belotero balance
Natural look and feel to your skin! The results you want for the look you deserve.

Beyond simply filling lines:
• Reduce unflattering shadows on the face including dark circles under the eye.
• Face makeup will look better and lipstick won’t bleed into lip lines.
• You’ll look naturally happier without down-turned lines on your mouth corners, and with focus on your beautiful smile, not wrinkles.


It’s a prescription hyaluronic acid injectable gel designed to integrate into facial skin tissue to temporarily smooth out and fill smile lines (nasolabial folds) and, even severe, lines around lips and mouth. Your skin remains mobile and flexible, with a natural look, feel, and movement. A quick treatment, with immediate results, and limited downtime.

Which conditions can be treated?

Smile lines and wrinkles around the mouth are natural, but that doesn’t mean you have to live with them. BELOTERO BALANCE® treats moderate-to-severe etched-in lines and wrinkles around your mouth, specifically smile lines, vertical lip lines, corner lines, smile lines, and chin wrinkles. Belotero can also be used to treat under-eye bags or shadow circles.

Is BELOTERO BALANCE right for me?

If you have wrinkles around your mouth, and no history of or presence of allergies to gram-positive bacterial proteins or anaphylaxis, you are a BELOTERO BALANCE candidate.

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link to video-belotero-balance

Key Benefits

• Helps smooth moderate-to-severe etched-in facial lines and wrinkles
• Feels natural to the touch
• Maintains normal movement and facial expressions
• Is a quick, easy treatment that provides immediate, noticeable results
• Requires little to no downtime

… And Typical Results

How do I prepare for treatment?

A complimentary consultation with one of our expert practitioners is required prior to the procedure.

What happens during treatment?

BELOTERO BALANCE is injected into the skin in a quick treatment that can be performed in one short office visit. As with all our injectable fillers, we have options to help manage your comfort which we can discuss during your free consultation.

Post-treatment or downtime?

There is very little to no downtime associated with a BELOTERO BALANCE treatment. Most patients resume their regular, daily activities after their visit but for approximately 24 hours after treatment, please avoid:
• Strenuous activity
• Extensive sun or heat exposure
• Aspirin or non-steroidal anti-inflammatory drugs
• Alcoholic beverages
Exposure to any of the above can cause temporary redness, swelling, and/or itching at the injection site.

How long until I see results?

After just one treatment of BELOTERO BALANCE, you should see a noticeable difference in your appearance.

How long will results last?

Individual results may vary, but BELOTERO BALANCE may last about six months or more. Some factors that affect how long it lasts are the amount of product used and the area it is injected into. In areas that experience a lot of movement due to eating, talking, and smiling, the product may not last as long as other less active areas.

Can this treatment be used as part of a combo therapy?

Yes! For example, BELOTERO BALANCE® and RADIESSE can be used in tandem on different areas around the mouth to achieve an optimal result.
belotero radiesse combo treatment

What’s the science?

BELOTERO BALANCE is a hyaluronic acid (HA) injectable filler that completely integrates into the skin tissue. While some fillers are designed to rebuild facial volume and structure, this formulation specifically treats moderate-to-severe etched-in lines and wrinkles such as vertical lip lines above and around the lips. Only BELOTERO BALANCE is created using the proprietary Cohesive Polydensified Matrix (CPM) process which produces a smooth, flexible gel that blends into the natural structure of your skin.

More FAQs

What is the difference between BELOTERO BALANCE and other fillers?
BELOTERO BALANCE is a hyaluronic acid injectable filler designed to integrate into facial skin tissue. The unique manufacturing process for BELOTERO BALANCE yields a soft and cohesive gel that, once injected, instantly fills the skin to help smooth moderate-to-severe etched-in lines and wrinkles. While the product is versatile enough to handle moderate nasolabial folds (smile lines around the mouth), it may be an ideal option for treating delicate areas such as etched-in smile lines and vertical lip lines (thin lines that appear above and around the lips).

How much do I need?
Just as wrinkles and folds vary from face to face, so does the amount of BELOTERO BALANCE needed per treatment. It’s very individualized — it depends on the amount of correction desired, the number of areas to be treated, and other factors. We can better estimate once you have an always-free consultation about your individual needs.

Is it safe?
BELOTERO BALANCE is FDA approved and clinically proven safe and effective. Hyaluronic acid products for wrinkle correction have been available for a long time and are used in many thousands of treatments each year.

Are there any side effects?
Just like any injection, you may experience mild irritation, swelling, itching, redness, bruising, or tenderness at the injection site. These side effects typically resolve on their own. If any of these side effects persist for more than seven days, please contact us immediately.



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Kirsten S.
Linda and staff are amazing. I am always very happy with my treatment results. It is apparent that she researches various technologies and techniques. The applications are always evolving with new and improved products. Highly recommended.
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Suzanne P.
Excellent service and an overall pleasant experience. Victoria was professional and knowledgeable. She proposed treatments addressing both my anesthetic and medical concerns.. I could not be happier with the results. Also, the Receptionist, Mattie, was pleasant and efficient. I look forward to future treatments.
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Lisa M.
Hayes Valley is the best! Kate did an incredible job with Dysport removing the wrinkles from my forehead, Sandra gave me great abs and glutes with Emsculpt, and Linda gave me my youthful facial structure back with Sculptra. These women are truly amazing. So glad that I found them!
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Gene V.
I love Hayes Valley Medical and Esthetics! I've been coming for a while now for Botox and filler treatments. Linda is AMAZING! She knows just the right amount of product needed in all the right places to bring out my best facial features. I feel more handsome every time!!

The front desk staff are super sweet and helpful. They always ask exactly what I want and I never feel like I'm being 'upsold' or encouraged to do anything other than what I came in for. I would highly recommend HVME to anybody that is on the unsure about trying some of the services they offer. You won't be disappointed. Thank you!!
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Julie S.
This was my first experience with any filler/injection treatment and it was very pleasant, professional and everyone there made me feel safe, welcome and I felt very knowledgeable coming out of my treatment about what to expect. I will absolutely be back!
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Tina B.
Diana at the front desk is so sweet, the medical assistant was amazing & personable and Kate who did my procedure is my favorite! As I walked out and met my husband, I told him how much I enjoy being there & what a good vibe Hayes has.
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Cher B.
Sheila and Linda took great care of me and I look younger and vibrant.  I do not trust anyone else for injectables.  Linda is careful, thoughtful, and respectful of one’s budget. I have followed her from Marin into SF and I will continue to follow her where ever she practices.
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Emily N.
I highly recommend Hayes Valley Medical & Esthetics!! All the front desk staff are warm, friendly and professional and Denise is the best for laser, she goes above to make you feel comfortable and at ease. Andrea is exceptional at explaining the services they offer. They are the best in SF in my opinion and I do my research!
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Kathleen F.
Excellent customer service, advice, and care. Botox and Microneedling. Melonie is a gem. She is extremely knowledgable, sincere and honest. Everyone here is helpful, They carry a fabulous array of skin products too. I am so pleased with my results!
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