Belotero Balance®

Collagen and elastin are proteins that naturally support the structures of the skin, providing a supple, youthful appearance. Signs of aging begin to appear as the production of collagen and elastin begins to decline, revealing fine lines and wrinkles. Hyaluronic acid gives the natural proteins in the skin a firm foundation. Although it depletes with age, we can still soften the appearance of fine lines and wrinkles by treating them with hyaluronic acid injectable gel dermal fillers, such as Belotero Balance, Restylane, Juvederm, and Radiesse. In her private New York office, Dr. Michele Green expertly and artistically utilizes dermal fillers such as Juvederm, Restylane, Sculptra, Botox, and Belotero to provide her patients with a customized facial rejuvenation that is unique to each individual, with almost no downtime.

Technological and product developments in the field of cosmetic dermatology are constantly evolving, and there is now an abundance of non-invasive treatment options for facial rejuvenation, combining dermal injections, chemical peels, laser treatments, and skin tightening procedures. Dr. Green treats some of the most discerning, demanding patients in the world, and most are seeking the best skincare and cosmetic procedures that will rejuvenate their skin and provide a more youthful appearance without the need for invasive plastic surgery. Dr. Green utilizes BELOTERO BALANCE® dermal filler because it immediately integrates into the skin, filling in fine lines and facial wrinkles with no recovery time. Belotero is particularly effective for treating vertical lip lines and under-eye hollows, providing a smooth, beautiful, youthful look.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive cosmetic treatments for rejuvenation, including dermal fillers. Dr. Green takes a holistic approach and embraces a less-is-more philosophy regarding facial rejuvenation, customizing each patient’s treatment plan to incorporate a unique combination of in-office procedures and specially formulated skincare products, such as from her carefully developed line, MGSKINLABs. She is consistently identified as one of New York City’s best dermatologists by Super Doctors, Castle Connolly, New York Magazine, and the New York Times for her dedication to her patients and expertise. When you consult with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will work with you to achieve and maintain a natural-looking, more youthful appearance.

What is Belotero Balance Dermal Filler?

Belotero Balance dermal filler is an FDA-approved hyaluronic acid injectable filler manufactured by Merz Pharmaceuticals. Belotero Balance is a unique filler because it is created using the proprietary Cohesive Polydensified Matrix (CPM) process. This process produces a smooth, flexible hyaluronic acid gel that readily blends into the natural structure of the skin and efficiently and evenly fills in etched-in facial wrinkles and fine lines. Belotero Balance is indicated for use in the mid-dermis. It is injected with an ultra-fine needle, making the procedure comfortable enough for the patient that an anesthetic is not normally required. Belotero is a hyaluronic acid dermal filler, and when injected, hyaluronic acid naturally adds volume, smooths out the surface of the skin, and immediately helps to improve the skin’s overall appearance. Since the properties of Belotero encourage it to bind with your skin instantly, it provides the perfect matrix for soft-tissue augmentation and rejuvenation.

What is Belotero made of?

Belotero is an injectable dermal filler with a hyaluronic acid base. Hyaluronic acid is a naturally occurring component in the skin that provides it with essential hydration and an overall youthful appearance. Hyaluronic acid diminishes over time due to aging. The various dermal filler products within the Belotero family are hyaluronic acid gels with different consistencies, which makes each best suited to a special purpose- either under eye bags, facial creases, volume replenishment, or lip enhancement. Dr. Michele Green in New York City is an internationally renowned expert in cosmetic dermatology with over two and a half decades of experience. When you consult with Dr. Green for your facial rejuvenation treatments, she will work with you to determine the right combination of dermal fillers for your needs and goals.

What is Belotero used for?

Belotero is composed of hyaluronic acid, similar to other popular dermal fillers such as Restylane and Juvederm. However, Belotero Balance® has unique properties that allow it to adapt within the skin for soft and even correction. The versatility of the product makes it strong enough to handle deep treatment areas, such as nasolabial folds (the smile lines/laugh lines around the mouth), as well as more delicate areas, such as vertical lip lines (thin lines that appear above the lip line, sometimes called smokers’ lines) and under the eyes.

