About RESTYLANE & JUVÉDERM™ RESTYLANE & JUVÉDERM™ are Non-Invasive Fillers similar to Facial Collagen Injections and Lip Enhancement Collagen Injections, Expression Line and Fat Injections
Both Restylane and JUVÉDERM™ improve the appearance of facial lines, wrinkles and creases. These procedures can restore volume and fullness to the skin by plumping out facial lines and folds, plumping up lip wrinkles, and filling in scars. The cosmetic results are immediate and produce a youthful look.
Restylane and JUVÉDERM™ are administered by physicians and are available only by prescription.
What are Restylane and Juvederm fillers made of?
They are both Hyaluronic Acids which are naturally present in the skin that maintain the hydration of tissues. Hyaluronic acids are absorbed slowly over time and treatments can last for up to a year. Being of non-animal origin, Hyaluronic Acid does not normally require an allergy test.
How long does a treatment realy last?
The rejuvenating effects of Hyaluronic Acid usually last 6-9 months for Restylane and 12-14 months for Juvederm™ and depends on the type of skin, areas and amounts injected as well as the injection technique. Juvederm™ is a new ultra-smooth gel based filler that is easier for physicians to work with. Hyaluronic Acid in the lips is approximatel 6 months due to the rich blood supply of the lips.
Who is the ideal patient for these wrinkle smoothing treatments?
Hyaluronic Acid is suitable for patients of all ages. It is also ideal for preventing the development of wrinkles in fragile areas in young people and to smooth scarring and other skin imperfections.
How is the procedure performed?
The filler is injected during a session lasting a few minutes. Local anaesthesia is often used to make the procedure more comfortable by applying an anaesthetic cream or by local anaesthesia. The physician may use one of four techniques to inject the hyaluronic gel filler.
1) Linear Threading is performed with an injection where the full length of the needle is inserted into the middle of a wrinkle. The hyaluronic gel is then injected in a line while gently pulling the needle slowly backwards along the length of the wrinkle.
2) Serial Puncture is performed with multiple gel injections made close to each other along the length of the wrinkle. Gentle massage may then be used to distribute the hyaluronic gel more evenly.
3) Fan Technique is performed much the same way as Linear Threading. However, at the end of the first injection line the needle is not withdrawn completey from the skin but is slightly shifted in a different angle and reinserted to inject a new gel line beside the first. This shifting and reinsertion may be done a number of times until an area is covered by a "fan" of gel lines. Because the needle is not withdrawn from the skin for each separate line, this minimizes the number of puncture sites.
4) Cross-Hatching is performed by a injecting a series of linear threads into the dermis parallel to each other. A new series of threads is then injected at a slightly higher level perpindicular to the first series.
Following the injection procedure it is recommended that patients avoid touching the treatment site and making excessive facial expressions. An ice pack is usually apply to help prevent swelling. Avoiding sun exposure or excessive heat including tanning salons, saunas, steam baths for 2 to 4 weeks after the procedure is normally recommended. It is best not to touch or massage the areas injected so typical facials and dermabrasion are also strongly discouraged. Make up and normal skin care products may normally be used a day or two after treatment. Hypoallergenic cosmetics and skin products are best for treated skin.
Inflammatory reactions like redness, swelling and minor pain may occur after the treatment. These side affects may last for a week or so. Swelling and small bumps may develop at the injection site and discoloration or bruising of the injection area may occur. In rare cases, severe tissue damage affecting the glabellar region, long lasting inflammation and allergies have been reported in published literature after injections of hyaluronic acid. Occurence and persistence of such symptoms should be immediately reported to your treating physician.
Who should not have fillers injected?
Women who are pregnant or breast feeding. Areas with inflammatory skin, broken skin, and/or infectious skin problems like acne.
Always tell your medical practitioner about your past medical history, such as:
- tendency to develop hyper-trophic scarring
- auto-immune diseases like lupus
- allergy to hyaluronic acid.
This page is for informational and educational purposes only!
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