The answer may seem quite obvious – permanent fillers such as Radiesse and Sculptra, have more longevity than non-permanent fillers such as Restylane, Juvederm and Perlane. "Permanent" injectable fillers typically last a period of years (depending on the one used) whereas "non-permanent" fillers last up to 18 months (Restylane and Juvederm) after repeated injections at 4-6 months apart.
Some patients believe they receive more value for their money and time by using permanent fillers - which can be used less often. On the upside, if the treatments do last a lot longer and if they are not priced disproportionately higher, there can be value in using a longer term injectable filler. On the downside, once the permanent filler product is injected, there is no way to remedy the situation if the patient is dissatisfied with the outcome or if there is a complication. Permanent injectable treatments also have a higher risk of granulomas (lumps) that may or may not be treatable once they are discovered. For these reasons, the risk of using the permanent fillers is higher because the procedures cannot be reversed.
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Non-permanent injectable fillers are called hyaulronic acid cosmetic dermal fillers. The primary benefit of using non-permanent fillers over longer term ones is that when a situation arises wherein the treatment needs to be reversed, it's possible to do so. There is a remedy that dissolves these hyaluronic acid products within a few minutes to several hours. Also, these types of products can offer improved facial sculpting because of the smaller particles used in the products. For this reason, shorter term non-permanent fillers like Restylane, Juvederm and Perlane offer lower risks.
There are pros and cons for almost every product. Only you and your practitioner can decide what's best for your goals. Regardless of what you choose, be certain that your injection practitioner is trained to use the product and has been doing so for some time. When choosing to use these products, make certain that you have reviewed the risks and benefits with your practitioner.
Lori Haney, RN, MEP-C
Certified Medical Laser Safety Officer