BELOTERO BALANCE® Dermal Filler may be used in the following treatment areas:

• Smile lines, also called nasolabial folds, which run from the sides of the nose to the corners of the mouth
• Vertical lip lines, which form above the upper lip
• Lips themselves for subtle lip augmentation
• Marionette lines, which begin at the corners of the mouth and extend down toward the chin
• Corners of the mouth, which can turn downward and give the look of a constant frown
• Tear trough under eye area for hollows
• Crow’s feet
• Frown lines

What is the process of having Belotero injections?

Prior to treatment with any cosmetic injectables, a formal consultation with Dr. Green will take place. During the consultation, you will discuss your medical history and your previous experience with dermal fillers, identify your areas of concern, and establish a customized treatment plan to best cater to your unique situation. Photographs of the treatment area are always taken for your medical record and used to enhance your discussion with Dr. Green, together determining which cosmetic treatments or dermal fillers would be ideal for use to address and correct your specific cosmetic concerns. If dermal fillers are the best treatment option for you, the procedure may be done the same day as your consultation with Dr. Green or scheduled for a later date, depending on your preferences and time allowance.

In order to prevent any bruising at the injection sites, Dr. Green recommends that one week before your scheduled treatment with any dermal fillers, you stop taking any blood thinners and non-steroidal anti-inflammatory drugs (NSAIDs) such as Advil, Motrin, and Aleve. She also suggests that you refrain from taking any multivitamins, herbal supplements, or fish oil during the week prior to your procedure. This step helps to avoid bruising in the treatment area after the procedure is complete.

On the day of your treatment, a topical lidocaine cream is applied to clean skin one hour before the procedure to numb the treatment area and make the injections as comfortable as possible. After an hour, the numbing cream is removed, and the skin is cleansed with alcohol to prepare it effectively for injections. Dr. Green will then inject the dermal filler into the designated treatment areas and evaluate treatment as she completes the procedure.

Immediately after your procedure, ice packs are applied to the area to help minimize any potential swelling at the sites of injection. It is advised to avoid any exertional exercise, hot yoga, or saunas for 48 hours after injections in order to prevent any further swelling or bruising. Dr. Green likes to follow up with her patients two weeks after cosmetic injections to assess treatment and determine if any additional touch-up is required.

How soon will I see results from Belotero Balance?

Since Belotero is designed to integrate into the skin quickly, treatment results are visible immediately upon injection. Belotero dermal filler plumps the skin and smooths the fine lines and wrinkles right away, and after treatment, you can expect to leave Dr. Green’s NYC office with radiant, younger-looking skin. One potential side effect of any dermal filler, including Belotero, is localized swelling at the injection sites. Ice packs are applied to the treatment area immediately upon completion of the dermal filler injections to minimize swelling at injection sites. Any localized residual swelling following Belotero injections can take up to two weeks to completely resolve.

Side effects of Belotero Injectable filler

Clinical studies of Belotero have shown it to be a safe and effective hyaluronic acid filler. Side effects that may potentially occur are:

• Bruising at the injection site
• Swelling
• Redness
• Itching
• Tenderness
• Numbness

Side effects are mild and typically resolve independently within two weeks of having injections. Arnika, an oral herbal supplement, can be taken for several days before your filler treatment and after your injections to help prevent and heal any bruising. Dr. Green always recommends discontinuing blood thinning medications and supplements, such as Aspirin, Aleve, Motrin, multivitamins, fish oil, and vitamin E, for two weeks before your dermal filler treatment session to prevent bruising.

What is the recovery time for Belotero treatment?

One of the greatest benefits associated with Belotero injections for facial rejuvenation is the lack of downtime. In fact, most patients who have dermal filler injections with Belotero Balance experience almost no downtime and are able to return to their normal daily activities immediately after their visit. Should you experience any potential side effects from the injections, such as mild swelling or bruising, these symptoms typically resolve on their own within 2 to 10 days of treatment.

