Belotero Balance®

People choose Belotero Balance® because it offers a smooth, natural way to soften fine lines and restore a youthful skin texture without surgery or downtime. As we age, the natural production of collagen, elastin, and hyaluronic acid in the skin begins to decline, leading to the development of wrinkles and a loss of firmness. Belotero Balance replenishes the skin’s hyaluronic acid, helping to hydrate, plump, and smooth fine lines for a refreshed, more radiant appearance. In her private New York office, Dr. Michele Green skillfully and artistically uses dermal fillers such as Juvederm, Restylane, Sculptra, and Belotero to create personalized facial rejuvenation for each patient, with almost no downtime.

Belotero Balance® is an FDA-approved hyaluronic acid dermal filler that blends smoothly into the skin. Created with Merz Aesthetics’ proprietary Cohesive Polydensified Matrix (CPM) process, Belotero has a soft, flexible gel consistency that integrates evenly with the skin’s natural structure. This makes it particularly effective for softening fine lines around the mouth, eyes, and lips. Unlike heavier fillers, Belotero provides gentle correction and a natural appearance, making it a popular choice for treating fine wrinkles and achieving smooth, refined results with minimal to no downtime. As with all cosmetic treatments, individual results may vary depending on each patient’s skin type, treatment area, and overall goals. Dr. Green carefully selects Belotero Balance for patients seeking precise, natural rejuvenation in areas with thin or delicate skin, ensuring seamless, balanced results.

Dr. Michele Green is an internationally recognized, board-certified dermatologist with over 25 years of experience, providing some of the world’s most discerning clients with top non-invasive cosmetic treatments for rejuvenation, including dermal fillers. Dr. Green takes a holistic approach and follows a less-is-more philosophy when it comes to facial rejuvenation. She customizes each patient’s treatment plan by combining in-office procedures with specially formulated skincare products, such as those from her carefully developed line, MGSKINLABs. She is consistently listed among New York City’s top dermatologists by Super Doctors, Castle Connolly, New York Magazine, and the New York Times for her dedication and expertise. When you meet with Dr. Green at her private dermatology practice in Manhattan’s Upper East Side, 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 made by Merz Pharmaceuticals. It is a unique filler due to its proprietary Cohesive Polydensified Matrix (CPM) process, which creates a smooth, flexible hyaluronic acid gel that blends easily with the skin’s natural structure. This allows it to efficiently and evenly fill in etched facial wrinkles and fine lines. As a hyaluronic acid dermal filler, Belotero naturally adds volume, smooths the skin’s surface, and immediately enhances overall skin appearance when injected. It is used in the mid-dermis to treat moderate to severe facial wrinkles and folds, including the nasolabial folds, vertical lip lines, and marionette lines. The injection is performed with an ultra-fine needle, making the procedure comfortable enough that anesthesia is usually not needed. Because of its properties, Belotero bonds instantly with the skin, providing an ideal matrix for soft-tissue augmentation and skin rejuvenation.

Who manufactures Belotero Balance?

Merz Aesthetics is the pharmaceutical company that produces Belotero. Merz also manufactures the well-known dermal filler Radiesse and the neuromodulator Xeomin. Within the Belotero dermal filler lineup, there are seven unique products, each with its own distinct features. Each filler serves a specific purpose based on its characteristics. Some of the most popular Belotero fillers include Belotero Balance, Belotero Soft, and Belotero Volume. Belotero Balance is an excellent option for smoothing moderate lines, such as nasolabial folds, perioral lines, marionette lines, and tear troughs. It can also be used for subtle lip enhancement. Belotero Soft is ideal for fine lines, like mild perioral lines. Belotero Volume is perfect for restoring facial volume, including adding fullness to the cheeks, chin, temples, and jawline. When consulting with an expert injector, such as board-certified dermatologist Dr. Michele Green, they will help you choose the best combination of dermal fillers to address your skin concerns and cosmetic goals.

What is Belotero made of?

