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.
Redensity and Filler Patient #46
A delightful woman in her early 70’s who is bothered by the tired and aged appearance of her face. As we age, we lose volume in the face. She has had additional bony volume loss because of dentures. She is shown before and again, 5 weeks after initial correction with Botox to the corrugator muscles ( “ the 11’s”) and procerus muscles, as well as the placement of Resilient Hyaluronic acid ( RHA) to the corrugator lines and cheeks. The RHA is “resilient” and highly flexible, moving as she moves her face in animation so that she has a natural appearance at rest and with smiling and talking.
Redensity and Filler Patient #45
Lip Filler/Injectables 44
A challenging patient in her early 60s is bothered by the deflated appearance of her lips and the area around her lips. Her case is more challenging because she has dentures, and when patients lose teeth they also loose bony support for the lips. She is shown before and then again, 2 weeks after her third treatment. She initially had 1 syringe of RHA 4 and 2 syringes of rha 3 to the “marionette lines” ( Melo labial creases) She then returned for rha 2 to the “smokers lines” of the upper lips and Restylane Kysse to the pink’resu portion of her lip. She then returned for additional RHA 3 to the melolabial creases. The RHA 4 (“resilient hyaluronic acid) is thicker and is placed deeper in the tissues. The RHA 3 is intermediate and is placed at an intermediate level. The RHA 2 is thinner and is placed closer to the surface. The Kysse is soft and flexible and good for augmenting the vermillion. The combination gives her a soft and natural correction of a difficult problem.
The “whistle” afterview shows that the lips and the area around the lips remain soft and natural in appearance and move normally with the movement of the lips.
Fillers – Patient 133
A man in his mid 50’s who is bothered by “tear trough” hollows under his eyes as well as lines of the forehead and crow’s feet lines around the eyes. He is shown before and again, 10 days after Botox to the forehead and crow’s feet lines ( lateral orbicularis) as well as the off-label use of REDENSITY to the tear trough area. REDENSITY is a Non Animal Stabilized Hyaluronic Acid Filler ( NASHA) that was recently released in this country for the treatment of active lip lines, which is the “on label” indication. It has been used “off label” in Europe for the tear trough area and I am excited that we now have it available in this country for the off-label treatment of the tear trough area. This is a challenging area to treat, because other NASHA fillers can become puffy and swollen in this area, and if this area is over corrected it looks funny. Redensity is part of the RHA line of fillers which have been in this country for almost 2 years and in Europe for almost 8 years. In Europe it is called Teoxane TEOSYAL RHA® 1
It is reversible if needed with the injection of an enzyme, hyaluronidase.
Fillers – Patient 132
A woman in her early 50’s who started to notice “smoker’s lines” or “lipstick lines” when she puckered her lips. She has stopped using a drinking straw in hopes this would help. She is not a smoker. This is typically related to subtle loss of soft tissue support with aging and is a perfect application for Redensity, the new RHA filler from Revance, and the first filler to be approved by the FDA for the treatment of active lip lines. The RHA line has been in Europe for 7 ½ years where it is known as Teoxane, and has been in this country for the last 20 months. It is a “Non Animal Stabilized Hyaluronic Acid” ( NASHA) filler. Which can be dissolved with hyaluronidase, and is very flexible but strong, so it can move with the lip but still return to shape. She is shown before and again, 11 days after treatment of the upper lip lines with one syringe. It does not add “bulk” to the lips but markedly improves the active lip lines.
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.