| Name |
Restylane, Hylaform, Juvéderm |
Botox and Myobloc |
Fat Injection |
Zyderm, Zyplast |
CosmoDerm, CosmoPlast |
Radiesse |
| What It Is |
A substance found in all living organisms |
Botulinum toxin type A - produced by Clostridia Botulinum bacteria |
Fat transfer from one part of the body to another |
Derived from purified bovine (cow) collagen |
Derived from human collagen |
Synthetic form of material found in bone and teeth |
| How It Works |
Adds volume |
Temporarily relaxes the muscle |
Adds volume |
Adds volume |
Adds volume |
Adds volume |
| Injection Areas |
Nasolabial folds, forehead wrinkles, smile lines and lips |
Forehead, frown lines, crow's feet and vertical neck bands |
Nasolabial folds, crow's feet, lips, frown lines, and facial recontouring |
Nasolabial folds, crow's feet, frown lines, and lips |
Nasolabial folds, frown lines, crow's feet, and lips |
Nasolabial folds, frown lines, crow's feet, and lips |
| Results |
4 months to 1 year: depending on formulation |
Up to 6 months |
Highly variable: months to years |
Up to 6 months |
Up to 6 months |
2 years and possibly longer |
| US Availability |
Yes – FDA approved for filling wrinkles around the nose and mouth; other uses are "off-label" |
Yes – FDA approved for frown lines; other uses are "off-label" |
Yes – Does not require FDA approval |
Yes – FDA approved |
Yes – FDA approved |
Yes - cosmetic use "off-label" |
| Back To Work |
No downtime |
No downtime |
Minor: 1-4 days Extensive: 7-14 days |
No downtime |
No downtime |
No downtime |
| Possible Reactions |
Swelling, redness, lumpiness and tenderness |
Bruising, redness, droopy eyelid, flu-like symptoms, headache |
Swelling, bruising and lumpiness |
Slight bruising and allergic reactions |
Swelling, redness and bruising |
Swelling, redness, brusing, and lumpiness |
| Other Considerations |
Does not require allergy skin test |
None identified at this time |
Requires a donor site (i.e., thighs, abdomen, or buttocks) |
Requires allergy skin test–at least one month wait |
Does not require allergy skin test |
Does not require allergy skin test |