Belotero Balance is the newest FDA-approved hyaluronic acid filler. Unlike other dermal injectables, Belotero is meant to be placed superficially in the skin, in a layer called the dermis.
This means that Belotero is able to correct fine lines and wrinkles that cannot be smoothed with other fillers like Restylane, Juvederm, or Radiesse. These other fillers should not be placed so far high up in the skin. The result of placement of other hyaluronic acid fillers can lead to blue discoloration due to a phenomenon called the Tyndall effect. Radiesse, made up of calcium hydroxylapatite (the same mineral composition as bone), if placed too superficially could cause white lumps or discoloration.
Lumpiness could also occur with superficial placement of other fillers by unskilled injectors. Belotero Balance, on the other hand, is composed of a smooth, double-linked form of hyaluronic acid. This means it seamlessly incorporates into the superficial layers of the skin, creating a smooth contour and lifting fine lines to correct wrinkles in stubborn areas such as crow’s feet, lip lines, and parentheses around the mouth. Belotero is another great option for correcting angry 11’s caused by muscular movement around the brow.
Belotero comes to the cosmetic dermatology practice from Merz, the company that provides the longer term collagen-producing filler Radiesse. Merz is also the maker of type A botulinum toxin product Xeomin as well as the sclerosing injectable Asclera, which in its foamed form of polidocanol is very effective in treating spider and varicose veins.
Belotero does not come with lidocaine already mixed into the filler. As a result, Dr. Palm uses various methods to increase patient comfort during the procedure. Admixing a small amount of lidocaine into the filler can be used to decrease discomfort. Alternatively, at Art of Skin MD we routinely utilize regional nerve blocks, topical numbing, and cold packs to increase patient comfort and decrease the opportunity for side effects.
Belotero Balance is offered by expert injector and cosmetic dermatologist, Dr. Melanie Palm at Art of Skin MD. Schedule a consultation by contacting Art of Skin MD or calling us at 858.792.SKIN (7546).