Dr. Green advises her patients to discontinue blood thinning medications and supplements, such as aspirin, ibuprofen, and vitamin E, two weeks before their cosmetic injections to prevent side effects like bruising and swelling. Patients who are prone to bruising may wish to take Arnika, an oral herbal supplement, for several days prior to and after their cosmetic injections. Arnika has been shown to prevent and treat bruising. When you have dermal filler injections with Dr. Green, she will provide you with all of the pertinent aftercare information required to achieve and maintain optimal cosmetic results.

Who is a good candidate for Belotero Balance?

The best candidate for receiving treatment with Belotero Balance dermal filler is a healthy individual who would like to soften and diminish the overall appearance of fine lines around the mouth, under the eyes, around the smile lines, and the lips and is looking for facial rejuvenation and a natural, youthful, beautiful look without downtime or surgery.

Who should not be treated with Belotero?

Anyone pregnant, breastfeeding, or having immunotherapies should not be injected with hyaluronic acid dermal fillers, including Belotero Balance. Additionally, if you have an allergy to lidocaine or hyaluronic acid or have an autoimmune disease, you should not have Belotero cosmetic injections.

Is Belotero Balance good for the eyes? Which Belotero is best for tear troughs?

Yes! Belotero Balance is a particularly suitable hyaluronic acid filler for injection into the delicate under-eye area. The properties of the Belotero Balance formulation, a thin and flexible gel, eliminate the risk of producing the Tyndall effect. It is also injected with a very fine-gauge needle. The Tyndall effect can give the injected area a bluish hue in the area that is injected. Since Belotero does not create this unwanted Tyndall effect, it is a particularly good product for areas of the face that have very thin skin, such as the under-eye area. Belotero is a superb choice for filling in the tear trough and treating under-eye hollows.

Belotero Dermal fillers for Undereye Hollows

Due to the thinness and flexibility of Belotero Balance, it is a wildly popular dermal filler for treating sensitive areas under the eye. The formulation of Belotero eliminates the risk of having the side effect known as the Tyndall effect. The Tyndall effect is the term for the appearance of a blue tint to the skin in a treatment area after having filler. The Tyndall effect occurs when light is reflected off of the particles suspended in the gel filler. When a dermal filler is injected too superficially, when a treatment area is overfilled, or when the skin in the treatment area is very thin, then the Tyndall effect may develop. The Tyndall effect can be corrected by injecting a filler dissolver, hyaluronidase, into the area.

Belotero, however, was designed with the purpose of eliminating the risk of the Tyndall effect. Due to the fact that there are no suspended particles in the gel, Belotero does not have the potential to cause the skin in the treatment area to have a blue hue. The result of having the delicate under eyes treated with Belotero injections is smoother skin and a younger-looking complexion, without concern for dark circles or a hollowed appearance under the eyes.

Is Belotero filler good for lips? 

Yes! Belotero Balance can be used to smooth out vertical lines around the mouth and soften smile lines, but it can also be used to achieve subtle, natural lip augmentation. Injecting Belotero Balance into the lips themselves is a great way to plump up the lips discreetly. It can be used in place of other hyaluronic acid fillers for lips, such as Restylane or Juvederm. During your consultation with Dr. Green in her discreet NYC private dermatology office, she will determine which hyaluronic acid filler is best suited for you after examining your facial structure and reviewing your desired cosmetic results.

Can I combine Belotero with other dermal fillers and Botox?

Dr. Green often incorporates a variety of hyaluronic acid dermal fillers and neurotoxins, such as Botox, Dysport, or Xeomin, into a customized treatment plan for her patients who are seeking a way to achieve facial rejuvenation without surgery or downtime. Botox and Belotero are both excellent cosmetic treatments for softening the appearance of fine lines and wrinkles, although they do cater to different areas of concern. Botox is a neurotoxin and is used to diminish the appearance of dynamic wrinkles around the eyes and on the forehead that develop as a result of natural, repeated facial expressions. Belotero injections are composed of hyaluronic acid and are used to smooth out fine lines and wrinkles that form independently of active facial expressions. As an expert injector, Dr. Green frequently uses a combination of cosmetic treatments for strategic pan-facial rejuvenation and the most natural, stunning results.

