A woman in her late 50’s who wanted to enhance her lips but still have a natural appearance. She is shown before and again, 3 weeks after treatment of the vermillion with one syringe of Restylane Kysse
A woman in her early 60’s who wanted to enhance the pink portion of her lips but still look natural. She is shown before and again, 3 weeks after enhancement of her lips with one syringe of Restylane Kysse.
A woman in her early 60’s who has had significant weight loss after a gastric bypass is bothered by her deep set nasolabial creases. She is deeper on her left side. She received 2 syringes of Restylane Defyne and returned 2 weeks later for 2 more syringes. She is shown 2 weeks after the second treatment.
Discussion: The volume loss seen with aging is often made worse by significant weight loss. Proper replacement of the volume can give a significant improvement. Enough product needs to be used to correct the deficit, and this is frequently more in patients in their 60’s or older. She has a pleasing improvement
A woman in her mid 70s who came in to ask about a face lift. She was not a good candidate for a facelift because of poor skin quality from prior smoking and sun exposure.
“It’s not just the tailor, it’s the fabric we are working with” is a saying that emphasizes that the expected results are impacted greatly by the quality of the skin.
She does have age related volume loss and elected instead for 4 syringes of rha 3 to the “marionette Lines” and 4 syringes of RHA 4 to the cheeks. She is shown 10 months after placement of the rha 3 and 1 month after placement of the rha 4. The resilient hyaluronic acid fillers are a new line of Non animal stabilized hyaluronic acid fillers from Switzerland that were brought to this country in November of 2020 by Revance and allow a correction in parts of the face that move without looking stiff or abnormal- they are “resilient” and move with the face. They have been used in Europe for 6 years and the doctors there report that they are lasting 22 months or so.
An 18 yo woman who wished to have fuller lips but still natural in appearance. She is shown before and again, 2 weeks after lip enhancement with a single syringe of Restylane Kysse. The lips remain soft and flexible.
A woman in her later 40s who wanted fuller but still natural appearing lips. She is shown before and again, 3 weeks after one syringe of Restylane Kysse
She loves the fact that it is soft and natural in appearance.
An RN in her early 50’s who is bothered by some mild age related deflation of her lips and wants a fuller but still natural improvement. She is shown 2 weeks after one syringe of Restylane Kysse placed to her lips. She loves the soft and natural improvement which is “just enough” as well as the correction of mild volume loss of the white portion of the upper lip.
A woman in her early 60’s who is shown before and again 2 weeks after the placement of 3 syringes of the RHA-3 .
We are pleased to be one of the first practices in the United states to be able to offer the Resilient Hyaluronic Acid fillers, which are manufactured in Switzerland by Teoxane and have been used in Europe for more than 5 years. They have just been brought to the US by Revance. They are still hyaluronic acid, and therefore have the same safety profile as the Juvederm collection from Allergan and the Restylane collection from Galderma. But they differ in being more Resilient, which allows them to move naturally with the face. This is described as the difference between a steel girder bridge and the golden gate bridge. They are both strong, but one is more flexible. This now allows me to treat the nasolabial creases and areas around the mouth without bunching or moving, and they are expected to last for 18 months. Our patient here is seen at rest and smiling. The correction is significant but appears absolutely natural with movement of the face.
Chin Augmentation with Kybella/Restylane Lyft – Patient 252
A woman in her late 20’s who is bothered by submental fullness and weakness of her chin. Although she could consider liposuction of the submental area and a chin implant, her schedule did not allow for surgery and recovery at this time. She is shown 2 months after 3 vials of Kybella to the submental area, and 1 month after 2 cc of Restylane Lyft to the chin.