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Summary: Which injectable should I choose in 2018 if I want to get the best possible results? The answer to that question is going to vary wildly–in large part because everyone tends to want different results. That’s what makes cosmetic surgery such an individualized pursuit. That said, knowing what injectables are out there–especially because novelty and innovation are both so common–can help you learn about the best possible injectables.

Which Injectable Should I Choose in 2018 for My Needs?

Knowing which injectable is right for the job can be tough, especially these days. That’s why you’re probably asking yourself, which injectable should I choose in 2018? Or in 2019? There are just so many options! That’s why our job today is going to be walking through those options (or, some of them at least) and figuring out what their strengths and weaknesses might be.

Much is going to depend on what you–the patient–actually wants accomplished. There’s no such thing as a bad filler, for example, only a filler applied for incorrect purposes. Thankfully, the high training level at medical spas and other clinics usually prevents this from happening.

But it’s not all that uncommon for patients to misunderstand what any given injectable might be capable of doing, and, therefore, what his or her results might be. The best place to clear up those misunderstandings is during a conversation with your cosmetic surgeon. This little crash course is simply meant to be a primer to a longer conversation, it is not intended as medical advice. So, which injectables should I choose in 2018? Let’s take a look at the options!

Should I Choose Botox for my Wrinkles?

The single injectable that is most often on patients’ minds is Botox. And it’s hard to blame them. Botox is the single most popular cosmetic surgery procedure on the planet, with millions of patients receiving treatment every year. When you see statistics like that, you might assume that Botox is a good treatment for just about everything!

But that’s not the case. Botox is actually used to eliminate or reduce very specific types of wrinkles. These are wrinkles caused by muscle contractions over time. The muscle gets stuck in a contracted position and your skin, attached to that muscle, forms a permanent wrinkle.

As a result, Botox is particularly well suited to target frown lines, concentration lines, and crow’s feet. These are wrinkles that have been formed by this particular muscle interaction.

  • Botox will typically last 3-4 months
  • If you like your results, you should plan on getting maintenance injections every 3 months or so
  • Botox results will not manifest immediately; it might take a couple of weeks to fully kick in

Should I Choose Juvederm or Voluma?

The second most popular injectable option is something called a dermal filler. Now, in most cases, dermal fillers are designed primarily to eliminate lines and wrinkles by filling lost volume in the face. (I always think of this as filling up a deflated balloon, essentially.) In theory, that sounds pretty simple, but there are so many dermal fillers.

Maybe the best way to talk about dermal fillers is simply to list them:

  • Juvederm: This injectable is perfect for all around volume filling. In fact, Juvederm can be injected into a wide variety of areas, from the nose to the lines around the lips, to the temples. Typically, Juvederm will last anywhere from 11 to 18 months, depending on where it’s injected.
  • Juvederm Vollure XC: For patients who want to specifically treat those nasolabial folds, Juvederm Vollure might be the best possible option. Vollure, which uses a technology called “Vycross,” uses a kind of crosslinking of its molecules to make it particularly robust. Results will last up to 18 months.
  • Juvederm Volbella: On the other end of the Juvederm spectrum is something called Volbella. This Juvederm injectable is composed primarily of very tiny molecules, making it perfect for treating areas such as the lips (or the lines beneath the eyes). Results tend not to last quite as long, closer to the 12 month range.
  • Voluma: Another one of the primary dermal filler options, voluma is a great option to add volume to hard to treat areas. For that reason, Voluma is usually the number one option for treating the cheeks. As with other dermal fillers, the results will typically last around a year, so if you like your results you’ll have to schedule maintenance injections.

Tough to Make a Choice

With all these options (and we’re really talking the tip of the iceberg here), you can see why it might be difficult to make a choice. Why, “which injectable should I choose in 2018?” is such a common question.

The best advice (and this is not medical advice) I think I can give is pretty simple: let your flaws guide you. If you want to get rid of your nasolabial folds, choose the best injectable for that. If you want to eliminate or mitigate a certain line or wrinkle, choose the best injectable for that specific task.

There’s no one right injectable for everyone. The injectable you should choose in 2018 is going to be the one that gets the job done.

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