Constance,
Wow! That was a long and very good question regarding hyaluronic acid fillers, Restylane, Restylane Lyft and Juvederm. You are right to be confused because of all the different fillers. It is only going to get worse. The fillers do have differences microscopically regarding how they are processed, how much crosslinking there is between molecules and how much of the actual hyaluronic acid is present. Clinically there is a little difference in the feel of the product as it injects and some people feel there is a difference in how the product feels in the face as well. Regarding that Restylane tends to have a little more body than Juvederm which in my opinion is better for folds. Juvederm tends to feel a little softer, which is why some people prefer it for lip injections. In general though good results can be achieved with either product. Regarding Restylane vs Restylane Lyft. Restylane Lyft has more cross-llinking and is therefore thicker, just like the difference between Juvederm ultra and ulta plus. The thicker products are better for deeper folds and the thinner products for lips and fine lines. Selecting which product to use is done at the consultation and varies between patients. Regarding the Juvederm commercial, looking overdone is a product of technique and quantity. I believe that our patients achieve very natural results. Please feel free to look at our photo gallery and decide for yourself. We look forward to seeing you.
Ed Buckingham