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Actual patient. Individual results may vary.

Frequently Asked Questions

From the difference between HAs and botulinum toxins to what you might expect from treatment, get your answers about Belotero Balance®(+).

Belotero Balance (+) is an injectable filler that is used to smooth moderate-to-severe etched-in lines and wrinkles in you lower face. Upon injection, it quickly and evenly integrates into your skin.1-4

No, Belotero Balance (+) is totally different. It fills in areas within the skin to reduce the depth of wrinkles, lines, and folds. The skin remains mobile and flexible, with a natural look, feel, and movement.

Belotero Balance (+) is a hyaluronic acid injectable filler designed to integrate into facial skin tissue.4 The unique manufacturing process for Belotero Balance (+) yields a soft and cohesive gel that, once injected, instantly fills the skin to help smooth moderate-to-severe etched-in lines and wrinkles in the lower face.1-3,5

While the product is versatile enough to handle moderate nasolabial folds (smile lines), lines around the mouth, and chin wrinkles, it may be an ideal option for treating delicate areas such as etched-in vertical lip lines (thin lines that appear above and around the lips).1

Immediately upon treatment, Belotero Balance (+) helps smooth etched-in lines and wrinkles, such as vertical lip lines above and around your lips.1

Individual results may vary, but Belotero Balance (+) may last 6 months or more.5 Some facts that affect how long it lasts are the amount of product used and the area it is injected into. In areas that experience a lot of movement due to eating, talking, and smiling, the product may not last as long as other less active areas.

Just as wrinkles and folds vary from face to face, so does the amount of Belotero Balance (+) needed per treatment.1 It’s very individual—it depends on the amount of correction desired, the number of areas to be treated, and other factors. Your healthcare provider can better estimate once you have a consultation about your individual needs.

While each Belotero Balance (+) healthcare provider determines price in his/her own way, Belotero Balance (+) is comparably priced to other fillers.

Belotero Balance (+) is made of a substance called hyaluronic acid (HA)1, a natural component of skin. HA binds to water, making it an ideal product for correcting wrinkles and folds, as it binds with the skin’s own water.6

The HA in Belotero Balance (+) is specially formulated in a proprietary process to create a uniquely smooth and cohesive gel.5 This injectable gel blends into the natural structure of you skin, filling etched-in lines and wrinkles and creating a smooth, natural look and feel.3,4

As with all injectable treatments, there can be discomfort associated with the procedure.1 If you have concerns, discuss them with your healthcare provider, because there are effective ways to manage this during treatment.

Belotero Balance (+) is injected into the skin in a simple, quick treatment performed by a licensed healthcare provider using a fine-gauge needle. You can either sit or recline during treatment and the aftercare is minimal.

Belotero Balance (+) is FDA approved and undergone testing in a clinical study to demonstrate its safety.1

Common side effects include: mild irritation, swelling, itching, redness, bruising, or tenderness at the injection site. These side effects typically resolve on their own. If any of these side effects persist for more than 7 days, contact your healthcare provider immediately.1

There is very little to no downtime associated with a Belotero Balance (+) treatment. In fact, most patients return to their normal, daily activities right after their visit. Every patient is unique, so be sure to discuss during a consultation with your healthcare provider.

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FAQs

Learn more about what to expect from treatment from our FAQs.

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BELOTERO BALANCE (+) Important Consumer Safety Information

What is BELOTERO BALANCE® (+)?

BELOTERO BALANCE is a prescription injection that is approved to temporarily smooth out and fill in moderate to- severe nasolabial folds (the folds or wrinkles that go from the side of the nose to the corner of the mouth).

Who should not use BELOTERO BALANCE?

BELOTERO BALANCE should not be used in patients with a history of or presence of multiple or severe allergies, including those with a history of anaphylaxis. BELOTERO BALANCE should not be used in patients with allergies to gram-positive bacterial proteins..

What is the most important information I should know about BELOTERO BALANCE?

