Fillers are substances that are injected under the skin or lips to plump up the tissues. For the lips, fillers can provide an increase in lip size as well as enhancing the definition. They can also plump out “lipstick lines” that develop in many female patients.For skin wrinkling, fillers are usually used for nasolabial folds (laugh lines) or bigger, deeper wrinkles. Fillers can also be used to augment facial anatomy to make bigger cheeks, chin or to fill in defects and scars.
Our practice utilizes the Restylane family of products, which includes Restylane®, Restylane-L, Perlane, and Perlane-L. We also use an alternate product Radiese® volumnizing filler. These products can be used to add volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane may also be used for lip enhancement in patients over 21 years. Ask your doctor which is right for you.
How does Restylane® work?
Restylane adds volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane can also add fullness and definition to lips in patients over 21 years, providing natural-looking and lasting results with just one treatment. Learn more about Restylane for lip enhancement.
Restylane® works immediately by adding volume to smooth away wrinkles. A clear gel formulation of hyaluronic acid, Restylane is specifically formulated to act like your body’s own hyaluronic acid. So, you can use Restylane to visibly reduce moderate to severe facial wrinkles and folds, and to add fullness to your lips.
How does Perlane® work?
Just like Restylane®, Perlane® adds volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds).
Like Restylane®, Perlane® is a clear gel formulation of hyaluronic acid that is specifically formulated to add volume like your body’s own hyaluronic acid.What makes Perlane different is the average size of the particles and the depth of injection. On average, the gel particles in Perlane are larger than those in Restylane, which makes Perlane a good choice for wrinkles that benefit from a deeper injection into the skin.
In three clinical studies of 150 patients each, on average 70% of patients maintained improvement for six months after just one Perlane treatment.During your consultation, your healthcare professional will decide which product is right for you.
Treatment with a product from the Restylane® family typically takes less than one hour (individual treatment times may vary). Generally, there is little to no downtime associated with treatment using the Restylane® family of products.
- Talk to Dr. Kaspar about options to make you as comfortable as possible during the procedure, including Restylane-L®, Perlane-L®, and pain medication.
- Our practitioner will cleanse and prepare the area(s) to be treated.
- The clear gel in the Restylane family of products is injected into the treatment area(s) using an ultra-fine needle to create the desired aesthetic effect.
After treatment, you might have some swelling, redness, pain, bruising, or tenderness. These are typically mild in severity and normally last less than seven 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.
- Avoid using aspirin, nonsteroidal anti-inflammatory medications (such as ibuprofen), St. John’s wort, or high doses of vitamin E supplements. These agents may increase bruising and bleeding at the injection site.
- Talk with Dr. Kaspar if you have previously suffered from facial cold sores. He may prescribe a medication to minimize recurrence.
- Use cold compresses to reduce swelling.
- Avoid touching the treated area for the first six hours following treatment, so you do not accidentally injure your skin while the area is numb. After six hours, the area can be gently washed with soap and water.
- Avoid exposure to intense heat (sun lamp or sunbathing) or cold.
- Reduce the risk of facial cold sore recurrence that could be caused by needle punctures. Talk with your healthcare professional about medications that may minimize an outbreak.
- Avoid taking aspirin, nonsteroidal anti-inflammatory medications, St John’s wort, or high doses of vitamin E supplements for one week after treatment. These agents may increase bruising and bleeding at the injection site.
- 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.
- Remember to ask about follow-up appointments.
Important Safety Considerations for the Restylane family of products
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.
Use 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.
The Restylane family of products is available only through a licensed practitioner such as Dr. Kaspar.
Healthy young skin contains collagen that gives it volume, flexibility and strength. As part of the aging process, your own natural collagen breaks down, diminishing facial volume. This loss of elasticity and volume results in the wrinkles, facial lines and skin laxity that rob your skin of its youthful appearance.
An ideal way to achieve wrinkle reduction is by replenishing lost volume. With RADIESSE® wrinkle filler, you welcome back your own natural collagen to smooth out the signs of aging. That’s because RADIESSE® wrinkle filler’s unique formulation stimulates collagenesis – the production of new collagen – which results in increased volume for natural looking wrinkle correction that may last a year or more in many patients.
- Stimulates the body’s own natural collagen production
- Instantly corrects wrinkles
- Results that may last a year or more in many patients
- Now FDA approved to enhance patient comfort with lidocaine mixing
In just one syringe, many patients can achieve long-lasting youthful results. And now you can ask your doctor about the RADIESSE® treatment option that significantly improves comfort. Because treatment with RADIESSE® wrinkle filler is simple, quick, comfortable and convenient, with immediately visible results that last, more and more people are discovering that it is the natural choice for maintaining a more youthful appearance.
How long will the RADIESSE® last?
Most patients treated with RADIESSE® should look for a correction which last around 12 months although some patients treatment will last longer.
What areas of the face are normally treated with RADIESSE®?
Typical RADIESSE® treatments include: smoothing and contouring smile lines or nasolabial folds, wrinkles at the corner of the mouth, acne scars, facial defects or recessions, frown lines, restoring volume in and around the cheeks, providing lip definition and modest enhancement or correcting asymmetrical features.
Will the RADIESSE® become hard, calcified or noticeable to touch?
To the contrary… RADIESSE® will remain soft and take on the characteristics of the surrounding tissue. New soft tissue will gradually replace the RADIESSE® over time with most replacement occurring within three months.
Does the treatment hurt?
A mild localized anesthetic is normally used to minimize or usually eliminate the pain associated with this type of treatment. The numbing effects will wear off in 15 minutes to as long as a couple of hours depending on the anesthetic used by your physician. There is no pain reported afterwards.
Are there any lingering effects of the treatment and when can I return to my normal activities?
There is minor inflammation or swelling from the treatment as a result of the expansion of facial tissue. This is normally resolved well within 24 hours but has been reported to last as long as 48 hours for some patients. Most patients resume normal activities only a few hours after receiving treatment. Application of ice intermittently for a short period after the treatment will help reduce any swelling.
What is RADIESSE® made of?
RADIESSE® consists of tiny microspheres of a synthetic material called calcium hydroxylapatite (30%) that is combined with a common hydrogel (70%) used in a vast array of products. The result is a white, creamy like substance.
Will I need a skin test to determine if I will have a reaction to the RADIESSE®?
No. Due to the safe and compatible materials used in RADIESSE® no pre-testing of any kind is required. There have been no reported reactions from use of the RADIESSE® product.
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