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BELOTERO® balance & BELOTERO® revive Merz Innovation Partner Dr Chris Hutton from Array Aesthetics in Belfast shares his approach to treating a 42-year-old patient with difficult-totreat lateral cheek lines using a combination of BELOTERO® Revive and BELOTERO® Balance As a doctor, my background is in medicine, but, ironically, I was probably a much better student of the arts than I was in science at school. The visual arts have always really interested me, and as art is a huge part of aesthetic practice, it made sense for me. What I enjoy most is rejuvenation. Typically my patients are women who are are noticing with skin texture as they the lines the signs of ageing or are feeling like they themselves. She came in asking for look a little bit tired, and it’s getting filler, but my position was thatthem she down. Facial wasn’t reallyrejuvenation, a suitable particularly candidatevolume for replacement using dermal fillers, can make volumising in the classic sense. such a profound change to how someone looks and then, ergo, how they feel, which is I chose to do a spot treatment really what it’s all about.
using BELOTERO® Balance initially for combined with Thethe bulkstatic of mylines practice is really centred BELOTERO® Revive to treat the and I’ve around hyaluronic acid dermal fillers, 2 texture at the subsequent visits. The been using Merz portfolio really since I started about years ago. know them changes this 10 patient wasI experiencing well, and they are related the products we ageing use in our were generally to the training academy as well. process but more specifically to photodamage. She described a For me, there are advantages of combination ofgenuine fine lines, erythema, using BELOTERO®, the most important being hyperpigmentation, and the changes their low propensity to stimulate an immune in skin texture, which is really what response.1 BELOTERO® Revive is about2. Patient safety is paramount. When it comes
We did the first treatment in May to BELOTERO® Revive, I think that Merz2021. At this visit, BELOTERO® Aesthetics hasI used been very clever with it Balance to the tapped perioral region, because they’ve into the mindset of the patient the injector. needle There areusing injected withand a 30-gauge a superficial blanching technique4. BELOTERO® Balance is really nice for 56 these sort of static lines, but when you
many skin boosters on the market, but one of the frustrating things about them is how long it takes before patients see anything happening! None of these products are going to give anyone a structural change like fuller cheeks or a sharper jawline; it’s all about the skin. The great thing about BELOTERO® Revive is the fact that they’ve introduced 2 glycerol to the Glycerol is a use a little bitproduct. of topical anaesthetic to molecule that will absorb its weight in water in make it more comfortable. about 72 hours.3 patients needle start to see something IThis usemeans a 30-gauge and inject as happening quickly, usually within three days.
superficially as I can. The 30-gauge needle is what comes as standard with It’s a relatively new product. I’ve just started BELOTERO® Revive, and I just inject to use it, so I have been ringing all my itpatients generally, covering thetoareas up at three or fouralldays see what’s that we’re and worried aboutnumber in terms of happening, a significant of them texture. You use cannula are saying, “It’scan hardalso to put myafinger on it, to thread down thejust area. I prefer but I justup feeland like everything looks a bit plumper.” The glycerol gives you thatthe before to use a needle because that’s 5 the HA starts to kick in. Seeing more instant method used in the ‘Belove’ study .
Case Study A 42-year-old female patient presented to me complaining of fine, static lines and textural skin changes, mainly in her lower medial cheek/lateral perioral region. These ‘cat scratch’ lines which are lateral to the cheek and extend to the perioral region,
Before
results keeps patients interested.
You want to inject as superficial Theyou other thing like abouttoBELOTERO® as can. It’sI difficult get truly Revive is that you can spot treat. Where intradermal consistently with a someone’s got an issue, particularly needle, you’re going to realistically with a localised area of skin laxity, that’s be subdermal, but you want to be just starting to crepe, and it’s not really raising a little blebcan in fill terms of visual something that you or volumise. 2 feedback . It’s a straightforward Having something like BELOTERO® Revive treatment – a very up your sleeve to besimilar able to technique go and spotto superficial blanching, is ait very treat, is particularly usefulwhich because allows you to be a bit more flexible.2 well-recognised technique. In terms of outcome, a gradual Aesthetics | October 2021 improvement in fine lines, skin
After to do BELOTERO® Balance twice a year and then just top with Revive
