Belotero Balance®

For more superficial areas of concern, Dr. Vendetti recommends BELOTERO BALANCE®. This filler is FDA-approved to temporarily smooth out and fill in moderate-to-severe wrinkles and folds, such as nasolabial folds (the folds that go from the side of the nose to the corner of the mouth) and vertical lip lines.

BELOTERO BALANCE® stands apart from other dermal fillers because 
integrates within your skin’s tissue to help smooth moderate-to- severe etched in lines and wrinkles. This hyaluronic acid (HA) filler integrates directly into the skin, enhancing your appearance with minimal downtime. After just one treatment of BELOTERO BALANCE®, moderate-to-severe etched-in lines and wrinkles are noticeably smoother with a natural look and feel.

How is BELOTERO BALANCE® Different?

Only BELOTERO BALANCE® is created using the Cohesive Polydensified Matrix (CPM) process. This proprietary technology allows BELOTERO BALANCE® injectable gel to evenly and completely blend into your skin, providing a natural look. 1-3 Instead of sitting under the skin’s surface, it seamlessly fills an area in a way that’s similar to honey filling in the holes of a honeycomb.

Immediate Results

With BELOTERO BALANCE®, the injection process takes only about 15-20 minutes and results are immediate. Plus, there’s minimal recovery or downtime. So you can step into your doctor’s office for treatment and step right back into your life.


BELOTERO BALANCE® is clinically proven to last up to 6 months in most patients. It is an ideal option for treating moderate-to-severe etched-in lines and wrinkles around your mouth—such as vertical lip lines—that naturally occur from smiling, talking, and eating. When used in these active areas around your mouth, longevity of treatment results may vary.

Is treatment with BELOTERO BALANCE® painful?

Injections may cause some discomfort during and after the injection. Dr. Vendetti offers to numb the areas prior to injection, which provides adequate comfort during the injection. 

What is hyaluronic acid?

Hyaluronic acid is a naturally occurring substance found in all mammals that helps to hydrate and add volume to your skin. In addition to its use as an aesthetic treatment, hyaluronic acid has also been used for more than 20 years for injection into arthritic joints to aid movement. It has also been used for eye surgeries and wound repair.

What are the possible side effects of BELOTERO BALANCE®?

Most side effects are mild or moderate in nature, and their duration is short–lasting seven days or less. The most common side effects include, but are not limited to, temporary injection-site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, and discoloration. As with all skin injection procedures, there is a risk of infection.


BELOTERO BALANCE® injectable gel is clinically proven safe and effective when treating moderate-to-severe etched-in lines and wrinkles. 1-3 When offered by a trained medical professional like Dr. Vendetti, he can advise you if this would be the best injectable for your area of concern. Call or Contact Us to schedule a consultation to learn more.

1 BELOTERO BALANCE [Instructions for Use]. EM00494. Merz North America, Inc.; 2016.

2 Micheels P, Besse S, Flynn TC, Sarazin D, Elbaz Y. Superficial dermal injection of hyaluronic acid soft tissue fillers:
comparative ultrasound study. Dermatol Surg. 2012;38(7 Pt 2):1162-1169.

3 Tran C, Carraux P, Micheels P, Kaya G, Salomon D. In vivo bio-integration of three hyaluronic acid fillers in human skin: a

Platelet-Rich Plasma (PRP) Injections

Platelet-Rich Plasma (PRP) for Facial Rejuvenation

Facial rejuvenation is a top priority for many patients, but not all of them are ready or willing to undergo invasive surgery to achieve a more youthful appearance. Fortunately, there are a number of effective treatments available that can provide noticeable results without surgery. One of the newest cosmetic treatments involves the use of platelet-rich plasma (PRP) to correct some of the most common facial aging concerns. PRP is a unique formulation created from the patient’s own blood, which has been specifically processed to increase the concentration of platelets in the plasma.

Platelet-rich plasma (PRP) therapy involves injection of the patient’s own platelets and fibrin for the cosmetic treatment of wrinkles or scars in the face, hands, and neck. Less invasive than plastic surgery, PRP injections take about 45 minutes for each treatment, and offers improvements for up to 18-24 months.

Known to some as the “Vampire Facelift” or even the “Organic Facelift,” Virginia Surgical Arts uses our own method of treatment. While its cosmetic applications are relatively new, PRP has a long history of use in orthopedic medicine, reconstructive surgery, dentistry, and even Hair Restoration Surgery. It is a popular treatment for joint, tendon, and tissue injuries in professional athletes because it greatly reduces the amount of time the athlete is out of play after an injury. Platelet-rich plasma is rich in platelets and growth factors, which are known to stimulate PRP. PRP in turn stimulate the growth of collagen to help the body heal and regenerate more quickly.

How PRP is used in cosmetic medicine

Also referred to as a treatment with PRP is able to address a variety of cosmetic concerns in areas of the face that can be difficult to treat with other non-invasive techniques. The most popular uses of PRP include:

  • Improving skin texture
  • Adding volume to the face, hands, and neck
  • Treating fine lines and wrinkles around and below the eyes
  • Plumping up undereye grooves
  • Minimizing wrinkles and lines around the mouth
  • Eliminating acne scars and stretch marks

Procedure overview

Treatment with PRP can be completed in less than an hour at our office. When the patient arrives, a small vial of blood is drawn, similar to the volume required for routine blood work. The blood is then spun in a centrifuge to separate the growth factors, platelets, and PRP from the rest of the blood. Once this unique mixture is obtained, Dr. Vendetti injects it into the targeted areas using a very fine needle, similar to ones used to inject Botox.


To achieve the best results, most of our patients have three treatments, spaced at 4 to 8 week intervals. During the first month, a noticeable improvement in skin texture can be seen. Maximum collagen regeneration occurs around 3 months after the initial treatment, resulting in in plumper, lifted skin with fewer lines and wrinkles. The results of the treatment are typically maintained for 18-24 months. Many patients opt to undergo touch-up treatments after one year to maintain their results.

Recovery and risks

After undergoing platelet-rich plasma treatments, patients are able to resume normal activities immediately. There are very few side effects associated with PRP treatments because the injected substance is sourced from the patient’s own body, which eliminates the risk of infection or allergic reaction. Some patients experience redness in the treated area for up to 48 hours after the treatment, but this is not painful and can be easily concealed with makeup. Swelling and bruising are uncommon, but last less than a week if they do occur. After the treatment, Dr. Vendetti encourages his patients to keep the skin well hydrated with one of the hydrating products from our VSA Skincare line, and apply sunscreen several times a day to protect the skin and maintain the effects of the treatment.

Ideal candidates for PRP treatments

Platelet-rich plasma treatments are ideal for individuals who are looking for a gradual improvement in their skin’s appearance and seek noticeable, natural looking results. It is appropriate for individuals with mild to moderate signs of aging. Candidates should also be in good overall health and have realistic expectations for the procedure. If you are interested in PRP treatments for facial rejuvenation, we encourage you to contact our office today to schedule a complimentary consultation to find out if this is the right treatment for you.