Restylane / Belotero

What is Restylane?

Restylane is a unique form of non-animal, stabilized hyaluronic acid. Hyaluronic acid is a polymerized sugar molecule embedded around collagen fibers in our skin. Since we have the identical molecule in our own skin allergic reactions are much less frequent than bovine collagen i.e. 1 in 2000 versus 3%. Restylane is made in Sweden. It was FDA approved in the United States on 2003.

How does Restylane Work?

During treatment, the crystal-clear RESTYLANE gel is injected into the skin in tiny amounts with a very fine needle. The gel produces volume under the wrinkle, which is lifted up and smoothed out. When enhancing lips or facial contours, RESTYLANE adds volume and shape to the treated area.

Where on my face can Restylane be used as a filler?

Restylane is composed of relatively small molecules: therefore Dr. Silvers injects it under fine lines between the eyebrows, the crow’s feet on the sides of the eyes, horizontal forehead lines, upper lip vertical lines ( the so-called smoker lines ), and earlobes. For people who wish to restore their lip fullness in a manner that no one could tell, Restylane is ideal, both as far as looks and softness. About two weeks to maximum a month after injection, the filler feels as soft as water.

When will I notice the effects of the treatment and how long will they last?

The fullness achieved shortly after the placement will subside by 15%-30% within the next few days. The lips are the only location that the swelling is quite noticeable, especially, upon the first injection. After the swelling has subsided, the remainder will persist for many months depending on the location. After the first treatment, if the patient wishes so, one or more additional injections of Restylane may be necessary at least four weeks apart later to achieve the desired level of correction / fullness.

What can I expect after my treatment?

After placement slight redness and swelling is expected for the following few hours to two days. Side effects could include swelling, redness, pain, and bruising. Similar to any other “filler material” there is a very small chance of major blood vessel occlusion. This complication is avoided by the thorough knowledge of the anatomy, very slow insertion of the needle, or using a blunt tipped silicone cannula, and slowly injecting the filler.

Who should not use Restylane?

You should not use Restylane if you have allergies to microorganisms known as gram-positive bacteria. This allergy is very rare. In the case of an allergic reaction, Restylane can be dissolved away within a few hours by injecting a natural enzyme.

What are the benefits I could achieve from a Restylane treatment?
  • Immediately you will see a smoothing of the wrinkles and folds.
  • Restylane will impart lift, and new firmness to your skin.
  • With lip enhancement, If your goal is to restore the fullness you used to have, Restylane is the best choice.
  • It is not necessary for you to be tested for skin sensitivity.
  • The cosmetic results are visible immediately, bestowing you with a more youthful and invigorated look.
  • When the effect of the treatment begins to diminish, you can replenish the area as needed.
  • Restylane has been demonstrated to induce production of your own collagen and soft tissue. Even a year after injection, some of the fullness will last. The more the injection is repeated, the longer the longevity of the filler.
Are Restylane injections painful?

The Restylane syringes already contain lidocaine, an anesthetic in them. Most people find the injections quite tolerable after the application of a numbing gel. As of summer of 2016, we have using an anodyne device to make the treatments even more tolerable. When enhancing the lips, a local anaesthetic injection is often given, not in the lips, but where the nerves travel to reach the lips. The lips are very easily numbed up.

Are Restylane treatments safe?

Yes, millions of Restylane syringes has been injected since the 1990s. Because Restylane is non-animal-based and fully biocompatible, allergy testing is not required. The most commonly reported side effects were redness for a short while, swelling, and bruising for a few days at the injection site.

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