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 108
A woman in her mid 70’s who is bothered by volume loss of her lips. She would like to have this corrected and have the lips fuller, but does not want “the trout pout”. It the lip roll is overly enhanced in a lip that has lost volume with age, it can look unnaturally prominent. But if one of the stiffer fillers is placed in the upper part of the lip it can look unnaturally prominent as well- the upper lip should have a natural concavity, not be prominent like a monkey’s lip.
The solution is to use one of the Non Animal Stabilized Hyaluronic Acid (NASHA) fillers that spreads out in the dermis such as Volbella or Restylane
Silk. In her case, 2 syringes of Restylane Silk were placed to the upper and lower lips. She is shown just before and again, 2 weeks later. This corrects the atrophy and volume loss of the white portion of the lip in a natural way and softly adds volume to the red portion of the lips as well. The lips no longer have the atrophy of aging and appear more youthful as well as slightly fuller.
Fillers – Patient 106
Volbella & Juvederm Ultra to the lips
Here is our patient that I used to demonstrate at the recent Allergan Master Class, given at the Seaport Hotel in Boston. She is in her late 50’s , and is bothered by drooping of her cheeks, volume loss of the lips with “bar code” vertical lines of the upper lip and well as decreased volume of her lips with age. The lower lip vermillion is “corrugated” from volume loss.
She had Botox to the frontalis muscle to shape and arch her eyebrows. She had Botox to the corrugator muscles to treat the frown lines, sometimes called “the 11’s”. She had Botox to the lateral orbicularis muscle to treat the “crow’s feet” lines. And Botox to the Procerus and Nasalis muscles to treat the “bunny lines”
Juvederm Voluma was placed over the upper cheeks to treat the volume loss in this area.
Juvederm Ultra was used to augment the lips along the lip roll, but also to add volume to the vermillion and evert the lower lip and fill the upper lip vermillion without looking “ducky”.
The Volbella is a new product and is similar to Restylane Silk and Belletoro in that it can be used as a superficial filler to treat the “bar code lines” of the upper lip. It was also threaded superficially below the vermillion of the lower lip to add smoothness and shininess to the lip vermillion- she feels that her lips look ok without lipstick now.
Fillers – Patient 105
A man in his mid 50’s who has had lower lid blepharoplasty elsewhere and was told that he might eventually need some volume to the midface.
As we age, we are losing volume in our face- like a peach that’s been left on the counter too long. We can pull up skin that sags from volume loss with a face lift, but this doesn’t correct the volume loss. When the neck and jaw line is good, we can add volume back to give a more rested look. If we are in the operating room and a patient has enough fat we will use their own fat with fat grafting. But we can also add volume in the office. I prefer the non-animal stabilized hyaluronic acid (NASHA) fillers because they seem to give the best balance of the longest duration with the least chance of problems. And they can be reversed by dissolving them in the office with hyaluronidase, an enzyme, if they do have a rare problem.
I also prefer “slow and steady” with correction. The best results are slightly underdone-tnis still looks natural but slightly overdone looks funny from across the room. This patient is shown after a series of 3 injections done at 2 week intervals. A total of 5 cc of “Restylane Lift” (formerly called Perlane) was used. The plan now will be to wait 6months or so and then add a little more as needed to maintain his results.
Fillers – Patient 104
A woman in her mid 20’s who is bothered by a hollow appearance of her lower eyelids and cheeks. She is shown before and 2 months after Restylane to the “tear trough” area and 1 month after Restylane Lift to her upper cheeks.
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.