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Monica L. Halem, MD | NYC Board Certified Dermatologist

988 FIFTH AVENUE | NEW YORK, NY 10075 | 212-988-2400


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).


What is the difference between BELOTERO BALANCE and other fillers?

BELOTERO BALANCE is a hyaluronic acid injectable filler designed to integrate into facial skin tissue. 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. While the product is versatile enough to handle moderate nasolabial folds (smile lines around the mouth), it may be an ideal option for treating delicate areas such as etched-in smile lines and vertical lip lines (thin lines that appear above and around the lips).

Is this like a botulinum toxin treatment?

No, BELOTERO BALANCE acts in a totally different way. 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.

How soon can I expect results?

Immediately upon treatment, BELOTERO BALANCE helps smooth etched-in lines and wrinkles, such as vertical lip lines above and around your lips.

How long does it last?

Individual results may vary, but BELOTERO BALANCE may last about 6 months or more. Some factors 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.

How much do I need?

Just as wrinkles and folds vary from face to face, so does the amount of BELOTERO BALANCE needed per treatment. It’s very individual—it depends on the amount of correction desired, the number of areas to be treated, and other factors. We can better estimate once you have a consultation about your individual needs.

How much does it cost?

While each BELOTERO BALANCE healthcare provider determines price in his/her own way, BELOTERO BALANCE is comparably priced to other fillers.

Does it hurt?

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

What is BELOTERO BALANCE made of?

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. The HA in BELOTERO BALANCE is specially formulated in a proprietary process to create a uniquely smooth and cohesive gel. This injectable gel blends into the natural structure of your skin, gently filling etched-in lines and wrinkles and creating a smooth, natural look and feel.

How is the treatment performed?

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.

Is it safe?

BELOTERO BALANCE is FDA approved and clinically proven safe and effective.1 Hyaluronic acid products for wrinkle correction have been available for a long time and used in thousands of treatments.

Are there any side effects?

BELOTERO BALANCE is FDA approved and has undergone testing in a clinical study to demonstrate its safety. Hyaluronic acid products for wrinkle correction have been available for a long time and used in thousands of treatments.

Just like any injection, you may experience 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 us immediately.

How long is the recovery time?

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 your plans during a consultation with Dr. Halem.

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

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?

Please let us know 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.

To learn more about Belotero Balance, please call our office to schedule a consultation to see if Belotero Balance is right for you.