There’s alot of wrinkle fillers out on the market today and it is sometimes difficult to figure out which one is appropriate for you. Fillers are also location specific – some belong in certain areas and are really not a good idea to inject in some areas. It is important to consult with a trusted and talented aesthetic physician and make a decision together.
Also, there is wide variation among individuals in how long fillers last. That being said, here is the average duration as I have seen it in my practice:
Radiesse – 8 to 12 months
Restylane – 5 to 7 months
Perlane – 6 to 8 months
Juvederm – 6 to 8 months, except under the eyes where it lasts for 1.5 years.
Juvederm ultra plus – 7 to 9 months
Sculptra – a long time – maybe 2 years
Artefill – many years – probably permanent
But.
Radiesse should not be injected in the lips or under the eyes. I like Sculptra in the cheeks, but not as much under the eyes. I think that Juvederm is a bit smoother and easier to use than Restylane, so I use it preferentially. I use Artefill only in select situations – mostly after the patient has tried a temporary filler like Radiesse and likes the effect. Mostly I use it for facial sculpting: chin or cheek augmentation, Non Surgical Rhinoplasty, etc.
I have also found that even the temporary fillers like Juvederm and Restylane stimulate collagen and when they dissolve, there is often a residual improvement.
