BELOTERO BALANCE® Dermal Filler is a hyaluronic acid based filler with properties that make it ideal for treating fine lines on the face. It is injected into the facial wrinkles and it has an immediate smoothening effect on these. This is done as an office procedure and it can take as little as 10-15 minutes to accomplish (procedure times may vary depending on the number of areas that need to be treated).

There are many hyaluronic acid dermal fillers in the market but they are not all the same. Each type of dermal filler has unique qualities that make them ideal for treating a specific area on the face. For instance, Belotero Balance Dermal Filler does not bind to as much water as Voluma or Juvederm, thus making it ideal for treating areas with fine wrinkles and thin skin so that you do not end up with an artificially swollen appearance with bluish discoloration (ie.Tyndall Effect).

Side effects associated with Belotero Balance dermal filler injections may include temporary redness, swelling, bruising or irritation of the areas treated.

The results of Belotero treatment on the wrinkles typically last for at least 6 to 12 months. The cost of the treatment varies depending on the amount of product required to achieve the desired results as per discussion with Dr. Sian. You may be surprised to know that the cost of each Belotero syringe is very affordable compared to the leading dermal fillers in the market.

Dr. Sian employs the “Cannula Technique” when injecting Belotero®. The advantages of this technique include the following:

  1. Fewer Injections. Multiple areas on the same side of the face can be treated with as few as a single access point. The fewer the injections, the less pain. In addition, there are also few bleeding points. You no longer feel like a pin cushion during your treatment. Dr. Sian is usually able to treat multiple areas through a single injection point on each side of the face.
  2. Less Bruising. A blunt cannula is used with this technique instead of a needle. This allows Dr. Sian to add volume to the face with Belotero® while minimizing injury to structures such as blood vessels and nerves.
  3. Fewer Serious Complications. Although rare, inadvertent injections into blood vessels during treatment with fillers using needles can lead to occlusion of blood vessels which can potentially have catastrophic results. With the use of blunt tip cannulas, this is much less likely to happen since blood vessels and nerves are merely pushed away and not punctured by the cannula.

Injections with Belotero are performed by Dr. Sian himself, not by nurses or physician assistants.

To learn more about Belotero Balance Dermal Filler, please call Dr. Sian’s office (559) 797-0501 to schedule an appointment. There is a $100 consultation fee for the appointment but this is credited towards your Belotero procedure.

Before & After Photos

Indication: BELOTERO BALANCE® is FDA-approved for injection into the mid-to-deep dermis for correction of moderate-to-severe facial wrinkles and folds, such as nasolabial folds.

Contraindications: BELOTERO BALANCE® should not be used in patients with severe allergies manifested by a history of anaphylaxis, with a history or presence of multiple severe allergies. BELOTERO BALANCE® contains a trace amount of gram-positive bacterial proteins, and is contraindicated in patients with a history of allergies to such material. BELOTERO BALANCE® must not be implanted into blood vessels.

Warnings: Use of BELOTERO BALANCE® at specific sites in which an active inflammatory process (skin eruptions such as cold sores, cysts, pimples, rashes, or hives) or infection is present should be deferred until the underlying process has been controlled. BELOTERO BALANCE® must not be injected into blood vessels of any size. Introduction of BELOTERO BALANCE® into the vasculature may occlude the vessels and can cause infarction of overlying tissue or embolization with resultant necrosis of potentially large areas of distant tissue such as the lip or the nose. Injection site responses to BELOTERO BALANCE® have been observed, consisting mainly of short-term inflammatory symptoms starting early after treatment and with 7 days duration or less.

Precautions: The safety or effectiveness of BELOTERO BALANCE® for the treatment of dermal contour defects other than nasolabial folds, such as use in the lips, has not been established in controlled clinical studies. The safety of BELOTERO BALANCE® for use during pregnancy, in breastfeeding females, or in patients under 21 years has not been established. As with all transcutaneous procedures, BELOTERO BALANCE® injection carries a risk of infection. Patients who are using substances that reduce coagulation, such as aspirin, non-steroidal anti-inflammatory drugs, and warfarin may, as with any injection, experience increased bruising or bleeding at injection sites. Patients should inform their physicians if they are taking such substances. Laser treatment, chemical peeling, or any other procedure based on active dermal response performed after treatment with BELOTERO BALANCE® may increase the risk of an inflammatory reaction at the injection site. Similarly, the administration of BELOTERO BALANCE® before the skin has healed completely after such a procedure may also increase the risk of inflammatory reactions. Exposure of the treated area to excessive sun, UV lamp exposure, and extreme cold weather should be minimized until any initial swelling and redness have resolved and puncture sites have healed.

Adverse Events: The most common side effects seen after injection were swelling, bruising, redness, and hardening that resolve within one week. More rare side effects may include swelling that lasts longer, unevenness or firmness in the area injected, and as with any injection, there may be a risk of infection.
Important: For full safety information, please visit or call Merz Aesthetics Customer Service at 866-862-1211

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