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Dermal Fillers – When and Where to Use Them?

By Lauren Niehaus, MSN, CNP

 

At a recent course, one of the attendees asked me, “How do you know which filler to choose and where to use it?” This is a question that I get occasionally at courses, and one I remember being overwhelmed with as a new injector. My answer is always, “It will come with experience.” The more patients that you treat and see patient outcomes, helps guide you in choosing the dermal filler that will give you the most improvement. However, I will provide a quick and easy guide to help you in choosing the best hyaluronic acid filler for your patient.

 

Belotero Balance:
-Lightest weight filler
-Can be used in the lips for hydration. Will not provide much volume in the lips, if that is what the patient is requesting.
-Does not tyndall so it is great for providing superficial support when filling tear troughs.
-Can be used for very fine lines on the face and neck, such as radial lip lines or areas where you inject more superficially.

 

Revanesse Versa:
-Great product to use in the lips to provide your patient with a natural looking lip enhancement.
-It is very hydrating, but also helps you achieve buildable lip volume.
-Can be used in areas such as the nasolabial folds/marionette lines/oral commissures, as long as the patient does not have heavy tissue or too deep of a deficit to fill.
-Can be used for superficial support  in the temple to restore volume.
-Can be used to disguise necklace lines.
-Can be used for nose enhancement.

 

Juvederm Ultra:
-Medium weight filler.
-Great for a natural looking lip augmentation, while still achieving noticeable volume.
-Can be used for nasolabial folds, marionette lines, and oral commissures.

 

Juvederm Ultra Plus:
-Can be used in the lips to achieve noticeable volume. Should be used in patients who have fuller lips to start.
-Great for nasolabial folds, marionette lines, and oral commissures that are more deficient or stubborn.

 

Juvederm Voluma:
-Highest G prime Allergan dermal filler.
-Used in places where you want to give bolus injections down on bone. For example, it is often used in the cheeks, chin, and jawline.
-Deep temple injections on bone.
-Can be used when treating the nose.
I hope this generalized overview helps you decide what dermal filler to choose when treating your next patient.

 

Learn more about AAFE injection protocols at our Botulinum Toxins & Dermal Fillers Level I Course! Register here today: https://www.facialesthetics.org/courses/botulinum-toxins-dermal-fillers-level-1/

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