Medically Reviewed: Dr. J. Reynolds, Board-Certified Dermatologist | Citations: Merz Aesthetics Clinical Data, PubMed ID: 26238753
BELOTERO® Hyaluronic Acid Dermal Filler (Korean Distribution)
Monophasic, double-crosslinked hyaluronic acid (HA) dermal filler series manufactured by Merz Aesthetics. Engineered with Cohesive Polydensified Matrix (CPM®) technology for integration into the dermal tissue network. Indicated for facial volume restoration, wrinkle correction, and contouring.
Technical Specifications
Base Composition
HA Source: Biofermentation (Non-animal)
HA Concentration: 20.0 – 26.0 mg/mL (Variant dependent)
Cross-linking Agent: BDDE (1,4-butanediol diglycidyl ether)
Product Parameters
Anesthetic: 0.3% Lidocaine Hydrochloride
pH Level: 7.0 (Physiological range)
Shelf Life: 24 months (Stored 2°C – 25°C)
Product Portfolio & Indications
Soft
HA: 20.0 mg/mL
Needle: 30G ½”
Indication: Superficial lines, perioral wrinkles (crow’s feet).
Balance
HA: 22.5 mg/mL
Needle: 27G ½”
Indication: Moderate lines, nasolabial folds, glabellar lines.
Intense
HA: 25.5 mg/mL
Needle: 27G ½”
Indication: Deep folds, severe nasolabial folds, lip augmentation.
Volume
HA: 26.0 mg/mL
Needle: 27G ½”
Indication: Cheekbone/temple volume restoration, severe facial volume loss.
Clinical Efficacy Data
Longevity: Demonstrates visible volume retention for up to 18 months in mid-face applications (Source: ClinicalTrials.gov NCT02434657).
Integration: 95% patient satisfaction rate regarding natural facial movement preservation at 12-week post-treatment follow-up.
Global Usage: Documented in over 10 million aesthetic procedures globally.
CPM® Technology Mechanism
Cohesive Polydensified Matrix (CPM) utilizes a dynamic, double cross-linking process. This yields a monophasic gel containing dual zones:
Low-Density Zones: Ensure seamless diffusion into dermal tissue spaces, preventing lump formation and the Tyndall effect in superficial injections.
High-Density Zones: Provide necessary rheological properties (G-prime/elasticity) for optimal tissue lifting and structural support.
Standard Administration Protocol
1. Site Preparation: Disinfect injection site with chlorhexidine or 70% isopropyl alcohol.
2. Injection Technique: Employ linear retro-tracing, serial puncture, or fanning techniques based on indication depth.
3. Dosage Limit: Maximum 2.0mL per individual treatment zone per session to mitigate edema risk.
⚠ Contraindications & Safety Data
Adverse Events (AEs): Clinical trials report localized erythema, edema, and ecchymosis (bruising) in <5% of patients, typically resolving within 3-7 days.
Absolute Contraindications: Known history of anaphylaxis, multiple severe allergies, active facial infections (e.g., Herpes simplex), bleeding disorders, pregnancy, or lactation.


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