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What is Belotero Balance Used For?
Belotero Balance

Belotero Balance w/Lidocaine is a hyaluronic acid-based dermal filler designed to smooth out and fill in moderate-to-severe etched-in lines and wrinkles around the face. As a key feature, it includes lidocaine, an anesthetic, to enhance patient comfort during the procedure. Hyaluronic acid is a natural component of skin, thus making this dermal filler compatible with the human body.

This article takes a look at the specifics of Belotero Balance w/Lidocaine. From understanding its unique composition to exploring its clinical applications and reviewing the latest research, it provides an in-depth examination of this product. The aim is to empower physicians with the knowledge needed to make informed decisions about incorporating this dermal filler into their practice and optimizing outcomes for patients.

Composition of Belotero Balance w/Lidocaine

Belotero Balance w/Lidocaine represents an innovative solution in the landscape of dermal fillers. Its unique formulation combines the smoothing and volumizing properties of hyaluronic acid with the analgesic effects of lidocaine, offering a comfortable and aesthetically pleasing solution for patients seeking dermal filler treatments.

The primary ingredient of this filler is hyaluronic acid, a naturally occurring sugar molecule found in nearly every organism. In humans, it is most abundantly present in the skin, connective tissues, and eyes, where it retains moisture, keeps tissues well lubricated, and supports overall skin health. With age and exposure to environmental stressors, the levels of hyaluronic acid in the skin decrease, leading to the appearance of fine lines, wrinkles, and reduced skin elasticity.

In Belotero Balance w/Lidocaine, non-animal sourced hyaluronic acid is incorporated, created through a process known as biofermentation. The hyaluronic acid is cross-linked using a patented process to form a monophasic and cohesive gel, which is characterized by its seamless integration into the skin. This unique feature of Belotero Balance allows for a natural-looking result after injection, as it blends with the existing collagen and elastin fibers in the skin. The gel fills in wrinkles and folds, effectively smoothing the skin and adding volume where needed.

Belotero Balance w/Lidocaine also contains a local anesthetic – lidocaine – to minimize the discomfort during injection. Lidocaine blocks the pain pathways at the injection site, ensuring a more comfortable treatment experience for the patient. It achieves this by stopping the nerves from sending pain signals to the brain. The inclusion of lidocaine in the formulation offers a dual benefit – providing effective aesthetic results while improving patient comfort during the procedure.

The combination of these two key ingredients, hyaluronic acid and lidocaine, results in a product that not only adds volume to the skin and diminishes signs of aging, but also ensures a less painful application process. It’s important to note that the presence of lidocaine does not alter the cosmetic outcome of the treatment. Instead, it significantly enhances patient comfort, contributing to their overall satisfaction with the procedure.

Compared to other hyaluronic acid-based fillers, Belotero Balance w/Lidocaine offers a smoother, more flexible gel which ensures an even distribution once injected. This property leads to more natural-looking results, reducing the risk of lumps, bumps, or irregular texture, often seen with more rigid fillers. The uniform and homogenous texture of the gel is due to the unique manufacturing process called Cohesive Polydensified Matrix (CPM) technology.

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Mechanism of Action

Belotero Balance w/Lidocaine is a hyaluronic acid-based dermal filler designed for soft tissue augmentation. Its mechanism of action is rooted in the unique properties of hyaluronic acid (HA) and the analgesic effects of lidocaine.

The primary component of Belotero Balance, hyaluronic acid, is a glycosaminoglycan, a naturally occurring substance found throughout the human body. In the skin, HA binds water molecules, contributing to skin hydration and volume. HA dermal fillers, including Belotero Balance, leverage this property to add volume to the skin, smoothing out wrinkles, lines, and folds. Once injected, Belotero Balance integrates seamlessly into the skin, binding water and helping to fill in wrinkles, hollows, and creases, giving the skin a smoother, more youthful appearance.

Belotero Balance is a monophasic, cohesive gel, manufactured through a process known as Cohesive Polydensified Matrix (CPM) technology. This process results in a smooth, flexible gel with varying densities, which enables even distribution of the product within the dermis. This technology accounts for the distinctive ability of Belotero Balance to adapt within the skin for soft and even correction, thereby reducing the incidence of lumpiness or irregularities that can sometimes occur with dermal fillers.

Lidocaine, a local anesthetic, is included in Belotero Balance to enhance patient comfort during injection. It acts by stabilizing the neuronal membrane, preventing the initiation and transmission of nerve impulses, thereby effecting local anesthesia. Its presence in Belotero Balance is intended to reduce pain during and after the injection process, improving the overall experience for patients.

