Belotero Balance (+) is a hyaluronic acid filler approved for moderate to severe facial wrinkles and folds and for hollows beneath the eyes in adults over 21. Paz Dermatology offers Belotero at its Fresno and Visalia, California offices. Results can last up to 18 months.
Softer lines, less tired eyes
Belotero Balance (+) is a smooth hyaluronic acid gel. It’s approved for two things: smoothing moderate to severe facial wrinkles and folds, like smile lines, and adding volume beneath the eyes to improve a hollow, sunken look.[1]
Hollow under-eyes can make you look exhausted even after a good night’s sleep. Filling that hollow softens the shadow it casts, and you look like yourself on a well-rested day.
What you can change
- Hollows and shadows under the eyes
- Smile lines from nose to mouth
- Other moderate to severe facial lines
- Up to 18 monthsHow long Belotero Balance (+) results can last.[1]
Your Belotero appointment
- Look closely We look at the under-eye area and your lines in good light, and plan where a little gel will make the most difference.
- Comfort Belotero Balance (+) contains lidocaine, a numbing medicine, so the treatment gets more comfortable as it goes.[1]
- The treatment Your provider places small amounts, checking the result as they go. Under-eyes take a delicate, careful hand.
- Out the door You’ll see the difference right away. Swelling or bruising is common, and most side effects resolve within one to four weeks.[1]
- 2 approvalsFacial wrinkles and folds, and hollows beneath the eyes.[1]

Why under-eyes need a light touch
The skin under the eyes is thin, and too much filler there shows. That’s why under-eye treatment is about restraint: a small amount, placed well, softens a hollow without puffiness.
| What it helps | What it doesn’t change | |
|---|---|---|
| Under-eye hollows | The sunken look and the shadow it casts[1] | Dark color from pigment in the skin |
| Smile lines | Deep creases from nose to mouth[1] | Lines that only show when you move |
Lines that show only when you move usually respond better to Botox. We’ll tell you which treatment fits each concern.
Real results from patients
- Right awayYou see the difference as soon as the treatment is done.

The Paz difference
Restraint, where it matters most
Under-eyes reward a careful plan and a light hand. We place a little at a time, check the result in good light, and stop while it still looks natural. You can always add more at a follow-up.
And because you’re in a dermatology practice, your plan can include more than filler. If another treatment would do more for you, you’ll hear about it at your free consultation.
Is Belotero right for you?
You’re likely a good fit if you:
- Have hollows under your eyes that make you look tired
- Have smile lines or other facial lines that bother you
- Are over 21[1]
After your appointment
Most people go straight back to their day. Swelling, bruising, redness, pain or tenderness, firmness, itching and small lumps are the common side effects, and most resolve within one to four weeks.[1]
For the first day or two
- Use a cold pack for swelling
- Sleep with your head slightly raised the first night
- Skip strenuous exercise until the next day
Serious problems are rare. The one that matters most is filler entering a blood vessel, which can affect vision or cause scarring.[1] Call us right away if an area turns pale, dusky or very painful, or if your vision changes.
Concerns treated
These are some of the most common concerns Belotero helps with here. Pick one to see how we can help.
What treatment costs
Cost depends on the areas you treat and how much each needs, so the fairest number comes from seeing your face. Your consultation is free, and you’ll know your plan and its cost before anything happens. You’ll find our current offers on their own page.
Belotero questions, answered
It helps when the darkness comes from a hollow that casts a shadow. It won’t change dark color that comes from pigment in the skin. We’ll tell you which you have.
Results can last up to 18 months.[1]
Not if it’s done with restraint. We place a small amount and build carefully.
Belotero Balance (+) contains lidocaine, so most people feel pressure more than pain.[1]
Right away for most people. Under-eye bruising is common, so give yourself a week before a big event.
It’s one of several hyaluronic acid fillers, each suited to different areas. Belotero Balance (+) is approved for both under-eye hollows and facial lines.[1]