What can you expect after Belotero treatment?

After treatment with Belotero Balance injections, you can expect a complexion that is smoother in appearance, an overall diminishment in visible facial fine lines, wrinkles, and folds, as well as a refreshed, rejuvenated, and more youthful look. Belotero Balance makes for excellent wrinkle treatment, especially when it comes to addressing smile lines, vertical lip lines, and the under-eye area because it provides soft correction for results that are immediate and even. The product quickly integrates into the skin to deliver natural, smooth, beautiful results and reduces the appearance of wrinkles and folds. Belotero Balance is clinically proven to last up to 6 months. For her patients, Dr. Green often combines Belotero injections with other minimally invasive cosmetic procedures such as Botox®, Juvederm, or Restylane® dermal fillers to achieve more comprehensive results.

How long does Belotero last?

With Belotero Balance injections, you can expect the results to last up to 6 months. Ultimately, the duration of results will vary from patient to patient, largely depending on patient metabolism. However, for best cosmetic results, Belotero Balance injections should be done twice a year for maintenance.

How to dissolve Belotero filler?

If you are unhappy with your dermal filler treatment results, Dr. Green is able to reverse the effects of Belotero injections by injecting hyaluronidase. Hyaluronidase is an enzyme solution that is marketed with several FDA-approved brand-name formulations, including Hydase, Hylenex, Amphadase, and Vitrase. Hyaluronidase injections are able to dissolve any hyaluronic acid dermal filler fairly quickly, usually within 48 hours of injection. Hyaluronidase injections can be done anywhere from several days to several months after the initial treatment with hyaluronic acid dermal filler.

Dr. Green has over 25 years of experience in cosmetic dermatology and is considered to be one of the best cosmetic injectors in New York City. If you have had dermal filler treatment with an inexperienced injector or are dissatisfied with the results of your cosmetic injections, Dr. Green can correct the misplaced filler injection or improper injection technique. She can expertly dissolve the hyaluronic acid filler to ensure satisfaction and help you achieve your desired cosmetic results.

Belotero before and after

We welcome you to view our patient gallery before and after photos and learn more about Dr. Green’s artistic methods for achieving facial rejuvenation through cosmetic injections. Dr. Green provides her patients with a refreshed look and upholds a ‘less is more’ philosophy when it comes to cosmetic treatment. She prefers to take a conservative approach to injecting with dermal fillers rather than to overfill a treatment area. Two weeks after your treatment with an injectable filler, Dr. Green re-evaluates to see if a touch-up is needed, guaranteeing natural, beautiful results and an overall more rejuvenated, youthful appearance.

Before & After: 1 syringe of Belotero under eyes, 4 weeks

Who makes Belotero?

Merz Aesthetics is the pharmaceutical company that makes Belotero. Merz also makes the popular dermal filler Radiesse and the neuromodulator Xeomin. Within the family of Belotero dermal fillers, there are seven distinct products, each with its unique characteristics. Each dermal filler has a specific set of intended uses depending on its unique characteristics. Some of the most popular dermal fillers within the Belotero family include Belotero Balance, Belotero Soft, and Belotero Volume. Belotero Balance is a great option for reducing moderate lines, including nasolabial folds, perioral lines, marionette lines, and tear troughs. Belotero Balance can also be used for subtle lip enhancement. Belotero Soft is an excellent filler for fine lines, such as mild perioral lines. Belotero Volume is ideal for facial restoration, including volume replenishment in the cheeks, chin, temples, and jawline. When you consult an expert injector, such as board-certified dermatologist Dr. Michele Green, they will work with you to determine which combination of dermal fillers is best suited to your skin concerns and cosmetic goals.

Is Belotero a good dermal filler?

