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.
Non Surgical Rhinoplasty #60
A woman in her early 60s who had a rhinoplasty more than 40 years ago. She has developed some settling of the mid-dorsum and a palpable septal cartilage bump in the “open roof” area between the reduced nasal bones. We could consider returning to the operating room to rasp down the bump and add some additional tissue such as a temporalis fascial graft. But we elected to try the much simpler option of augmenting the area with 0.6 cc of Restylane. At two weeks she has an excellent result. This can typically last for 2 years or longer in this area and is relatively easy to repeat as necessary.
Filler (Redensity) Patient #59
A woman in her mid-50s is bothered by “smoker lines” on her upper lip when she is putting on her lipstick. She does not smoke. The lines are from subtle soft tissue loss with aging.
She is shown before and again, one month after the placement of one syringe of Redensity, one of the Resilient Hyaluronic acid fillers from Revance that helps to correct this without adding bulk to the lip.
Filler (Redensity) Patient #58
A nearly 60-year-old woman is bothered by “smoker’s lines” or “lipstick lines” of her upper lip but does not want the lips to look noticeably fuller. She is shown before and again 7 weeks after one syringe of redensity to the white portion of her upper lip. The dynamic lines when she is pursing her lips are much better. At rest, there is not a large change as per her request just a subtle improvement in the lines.
Filler Patient #55
A man in his later 70s who is bothered by his lower eyelids giving him an aged appearance. On examination, the main problem is the volume loss of aging. He is shown just before and again 2 weeks after the off-label use of 3 syringes of Redensity and one syringe of RHA 3 to correct the “tear trough” area. More was placed on his left which is still his deeper side. He is thrilled with his improvement. Tear trough correction is challenging and it is easy to over-correct in this area, requiring removal of the NASHA filler with hyaluronidase, an enzyme that can dissolve NASHA fillers. The RHA fillers are “resilient” and can be a little more flexible than the other fillers, giving a more natural view with animation.
Redensity Patient 49
A woman in her early 80s who is shown before and again, 2 weeks after 100 units of Daxxify to the forehead and 1 Redensity to the upper lip At rest she actually has a few mm of eyebrow elevation. The skin has a better appearance, something that patients are noticing after Daxxify that we don’t have an explanation for yet.
The redensity to the upper lip shows a nice improvement of the dynamic lines (sometimes called “smokers lines”) with a “whistle” view, but no fullness of the lips at rest. At 2 weeks she still has a small bruise.
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.
Cosmetic & Plastic Surgery Specialist
"I treat my patients like I would treat
- Jonathan D. Hall, MD, FACSmembers of my own family."
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