Review of gel fillers for contouring and lip augmentation

provides comprehensive cosmetology services. Our clients can take advantage of effective techniques to preserve youthful body and face. We offer biorevitalization procedures using Juvederm Hydrate gel. The corrector helps you look younger in a matter of hours!

Juvederm Hydrate is used for injection as a base. It consists of two main components:

• hyaluronic acid. When it enters cells, it causes them to actively recover. It is also responsible for enhancing the natural hydration of the skin. The filler contains this component with a low molecular weight;
• mannitol The antioxidant protects hyaluronic acid from rapid natural breakdown. It also protects the skin from the destructive effects of free radicals at the cellular level.

Stages of the procedure

Registration (online or by phone)

The client comes

Medical examination

Consultation (on any questions)

The procedure itself

Payment

Juvederm Hydrate is injected using a thin needle at the border between the dermis and epidermis. This depth is optimal for maximum effect of the active components. The procedure using Juvederm Hydrate gel should be performed by an experienced cosmetologist. Only a specialist will be able to avoid touching the vessels during insertion, which will prevent the formation of hematomas.

Description of the drug

Juvederm Ultra 4 is considered a dense hyaluronic filler, which is part of the Juvederm Ultra line of products.
The product actively smoothes even deep wrinkles. As a result, it is possible to achieve a good result, even if strong changes are observed. The product is classified as luxury class. It is a gel-like filler. With its help, you can see amazing results after just one or two procedures. The use of the product is an excellent alternative to surgical intervention.

Juvederm Ultra 4 can replace a facelift. The active components not only mechanically fill various tissue depressions, but also trigger the processes of collagen biosynthesis, the formation of their own molecules of youth and beauty. As a result, the positive effect lasts much longer.

Review of gel fillers for contouring and lip augmentation

The result of the contouring procedure, including lip correction, directly depends on the quality and manufacturer of the filler gel ( from the English fill - fill ).

Our clinic’s choice in favor of one filler or another is strictly justified. We are guided by the following criteria:

• safety - ideal biocompatibility with body tissues; absence of allergic reactions; quality of crosslinking of hyaluronic acid molecules, etc.;
• efficiency - the ability to obtain a predictable and desired result; aesthetically acceptable and beautiful result;
• social responsibility of the brand to doctors and patients: the volume of clinical studies conducted on product safety and its effectiveness; the company's level of investment in research and development; availability of direct medical representatives of the manufacturer on site, etc.

Based on the listed criteria, we made a choice in favor of fillers from four well-known brands:

1. Juvederm;
2. Filorga;
3. Belotero;
4. Princess.

Now let's talk in more detail about each of them.

Princess, Croma (Austria)

Princess fillers ( “Brand of the Year” - 2009 at the exhibition in Monaco ) were developed by the large pharmaceutical corporation Croma (Austria). They are created on the basis of hyaluronic acid of non-biological origin.

Princess gels can be used not only after thirty years of age to correct wrinkles, but also to correct and enlarge lips in very young patients.

In the synthesis of Princess fillers, innovative SMART technology was used, which made the consistency of the gels extremely homogeneous. T.n. An intelligent filler system allows them to penetrate into the structures of the skin layer where the gels are injected. Hyaluronic acid in gels is represented by long molecules with cross-links; the preparations have increased viscosity - this allows the tissues to keep their shape well and not spread.

Princess Filler (1 ml) is indicated for replenishing small amounts of tissue (correction of nasolabial folds, wrinkles around the eyes and in the corners of the lips, neck wrinkles, volume of the hands, facial modeling), injected into the middle and superficial layers of the dermis. It costs eight months.

Princess Volume (1 ml) is denser, it is indicated for volumetric contouring: replenishing lost tissue volumes and restoring facial contours. They restore the volume and contours of the cheeks, cheekbones, chin and lips, reduce deep nasolabial folds, and correct atrophic scars. Princess Volume is especially appreciated by older patients for its ability to restore seemingly irretrievably lost volumes to facial tissues. The gel lasts from eight to twelve months.

Belotero, Merz Pharma (Switzerland, Germany)

Belotero fillers are the latest generation monophasic gel fillers produced by the pharmaceutical company Merz Pharma (Switzerland, Germany).

Belotero Soft filler (1 ml) is an excellent product of choice for the correction and bio-reinforcement of wrinkles in particularly delicate areas (fine wrinkles around the lips, under the eyes and in the crow’s feet area, nasolacrimal groove, neck, arms and décolleté).

Belotero Balance filler (1 ml) is ideal for increasing lip volume, correcting nasolabial folds, forehead wrinkles, and wrinkles around the lips. Another option is correction of shallow scars.

Belotero Intense filler (1 ml) lasts in tissues for up to twelve months. It has a cross-linked structure and retains moisture well. It is used to increase the volume of the lips and to fill deep wrinkles in the décolleté and neck, forehead, cheeks and chin.