Introduction of BELOTERO BALANCE into the vasculature may lead to embolization, occlusion of the vessels, ischemia, or infarction. Take extra care when injecting soft tissue fillers, for example inject the product slowly and apply the least amount of pressure necessary. Rare but serious adverse events associated with the intravascular injection of soft tissue fillers in the face have been reported and include temporary or permanent vision impairment, blindness, cerebral ischemia or cerebral hemorrhage, leading to stroke, skin necrosis, and damage to underlying facial structures. Immediately stop the injection if a patient exhibits any of the following symptoms, including changes in vision, signs of a stroke, blanching of the skin, or unusual pain during or shortly after the procedure. Patients should receive prompt medical attention and possibly evaluation by an appropriate health care practitioner specialist should an intravascular injection occur.

As with all events that involve an injection through the skin, there is a risk of infection. Laser treatments or chemical peels or any other treatments that affect the skin can increase the risk of infection. Do not use BELOTERO BALANCE if you have a skin inflammation or a skin infection. Do not use until the infection is healed.

Patients getting BELOTERO BALANCE may have an injection site reaction. These reactions can include inflammation and usually last less than seven days.

For approximately 24 hours after treatment, avoid:

  • strenuous activity
  • extensive sun or heat exposure
  • aspirin or non-steroidal anti-inflammatory drugs
  • alcoholic beverages

Exposure to any of the above can cause temporary redness, swelling, and/or itching at the injection site.

It is not known how BELOTERO BALANCE will work in areas of the face other than the smile lines. It is not known how BELOTERO BALANCE will work in women who are pregnant or breastfeeding or people who are less than 21 years of age.

What should I tell my doctor before injections with BELOTERO BALANCE?

Tell your doctor if you are taking medicines that affect blood clotting, like aspirin, an NSAID or warfarin.  These medicines may put you at an increased risk of bruising or bleeding at the treatment site. Tell your doctor if you have a skin reaction like cold sores, cysts, pimples, rashes, hives, or an infection. Treatment with BELOTERO BALANCE should be delayed until the reaction goes away. Tell your doctor if you are taking medicines that affect your immune system.

What are the most common adverse events seen with BELOTERO BALANCE?

The most common adverse events seen in clinical studies with BELOTERO BALANCE were swelling, bruising, redness, hardening of the skin, pain, altered color, or itching. Other side effects that have occurred in clinical studies of BELOTERO BALANCE include headache, swelling of the side of the nose, moderate cold sore, lip numbness, and lip dryness. Side effects were often mild to moderate and often resolved within 7 days.

Information on adverse events from post-market surveillance of BELOTORO BALANCE are included in the Package Insert (PI) and Patient Information Guide (PIG) based on an assessment of seriousness and potential causal relationship to BELOTERO BALANCE.    Please see the PI and PIG available on www.belotero.com for a complete list of these events. 

Important: For full safety information, please visit www.belotero.com or call MyMerz Solutions at 1-844-469-6379.

Rx only

References

  1. BELOTERO BALANCE® (+) [Instructions for Use]. EM03988- 01. Merz North America, Inc.; 2020.
  2. Sundaram H, Fagien S. Cohesive Polydensified Matrix Hyaluronic Acid for Fine Lines. Plast Reconstr Surg. 2015 Nov;136(5 Suppl):149S-163S.
  3. Micheels P, Besse S, Sarazin D, Obamba M MS. Hyaluronic acid gel based on CPM® technology with and without lidocaine: Is there a difference? J Cosmet Dermatol. 2019 Feb;18(1):36-44.
  4. Tran C, Carraux P, Micheels P, Kaya G, Salomon D. In vivo bio-integration of three hyaluronic acid fillers in human skin: a histological study. Dermatology. 2014;228(1):47-54.
  5. Lorenc ZP, Fagien S, Flynn TC, Waldorf HA. Review of key Belotero Balance safety and efficacy trials. Plast Reconstr Surg. 2013;132(4 suppl 2):33S-34S.
  6. Flynn TC, Sarazin D, Bezzola A, Terrani C, Micheels P. Comparative histology of intradermal implantation of mono and biphasic hyaluronic acid fillers. Dermatol Surg. 2011;37(5):637-643.

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