Belotero is an injectable dermal filler based on hyaluronic acid. Hyaluronic acid is a naturally occurring substance in the skin that provides essential hydration and helps maintain a youthful appearance. Over time, the hyaluronic acid levels in the body decrease with age. The various dermal fillers in the Belotero family are hyaluronic acid gels with varying consistencies, making each suitable for specific purposes, such as reducing under-eye bags, smoothing facial creases, restoring volume, or enhancing lips. Many Belotero products also contain lidocaine, a local anesthetic that helps minimize discomfort during injection. Dr. Michele Green in New York City is a highly respected expert in cosmetic dermatology with over 25 years of experience. When you consult with Dr. Green for facial rejuvenation treatments, she will work with you to identify the best combination of dermal fillers to meet your needs and goals.

What is Belotero best used for?

Belotero is made of hyaluronic acid, similar to other popular dermal fillers like Restylane and Juvederm. However, Belotero Balance® has unique properties that allow it to blend seamlessly into the skin, providing gentle, even correction. Its versatility makes it effective in both deep treatment areas, such as nasolabial folds (the smile lines or laugh lines around the mouth), and more delicate areas, like vertical lip lines (thin lines above the lip, sometimes called smokers’ lines) and under the eyes.

BELOTERO BALANCE® Dermal Filler can be used to treat the following areas:

• Smile lines, also known as nasolabial folds, run from the sides of the nose to the corners of the mouth.
• Vertical lip lines form above the upper lip.
• – The lips themselves for subtle lip enhancement.
• Marionette lines that start at the corners of the mouth and extend downward toward the chin.
• Corners of the mouth, which can turn downward and create a constant frowning appearance.
• Tear troughs under the eyes for hollows.
• Crow’s feet.
• Frown lines.

Belotero Injection Treatment Process

Before receiving any cosmetic injectables, a formal consultation with Dr. Green will occur. During this session, you will review your medical history and past experiences with dermal fillers, identify your areas of concern, and develop a personalized treatment plan tailored to your needs. Photos of the treatment area are always taken for your medical record and used to enhance your discussion with Dr. Green, helping to determine which cosmetic treatments or dermal fillers are most suitable for your specific concerns. If dermal fillers are the appropriate choice, the procedure may be performed on the same day as your consultation or scheduled for a later date, based on your preferences and availability.

To reduce bruising at the injection sites, Dr. Green recommends stopping any blood thinners and non-steroidal anti-inflammatory drugs (NSAIDs) like Advil, Motrin, and Aleve one week before your scheduled dermal filler procedure. She also suggests avoiding multivitamins, herbal supplements, or fish oil during that week. This helps minimize bruising after the Belotero Balance treatment.

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 cleaned with alcohol to prepare it effectively for injections. Dr. Green will then inject the dermal filler into the designated treatment areas and assess the treatment as she completes the procedure.

Immediately after your procedure, apply ice packs to the injection sites to help reduce swelling. It is advised to avoid strenuous exercise, hot yoga, or saunas for 48 hours after injections to prevent additional swelling or bruising. Dr. Green prefers to follow up with her patients two weeks after cosmetic injections to assess the results and determine if any additional touch-ups are needed.

Side Effects of Belotero Injectable filler

Clinical studies of Belotero have demonstrated that it is a safe and effective hyaluronic acid filler. Possible side effects include:

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

Adverse events are mild and typically resolve on their own within two weeks of the 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 stopping blood-thinning medications and supplements, such as Aspirin, Aleve, Motrin, multivitamins, fish oil, and vitamin E, for two weeks prior to your dermal filler treatment to minimize the risk of bruising.

How soon will I see results from Belotero Balance?

Since Belotero is designed to blend into the skin quickly, its hyaluronic acid base enables results to be visible immediately after injection. The Belotero dermal filler plumps the skin and smooths fine lines and wrinkles instantly, allowing you 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 after the injections to help reduce swelling. Any residual swelling from Belotero treatments can take up to two weeks to fully resolve.