Juvederm, Allergan (USA)

Juvederm products are manufactured in France by Allergan (USA); These premium fillers are deservedly considered the flagships in the world of gels based on hyaluronic acid.

We use two lines of drugs: Ultra and Vycross (and biorevitalizant Hydrate, but that's a slightly different story).

The Ultra line of preparations are preparations of stabilized hyaluronic acid (they also contain lidocaine).

Juvederm Ultra 3 (1 ml) is used for the correction of deep and medium wrinkles and lip augmentation, for facial contouring.

Juvederm Ultra Smile (0.55 ml) is used to correct fine wrinkles around the lips, as well as to correct the shape of the lips. The drug of choice for those who enlarge lips for the first time.

Juvederm Ultra 4 (1 ml) is used to correct deep wrinkles, correct the shape of the face, cheekbones and chin, and correct the lips.

The Vycross line of gels is a new generation of gels based on hyaluronic acid, in which there are twice as many cross-links (they also contain lidocaine for pain relief).

Juvederm Voluma filler (1 ml) was developed to fill the missing volumes: returning youthful volume to the cheekbones, cheeks, creating volume in the chin area.

Juvederm Volift filler (1 ml) is designed to correct facial contours and fill nasolabial folds.

Juvederm Volift Retouch filler (0.5 ml) is Volift gel in 0.5 ml syringes (smaller correction volumes).

Filorga, IPSEN (USA, France)

Filorga premium filler gels are produced by the permanent (since 1978!) leader in the sector of high-tech cosmetic injectable preparations, the French company Filorga.

Filler X-HA 3 (1 ml) - recommended for filling nasolabial folds and wrinkles of any depth, including eyebrow folds, for correcting purse-string wrinkles, for replenishing insufficient tissue volume in the corners of the mouth and for increasing lip volume and correcting their asymmetry.

Filler X-HA Volume (1 ml) – more dense and viscous; Accordingly, it can be used to restore missing volumes of the face (cheekbones, lips, cheeks, chin), perform facial contouring, correct nasolacrimal grooves and nasolabial folds.

The final choice of filler remains with the cosmetologist, taking into account the characteristics of your face and the desired result.

Indications

Juvederm Ultra 4 differs from other products in the line by its high density. Because of this, the product is injected deep under the skin. It is used if the patient has severe problems. The product is recommended for use in the following cases:

• you need to increase the volume of your cheekbones or cheeks;
• earlobes are corrected;
• there are serious problems with the clarity of the contours of the oval of the face;
• it is necessary to correct the area of ​​the nasolabial triangle;
• the area between the eyebrows needs to be corrected;
• work is done with the size or shape of the lips;
• there are deep folds on the forehead or chin.

The product is indispensable if there is a significant loss of skin tone, dryness, and sagging. As a result, it is possible to achieve a significant rejuvenation effect.

Carrying out the procedure

Before the contouring procedure, certain restrictions should be followed to reduce the risk of hematomas. Don't drink alcohol the night before

.
On the day of the procedure, do not drink coffee or energy drinks
.
Do not use blood thinning medications
.
Do not perform the procedure on menstruation days
.

During the procedure, the patient’s face is cleaned and treated with an antiseptic. If necessary, anesthesia is used: injections or cream.

The drug is opened in front of the patient and the expiration date is shown. The sticker from the packaging is pasted into the card.

How is the drug administered?

The filler is injected into the deep layers of the skin slowly. After this, gently knead with massage movements.

How often should I inject?

Since the gel has a high density, the duration of the effect from its administration reaches 12 months or more. The duration is also affected by the patient’s lifestyle. So physical activity, regular sauna and steam baths reduce this period. On average, corrections are made once a year.

Contraindications

However, the use of the method is not always possible. It is recommended not to use it in the following cases:

• Any type of disease is observed in the acute stage;
• there is eczema, dermatitis, herpes, psoriasis;
• there are autoimmune diseases;
• there is hypersensitivity to the components of the product;
• There are oncopathologies.

The possibility of using Juvederm Ultra 4 is determined by the doctor after consultation and examination.

Safety and precautions

The use of Juvederm for cosmetic purposes is approved by the FDA (the most prestigious US medical organization for monitoring the quality of medications). This drug has a very high safety profile, but it should not be used in patients who are severely allergic to anything.

Juvederm Ultra should not be used in patients who are allergic to lidocaine. Also, you should not inject the gel into the soft tissues of the face, which currently have an active inflammatory process. Juvederm should only be administered to a patient by a doctor, and in no case by nursing staff.

Patients should tell their doctor if they are using medications that may increase bleeding or bruising, such as aspirin or ibuprofen, or naproxen. Additionally, there are no studies to date that indicate the safety of using Juvederm during pregnancy, while breastfeeding, or in patients under 18 years of age.

