Alexander Z. Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive, non-ablative cosmetic treatments in Southern California. He understands that no one relishes the thought of “going under the knife,” and believes modern medical technology can provide today's patients with superior alternatives to invasive, painful surgery that requires a long recovery time.

Wednesday, January 30, 2008

How long do different wrinkle fillers last?

There's alot of wrinkle fillers out on the market today and it is sometimes difficult to figure out which one is appropriate for you. Fillers are also location specific - some belong in certain areas and are really not a good idea to inject in some areas. It is important to consult with a trusted and talented aesthetic physician and make a decision together.

Also, there is wide variation among individuals in how long fillers last. That being said, here is the average duration as I have seen it in my practice:

Radiesse - 8 to 12 months
Restylane - 5 to 7 months
Perlane - 6 to 8 months
Juvederm - 6 to 8 months, except under the eyes where it lasts for 1.5 years.
Juvederm ultra plus - 7 to 9 months
Sculptra - a long time - maybe 2 years
Artefill - many years - probably permanent

But.

Radiesse should not be injected in the lips or under the eyes. I like Sculptra in the cheeks, but not as much under the eyes. I think that Juvederm is a bit smoother and easier to use than Restylane, so I use it preferentially. I use Artefill only in select situations - mostly after the patient has tried a temporary filler like Radiesse and likes the effect. Mostly I use it for facial sculpting: chin or cheek augmentation, Non Surgical Rhinoplasty, etc.

I have also found that even the temporary fillers like Juvederm and Restylane stimulate collagen and when they dissolve, there is often a residual improvement.

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