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Restylane


Restylane in New York City by Dr. Cameron Rokhsar

Restylane is a natural and safe dermal filler used to correct deep wrinkles such as laugh lines, vertical upper-lip lines, and marionette lines, and to enhance the volume the lips. It is also the choice filler for the non-surgical eye lift.

Restylane: Before and After Treatment Photos - Female, frontal view

Restylane Before & After

 

 

 

 

 

 

 

Restylane’s off-label uses are for plumping the eyebrows, smoothing under-eye hollows, defining the curve above your lip, enhancing the volume and contour of cheeks, chin and jawline, and softening the appearance of acne scars and other depressed marks. Off-label use is a common practice, as long as it’s practice by a board-certified physician, in which they use FDA-approved medications for not-yet approved uses.

Restylane has been used by dermatologic surgeons’ world wide since 1996. It is a FDA-approved dermal filler made of a biodegradable non-animal-based hyaluronic acid, which is a natural sugar found in the skin. Hyaluronic acid is a natural substance found in all living organisms and provides volume and fullness to the skin. Because Restylane is made of a substance that is already found in the body, there is no need for a skin test before treatment.

Restylane is a gel of hyaluronic acid is produced biotechnologically by natural fermentation in a sterile laboratory environment. This significantly diminishes the risk of transmitting diseases between species or of eliciting allergic reactions in patients who are sensitive to common foods, such as beef, chicken and eggs. Restylane does not require any allergy or skin test prior to injection.

Restylane is formulated as a clear gel and uses a dual mechanism indicated for mid-to-deep dermal implantation for the correction of moderate to severe facial wrinkles and folds, such as nasolabial folds. Restylane is also approved for lip augmentation in patients over the age of 21.

Hyaluronic acid is found substantially throughout nature and occurs naturally and abundantly in the human body, mainly in skin and connective tissues. It is basically a large carbohydrate polymer with a huge molecular weight, and it can hold nearly 3,000 times its weight in water. It’s this water-retentive effect that allows hyaluronic acid to give volume and fullness to the skin. We all lose hyaluronic acid gradually in our skin as we age, and the resultant loss of water-holding capacity makes for lines and wrinkles, along with the loss of collagen, elastin and sun damage. This is why Restylane is an ideal substance for filling in facial lines and wrinkles, as well as restoring volume to an aging face and lips.

Restylane is also marketed and sold in more than 65 countries outside the United States where it has been used in more than ten million procedures.

Restylane is one of many dermal fillers that are commonly used to slow down signs of aging. Other fillers include: Perlane, Sculptra, Radiesse, Voluma XC, and most similarly to Restylane, is Juvederm. Each filler has its own strengths and abilities when it comes to lifting and erasing wrinkles, all depending on the patients cosmetic goals, age and skin type.

If you’d like to restore youthful fullness to your face, enjoy plump lips, enhance shallow contours or soften those facial creases and wrinkles, dermal fillers may be the answer. Dermal fillers have been called “liquid facelifts” because they offer many of the benefits of a surgical facelift without the downtime.

Although they can’t help with excess sagging skin, these soft tissue fillers can add more volume and provide immediate results at a lower cost than surgery. These treatment aren’t permanent, however, and they must be repeated and maintained.

What happens on the day of the procedure?
On the day of your procedure, you will be numbed with a topical numbing cream for half an hour in order to make the procedure more comfortable. Dr. Rokhsar will discuss your goals with you and will work with you throughout the procedure to ensure an optimal cosmetic result. Depending upon the extent of the treatment, the procedure can take from a few minutes up to 30 minutes. You will be able to see results immediately after your procedure, and the effects of Restylane will last between six and nine months. Results are fully evident within one week. Restylane has a success rate for reducing or eliminating deep wrinkles that cannot be accomplished with other procedures such as chemical peels or microdermabrasion.

Upon being injected beneath the skin’s surface, Restylane gel integrates into dermal tissue then attracts and binds to water molecules to help maintain volume. Restylane is gradually degraded by the body’s own mechanism and disappears without any residue. Results can be seen immediately following Restylane treatment and for up to six months. Some patients may achieve results that last longer than six months, depending upon injection site.

Is there any downtime? What are the side effects?
There is no medical downtime with Restylane. Patients return home shortly after the procedure and are able to return to regular activities including work and exercise immediately after injections. The most commonly reported side effects are temporary redness, swelling, and bruising of the injected areas. These side effects usually resolve without intervention within two to three days. The most common side effects of Restylane include headache, nausea, flu-like symptoms, redness, and pain at the injection points. Infrequently, patients experience muscle weakness, which resolves itself within days, or in some cases, months after the procedure.

Restylane vs. Juvederm:
Both Juvederm and Restylane are FDA approved hyaluronic acid fillers. There are minor technical differences in the two products. Both are proven to provide lasting results. Restylane was the first hyaluronic acid filler approved by the FDA in the United States in 2003. Juvederm followed with FDA approval in 2006. Both fillers are made of synthetic, purified hyaluronic acid, thereby removing most of the risk of allergic complications that accompanied older fillers like collagen, which comes from an animal source. Both fillers can also be used in nearly any area of the face for cosmetic correction, including in the lips, and both fillers have a thinner gel (Juvederm Ultra and Restylane) and a thicker form for more intense volumization (Juvederm Ultra Plus and Perlane).

The key difference between Juvederm and Restylane is in the duration of the filler and the consistency. If you compare results of the two fillers after just one injection, Juvederm typically lasts from 9 to 12 months, whereas Restylane only lasts about 6 months.

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