What is the recovery time for Belotero treatment?

One of the main benefits of Belotero injections for facial rejuvenation is the minimal downtime required. In fact, most patients who receive dermal filler injections with Belotero Balance experience little to no recovery time and can return to their daily routines immediately after their appointment. If you notice any side effects from the injections, such as mild swelling or bruising, they usually resolve on their own within 2 to 10 days.

Dr. Green recommends her patients stop blood-thinning medications and supplements, like aspirin, ibuprofen, and vitamin E, two weeks before their cosmetic injections to lower the risk of bruising and swelling. Patients who are prone to bruising might think about taking Arnika, an oral herbal supplement, for several days before and after their injections. Arnika has been shown to help prevent and treat bruising. When you receive dermal filler injections with Dr. Green, she will give all the necessary aftercare instructions to help you achieve and maintain the best cosmetic results.

Where can you inject Belotero?

Belotero is injected into the mid-dermis layer of the skin and can be used in various areas of the face to treat wrinkles, folds, and volume loss. Common injection sites include the lips, the area around the mouth, and the under-eye area for fine lines and volume restoration. It can also be injected to reduce the appearance of nasolabial folds, marionette lines, and crow’s feet, as well as to add volume to the cheeks and temples. Results vary from person to person, but scheduling a consultation with Dr. Green will help you determine if Belotero is the right injectable for you.

Belotero Balance for the eyes

Belotero Balance is particularly suitable as a hyaluronic acid filler for injection into the delicate under-eye area. The properties of the Belotero Balance formulation —a thin, flexible gel —eliminate the risk of the Tyndall effect. It is also injected with a very fine-gauge needle. The Tyndall effect can give the injected area a bluish hue. Since Belotero does not cause this unwanted Tyndall effect, it is an excellent product for areas of the face with very thin skin, such as the under-eye area. Belotero is a superb choice for filling the tear trough and treating under-eye hollows to help enhance facial contours.

Belotero Balance filler for lips

Belotero Balance can help smooth vertical lines around the mouth and soften smile lines, while also providing a subtle, natural lip enhancement. Injecting Belotero Balance directly into the lips is an effective way to plump them discreetly. It can serve as an alternative to other hyaluronic acid lip fillers like Restylane or Juvederm. If you have a history of cold sores, the minor trauma from the injections might reactivate the dormant virus. It’s important to inform Dr. Green if you’re prone to cold sores so she can prescribe an oral antiviral like valacyclovir (Valtrex) to take a few days before and after the procedure to lower the risk of an outbreak. During your consultation at her private dermatology office in NYC, Dr. Green will assess your facial structure and discuss your desired cosmetic results to determine the most suitable hyaluronic acid filler.

What should you not do after Belotero treatment?

After your Belotero treatment, you experience minimal downtime and can return to your normal activities. However, like other injections, you should avoid facial massages or any procedures that put significant pressure on the treated areas to prevent irritation and filler displacement. You should also avoid strenuous activities for at least 24 hours to help reduce swelling, as these can increase blood flow. Additionally, stay away from alcohol for 24-48 hours, as it can cause more bruising and swelling. Finally, avoid direct sunlight and steer clear of saunas or tanning beds to prevent inflammation. While side effects such as redness, swelling, and bruising are temporary, it’s important to know what to do and what to avoid to promote proper healing.

Who is a good candidate for Belotero Balance?

The ideal candidate for the Belotero Balance dermal filler treatment is a healthy individual seeking to soften and reduce the appearance of fine lines around the mouth, under the eyes, around smile lines, and on the lips. They desire facial rejuvenation and a natural, youthful, attractive look without downtime or plastic surgery.

Belotero before and after

Visit our patient gallery to see before-and-after photos and learn more about Dr. Green’s artistic methods for facial rejuvenation with cosmetic injections. Dr. Green offers her patients a refreshed look and follows a ‘less is more’ philosophy with cosmetic treatments. She prefers a conservative approach to injecting dermal fillers rather than overfilling a treatment area. Two weeks after your injectable filler procedure, Dr. Green re-evaluates your results to determine if a touch-up is needed, ensuring natural, beautiful results and a more rejuvenated, youthful appearance.

