A question regarding the new product Belotero (Merck) – a filler.

Dear Dr. irwin, I recently had Belotero put on the top of my cheeks on top of the orbital bone but not above it, now I have puffiness and eye bags where I did not have them before is it because it attacts so much water to this area that it should not be used arounf the eye area for some people? and can I have undereye thermage to tighten this area ?

Belotero is new to the United States but not Europe, and is made by the German company, Merck.  It is a hyaluronic acid product and, in that sense, is most similar to Restylane or Juvederm but after that the similarity ends.

It is placed very different in the skin and is best for very fine lines and areas where the ability to work just under the surface of the skin is advantageous.  Or, where a very subtle effect is needed.  Also, it has the advantage of NOT causing the tindall effect which is that bluish discoloration that you sometimes see under the skin with Juvederm if it’s placed too superficially.

So to answer your question, it’s really difficult to know without seeing you.  All hyaluronic acid fillers attract water into the skin but some more than others.   It really depends on how much product was placed and where exactly it was placed. 

Bottom line – since you didn’t get a good result, please call your dermatologist and he/she should be able to fix this for you!   Dr. I

Dr. Brandith Irwin, MD

Ask me your skincare question!

Hi, I’m Dr. Irwin. I believe that consumers deserve a medically trained and unbiased skin care advocate.

  • All our content is written and researched by myself.
  • My medical office in Seattle has treated thousands of patients for 15+ years.
  • This site is not affiliated or financially tied to any product, treatment or device.
Ask Me Something
SkinTour Skincare
One of the best investments in your skin is your daily skincare. Why? Because you can prevent many problems with blotchy skin color, lack of glow, texture, some types of acne, and fine lines with good skincare products. You can also correct some of these problems with effective skincare products. Great skincare is often more expensive because quality ingredients are expensive. Some companies spend on research/development which benefits all of us and adds to the cost. Are they worth it? In general - yes! I have handpicked some of what I consider to be the best skin care products, and offer them for sale on SkinTour's shop. This is based on my team and I's testing and research at our clinic. Many of the products are in my own regimen. What could be better than using skin care products a dermatologist uses?!