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Juvederm vs Restylane, which is better?

Posted May 10, 2008 under Dermal Fillers - No comments

Although there are differences between Juvederm and Restylane, the injector's preference is the most important issue in obtaining your optimal result. Both contain hylauronic acid. Restylane comes in 1 cc syringes where Juvederm comes in 0.8 cc syringes.

Dr. Sinclair's Response

Although there are differences between Juvederm and Restylane, the injector's preference is the most important issue in obtaining your optimal result. Both contain hylauronic acid. Restylane comes in 1 cc syringes where Juvederm comes in 0.8 cc syringes. Although you get a little more Restylane than Juvederm in the syringe, there is actually a little more Hyaluronic Acid in the Juvederm Syringe. The Juvederm absorbs a little less water after it is injected than the Restylane, but after a few days the difference appears to be minimal.

As far as pain goes, the skill of the injector is FAR more important in minimizing pain than the choice of fillers. Many injectors will mix anesthetic into the fillers before injecting (this is off label). By combining a custom made topical anesthetic and mixing the local anesthetic into the syringe, most of my patients rate the pain of the injections as a 1 or 2 out 10. In the next few years, almost all of the fillers will be shipped premixed with local anesthetic. As far as bruising is concerned, there is not much difference. Again the skill of the injector is far more important for minimizing bruising. Having the patient avoid asprin, Aleve, Motrin, Ibuprofen etc for a week prior to the injection is also very helpful. If I think the patient is going to have any excessive bruising, I may treat the site with an IPL device to stop the bruising before it starts. Lumps should rarely be a problem with either Restylane or Juvederm. By injecting slowly and massaging the area, the fillers should not show any visible lumps. Keep in mind that both products are actually surgical implants--this means you may feel them with your fingers or tongue, but you should not see any lumps. If a lump does develop, it is very easy to dissolve it with Hyaluronidase.

The cost of both products is about the same in the USA. The price that a patient will pay varies widely and depends more on the location of the injection...some areas are easier to inject than others. Some studies say Juvederm lasts a little longer, but that varies a lot between individual patients. If either product is injected too deeply, they will appear to disappear more quickly. If either product is injected to superficially, both can leave a blue discoloration (this is called the Tyndall effect). Excellent results can be obtained with both Restylane and Juvederm.

Michael Sinclair, MD

www.epilution.com

561-795-SKIN(7546)

 

 

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