Is Belotero a good dermal filler?

Many providers choose Belotero for the under-eye area and lips because it’s a smooth gel that blends easily into the skin. Its consistency reduces the risk of side effects like lumps or nodules. Belotero Balance is a special filler created using the proprietary Cohesive Polydensified Matrix (CPM) process. This method produces a smooth, flexible hyaluronic acid gel that integrates seamlessly into the skin, effectively and evenly smoothing facial wrinkles and fine lines. As a result, Belotero is an excellent option for treating under-eye hollows and very fine lines around the mouth, known as perioral lines. It can also be combined with other cosmetic injectables such as Juvederm, Sculptra, Restylane, and Botox to achieve optimal results. Dr. Green often uses Belotero alongside other injectables for complete facial rejuvenation. For safety and optimal outcomes, it’s always wise to have dermal filler procedures performed by an experienced professional, such as board-certified dermatologist Dr. Green. With more than 25 years in cosmetic dermatology, Dr. Green is dedicated to helping you achieve the best possible rejuvenation results.

What filler is best for facial balancing?

For facial balancing, the best fillers are usually hyaluronic acid-based products such as Juvederm, Restylane, and Belotero. However, the ideal choice depends on each person’s needs and the specific area being treated. These fillers differ in texture, so for volume loss in areas like the cheeks, Juvederm Voluma, which is firmer, is often a good option. For facial contouring, Restylane or Belotero can help create a more sculpted look. There is no single best filler for facial balancing, as it often involves combining fillers in different areas of the face. When you schedule a consultation with Dr. Green, a detailed patient history is taken, followed by a physical exam of the areas of concern to determine which fillers are most suitable for you.

Can I combine Belotero with other dermal fillers and Botox?

Yes! Each filler is made to order with different consistencies and used for various areas of the face. After assessing your skin and personal goals, Dr. Green creates a customized plan that often includes a mix of hyaluronic acid dermal fillers and neurotoxins, such as Botox, Dysport, or Xeomin. These treatments are designed for patients seeking facial rejuvenation without surgery or downtime. Botox and Belotero are both excellent options for softening fine lines and wrinkles, though they target different issues. Botox, a neurotoxin, helps diminish dynamic wrinkles around the eyes and forehead caused by repeated facial movements. Belotero, a hyaluronic acid filler, smooths out fine lines and wrinkles that develop independently of facial expressions. As an expert injector, Dr. Green frequently combines these treatments for strategic, full-face rejuvenation, aiming for the most natural and stunning results tailored to each patient.

Belotero Balance vs. Juvederm Dermal Fillers

Each hyaluronic acid gel dermal filler has unique properties that make it suitable for specific treatment areas. Denser fillers, like Juvederm, offer more support when addressing skin laxity, restoring lost volume, and reducing the appearance of deeper facial folds. Lighter, more flexible fillers, like Belotero, blend seamlessly and quickly into the skin to soften fine lines. The texture of Belotero Balance helps prevent puffiness, lumpiness, and swelling, making it an excellent choice for the delicate skin under the eyes.

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, smooth lines, and treat wrinkles and facial folds. Dr. Green prefers to use Juvederm products to reduce the appearance of deeper, more severe wrinkles and folds on the face and to add volume to the lips. Both Juvederm and Belotero Balance are effective tools that Dr. Green uses to achieve complete facial rejuvenation, each offering their own benefits. Depending on your main concern, desired results, and facial structure, Dr. Green will determine which dermal fillers are best suited for you.

Belotero Balance vs. Restylane Dermal Fillers

The Restylane family of facial fillers includes various products, such as hyaluronic acid gels with different consistencies. These dermal fillers can be strategically used to treat both deep and shallow facial wrinkles, restore lost volume, and improve facial fullness. By using different Restylane products, Dr. Green can provide her patients with overall skin rejuvenation and a more youthful look.

