When it comes to dermal fillers, you know you can get reliably good results when you place artificial volume in areas of your skin that have lost volume due to aging. But which filler should you choose? It can sometimes be difficult to pinpoint the best filler to use, especially if you want to treat multiple issues or different areas of your face have different levels of volume loss. At The Botox Bar in Dallas, TX, our skilled aesthetic experts can walk you through the best way to mix and match fillers to meet your needs – including mixing fillers like Juvederm and Restylane.
Can You Combine Juvederm Ultra Plus and Restylane Kysse?
Yes! You absolutely can – and maybe should – mix dermal fillers like Juvederm Ultra Plus and Restylane Kysse. Both of these dermal fillers are the top brands available for patients who want to restore lost volume in the face and contour areas such as the lips, cheekbones, jawline, or even the nose. Each of these brands is formulated with hyaluronic acid, a naturally-occurring sugar molecule that binds water to cells so your skin can look more voluminous and youthful naturally.
Hyaluronic acid dermal fillers all have slightly different formulations, but the way each filler works is relatively the same. Once injected into the sub-dermal layers of the skin, the hyaluronic acid molecules settle around skin cells and start to attract more water to the skin. As more water binds to skin cells, the appearance of the skin will improve in texture and tone as fine lines, wrinkles, and areas of skin laxity are filled in for a more youthful aesthetic.
Best Treatment Configuration
Although it’s very common to combine Ultra Plus and Kysse into a single treatment, it should be noted that these fillers aren’t typically used on the same area of the face at the same time. For example, you wouldn’t be able to place both dermal fillers into the lips during the same session. Rather, the best and most common configuration for this treatment is to use Ultra Plus to treat fine lines and wrinkles around the mouth and then apply Kysse to the lips to restore volume and contour the shape of the lips.
Of course, each person is different and this common configuration might not be ideal for you based on your goals. For some, Kysse can be injected above the lips to correct perioral lines, while Ultra Plus is used to gently correct lip volume. Your configuration will be determined during your consultation while we are building the best treatment plan for you.
Common Uses for Juvederm Ultra Plus
Ultra Plus is one of the densest and most versatile fillers in the Juvederm family. The thickness of this formula makes it an ideal choice to correct moderate to severe fine lines and wrinkles, particularly on the lower face around the mouth. This filler can address deeper nasolabial folds, which stretch from the outside of the nose to the corner of the lips. This filler can also be used to treat perioral lines, thinning lips, and marionette lines.
The results of Ultra Plus are known to last for about six to 12 months, which is about as long as it will take for the filler formula to be fully absorbed by the body. That said, the area of treatment and your unique biology may affect how quickly this formula breaks down, so many patients like to receive touch-up appointments every six months to maintain results.
Common Uses for Restylane Kysse
The most common use for Kysse is to rejuvenate and contour the lips, specifically thinning lips, asymmetrical lips, or correcting other lip concerns like lipstick lines or smoker’s lines. Kysse has a stable formula that can also be used around the mouth to correct perioral lines, downturned lip corners, and other fine lines around the mouth.
Kysse is known to last for up to 12 months in the lips, making it one of the longest-lasting and most stable lip fillers around. Because most people will be able to enjoy Kysse results for at least 12 months in the lips, annual appointments to maintain your results may only happen once a year instead of once every six months. The longevity of your results will depend on how much filler was used for your treatment, the concerns you are treating, and how quickly your body absorbs the formula.
Differences Between Ultra Plus and Kysse
The biggest difference between these two hyaluronic acid fillers is the consistency of the formula. Specifically, the texture difference between these two fillers has a huge impact on the way each filler settles into the sub-dermal layers of the skin and may even impact how long each filler lasts, especially in highly-mobile areas of the face such as the lips.
Ultra Plus has a soft, thick, gel-like texture that diffuses evenly and subtly into the sub-dermal layers of the skin, which is why it’s ideal for filling larger gaps of volume in the skin. Kysse, on the other hand, has a slightly grainy texture because of the cross-linking technology Restylane fillers are formulated with. The grainier texture of Kysse means that this filler will stay in one place rather than diffuse, which is why this filler may be a better use for contouring rather than volume restoration.
Will One Filler Do the Job?
Yes and no. While either filler may be capable of achieving your aesthetic goals, it may also be the case that only using one filler may not be adequate based on the amount of volume loss you have and the results you are looking for. If you want more subtle results, then only using Ultra Plus may be effective enough. But if you want to reverse the clock and achieve certain contouring goals, then combining these treatments may be a better option.
Fortunately, it will be easy to tell if one filler is performing adequately for you. Many patients try one filler brand first to test out results, and if they aren’t satisfied after six months, then it’s easy to add another filler during your six-month touch-up appointment so you can achieve your desired aesthetic goals.
Why Is It a Good Idea to Combine Fillers?
For many people, combining different fillers into a single treatment can be a highly effective way to fully rejuvenate your appearance or achieve a “liquid facelift”. While brands like Juvederm and Restylane each have multiple formulas that are developed for unique regions of the face, your anti-aging challenges may mean that the texture of certain formulas will perform better for your aesthetic goals.
Moreover, combining different fillers can also be a way to achieve more accuracy with your results. Depending on the way your skin is aging, you may have highly localized wrinkles that will respond better to certain fillers. And because most people have multiple aesthetic goals, combing the right fillers can make it much easier to achieve all of your aesthetic goals at one time.
Best Fillers to Combine
In general, when you are combining fillers for your treatment, it’s preferred to stay with the same type of formula regardless of which brand or variation you are using. In other words, if one of your fillers is a hyaluronic acid-based filler, then any other filler you use for your treatment should also be formulated with hyaluronic acid. This will prevent interactions and will also ensure consistency in your results, particularly in how often your treatments are.
Fillers to Avoid Combining
Because you should stick to same-type fillers, then you should avoid combining fillers that have extremely different formulations if you are using multiple fillers in the same region of the face. For example, you should not combine Radiesse with a hyaluronic acid-based filler if you are placing both fillers in the lips. Instead, if you want to use Radiesse, you should use it in the mid-face and avoid the mouth area altogether.
Mix and Match to Achieve Your Aesthetic Goals
You mix and match your outfits to stay on-trend, so why not mix and match your dermal fillers to achieve your aesthetic goals? Combining dermal fillers like Juvederm Ultra Plus and Restylane Kysse to treat the same region of the face can help you achieve better results, especially if you are treating multiple concerns. If you’re ready to rejuvenate your appearance by mixing and matching dermal fillers, please contact The Botox Bar in Dallas, TX today.