How the drug works

The drug contains hyaluronic acid of animal origin. It fills voids, returning volume to the fabric. There are no protein molecules or traces of them in the product. This minimizes the risk of allergic reactions.

Hyaluronic acid, which is part of the product, is obtained synthetically. Its molecules are connected in a lattice using a special technology. They are reliably connected to each other, which complicates the process of destruction of the substance. As a result, the drug is not eliminated from the body quickly. It will attract water molecules to itself, preventing sagging.

Drug price

Read more about prices for other contouring drugs

Composition of the drug

The main component of the product is hyaluronic acid. It fills voids and also saturates the tissue with moisture. To make filler injection more comfortable, the manufacturer included Lidocaine in its composition. This component has an anesthetic effect, reducing sensitivity. In this case, the product has a local effect. As a result, no negative effects on other systems and organs are observed. Another component of the product is a phosphate buffer solution. It makes the gel structure homogeneous and reduces the risk of swelling in the injection area.

Indications and expected effect

The main indication is a lack of volume in the soft tissues of the face. The filler allows you to eliminate sagging in the area of ​​the cheekbones, cheeks, chin, and can also be used for:

• correction of nasolabial folds;
• changes in the shape and volume of the lips.

Juvederm Volift filler not only eliminates folds and wrinkles, filling voids, but also significantly improves the overall condition of the skin. It becomes smoother, denser, moisturized, smooth texture and healthy color are restored. The manufacturer offers several varieties of this filler, including Juvederm Volift (higher viscosity) and Juvederm Volift Retouch (the composition and action is the same as the standard Juvederm Volift, but is available in smaller syringes).

How is the procedure performed?

The procedure is carried out according to the following scheme:

1. The doctor interviews the patient and identifies the presence of contraindications.
2. If there are no contraindications, primary treatment of the area and removal of contaminants is carried out. The specialist then uses an antiseptic to disinfect the injection site.
3. The cosmetologist prepares the drug, calculating its volume, and also determines the administration schedule.
4. The product is injected under the skin in the area requiring correction.
5. The affected area is re-treated and a soothing and healing agent is applied.
6. The doctor advises the patient on subsequent care and accelerating the healing process, possible side effects and rules for responding to them.

Application of Juvederm

Juvederm comes in gel form and is most often used for lip augmentation. This is possible due to the ability of hyaluronic acid to replenish a given volume, retain water for a long time, moisturize and rejuvenate the skin. Hyaluronic acid in Juvederm is absolutely identical to the same substance in our body, therefore it does not cause allergies or other undesirable phenomena. After some time, it disintegrates without any consequences for the body and is completely eliminated from the tissues.

Modern preparations of the Juvederm series have different properties, areas of application and cost. They are presented:

• “Ultra” injection fillers;
• biorevitalizer "Hydrate".

Juvederm hyaluronic acid is used in medical cosmetology for the purpose of:

• correction of lip contours;
• elimination of facial wrinkles of varying depths;
• correction of the shape of the chin;
• reduction of nasolabial folds;
• lip augmentation;
• correction of cheekbone contours;
• correction of facial oval.

Juvederm: features and reviews

Hyaluronic acid, which is the main component of Juvederm, is also found in our skin.
According to its biochemical structure, it is a glycosaminoglycan, which has a network structure and holds a large number of water molecules in each cell. Thanks to this, a large amount of moisture is retained in the skin, it restores its natural firmness and elasticity. The liquid also ensures that it maintains its shape, which facilitates the delivery of nutrients and the removal of waste products in the tissues. Juvederm fillers contain a balanced amount of hyaluronic acid, as well as an anesthetic component in the form of lidocaine and a stabilizing phosphate buffer. The consequences of conduction anesthesia are swelling and temporary deformation of soft tissues, which distorts the natural facial expression of the lips and complicates the correction of defects. The injection procedure using Juvederm does not require this type of anesthesia, gives high aesthetic results and is easily tolerated by the patient, which is also very convenient for the cosmetologist.

Juvederm varies in price because it has different densities and water retention properties. Preparations marked 2 and 3 are optimal for correcting the shape of the lips, and a denser filler marked 4 is used to correct facial features (cheekbones and chin), nasolabial folds. Juvederm lip augmentation is a safe and easily tolerated procedure. The drug retains its given shape and volume very well.

Biorevitalizer Juvederm is used for biohydration and injection biorevitalization. It is injected deep into the dermis according to the principle of mesotherapy. Juvederm perfectly moisturizes, tones and rejuvenates, effectively eliminating the effects of stress, negative emotions, poor diet and smoking.

Juvederm is administered with a very thin needle, and no special preparation is required before lip augmentation with hyaluronic acid. After this, it is recommended to drink more fluids for 1-2 days. Lips noticeably increase in volume almost immediately after the procedure, and the effect lasts for several months.