When it comes to reducing the appearance of fine lines and wrinkles, Dr. Green prefers to use either Belotero Balance or Restylane dermal fillers, depending on the patient’s facial structure, the area being treated, the severity of lines and folds, and the patient’s desired outcome. For very fine lines around the mouth and under the eyes, Dr. Green selects the soft and flexible Belotero Balance. For patients looking to soften deeper facial wrinkles, she often recommends a thicker filler like Restylane. During a consultation, Dr. Green will identify the areas you want to treat and choose the most appropriate filler for each. With the wide variety of hyaluronic acid dermal fillers available, she can confidently customize the treatment to your specific skin concerns and achieve excellent results.

How much does Belotero cost?

The cost of Belotero Balance injections depends on the injector’s experience, the amount of product or number of syringes used, and the location of the office where your procedure is performed. Usually, treatment with a board-certified dermatologist or plastic surgeon costs more than with a nurse or at a spa. It’s important to choose your injector carefully and confirm they have the necessary expertise and experience to achieve your desired results. This helps reduce the risk of misplaced dermal filler, improper injection technique, or patient dissatisfaction.

During a consultation with Dr. Green, you will have the opportunity to discuss with an expert cosmetic injector and learn which treatments are best for you. She will assist you in achieving a beautiful, natural look. During your consultation, a personalized facial rejuvenation plan will be created, and the total cost will be determined.

How to choose the best cosmetic dermal filler injector

When choosing an injector for your facial cosmetic procedures, pick someone with the experience and skill you can trust to help you become your best self, like Dr. Michele Green in New York City. Dr. Green is a recognized, board-certified dermatologist with over 25 years of experience offering top non-invasive cosmetic treatments to some of the world’s most selective clients, including dermal fillers for facial rejuvenation. When you receive dermal fillers from Dr. Green at her private dermatology office on Manhattan’s Upper East Side, she will collaborate with you to develop a customized treatment plan that matches your individual needs and aesthetic goals, ensuring you look and feel like the best version of yourself.

Belotero Balance Frequently Asked Questions (FAQ’s)

How long does Belotero Balance last?

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

Is Belotero Balance safe?

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

Is Belotero FDA-approved?

Yes! Belotero is FDA-approved for enhancing the infraorbital hollow (IOH) in adults aged 21 and older. An experienced injector like board-certified dermatologist Dr. Green has the necessary expertise to safely and effectively use Belotero and other hyaluronic acid fillers in off-label areas. Off-label use of a dermal filler means the product is being used in a region not approved by the FDA. This practice is legal and common among expert injectors, such as using Sculptra to correct hip dips and Kybella injections to reduce stubborn fat pockets in areas like the knees and abdomen. The most crucial aspect of your dermal filler treatment is that it is performed by an experienced, knowledgeable, and certified healthcare provider, such as Dr. Michele Green in NYC.

Are Belotero injections painful?

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

Does Belotero Balance contain lidocaine?

Most Belotero products contain the anesthetic lidocaine to help reduce pain and increase patient comfort during treatment. When receiving Belotero Balance, a topical numbing cream is applied to the skin about an hour before the procedure. If you are allergic to lidocaine, it is important to inform your board-certified dermatologist before the treatment. The original Belotero Balance does not contain lidocaine, but Belotero Balance (+) does. An allergy to lidocaine might lead to a slightly different treatment process. If you are allergic, make sure to notify your dermatologist beforehand to avoid any adverse reactions.

How many syringes of Belotero are needed?

The number of Belotero syringes required depends on the treatment areas and the depth of the fine lines. Patients typically use 1 or 2 syringes per session, though this can vary. To determine how many syringes you’ll need to achieve your goals, it’s best to schedule a consultation with Dr. Green, who can review your concerns and assess the areas you want treated.

