After using every filler on the market in search of the holly grail, I have narrowed it down to only a couple of fillers. I have injected every type of lip, with every type of filler, and we are talking about THOUSANDS of lips. If you ever spend enough time on Instagram you will see all types of fillers being used to perform lip injections. I will list the worst and best for lip injections-
Starting with the WORST…Restylane wins hands down. Unfortunately this filler is a very thin filler and looks great for a couple weeks, then say goodbye to those lips and you money. Restylane is a great filler for people who do not like to do lip injections, or they are not good at lip injections. Restylane is very pliable and corrects easily after any mistakes. I have so many complaints, and people upset that they were pushed to use Restylane in the lips. Restylane is sold as a “Natural and Soft” lip filler. Unfortunately these injectors are heavily influenced by sales reps who have never touched a syringe, but regurgitate what their company tells them to say. The second worst filler for lips would be Volbella, Vollure, or Belotero. Again, these are too thin of fillers and break down extremely quickly. These fillers do not hold their shape and are just too soft to last in a very animated area of the face. The sad thing is I see many plastic surgeons using these fillers for lips… most likely because they are not good at doing lip injections. These fillers should be reserved for other areas of the face, which they work very well in.
My favorite is good old Juvederm Ultra XC. Many years ago the drug reps told me to use Juvederm Ultra Plus XC in lips because “It lasts longer” which was not true. Why did the rep want me to inject Ultra Plus??? Because it cost more. Unfortunately now both Ultra and Ultra Plus are the same cost to buy. Juvederm Ultra lasts about 6-12 months. This filler will have a stiffer fell for the first 3-4 weeks until it softens. We have had patients lip filler last Juvederm last 2-3 years!!!
A new filler on the market as of today is Restylane Kysse. So far we have heard good things about this filler, but we have not injected enough to know its true potential. This filler has a much smaller needle (which generally means it is not a thick filler) which makes it much less painful for patients getting their lips done.
These views on fillers are strictly our own point view, and the findings are after thousands of lip injections performed.