Dear PB forum members,
after migrating from 2.0 forum and for those who just popped in, I thought it might be useful to summarize some of the available info about girth enhancement using dermal fillers, based on the first-hand experience of some of the members, and info availble on-line.
It would be great of course to have as many contribution possible from Doctors, in order to have their professional opinion and experience, hoping they'll find time to share their knowledge with us and help everybody to make an informed choice.
I intentionally didn't include PMMA because it's totally NON reversible and may not be the safest choice.
First of all let's see which are the most used filler in this field, and their caratheristics (I will update this when new info will be available):
Ellansè (
ellanse.com/
)
First of all let's say that Ellansé is a non-hyaluronic acid filler. It is injected into the skin to lift, sculpt and restore lost volume associated with skin aging. Its principle component is Poly-Caprolactone (PCL) microspheres – a bio-resorbable soft medical polymer. The PCL is suspended in a gel carrier made of carboxymethylcellulose (CMC).
Unlike hyaluronic acid fillers, which lifts because of its properties as a gel, Ellanse works by stimulating your body to produce collagen. The results last 2 – 4years.
Pro: longer lasting results, no migration, harder texture
Cons: it can't be dissolved in case of problems, higher risk of lumps and granulomas
Where: Calibre (Aus), Avanti Derma (Mex), Androfill (UK and Aus), Morganstern (USA), Moorgate (UK) (n.b.: Moorgate says Ellanse is only suitable if you are over 45)
Juvaderm Voluma (
www.juvederm.com/volume-loss
)
JUVÉDERM VOLUMA™ XC is a sterile, biodegradable, non-pyrogenic, viscoelastic, clear, colorless, homogenized gel implant. It consists of crosslinked hyaluronic acid (HA) produced by Streptococcus equi bacteria, formulated to a concentration of 20 mg/mL and 0.3% w/w lidocaine in a physiologic buffer.
Pro: HA filler, less or no risk of lumps and granulomas, if something goes wrong can be dissolved
Cons: must be repetead several times, some reports that it has a squishy effect and may migrate, shorter life
Belotero (
www.belotero.com/
)
An other HA filler, Belotero is similar to other popular hyaluronic acid fillers like Juvéderm and Restylane, but it’s very lightweight, is easy to layer, and can be injected into very fine lines without creating lumps or bumps. It is mentioned here because one member of the forum had very positive results form an italian doctor after few applications.
Pro: HA filler, less or no risk of lumps and granulomas, if something goes wrong can be dissolved
Cons: must be repetead several times, some reports that it has a squishy effect and may migrate, shorter life even compared to Voluma
Luminera Hydralix (
www.luminera.com/hydryalix/
)
Sodium hyaluronate (20mg/ml), cross-linked (BDDE<2ppm) • 0.3% lidocaine (also available without lidocaine) - Hydryalix is a monophasic gel. However, it allows you to enjoy the benefits of both monophasic and biphasic gels. After completing a full cross linking process, the macromolecular network is cut into different particle sizes, creating the particle nature of the gel and generating a line of differentiated products which are intended for diverse indications.
Pro: HA filler, less or no risk of lumps and granulomas, if something goes wrong can be dissolved
Cons: Very low number of treatments, probably only Doctor Oates gave it a try once, with good results.
Some useful links:
www.lumiermedical.com/contents/additiona.../soft-tissue-fillers www.healthline.com/health/belotero-vs-juvederm