinkles, add volume to the cheeks and fill deep wrinkles.

Not all HA fillers have the same consistency and some are better suited to plumping lips while others are better suited for filling and smoothing facial wrinkles. A major concern with injections in the lip area is using a filler that might be too viscous or lumpy, leaving patients with unnatural looking results.

Restylane Lyft is not FDA-approved for the lips but many injectors still use it in an off-label capacity for treating vertical lip lines, adding definition to the corners of the mouth, and enhancing lip borders. Lyft is not the best choice to plump the lips, however, because the texture tends to be too lumpy and viscous.

Belotero filler on the other hand, is a very thin, smooth filler with excellent cohesive properties. The short answer to your question then is yes, Belotero can be used in the lips. But because Belotero is thinner than many other fillers, it isn't the best choice as a lip filler. Not only does it not last very long but it also doesn't have the same plumping effect of Juvederm.

Of the dermal fillers you mentioned, Juvederm fillers (Juvederm Ultra and Juvederm Ultra Plus) have the best consistency for plumping the lips. Both fillers spread very evenly within the tissue, leaving very natural-looking results. The difference between Ultra and Ultra Plus comes down to the size of the particles. Juvederm Ultra Plus has larger particles and tends to last roughly three months longer than Juvederm Ultra.

Remember, the most important decision patients make when considering lip augmentation is their choice of an injector.

Choosing which filler to use and where to use it requires experience, good aesthetic judgement, and an understanding of the way each type of filler behaves. Make sure you do your research well. Review before and after photos, get recommendations and find a dermatologist or plastic surgeon with a long history of beautiful results. 

All three brands of dermal fillers you mentioned are excellent products, but each have their own strengths and weaknesses when used to treat different areas of the face. Generally speaking, the best lip fillers have a thin, smooth consistency and the capacity to spread evenly within the lip tissue.

Conversely, when injectors need to create volume in deep creases or nasolabial folds, a thicker, more viscous product is preferable.

Belotero Balance is a newer product in the United States. It has an excellent smooth consistency which makes it perfect for the under eye area and treating fine lines around the mouth, plus it works very well for lip injections,

Juvederm fillers would be my first choice for creating plumper, fuller lips. The Juvederm family of facial fillers includes a broad range of products (Juvederm Voluma, Juvederm XC, Juvederm Ultra Plus, Juvederm Ultra XC, Juvederm Volbella XC and more).

While not all Juvederm fillers are well-suited for lip enhancement, Juvederm Volbella XC and Ultra XC are both very smooth and do a great job creating extremely natural-looking, fuller lips. Both fillers are FDA-approved for lip injection.

You also asked about Restylane Lyft. While Lyft is not FDA-approved for lip augmentation certain dermatologists and plastic surgeons sometimes use it for this purpose in an off-label capacity.

Unlike Lyft, Restylane's Silk product is FDA-approved for smoothing wrinkles around the mouth. It can be injected with a cannula -- a technique which delivers excellent results and involves a significantly lower risk of bruising.

I recommend leaving the decision of which filler to use up to your injector as the choice of filler depends on the specific patient and treatment area. More important than researching fillers is researching doctors. My advice is to do your research carefully and find an injector with a great track record and hundreds of satisfied patients. You’re better off leaving the choice of filler up to them.

Always remember to consult with a board-certified dermatologist or plastic surgeon for best results and practices.

Dr. Kimberly Henry has 1 Lip augmentation before & after:

Lip augmentation before image performed by Dr. Kimberly HenryLip augmentation after image performed by Dr. Kimberly Henry

» View Dr. Kimberly Henry's full profile

There's an art to choosing the right filler. Some hyaluronic acid based fillers are better for correcting deeper wrinkles like smile lines, marionette lines or nasolabial folds. Other fillers are better for correcting age-related volume loss, creating a fuller appearance in the cheeks or hiding dark circles under the eyes. And still other fillers excel at adding definition to the jawline or the corners of the mouth.

Generally speaking, grainy or thicker dermal fillers are not well-suited for the delicate tissue of the lips. The results can be uneven and unpredictable.

For plumping the lips my first choice would be Juvederm Ultra Plus. The filler is extremely soft and smooth and lasts longer than other fillers. Juvederm Ultra Plus has a very even consistency which tends to spread out within the tissue more smoothly than Restylane.

To answer your question about Belotero injections: Belotero Balance is a newer filler that has some very interesting properties. Its texture is very soft and the multiple particle sizes within Belotero's unique formulation give the filler excellent cohesion.

While Belotero is an increasingly important filler (and is now the filler of choice in a few other treatment areas) it isn't the best choice for lip augmentation. In my experience it doesn't create volume within the lips as evenly as Juverderm does.

When you meet with your injector it's important to discuss the look you want to achieve. Many patients want to add very subtle volume while others seek a more dramatic, contoured look.

A good injector not only understands the technical aspects of different fillers, but also understands aesthetic issues like the balance of the face, how to create beautiful definition and contours, and how to achieve a more youthful-looking appearance.

There's no universally correct answer for which filler to use in any given area as the right choice is usually somewhat different for each patient, depending on the presentation and goals of the patient. Keep in mind that when you choose an injector, you’re choosing someone to make the right series of aesthetic and technical choices based on their skill and experience.

Dermal fillers are not all the same. They differ in terms of viscosity, softness, ease of application, concentration of hyaluronic acid, and the tendency of the filler to migrate within the skin. Fillers also differ in their duration of action, potential for side effects and cost.

