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.
Botox & Fillers – Patient 125
A woman in her early 60’s who is bothered by an aged appearance and wants to look better, but is not ready to consider surgery. She is bothered by brow asymmetry with her right eyebrow always being higher. Analysis of her face shows a strained appearance in the frown area ( sometimes called the “11’s”), age related volume loss of the midface and jowls, as well as prominent crow’s feet lines around the eyes at rest and with smiling. We decided on a plan of step wise correction. She first had Botox to balance the brows along with Restylane to the deep frown lines and Restylane lyft to the naso labial creases ( sometimes called “the parentheses” ) and chin –cheek lines ( sometimes called “marionette lines” after the lines around a puppets mouth). I then saw her 2 weeks later and placed some Juvederm Voluma to the cheeks. Finally, she returned for Restylane lyft to the “chin notch” and groove in front of the jowls.
She is pleased by her improvement which is natural in appearance. Friends ask her “if she has had her hair done”. This is one of my greatest compliments, because it means that others notice that she looks better but because it is natural, are not sure why, so they attribute the improvement to a new hair style.
Botox & Fillers – Patient 124
A young woman in her mid to later 70’s who has had previous face lift surgery in the Midwest but is bothered by an aged appearance and wants non-surgical improvement.
Evaluation shows a downward sloping position of the eyebrows that gives her a sad appearance. She has volume loss of the cheeks from the aging process. She also has deflation of the subcutaneous volume under the skin of her lips.
She is shown again, 5 weeks after Botox to shape the forehead, and 2 syringes of Voluma to her cheeks. She is also 3 weeks after placement of 3 syringes of diluted Restylane Lyft to the upper and lower lips, and “marionette-line” area.
Rhinoplasty/Restylane – Patient 123
A woman in her late 40’s who was bothered by a “bump” on her left mid nose. She first noticed this after being struck by a ball in the nose a few years before. On examination she has very thin skin and has a prominent cartilage bump under the skin. A surgical rhinoplasty is an option to reshape the cartilages and add a strip of fascia from her scalp under the skin to add more thickness and help to camouflage this area. I recommended that she might try a “non surgical rhinoplasty” first with the use of Restylane injected under the skin to camouflage the area. This was done in a few minutes in the office with a topical anesthetic. She is shown 2 weeks after and has a significant improvement with ½ cc of Restylane. Although this is not permanent, it typically lasts for a year or longer in this area and is easy to repeat. She is pleased with her improvement. The nose looks straighter, and the “bump” is no longer as noticeable. The side view shows an improvement in the dorsum.
Fillers – Patient 116
A woman in her late 40’s who has been through a stressful year and wants to look more rested. She has a strained look in the “11’s” due to over-activity of the corrugator supercilii muscles and has creases there at rest. She also has age-related volume loss of the mid face ( cheeks and lower eyelid area). As the cheeks have deflated, the “parentheses” (nasolabial and melolabial creases) have gotten deeper as well, and the corners of the mouth are turning down. She is shown 4 weeks after the placement of 15 units of Botox to the corrugator supercilli muscles combined with 0.5 cc of Restylane to the deep “11” lines and 3 cc of Juvederm Voluma to her cheeks. She returned 2 weeks later and had 1 more syringe of Juvederm Voluma to the cheeks and 2 cc of Restylane to the nasolabial creases and corners of the mouth. She is shown two weeks after this second treatment. Her forehead is relaxed and she no longer has a strained or angry appearance. I did not place Botox to her upper forehead because her brows are a little low and I wanted to avoid a “Mephisto” look that might occur in her case by overly dropping the medial eyebrows and overly elevating the lateral eyebrows. The volume loss of the midface is improved but not overdone. Slightly underdone looks normal but slightly overdone looks funny from across the room. She will plan to return at the 4 month mark to repeat her Botox.
Fillers – Patient 115
A woman in her mid 50’s who is bothered by a tired and aged appearance. As we analyze her face we notice a strained look in the mid forehead at rest- this can be improved with Botox and a small amount of “filler” to the deeper lines. When we examine her face she has significant volume loss with aging. The cheeks are deflated. The “marionette” lines around the mouth are prominent. She is shown before and again, just 2 weeks after 15 units of Botox to the corrugator supercilii muscles. She has 4 syringes of Juvederm Voluma to her cheeks. And 2 syringes of Restylane Lyft to her marionette line area. She feels that she looks much younger and more rested, but is happy that it is still natural in appearance.
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.