Belotero® Balance (1 x 1.0 mL) | Merz Aesthetics

Short Description

The versatile flagship in the CPM® range, Belotero® Balance (22.5 mg/mL HA) is engineered for the seamless correction of moderate-to-severe facial lines, perioral rhytids, and delicate under-eye hollows (tear troughs). Featuring Merz’s patented CPM® (Cohesive Polydensified Matrix) technology, it provides dynamic tissue integration that adapts to facial movements without lump formation or the risk of the bluish Tyndall effect.

Detailed Description

Belotero® Balance is a sterile, non-pyrogenic, cross-linked hyaluronic acid dermal filler designed to treat moderate cutaneous depressions and restore subtle dermal contours. Formulated using Merz’s proprietary CPM® Dynamic Cross-Linking technology, it consists of variable-density micro-zones within a cohesive, monophasic gel network.

This distinct rheological profile bridges the gap between deep lifting agents and ultra-fluid skin boosters. Belotero Balance integrates directly into the reticular and mid-dermal ECM (extracellular matrix), spreading evenly into tissue clefts. It respects natural dynamic facial expressions and allows injectors to treat delicate, thin-skinned areas—such as the infraorbital tear trough and perioral rim—with complete anatomical confidence.

Treatment Areas & Indications

• Periorbital & Tear Trough Rejuvenation:

  • Infraorbital hollows and tear trough deformities (sub-orbicularis oculi plane)

  • Moderate lateral canthal lines (crow’s feet)

• Mid-Face Moderate Creases & Folds:

  • Moderate nasolabial folds (smile lines running from the nose to mouth)

  • Moderate marionette lines (oral commissure lines)

  • Glabellar frown lines (as a companion to neuromodulators)

• Perioral & Lip Contouring:

  • Vertical perioral lines (moderate smoker’s / lipstick lines)

  • Subtle lip border definition (vermilion border contouring and philtral column enhancement)

  • Mild oral commissure elevation

• Facial Scars & Etchings:

  • Moderate atrophic facial scars and acne scar depression lifting

Key Clinical Advantages

• Patented CPM® Seamless Integration: The variable-density matrix allows the gel to diffuse uniformly between host collagen fibers, creating natural transitions without edges or visible demarcations.

• The Clinical Standard for Tear Troughs: Because of its high cohesivity and uniform light transmission, it virtually eliminates the Tyndall effect (bluish skin discoloration), making it a global injector favorite for delicate under-eye treatments.

• Superficial to Mid-Dermal Versatility: Safe for mid-dermis deposition as well as superficial blanching techniques for stubborn, etched dynamic lines.

• Low Extrusion Resistance: Glides smoothly through 27G and 30G needles or microcannulas, ensuring controlled micro-aliquot delivery and minimal procedural tissue trauma.

• Available with Lidocaine: Offered with 0.3% lidocaine hydrochloride (Belotero Balance (+)) to ensure procedural comfort and high patient compliance.

• Predictable Longevity: Delivers sustained clinical results lasting 6 to 12 months, depending on injection technique, depth, and patient metabolic rate.

Technical Specifications

Professional Advisory: Belotero® Balance is a medical-grade injectable device strictly intended for licensed physicians, dermatologists, plastic surgeons, and credentialed aesthetic practitioners trained in advanced periorbital and mid-dermal injection anatomy. Not authorized for non-clinical or direct consumer use.