What are Restylane® & Juvederm® Fillers?
Restylane® and Juvederm® in Boston and Worcester, Massachusetts are both hyaluronic acid based fillers that are used in the face. Hyaluronic acid is a substance found naturally in the human body, and does not require any allergy testing.
How do Restylane® & Juvederm® Work?
After being injected below the skin, Restylane® and Juvederm® lift and improve the appearance of wrinkles, hollow areas, and scars. This technique results in a smoother, more youthful appearance.
Where are they used?
Both Restylane® and Juvederm® can be used to add fullness to a large selection of areas on and around the face. These areas include: the cheeks to restore fullness, in the chin and jawline to soften the appearance of wrinkles, in earlobes to plump the lobe, in the nose during a rhinoplasty, in the face to treat marionette lines and wrinkles along the sides of mouth, in the upper and lower eyelids, and more.
Will injections hurt?
There is little to no discomfort associated with these fillers. A numbing medication can be applied topically to the treatment area before treatment. Additionally, there is numbing medication mixed in with both Juvederm® and Restylane® to further eliminate any discomfort.
When should I expect results?
Results from these hyaluronic fillers are immediate, and will improve after any swelling subsides.
Fillers – Patient 113
A woman in her early 60’s who is bothered by the appearance of her lower eyes but does not want surgery. On examination she has some of the typical volume loss with aging. She is shown before and again, 3 weeks after the placement of 2 vials of Juvederm Voluma in the office.
Fillers – Patient 112
A woman in her late 50’s who wants to look more rested. On examination she has prominent frown lines which make her appear stressed. She also has significant volume loss of the cheeks which makes her look older and more tired. The frown lines are present at rest, so it is helpful to fill them with restylane as well as weakening their overactivity with Botox. She is shown before and again, two weeks after placement of 15 units of botox to her frown muscles, as well as one cc of Restylane to the deep frown lines of the forehead and 3 cc of Restylane Lyft to the cheeks. I have avoided Botox to the upper forehead in her case to avoid dropping the medial brows and overarching the lateral brows ( a “Mephisto” look). Even with the small dose to the lower forehead she does get some nice arching of the lateral brows.
Fillers – Patient 111
A woman in her late 40’s who is bothered by a tired appearance. Her diagnosis is volume loss of the midface, which gives her an aged appearance. Volume can be restored during surgery with fat grafting, but she is quite thin and does not have enough fat stores for adequate fat grafting. She elected for non-surgical treatment. I prefer the Non Animal Stabililized Hyaluronic Acid (NASHA) fillers such as Juvederm and Restylane, because they are reversible and can be dissolved if needed with an injectable enzyme called hyaluronidase, but have the benefit of lasting. In her case Juvederm Voluma was used, which can last up to 2 years in treatment studies. She has had Botox to the forehead and Juvederm Voluma to the cheeks. She has had a total of 7 syringes of Juvederm Voluma placed one or two at at time over a 3 month interval. And is shown one month after her last treatment. The red mark on her right cheek was an area of irritation from an ice pack that she had used at home.
Fillers – Patient 110
A woman in her late 50’s who wanted fuller but still natural lips and improvement of some age related deflation of her cheeks. She had one cc of Juvederm Voluma split between her cheeks, and 2 cc of Juvederm Ultra to her lips. The lips were treated in two separate sessions with one cc placed at each session to avoid over augmentation of the lips- she did not want a “trout pout” look. She is shown one month after the second session.
Fillers – Patient 109
A woman who wished to enhance her lips but did not want them to appear unnatural. She is shown 2 weeks after treatment with a single syringe of Juvederm Ultra. The upper edge of the lip (the white roll) is subtly filled but not overly so- we don’t want to see a “trout pout” which can look funny from across the room. The philtral columns ( the two ridges just above the middle of the upper lip) are subtly enhanced. And the pink portion of the lip ( the vermillion) is subtly filled to add shape to the lip.
How long do results last?
Restylane® and Juvederm® injections will last four to six months.
What should I expect during recovery?
Downtime required varies on the areas treated, and will be determined during your consultation with Dr. Hall. Different areas of the face will have different reactions, such as bruising or swelling. However, these reactions are commonly covered with makeup after treatment. It is advised that the injection area not be massaged, rubbed, or irritated for at least one week. Bending, straining, and lifting should be avoided, and patients should sleep with their head elevated for optimal results.
Dr. Hall demonstrating a Juvederm Ultra injection at a recent Allergan Master Class for Injectables in Boston.