Thursday , 18 September 2014
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Belotero Balance: Exciting Addition To Dermal Filler Category

What is Belotero Balance?

Belotero Balance is a hyaluronic acid based filler, used as an injectable dermal filler, used to treat mild to moderate facial lines, wrinkles, and folds.


Created by Anteis SA, and distributed by Merz Pharmaceuticals, it is also marketed as Esthelis (trademark), and was approved by the Food and Drug Administration in 2011. It is cohesive, because it integrates into the existing facial skin tissue, for a more natural look and feel. Belotero Balance is currently being used in the United Kingdom, Germany, Switzerland, Russia, Italy, and Austria.

What Areas Can be Treated?

Belotero Balance is a gel, dermal filler injection, used to treat:

  • Glabellar region frown lines
  • Periorbital lines or “crows feet”
  • Lines on the bridge of the nose
  • Cheekbone depressions
  • Nasolabial folds “smile lines”
  • Perioral lines or lines around the mouth and lips sometimes called “smokers lines”
  • Vermillion border demarcation, or the point of change in the lip epidermis (redefining the lip border)
  • Marionette lines, or folds around the mouth and chin known as “laugh lines”
  • Wrinkles on the backs of hands
  • Decolletage or wrinkles around the neckline and shoulder area
  • Acne scars
  • Forehead lines or “worry lines”

Belotero Balance Quick Facts

Belotero Balance

  • Filler Name:¬†Belotero Balance
  • FDA Approval: 2011
  • Approved Uses: Mild to moderate facial wrinkles and folds
  • Average Cost: $500/syringe
  • How long results last: 6-12 months

The Belotero Injection Procedure

The first part of a successful hyaluronic acid injection is researching and finding a board certified doctor, preferably a plastic surgeon, who has had experience administering hyaluronic acid dermal fillers. The surgeon will listen to your desired results, and evaluate your facial appearance and skin tone, to determine if the results are attainable with this type of injection.

Several strategically placed points will be marked or “scored” on your face, as injection points. The area will be cleaned with an antibacterial agent, then swabbed with a topical anesthetic, to numb the injection point. The injections are administered, taking just seconds per injection site. Your face will then be cleaned of site marks, and you may be given an ice pack to reduce any minor or temporary discomfort. This procedure can last from 30-60 minutes, depending on the area and extent of injections.

You may resume activities as usual, but do not rub or massage the injected area for awhile. The gel could possibly be moved from the injected site if it is manipulated too soon after injection. Scars, deep lines and wrinkles may require more than one injection, or a deep injection into the dermis, for nasolabial folds, marionette lines, or cheek enhancement. You will probably experience redness, bruising, and swelling for at least a few days, but can usually be covered with makeup. Some people have also experienced red and/or thickened nodules that arise from the injected sites, and these may last for several weeks.

Belotero Balance Pros

The developers of this  dermal filler conducted randomized, active-controlled studies using bilateral treatment, or split face design tests using Belotero on one half of the face, and bovine collagen on the other, on nasolabial folds. There were no serious side effects with Belotero injections, and any side effects experienced (bruising, swelling, redness, and nodules) were short term in longevity. The reduction of folds and wrinkles in this area was retained and reduced at 24 weeks. Belotero also showed more even results, and less risk of infection.

Belotero may be a good choice, because hyaluronic acid is compatible with body tissues, therefore your body will most probably not reject the substance. It also rehydrates the skin, and integrates with existing facial tissue for a smoother, more supple and natural look. It is a minimally invasive procedure, usually requiring no down time, and almost anyone is a good candidate. The price is roughly $500 per syringe, which is typical for a dermal filler, and it can last from 6-12 months. It does not require a pre-test for allergies, and will not cause bluish hues to the skin, associated with other hyaluronic acid fillers.

Belotero Balance Cons

From the studies conducted, most people need at least 3 different injections before being completely satisfied with the results, and most have follow-up injections 2-3 times per year. It has been called a “liquid facelift“, but is temporary, and it does not stop the aging process unfortunately. A strong warning, as with any facial injection, if Belotero Balance is in inexperienced hands, hyaluronic acid can be dangerous. It is important to find a surgeon who is board certified, experienced with hyaluronic acid fillers, and whose results you have viewed personally. Alternatives should be discussed, if your surgeon does not suggest Belotero Balance. Some alternatives which may be suggested are dermabrasion, chemical peels, microdermabrasion, collagen injections, or various other semi-permanent and permanent fillers.

Because Belotero Balance has just been approved for use in 2011, there are few patient reviews to comment upon. The fact that hyaluronic acid is a naturally occurring substance in the body, does make sense that it would be better for you however. The major factor is in research and consultation with your plastic surgeon. Depending on the types of corrections and improvements to be made, hyaluronic acid based Belotero Balance may be the perfect choice.

One comment

  1. I had Belotero injections for vertical lines above my lip in Jan. by Dr. Douglas Halliday of East Syracuse, NY. This stuff did absolutely nothing. I went back to him, he said he was going to have someone contact maker and see if maker would replace filler with another brand. This did not happen and they refused to refund my $400. I even complained to BBB. BBB received numerous lies from Halliday’s office. Of coarse now Halliday’s office will replace with another filler but I will not step foot in that office for it after all their bullshit lies!

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