I am often asked which dermal filler is the best.  The short answer to this is that there isn't one - it is like asking if Coca Cola is better than Pepsi.

In my practice I only use temporary hyaluronic acid fillers.  These are by far the most popular type of filler with a proven record of safety and efficacy.  There are three brands of  hyaluronic acid fillers that I use and each of these brands has several products within the range. 

Why do I use so many different products - simply because one product does not fulfil all my requirements.  Products come in different sized syringes, some are thicker than others, some are mixed with local anaesthetic etc.  Some of the products will stay pretty much where they are injected, whilst others tend to merge into the surrounding tissues.  As a result, I prefer certain products in some areas of the face and others in different areas.  Some products can be injected close to the surface for superficial wrinkles whilst others are better for deeper folds.

Therefore, I may utilise different products on the same patient.  As a patient ages the most suitable filler for them may change (afterall, nobody says you need to drink Coca-Cola all your life!).  It is important to match the needs of the patient with the characteristics of the product being used to maximise the patient outcomes and minimise potential problems.

Therefore, my advice is to find a doctor that you feel comfortable communicating with and discuss your requirements with him or her.  They should be able to explain which dermal filler they feel is best for you and why.