Injectable Product Comparison - skinspirationsskinspirations

There are now more dermal fillers available in the U.S. than ever before so how do you know which one’s best for you? Luckily you don’t have to because Dr. Elliott & the staff at Skinspirations have experience with all of them. With the right choices & our skilled techniques you will have natural, flattering results. At Skinspirations, you can trust us to know the best options for your face.

The price of dermal filler treatments reflects not only the cost of the product but the skill and experience of the injector, as well as the time the treatment takes to perform. Our providers are recognized as being among the top 1% in the nation for skill and experience and you’ll find that we are competitively priced, despite being the most experienced in the area.

Below is a table listing Dr. Elliott’s personal opinions on the dermal fillers and muscle relaxants she chooses to use.

Injectable Product Summary Pros & Cons

Name	What it does:	Best for:	Average Duration	Pros	Cons	Comments
Botox Cosmetic	Muscle Relaxant	Relaxing specific muscles that cause skin creasing (wrinkles)	3-4 months	Predictable & specific results	None	Tried & true standard
Dysport	Muscle Relaxant	Same as Botox	3-4 months	Relaxation often starts a day or 2 sooner than with Botox	None	Some people feel Dysport relaxes lower crow's feet better
Juvederm Ultra Plus XC	Hyaluronic Acid Dermal Filler	Any wrinkles, temples, & better for cheek hollows than lifting fillers like Voluma	12-18 months depending on area used	Swells less than Radiesse & reversible	None	If I was on a desert island & could only have 1 filler. (I do not have stock in the company)
Juvederm Ultra XC	Hyaluronic Acid Dermal filler	Fine lines such as those around the lips & in the lips, when subtle volume is desired	12 months on average, but often 18 months & more, in lip lines	Lasts longer than most thinner fillers & also reversible	Ultra doesn't last as long as Ultra Plus when used in most areas so make sure you know which version you receive	The wholesale cost to me of Ultra is less than for Ultra Plus, but treating the areas where Ultra is used takes me longer to do, so the patient charge is the same for both
Juvederm Voluma XC	Hyaluronic Acid Dermal filler	When placed over bony areas like cheekbones or jawline, lifts skin below, good for brow lift, nose and chin	About 2 years	Great lifting effect Duration is the longest of the lifting fillers but also reversible	Can take more than you think if more than minimal volume loss. Most people start with 2 syringes.	Officially approved for cheeks but also helps diminish jowling when used in back of jaw & on sides of chin
Radiesse	Calcium Hydroxyapatite Dermal Filler	Good for deep lines, hands, enhancing cheeks, chin, & lifting brows	9 - 12 months	Some lifting effect & best filler for hands	Can't dissolve and swells more than hyaluronic acid fillers	A good value for a nice lifting filler
Restylane	Hyaluronic Acid Dermal Filler	Unless requested, I only use regular Restylane under the eyes	about 9 months	Reversible & less risk of swelling than Juvederm under eyes	Shorter duration	The only place I still use Restylane is under the eyes or by request
Restylane Silk	Hyaluronic Acid Filler	Lip lines or in crow's feet	about 6 months	Thinner than Juvederm Ultra so less risk of producing ridges in lip lines	Short duration	Swells a lot in some people
Restylane Lyft (previously known as Perlane)	Hyaluronic Acid Filler	Stiff filler good for lifting lower face, enhancing cheeks, chin & jaw line	9 - 12 months	Costs less than Voluma but lifting effect may not last as long Reversible	None	Good choice for someone who wants to try chin or cheek augmentation or lifting lower face with less investment than Voluma
Restylane Defyne	Hyaluronic Acid Filler	Good for deep lines around the mouth and nose, back of hands, cheeks, chin, temples & for lifting brows	about 12 months	Flexibly moves with facial expressions
Restylane Refyne	Hyaluronic Acid Filler	Lips, lip lines, forehead lines,	about 12 months	Flexibly moves with facial expressions
Bellafill	Immediate dermal filler & persistent dermal stimulator	Used for deep volume replacement or deep wrinkles Good for people who dont want to repeat fillers often or who need large amounts	Bellafill particles probably remain permanently	Results may be permanent No higher incidence than with temporary fillers for persistent bumps or granulomas Results are cumulative since the product doesn't break down	Results may be permanent Can't dissolve I won't use it in anyone with immunity problems or high anxiety	I've used it since 2007 & have never had a problem with it I haven't used it on myself because Im a commitment-phobe
Sculptra	Dermal stimulator whose results show up subtly over weeks following treatments	Good for overall thickening & volumizing, especially in thin skin Providing the foundation layers with a thin face, thin skin, &/or moderate to severe volume loss, before topping off the details with other fillers	2-3 years	Only overall skin plumper to volumize entire face Results are gradual so others don't usually notice changes Usually provides visible improvement in skin texture of areas treated	Need several treatment sessions & at least 4 weeks to see results Bumps in treated areas occasionally occur (but usually not visible) Can't dissolve	Adds volume in layers vs. filling in lines or building cheekbones, etc. People who have had Sculptra remind me of Apple fans
Fat Transfer	Your own tissue used for replacing volume or shaping	Those who don't want anything commercially available Someone who needs a lot of volume	0 - 10 years	Results present 3 months after treatment will probably last 10 years if no overall weight loss Growth & healing factors in fat help overlying skin texture	Unpredictable if results will persist 3 months & need to commit to at least 2 treatments if you decide on it Requires mini-liposuction with each treatment More bruising & swelling than with fillers Can't dissolve (& can last 10 years)	I don't use fat in depressions under eyes or in lips Most people I treat who don't need a lot of volume elect to use the fillers above because of predictability of results