Feb
Perlane is an excellent product, but it is only as good as the doctor injecting it. Perlane should NEVER be used on fine lines as it is too thick. Perlane is better for nasolabial folds, lips, cheeks. You should look into Belotero, a new hyaluronic acid injectable from Merz that is especially good for fine lines. I would also find a new doctor as using a thick filler in fine lines suggests a lack of experience and/or poor judgment.
Belotero is another hyaluronic acid filler. FDA approved in 2011, it seems to work best in finer lines. Many prefer it because it might leave less of the Tyndall Effect, which is a bluish hue to the skin from other hyaluronic acid fillers, seen when filler is injected high in the dermis for fine lines. The down side of Belotero is that the product has been released with no added lidocaine to reduce pain. Patients have been so spoiled with Restylane L and Juvederm XC, that many do not want a product that hurts. Speak to your dermatologist about this new filler and its pros and cons.
Good question for you to discuss with your board certified dermatologist or plastic surgeon who gives your injections. As a rule of thumb, “if it ain’t broke, don’t fix it” is an expression in this part of the country. Why change if you are happy? The Belotero might be better for fine lines as it is less likely to give the Tyndall effect, but talk to your doctor. Full disclosure: there is no lidocaine with Belotero, so you will feel the injections more than with Restylane L.
You should talk to your physician about trying a hyaluronic acid filler to treat static wrinkles still present after Botox. Botox only improves the lines caused by movement. Some lines are caused by sun damage and collagen loss. A great option is Belotero, a newly FDA approved filler to treat superficial lines. Its smooth composition makes it ideal for fine lines on the forehead, around the eyes and the lips.
Our mission at the Lupo Center is to provide patients with innovative, effective, and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical, and cosmetic treatments to all patients.
Board-certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD, has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of the Women’s Dermatologic Society, adjunct professor of dermatology at Tulane, and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for the approval of new drugs and devices, and acts as an advisor for numerous aesthetic-minded companies.
Dr. Lupo was recently recognized as a trailblazer for women in dermatology and for her dedication to educating dermatology residents and fellows.
She has also received the following awards:
Dr. Lupo has authored over 90 published articles and book chapters and has spoken on various dermatological topics at nearly 480 national and international meetings and seminars.
