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Blepharoplasty Lady

How to choose your dermal filler: what’s the difference between Juvederm, Sculptra, and Bellafill?

May 8, 2019

Dermal fillers

You’ve surely heard the hype about soft tissue or dermal filler procedures and how they can shave years off your appearance without any surgery—just a few skillful injections. But given the fast-proliferating variety of fillers out there, it can be tough to know which is best for your needs. What exactly is the difference between Juvederm, Sculptra, and Bellafill?




Juvederm, one of the most popular dermal fillers available, is composed of hyaluronic acid and used to soften lines, wrinkles, and folds, as well as add volume lost due to aging. Common areas treated include the “marionette lines” around the mouth and chin, smile lines, nasolabial folds, deflated cheeks, and direct lip injections can be administered for added plumpness. Results typically last 6 months to a year, at which point patients typically return to SpaMedica in Toronto for maintenance treatments. Highly animated areas like the lips tend to require re-injection sooner. Perlane and Restylane are very similar to Juvederm, as they are also composed of hyaluronic acid, however, they are thicker in consistency, and intended to treat deeper wrinkles.




  • Known for more smooth and natural-looking results than other dermal fillers which consist of collagen.
  • Results are noticeable immediately following treatment, with most patients requiring no more than one procedure.
  • Our bodies produce hyaluronidases, enzymes that naturally break the product down over time, so your results are impermanent if you’re unsatisfied!




  • It is not meant for use on areas with thicker skin.
  • Results are not as long-lasting as other fillers.
  • Cost for the treatments can be slightly higher since maintenance is usually required more often to keep up results.




Sculptra is a soft tissue filler used to create a more youthful appearance by replacing lost collagen to smooth out facial wrinkles, folds, and furrows that develop around your eyes, cheeks, mouth, lips, and neck. Sculptra is injected with a microcannula and mixed with a local anaesthetic for maximal comfort. Maintenance treatments are typically required every 1-3 years.




  • Unlike soft tissue hyaluronic sugar gels like Juvederm, Restylane, and Perlane, Sculptra does not just fill space—it actually stimulates your own collagen growth response!
  • Sculptra is biocompatible, so no allergy pretesting is necessary.
  • It lasts longer than Juvederm but still has the advantage of being impermanent, for the commitment-phobes among us.




  • Sculptra, being a bio-stimulatory agent, sometimes requires a second or third injection a few months after the initial treatment to achieve the desired collagen stimulation results. This is rare, however.
  • Results take 4 to 8 weeks to become visible.
  • Typical mild side effects associated with fillers (swelling, bruising) may occur weeks post procedure as well.




Bellafill is an FDA-approved dermal filler procedure for permanent implantation into the skin. Composed of a combination of bovine collagen with local anaesthetic lidocaine, used primarily to correct nasolabial folds and smile lines. Get this: your optimal look can last for up to 5 years before requiring a maintenance treatment! Bellafill is also approved for the correction of moderate to severe facial acne scars.




  • Bellafill is the only dermal filler that stimulates collagen growth long term so you can avoid frequent injections.
  • It works immediately and continues to add volume over time.
  • 83% patient satisfaction is reported after 5 years!




  • Bellafill is roughly double the cost of other fillers, at $1000-$1500 per syringe, but it does last a lot longer!
  • It’s possible you’ll need minor maintenance treatments in the first year.
  • Bellafill is not broken down with hyaluronidase as hyaluronic acid fillers are, so patients must have the filler surgically removed from the skin if they are unhappy with results.


Which dermal filler is right for you? Contact SpaMedica in Toronto today to schedule a consultation!

Dr. Stephen Mulholland, MD
Posted by Dr. Stephen Mulholland, MD
has been practicing plastic surgery for over 20 years. He is one of Canada’s most renowned and best plastic surgeons in Toronto with his wealth of experience, artistry, and humbleness towards his patients.

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