Many providers choose Belotero for the under-eye area and lips, as it’s a smooth gel that easily integrates into the skin. The consistency of Belotero dermal fillers makes it very unlikely that side effects such as lumps or nodules will form. Belotero Balance is a one-of-a-kind filler because it is created using the proprietary Cohesive Polydensified Matrix (CPM) process. This process produces a smooth, flexible hyaluronic acid gel that readily blends into the skin’s natural structure and efficiently and evenly fills in etched-in facial wrinkles and fine lines. Belotero is, therefore, an ideal dermal filler for treating undereye hollows and ultra-fine lines around the mouth, aka perioral lines. Belotero can be combined with other cosmetic injectables, like Juvederm, Sculptra, Restylane, and Botox, to wonderful effect. Dr. Green often uses Belotero in conjunction with other cosmetic injectables to provide her patients with pan-facial rejuvenation results. To guarantee safety and satisfactory results, it is always recommended to have dermal filler injections with an experienced professional, such as board-certified dermatologist Dr. Green. Dr. Green has over 25 years of experience in cosmetic dermatology and will ensure that you achieve optimal rejuvenation results.

What is Belotero Revive?

Belotero Revive is designed to revitalize one’s complexion by correcting dehydration and loss of elasticity and eliminating fine lines. Belotero Revive is often used to treat prematurely photodamaged facial skin. Belotero Revive can be combined with other dermal fillers in the family of Belotero products to achieve pan-facial rejuvenation results and provide an overall more youthful appearance.

Is Belotero FDA-approved?

Yes! Belotero is FDA-approved for the improvement of the infraorbital hollow (IOH) in adults who are 21 years of age or older. An expert injector like board-certified dermatologist Dr. Green has the experience required to use Belotero and other hyaluronic acid fillers safely and effectively in off-label areas. Off-label use of a dermal filler just indicates that the product is being used in an area that is not FDA-approved. This is not only legal but common amongst expert injectors, such as using Sculptra to correct hip dips and Kybella injections to reduce stubborn pockets of fat in areas like the knees and abdomen. The most important aspect of your dermal filler treatment is that an experienced, knowledgeable, certified healthcare provider, such as Dr. Michele Green in NYC, performs injections.

Is Belotero Balance safe?

Yes! Belotero Balance was approved by the FDA in 2011 and deemed a safe and effective dermal filler for injection into the dermis of the skin. The product was researched and tested extensively in clinical trials to ensure patient safety. However, patients who have a history of anaphylaxis or with known allergies to gram-positive bacterial proteins should not be injected with Belotero Balance.

Are Belotero injections painful?

No! Belotero is injected with an ultra-fine needle, making the injections themselves essentially painless. However, prior to injecting her patients, Dr. Green applies a topical numbing cream to the treatment area so that the procedure is as comfortable as possible. Additionally, Belotero is compounded with lidocaine, an anesthetic that helps to make the injections more tolerable.

How much does Belotero cost?

The cost of having Belotero Balance injections will vary depending on the experience level of the injector who is providing your treatment, the amount of product or number of syringes used to treat you, and the geographical location of the office where your procedure is performed. Generally, having treatment with a board-certified dermatologist or a plastic surgeon is more expensive than having treatment with a nurse or at a spa. It’s important to carefully select your injector and have treatment with someone who has the expertise and experience to deliver your desired results and avoid the risk of having misplaced dermal filler, improper injection technique, or patient dissatisfaction.

During a consultation with Dr. Green, you will have the opportunity to discuss an expert cosmetic injector with her and discover which cosmetic treatments are best suited to you. You will help you achieve a beautiful, natural look. In your consultation with Dr. Green, a customized treatment plan for facial rejuvenation will be developed, and the price of the full treatment will be determined.

Is Belotero Balance better than Juvederm Dermal Fillers?

Each hyaluronic acid gel dermal filler has unique properties that make it advantageous for use in certain treatment areas. Denser fillers, like Juvederm, can offer more support when treating skin laxity, restoring lost volume, and diminishing the appearance of deeper facial folds. Light, flexible fillers, like Belotero, can smoothly and quickly integrate into the skin to soften the appearance of fine lines. The texture of Belotero Balance prevents it from causing puffiness, lumpiness, and swelling, making it a great choice for the thin skin of the under-eye area.

