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Restylane is a cosmetic dermal filler made of hyaluronic acid, a substance that exists naturally in the human body. It is for this reason that allergy testing is not required. Restylane helps replenish the volume that the skin and lips lose through aging.
Restylane is approved by the FDA for the treatment of moderate to severe facial wrinkles and folds. Many people use Restylane to treat the lines that form from the nose to the corners of the mouth, known as nasolabial folds. Restylane can also be used to fill-in other facial wrinkles and folds, or to lightly plump and/or define the lips. The results last for about 6 months for most people — which is about twice as long as collagen. Restylane treatments are typically scheduled twice a year.
One factor involved in the development of facial wrinkles is the amount of hyaluronic acid in the skin. Hyaluronic acid is a naturally occurring substance in the body that provides skin with flexibility and volume. As we age, our skin begins to lose some of its hyaluronic acid, which decreases the skin’s volume and increases the speed at which wrinkles and folds occur.
Restylane is one of the most researched products of its kind (dermal fillers). Restylane has been used for over a decade and has a wealth of published studies that indicate its effectiveness and safety. Restylane is FDA approved, and is available in over 70 countries. It has been used in well over 1 million treatments in the United States. Though patients with a history of sensitivity to gram-positive bacterial proteins may need to check with their physician before treatment, there are no animal proteins in the compound and therefore there is no allergy testing required.
You will begin seeing results shortly after your first treatment, and results have been documented in clinical studies to last for up to 18 months. For most, it lasts around 6 months, give or take. Results are unique to each individual and the doctor will be able to evaluate your progress before deciding when another treatment should be administered.
Usually numbing cream or numbing injections are used, depending on patient preference. So, you may need to wait for the numbing to take effect. Results are fairly immediate and no downtime is required. Most people experience a little swelling or redness for a few hours afterward. In some, minor redness, swelling or bruising can last for several days or even up to a week, though it’s our experience that this is rare.
Anyone with a nursing credential and some training can perform injectable services. We keep our prices very competitive, while offering expert injections by only Board Certified Plastic Surgeons. The difference lies in years of specialized aesthetic training, level of experience, physical skill, and an eye for getting a good result that looks natural. For example, even children have nasolabial folds, so these should not be filled in to the point where they don’t exist, which would look odd and unnatural. With years of experience in injectable treatments, both Dr. Svehlak and Dr. Yamini are able to effectively gauge the amount of dermal filler to use, the brand/type and exactly where to put it to make it look great.
Steven Svehlak MD, FACS
Double Board Certified in Plastic and general surgery. He is an expert in body sculpting surgeries, Mommy Makeovers, breast enhancement, facelifts, facial fat grafting, ear reshaping, and lip enhancement surgery.Learn More
Daniel Yamini MD, FACS
Dr. Yamini is a Board certified plastic Surgeon specializing in natural body enhancements and non-invasive facial treatments.Learn More
Products in the Restylane family should not be used by people with previous bad allergies, particularly to microorganisms known as gram-positive bacteria, or by people with serious allergies to drugs that have previously required in-hospital treatment. These products should not be used by people with bleeding disorders. Products should not be injected anywhere except the skin, just under the skin (Perlane and Perlane-L only), or in the lips (Restylane only). Restylane-L and Perlane-L should not be used by anyone with a known allergy to lidocaine. Restylane-treatmentsUse at the site of skin sores, pimples, rashes, hives, cysts, or infection should be postponed until healing is complete. In these instances, product use could delay healing or make your skin problems worse. After treatment, you might have some swelling, redness, pain, bruising, or tenderness. These are typically mild in severity and normally last less than 7 days in nasolabial folds and less than 14 days in lips. Swelling may be more likely in patients under 36 years, and bruising may be more likely in patients over 35 years. Rarely, the doctor may inject into a blood vessel, which can damage the skin. Although rare, red or swollen small bumps may occur. If you have had facial cold sores before, an injection can cause an outbreak. To avoid bruising and bleeding, you should not use the products if you have recently used drugs that thin your blood or prevent clotting. Products should not be used during pregnancy, when breastfeeding, or in patients under 18 years for nasolabial folds. Treatment volume should be limited to 6.0 mL in wrinkles and folds, such as nasolabial folds, and limited to 1.5 mL per lip (Restylane only), as greater amounts significantly increase moderate and severe injection site reactions. The safety or effectiveness of treatment in areas other than nasolabial folds and lips (Restylane only) has not been established in controlled clinical studies.