In essence, the efficacy of Belotero Balance w/Lidocaine hinges on the combination of HA’s volumizing properties and lidocaine’s analgesic effects. When injected, the product works to restore volume and smoothness to the skin while minimizing discomfort, providing a beneficial approach for both the practitioner and the patient. It should be noted that while the effect of the filler is immediate, the full results are typically seen a few weeks post-treatment, as the product fully integrates into the skin’s tissues.

Clinical Uses and Indications

Belotero Balance w/Lidocaine offers an impressive range of applications, indicated for multiple facial areas requiring correction or enhancement. The hyaluronic acid-based filler, enhanced with the addition of lidocaine, effectively smooths out moderate to severe wrinkles and folds.

Its highly cohesive nature ensures a smooth and natural feel upon application. Particularly, it finds use in correcting nasolabial folds, marionette lines, and other facial wrinkles. The seamless integration of the filler with the dermal tissue allows for the correction of fine to deep lines, delivering a youthful and rejuvenated facial appearance.

Additionally, Belotero Balance w/Lidocaine demonstrates effectiveness in delicate areas like the periorbital and perioral regions. Clinicians often recommend it for lip augmentation, where it can subtly enhance volume and define the border, while still maintaining a natural appearance and lip movement.

While the primary role of Belotero Balance w/Lidocaine is in facial rejuvenation, it has been successfully used for hand rejuvenation as well. By restoring volume and reducing the prominence of tendons and veins, it can effectively lend a youthful appearance to hands, which are often a giveaway of age.

It’s important to note that the usage of this dermal filler isn’t limited to older patients alone. Younger patients, who are looking to enhance specific facial features or prevent the onset of wrinkles and lines, can benefit from the precise and subtle modifications that this filler can facilitate.

Patients who have a known hypersensitivity to hyaluronic acid or lidocaine should not receive Belotero Balance w/Lidocaine. Furthermore, it should not be used in areas with skin inflammation or infection. As always, a thorough patient history, realistic expectations, and a comprehensive understanding of patient needs are integral to successful outcomes.

When selecting patients for treatment, it’s also vital to consider the individual’s overall health status, their aesthetic goals, and their comfort with the proposed treatment plan. Excellent communication skills can help foster a better understanding of the treatment, minimize the risk of dissatisfaction, and contribute to improved overall patient experience.

Application Techniques

Belotero Balance w/Lidocaine provides a unique opportunity to address the aesthetic needs of patients by alleviating moderate to severe facial wrinkles and folds. Mastery of the application techniques is essential to achieve the best results and patient satisfaction.

Belotero Balance w/Lidocaine, as a soft tissue filler, requires careful injection to ensure the desired aesthetic effect. The product should be injected into the mid-to-deep dermis for correction of moderate-to-severe facial wrinkles and folds. Proper placement is crucial to prevent over-correction and to achieve a natural-looking outcome.

The injection technique often depends on the treatment area. For example, the linear threading technique, where the product is injected as the needle is withdrawn, is a common approach. For nasolabial folds, injections should be administered from the lateral edge of the fold towards the center of the face. In the case of lip enhancement, a small bolus can be injected in the lip body to enhance the volume.

The role of lidocaine in the product cannot be overstated. It contributes significantly to patient comfort during injection, reducing the need for additional local anesthesia. However, physicians should ensure the patient does not have a known hypersensitivity to lidocaine before administration.

Injection depth is another critical aspect. With Belotero Balance w/Lidocaine, injections should be administered into the mid-to-deep dermis for the correction of moderate-to-severe facial wrinkles and folds such as nasolabial folds. Overcorrection should be avoided, and the product should not be injected into the blood vessels to prevent vascular occlusion, infarction, or embolic phenomena.

Physicians should be attentive to the rate of injection. Slow and steady injection reduces the risk of complications and allows better control over the amount of filler being placed. Following the injection, gently massaging the treated area helps distribute the filler evenly.

Care should also be taken while handling the needle. A 30G½” needle, which is supplied with Belotero Balance w/Lidocaine, is recommended for injection. However, for better precision and depth control, many physicians might prefer using cannulas, particularly for areas requiring higher precision.

Belotero Balance with Lidocaine

Potential Side Effects and Risks

Belotero Balance w/Lidocaine, like other dermal fillers, has a certain profile of potential side effects and risks. Though generally regarded as a safe and effective non-surgical treatment, it is important to be fully aware of all possible outcomes to ensure the highest level of patient care.