Generally speaking, thinner products are used for the treatment of fine lines, lip lines, and frown lines, whereas thicker products tend to be used to add volume in the mid-face.

In the case of lip augmentation, thicker preparations sometimes result in an unnaturally plump or obviously augmented effect, leading many patients to prefer a thinner product.

Belotero isn’t recommended for use as a lip filler, but Belotero Balance will contour the nasolabial folds and enhance the vermillion border on the edge of the lips, as well as treat lip and marionette lines.

The makers of both Juvederm and Restylane have products (Juvederm Volbella XC and Restylane Silk respectively) that are specifically approved by the FDA for lip enhancement.

Juvederm also recently received approval for their “Ultra XC” product for lip augmentation. Juvederm Ultra Plus is also frequently used for lip augmentation, but has not been explicitly approved for this purpose.

Restylane Lyft (formerly Perlane-L) is a thicker product, used for cheek volume and deep wrinkles.

There's no way to answer which of these products is "better" in your specific case without a direct consultation. I advise you to meet with a board-certified dermatologist or plastic surgeon to see which treatment options make the most sense for you.

Belotero, Restylane and Juvederm are all hyaluronic acid-based dermal fillers.

While all of these products have the same primary ingredient, they each have their own individual strengths and weaknesses. I can’t say which one is “best” in any general sense. Which filler we use depends on the area being treated and the specifics of the patient.

Juvederm products are made by Allergan, the makers of Botox and the SkinMedica line of skincare products. While there are a wide range of dermal fillers that fall under the brand name "Juvederm", only their Volbella XC and Juvederm Ultra XC products are specifically approved in the United States for lip enhancement.

The first, Volbella XC, provides an excellent natural look that helps to reduce lip lines. The latter, Juvederm Ultra XC, is a thicker hyaluronic acid filler used to create fuller lips and add volume in different areas.

Belotero is a less viscous product than Juvederm or Restylane -- which makes it perfect for correcting fine lines and wrinkles but often less than ideal for achieving fuller lips or adding plumpness to the mid-face area.

Restylane Silk is also a relatively thin product, which gives it a more natural look when used as a lip filler. It’s also the first lip filler approved for injection via cannula, which results in less bruising and swelling. Please note that while Restylane Silk is FDA approved as a lip filler, their Lyft product is not.

Be sure to discuss any off-label cosmetic procedure with a board-certified dermatologist, cosmetic surgeon or plastic surgeon.

All of these dermal fillers are excellent products, but I encourage you to leave the choice of which one is right for you to the experience of your dermatologist.

It’s not really possible to say which is better. There is no "one size fits all" filler recommendation to correct wrinkles in any given area.

Each of the hyaluronic fillers you mentioned has its own strengths and weaknesses. The choice of "which facial fillers are better for lip augmentation" depends on the unique characteristics of your face and the judgement of your dermatologist or plastic surgeon after a personal consultation.

In order to deliver the most natural-looking results, your dermatologist will assess the specifics of your presentation and any wrinkles, lip lines or volume-loss you are experiencing.

Belotero is used primarily as a fine line filler. It’s a thinner product with an excellent cohesive structure. It's very effective for fine definition and superficial lines.

Juvederm is a thicker product that is excellent for facial rejuvenation by re-adding volume to areas of volume-loss. We use it to plump lips, fill the cheek area and to return a youthful rounded shape to the face.

Because you asked about Restylane -- Restylane Lyft is used as a lip filler in some cases but its use as a plumper for lips is considered "off label". Lyft is an excellent product for marionette lines, nasolabial folds and for adding volume to the cheeks.

Remember that if you're not happy with the results from any hyaluronic acid based dermal filler, we can "undo" the results with hyaluronidase enzyme injections which will quickly "melt" the injected filler.

Remember to visit a board-certified plastic surgeon or dermatologist for the safest practices and best results.

While we offer Belotero at our clinic, we prefer to use two of Juvéderm’s other fillers, Volbella and the newer Vollure, for this purpose.

Volbella has the advantage of producing very natural results without as much swelling, allowing us to achieve very subtle effects. Juvéderm’s newer Vollure filler is excellent when we need to create long-lasting volume. It’s effects last up to 18 months, nearly twice as long as some of the other fillers on the market.

We typically stay away from Restylane as we find the product is not as long-lasting.

As for your question of “which is better for lip augmentation”, the answer would depend on your specific situation. I encourage you to schedule a consultation with a dermatologist or board-certified plastic surgeon to discuss which options will be best for you.

The decision of which product to use ultimately depends on my patient’s specific situation. I’ve found both Belotero and Juvederm to be great HA fillers. Belotero is thinner and well suited for filling submucosal lines and enhancing definition while Juvederm is a thicker product I generally use to create volume. At my clinic we also use Restylane Silk and Prevelle because they have a thinner texture and are fantastic for lines around the lips and tear trough areas.

You also asked about Restylane Lyft. Restylane Lyft as a lip filler is considered “off-label” use, but it also isn’t uncommon. Lyft is a thicker product and used to create long lasting volume. Typically, I’ll use Lyft in the cheeks.

 

All that said, I highly recommend that you consult with a board-certified dermatologist or plastic surgeon -- especially when it comes to any off-label use of a product. You really need to be careful with this.

Most of the hyaluronic products can be used for augmentation and for volume but Belotero is usually used for fine lines. Restylane Lyft is a heavier product, and can be used, but that would be best determined by a consultation with your healthcare provider.

Yes - your friend is correct. Restylane is a hyaluronic filler that is very similar to Juvederm just made by a different company. Good Luck!