Karen Nichols, ARNP - Aging Gracefully & Living Happily
Belotero can soften perioral wrinkles -- lines around the mouth -- nicely because it integrates into the skin tissue so easily. Cosmetic injectable used by Karen Nichols, ARNP, in Kirkland, WA(located in the Avondale area of Everett, WA)

What is Belotero?

Belotero Balance represents a new generation of dermal fillers. Like older fillers, it's made with hyaluronic acid, a substance that’s naturally found in the skin. Adding hyaluronic acid to skin helps "plump" it up, thus temporarily smoothing out unwanted wrinkles, folds, and depressions (such as those formed by acne scars). But unlike the older hyaluronic acid fillers, Belotero Balance appears to add volume without the risk of granulomas, or "lumps," forming under the skin. That’s because the hyaluronic acid formulation used in Belotero Balance has a softer consistency, one that integrates better with existing skin tissue. 

In addition, Belotero Balance doesn’t seem to cause the under-the-skin "blue tinting" that sometimes occurs with other fillers when they're used to treat superficial wrinkles, such as those around the eyes.  Belotero can be injected superficially, so fine lines can be better addressed.

Belotero Balance has been safely and effectively used in Europe and elsewhere around the world for several years. It received the U.S. Food and Drug Administration’s (FDA) approval for the treatment of moderate-to-severe facial wrinkles and folds in November 2011.

What does Belotero Balance do?

Belotero Balance can treat many common facial problems associated with aging:

  • Periorbital lines ("crow’s feet") around the eye
  • Perioral lines ("smoker's lines") around the mouth and lips
  • Vertical glabellar ("frown") lines on the forehead
  • Nasolabial folds ("laugh lines"), which run from the nose to the corners of the mouth
  • "Marionette" lines, which run from the mouth to the jaw

This dermal filler is also effective for augmenting the lips and cheeks and for correcting small facial depressions caused by acne or an injury. And it can rejuvenate aging, crepe-paper-thin skin on the backs of the hands.

How does Belotero Work?

The hyaluronic acid in Belotero Balance is a protective and lubricating gel-like substance that is produced naturally by the body. As we age, our skin’s supply of hyaluronic acid decreases, causing the skin to thin and eventually to sag. Wrinkles and furrows then form. Belotero Balance replaces some of that lost hyaluronic acid, giving treated skin a smoother, more youthful appearance.

Belotero Balance is the first monophasic (as opposed to biphasic) dermal filler, which means it’s made with a stabilized, non-particle hyaluronic acid. And all that means is that Belotero Balance tends to produce less-likely-to-lump results.

In one clinical trial, patients had half their face treated with Belotero Balance and half treated with a standard collagen filler. Most (103 of 118) patients experienced significantly greater smoothing of their wrinkles on the side of the face treated with Belotero Balance.

Treatment and Side Effects

Like other dermal fillers, Belotero Balance is injected into the skin on the area being treated. A very fine needle is used. You’ll feel a pricking sensation as the filler is injected. Most patients do not experience much, if any, discomfort during the procedure, but you can request a topical anesthetic if you’re very sensitive to needles.Because hyaluronic acid is a naturally occurring substance, you will not need a pre-procedure allergy test. That means you can be treated the same day as your consultation.You can return to your regular activities immediately. You will probably experience some mild swelling and redness (and perhaps some itching) on the treated area. Those side effects are usually gone within a day or two, although they can last a bit longer when lips have been treated.

How Long do Treatments Last?

The effects of a single Belotero Balance treatment will be visible immediately. The results tend to last for at least 6 months, at which point they begin to gradually wear off. Most patients return for treatments every 6 to 12 months.

How Much Does Belotero Cost?

A syringe of Belotero Balance costs $500, an amount that’s comparable to other dermal fillers. How many syringes you’ll need will depend, of course, on the size and location of the area being treated.  Karen Nichols, ARNP, will discuss cost and all other details of this procedure with during your consultation.

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