LAM FACIAL PLASTICS

Dear Doctor, you know that in my country we have access to many brands of fillers, I think that to more brands than in US because the Health Services here take as standard the European standards (the fillers approved in Europe) and not specifically what was accepted or not in the US.

As a result, there are many brands here to choose from.

So far I only used true Restylane, but I was told that some fillers are a bit "thicker" (well, so to speak), as in the hyaluronic acid being in a formula that makes some fillers last a bit longer (still always talking only of hyaluronic based-non permament fillers - *no* PMMA or other definitive filler in the formulas).

Have you heard of different brands used in Europe? Are there some that heard are good or very safe and others that, although approved, have presented problems or side effects?

Specifically, have you heard of Matridur (not Matridex, that one is semi-permanent, has dextran beads or something, while Matridur is an HA filler ) It is made by BiooPolymer, Siershahn, Germany.
Its composition is:
• 1 ml syringe MATRIDUR® contains:

- Hyaluronic acid sodium salt 25 mg

- Cross linked hyaluronic acid

sodium salt 25 mg

- Hypromellose 12,25 mg

Sounds safe?

I am asking you because a friend had it injected and she says it lasted longer than Restylane. On the downside, she said that it feels a bit "thicker" and somehow sometimes, say, when her face is bloated or that she has allergies or something that in turn makes her rub often or hard some delicate areas where she has had it injected - undereye area, upper cheeks close to the eyes she gets some temporary swelling, as if it attracted water in that area, for a few hours. Other than that, no problems.

It is cheaper than Restylane (not a lot, but enough to make a difference) and approved in the European Community, but I still have my doubts. Have you heard of it?

Other brands you heard of and would recommend or *not*?

I really do not have experience or knowledge of non-USA FDA approved products and should not comment upon them. I also do not know the product names you have mentioned.
best,
sml

Ok!
I'd rather stick to Restylane, then ... our 'ol safe Restylane

sounds good. remember perlane is wonderful for cheeks, buccal zones, and chin. it is much thicker so it must be injected well and lasts a lot longer than restylane. it is made by the same company Q-Med (Upsalla, Sweden) and licensed for distribution by Medicis (Scottsdale, AZ, USA). It is just a thicker more cross-linked version of restylane. i just don't like it around the eyes.