Juvederm® injectable filler is one of the most popular dermal fillers in the United States. There are five types of Juvederm products available that can help plump the lips, restore volume and smooth lines, and treat wrinkles and facial folds. Dr. Green likes to use Juvederm products to minimize the appearance of deeper, more severe wrinkles and folds on the face and to provide patients with volume in the lips. Both Juvederm and Belotero Balance are powerful tools that Dr. Green uses to provide her patients with complete facial rejuvenation, offering their unique benefits. Depending on your main area of concern, your desired results, and your facial structure, Dr. Green will determine which dermal fillers are most suitable for you to be treated with.

How does Restylane compare to Belotero for fine-line reduction?

The Restylane family of facial fillers is composed of a number of products that are composed of hyaluronic acid gels of varying densities. These dermal fillers can be used strategically to correct both deep and fine facial wrinkles, as well as restore lost volume and provide fullness to the face. By utilizing various Restylane products, Dr. Green is able to give her patients overall skin rejuvenation and a more youthful appearance.

When it comes to reducing the overall appearance of fine lines and wrinkles, Dr. Green likes to use either Belotero Balance or Restylane dermal filler depending on the facial structure of the patient, the location on the face, and the severity of the facial wrinkles and folds to be treated, and the patient’s desired outcome. For very fine lines around the mouth and under the eyes, Dr. Green prefers to use the soft and flexible Belotero Balance. For patients looking to soften deeper facial wrinkles, Dr. Green often suggests a thicker filler such as Restylane. During a consultation with Dr. Green, you will establish which areas of concern are to be treated, and she will select the filler that is most appropriate to treat that particular area. Given the number of available hyaluronic acid dermal fillers to choose from, Dr. Green can assuredly provide the right combination to address your specific skin concerns and ensure phenomenal results.

Does Belotero stimulate collagen?

Yes! Dermal filler injections, including with Belotero, have been shown to stimulate new collagen production in the treatment area with subsequent sessions. While the hyaluronic acid gel will diminish over time, typically 6-12 months, the collagen that is produced as a result of injecting is long-lasting. Collagen is a skin protein that contributes to its structural support, firmness, elasticity, and overall youthful appearance. Collagen depletion is a natural part of the aging process that leads to the development of signs of aging. Hyaluronic acid dermal fillers provide immediate and long-term rejuvenation results, helping patients to look and feel like the best version of themselves.

How do you choose the best cosmetic dermal filler injector?

When selecting an injector to perform your facial cosmetic procedures, you want to find someone with experience and expertise whom you can trust to help you become the best version of yourself, such as Dr. Michele Green in New York City. Dr. Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive cosmetic procedures, including dermal fillers for facial rejuvenation. When you have dermal fillers with Dr. Green at her private dermatology office in Manhattan’s Upper East Side neighborhood, she will work with you to create a customized treatment plan that best suits your particular needs and aesthetic goals so that you look and feel like the best version of yourself.

How to get started with Belotero today?

Belotero is an injectable dermal filler with a hyaluronic acid base. Belotero Balance is a one-of-a-kind filler because it is created using the proprietary Cohesive Polydensified Matrix (CPM) process. This process produces a smooth, flexible hyaluronic acid gel that readily blends into the skin’s natural structure and efficiently and evenly fills in etched-in facial wrinkles and fine lines. This dermal filler product is perfect for correcting the appearance of hollowness under the eyes caused by a tear trough and smoothing ultra-fine lines around the mouth.

Dr. Michele Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive cosmetic treatments, including dermal filler injections for facial rejuvenation. At her private boutique dermatology office in NYC, Dr. Green takes a holistic approach and embraces a less-is-more philosophy when it comes to facial rejuvenation, customizing each patient’s treatment plan according to their particular needs and goals. She is consistently identified as one of New York City’s best dermatologists by Castle Connolly, The New York Times, Super Doctors, and New York Magazine for her dedication to her patients and expertise. To get started with your individualized treatment plan for facial rejuvenation from expert injector Dr. Green, please Contact us online today or call 212-535-3088 to learn more about Belotero Balance® and other dermal fillers.