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Combining Bellafill With Temporary Fillers To Optimize Facial Rejuvenation

Posted: 6:00 a.m. Sunday, April 23, 2017

By Anita Mandal, M.D.
Question: I have fine lines and deep grooves around my mouth and lower face. What types of fillers would you suggest?

Answer: While Bellafill is very popular with my patients due to it’s 5 year duration, when needed, I often combine Bellafill with other temporary fillers for optimal results.

Bellafill is most effective when placed in the deeper skin tissues for volumizing hollow cheeks, temples and deep nasolabial grooves as well as lifting droopy mouth corners. In patients who simultaneously have finer facial lines, a fine-line filler such as Restylane Silk, Bellatero or Juvederm Ultra XC can be placed into the more superficial skin layers for softening these wrinkles as well. This combination filler approach allows patients to effectively treat various types of lines, wrinkles and grooves that develop with aging in the lower face, with the end result of having a more rejuvenated facial appearance.

I also use this combination filler technique for layering fillers on top of one other. For instance, some patients have not only deep nasolabial grooves but also finer lines overlying the grooves. Using Bellafill to volumize the deep nasolabial folds and layering with Restylane Silk for the superficial nasolabial lines can give more complete correction of facial aging in patients with significant aging.

Another effective example is a patient with deep cheek hollows who also has deep wrinkles overlying the hollow areas. Bellafill can be used to volumize the cheek whereas Restylane Silk or Juvederm can be placed more superficially into the fine cheek lines themselves. This approach to layering of injectable fillers has been quite useful, over the past 22 years in practice, enabling me to treat a broader range of aging concerns which, in the absence of such options, could not be treated as effectively.

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