Cosmetic Surgery Today

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Posts Tagged ‘injectable’

Self-Injecting Dermal Fillers Continues to Be Alarming Trend

Posted by Cosmetic Surgery Review on February 1, 2010

Despite physicians warnings that self-injecting fillers such as Botox, Juvederm  and Restylane can be dangerous, many people are still exploring the idea of purchasing fillers on their own and giving themselves an anti-aging quick fix from the comforts of home.

Plastic surgeons at Southwestern Medical Center warn that people looking to save money on their wrinkle treatments should not even consider sourcing and injecting prescription-strength fillers on their own. Vice Chairman of Plastic Surgery at UT Southwestern, Dr. Jeffrey Kenkel, states, “It’s critical to seek out a board-certified plastic surgeon or dermatologist to ensure that the material being injected is authentic, that the proper amount is being injected and that the fillers are injected in the proper location to avoid unwanted consequences.” (Source:

Complications and risks associated with self-injecting fillers can include anything from excessive swelling, migration of the compound to other areas of the face, scarring, infection and in some cases, bleeding. Individuals who inject fillers around the upper facial area and forehead may also experience droopy eyelids or excessive swelling that can become difficult to correct.

Still, even with the known risks, many people are turning to the Internet or finding a way to get injectable filler compounds so that they can perform these risky procedures themselves. Dr. Kenkel points out that there are many ways to improve the appearance safely and cost-effectively, and that self-injection presents far too many risks that outweigh the initial benefit.

While the average injectable costs between $300 to $500+ per treatment area, there are other options. Many patients can reduce the appearance of wrinkles with cosmetic treatments such as Thermage skin tightening procedures, laser skin resurfacing, microdermabrasion and chemical peels, and microcurrent facials. All of these procedures must be performed by a board-certified cosmetic surgeon or licensed medical professional, as these individuals will comply with safety standards and ensure the most favorable outcome is achieved for all patients.

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New Dermal Filler ‘Belotoro Balance’ Under FDA Review

Posted by Cosmetic Surgery Review on September 24, 2009

42-15200333The U.S. Food and Drug Administration is currently reviewing a new dermal filler product called Belotero Balance. If approved, this injectable will join the likes of Juvederm, Perlane, Restylane and Prevelle Silk as an anti-aging treatment for moderate to severe wrinkles.

Belotero Balance is manufactured by Merz Pharmaceuticals, and is a “hyaluronic acid based monophasic gel” that works in a similar way as Restylane and Juvederm Belotoro Balance is designed to treat moderate to severe wrinkles in the face and neck area, and was first launched in Germany in 2005.

The filler has already been approved for aesthetic use as a wrinkle filler in the United Kingdom, Austria, Russia, Italy and Switzerland. The injectable can be used on almost any area of the face, and is designed to smooth out deeper wrinkles and grooves, create more attractive facial contours, and create a more youthful look.

According to Jack Britts, president and CEO of Merz Pharmaceuticals, LLC, “The FDA’s acceptance for review of the Belotero Balance PMA begins the application review process and signifies the beginning of Merz Pharmaceutical’s firm footprint in the American aesthetics market.” (Source:

Belotero Balance is another non-animal stabilized hyaluronic acid filler that may be administered on an outpatient basis. Still, there are many things we don’t know about Belotero Balance. There are currently no published reports on whether Belotero Balance lasts longer than  filler such as Restylane and Juvederm,  or whether it is valuable for using as part of a ‘liquid facelift’ treatment.

Since the majority of hyaluronic acid fillers boast little to no complications, Belotero Balance may similarly have a low risk of severe complications, and may also be offered at a more competitive price point – only time will tell, and the United States may need to wait several months until the FDA completes the initial review process.

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