The common side effects associated with Belotero Balance w/Lidocaine are generally mild and transient, typically resolving within a week. They include redness, swelling, bruising, tenderness, and itching at the injection site. Some individuals may also experience minor discomfort or pain during and immediately following the injection, though the inclusion of lidocaine often reduces these sensations.

More serious, but less common, side effects can include prolonged swelling or bruising, unevenness or firmness at the injection site, and rare instances of lumps or bumps formation. In extremely rare cases, vascular occlusion can occur, which may lead to tissue necrosis if not treated promptly.

The risk of complications is heightened if Belotero Balance w/Lidocaine is administered to individuals with a history of severe allergies, particularly those known to have hypersensitivity to gram-positive bacterial proteins or lidocaine. It should not be used in patients with bleeding disorders, active skin infection or inflammation at the injection site, or in those who are pregnant or breastfeeding.

There is also a rare risk of an allergic reaction to the product, characterized by symptoms such as difficulty breathing, rash, hives, and swelling of the face or throat. In such situations, immediate medical attention is required.

To minimize these risks, it’s crucial to perform a thorough patient history and consultation before treatment, taking into account all contraindications. Selecting the appropriate injection technique and depth for the specific treatment area can also aid in reducing potential side effects.

Furthermore, patients should be advised to avoid strenuous exercise, excessive sun or heat exposure, and consumption of alcoholic beverages for at least 24 hours post-treatment, as these may exacerbate temporary injection-site reactions.

Understanding the potential side effects and risks associated with Belotero Balance w/Lidocaine is paramount for ensuring optimal patient outcomes. By remaining vigilant, doctors can provide safe and effective treatment while minimizing potential complications.

Post-Treatment Care

After administering Belotero Balance w/Lidocaine, it’s vital to provide your patients with accurate information about the steps necessary for optimal recovery and the maintenance of the treatment results. Clear instructions on post-treatment care are essential to avoid unnecessary complications, reduce the chance of prolonged recovery, and ensure patient satisfaction.

Patients should be advised to avoid excessive sun exposure, extreme cold, sauna, and steam baths for about a week following the treatment. These factors can provoke an inflammatory response, potentially affecting the longevity and effectiveness of the filler.

Applying cold packs immediately after the treatment can help alleviate any initial discomfort and reduce swelling. However, caution should be taken to avoid pressing too hard, which could displace the filler.

Avoidance of strenuous exercise for 24-48 hours post-treatment is typically recommended, as physical exertion may increase the chances of bruising or swelling. However, gentle movements and normal daily activities can be resumed immediately.

It’s also crucial for patients to avoid touching or massaging the treated area for at least six hours following the treatment. This can help to prevent infection and avoid filler displacement.

For optimal hydration and skin health, recommend that patients continue to maintain a well-balanced diet, good skin care routines, and sufficient water intake. Proper hydration can help extend the effects of hyaluronic acid-based fillers like Belotero Balance.

Patients may experience some side effects, such as redness, itching, swelling, or bruising at the injection site. These effects are typically mild, transient, and self-resolving. Nevertheless, patients should be advised to contact their doctor immediately if side effects persist or if they experience any unusual symptoms.

Lastly, a follow-up appointment should be scheduled within two weeks post-treatment. This allows for an evaluation of the treatment results, the opportunity to address any concerns or complications, and the chance to administer any touch-up treatments if necessary.


Belotero Balance w/Lidocaine, a hyaluronic acid-based dermal filler, has demonstrated significant efficacy in the rejuvenation and restoration of facial volume and contours. Its unique integration with lidocaine enhances patient comfort during application. The product is proven versatile, suitable for various facial areas and patient profiles. Nevertheless, a careful approach should be employed in its usage, taking into account the patient’s medical history, aesthetic goals, and potential for side effects.

Managing potential side effects is integral to the treatment process, and information regarding these should be adequately communicated to patients prior to treatment. Similarly, post-treatment care guidelines play a crucial role in achieving optimal results and patient satisfaction.

Ongoing and future research in this field holds promise, and doctors will be well advised to stay abreast of these developments. Continuous education and understanding of the evolving trends in dermal fillers, like Belotero Balance w/Lidocaine, are essential to provide the best possible care to patients, while balancing their aesthetic aspirations with safety and efficacy.  Licensed medical professionals can buy Belotero Balance w/Lidocaine at Health Supplies Plus.

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