What are the disadvantages of Belotero?

Belotero is designed to help restore lost facial volume and smooth fine lines and wrinkles. It is an excellent filler because it involves no downtime and provides immediate improvements in facial contours. While there are no major drawbacks, common temporary side effects include swelling, redness, bruising, and tenderness at the injection site, which usually resolve on their own within a few days. To reduce bruising, Dr. Green recommends taking Arnica supplements to speed healing. If you experience severe allergies or reactions to the injection, it is best to seek medical attention right away. Overall, Belotero is a great choice for subtle enhancements and long-lasting results.

What can you expect after Belotero treatment?

After treatment with Belotero Balance injections, you can expect a smoother complexion, fewer visible facial lines, wrinkles, and folds, along with a refreshed, rejuvenated, and more youthful appearance. Belotero Balance is an excellent wrinkle treatment, especially for smile lines, vertical lip lines, and the under-eye area, as it offers gentle correction for immediate, even results. The product quickly integrates into the skin to produce natural, smooth, and beautiful results, reducing 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®, to achieve more comprehensive results.

Can Belotero be reversed?

If you’re unhappy with the results of your dermal filler treatment, Dr. Green can reverse the effects of Belotero injections by using hyaluronidase. Hyaluronidase is an enzyme solution available in several FDA-approved brand-name formulations, including Hydase, Hylenex, Amphadase, and Vitrase. These injections can dissolve hyaluronic acid dermal fillers quickly, often within 48 hours of injection. Hyaluronidase can be administered anywhere from a few days to several months after the initial hyaluronic acid filler treatment.

Dr. Green has over 25 years of experience in cosmetic dermatology and is regarded as one of the top cosmetic injectors in New York City. If you have had dermal filler treatments with an inexperienced injector or are unhappy with your cosmetic injection results, Dr. Green can correct misplaced filler or improper technique. She can skillfully dissolve hyaluronic acid fillers to ensure your satisfaction and help you achieve your desired cosmetic outcome.

Does Belotero stimulate collagen?

Yes! Dermal filler injections, including those with Belotero, have been shown to stimulate new collagen production in the treatment area with subsequent sessions. While the hyaluronic acid gel typically diminishes over time, typically within 6-12 months, the collagen produced by the injection 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 visible signs of aging. Hyaluronic acid dermal fillers provide immediate and long-lasting rejuvenation results, helping patients look and feel like the best versions of themselves.

Who should not be treated with Belotero?

Anyone pregnant, breastfeeding, or undergoing immunotherapy should not receive hyaluronic acid dermal fillers, including Belotero Balance. Additionally, if you are allergic to lidocaine or hyaluronic acid or have an autoimmune disease, you should avoid Belotero cosmetic injections.

How to get started with Belotero today?

Belotero is an injectable dermal filler made from hyaluronic acid. Belotero Balance is distinctive because it is produced using the proprietary Cohesive Polydensified Matrix (CPM) process. This process results in a smooth, flexible hyaluronic acid gel that naturally integrates into the skin’s structure, effectively and evenly filling in etched facial wrinkles and fine lines. This dermal filler is perfect for correcting hollowness under the eyes caused by tear troughs and smoothing ultra-fine lines around the mouth.

Dr. Michele Green is an internationally renowned, board-certified dermatologist with over 25 years of experience providing some of the world’s most discerning individuals with top non-invasive cosmetic treatments, including dermal filler injections, laser treatments for facial rejuvenation, and chemical peels. At her private boutique dermatology clinic in NYC, Dr. Green adopts a holistic, less-is-more approach to facial rejuvenation, tailoring each patient’s treatment plan to their unique needs and goals. She is regularly recognized by Castle Connolly, The New York Times, Super Doctors, and New York Magazine as one of New York City’s top dermatologists for her dedication and expertise. To begin your personalized facial rejuvenation treatment with expert injector Dr. Green, contact us online today or call 212-535-3088 to learn more about Belotero Balance® and other dermal fillers.