A. Experience! There are differences between fillers that make one a better choice over another depending on the circumstances. Seeking out a board certified dermatologist or plastic surgeon who also does a lot of injecting is imperative for optimal outcomes. I use almost all the currently FDA approved fillers in my practice. A long time favorite is Restylane. Restylane was the first hyaluronic acid filler to be FDA approved for use in the US in 2003. Restylane is very safe, effective and versatile. It can be injected into the lips, under the cheeks, into the temple and eyebrow, and of course, the nasolabial fold. It is a bit stiffer than Juvederm which can be an advantage in some areas. I love to use it to line the lips and define the cupid's bow. I find that it swells a little less than Juvederm when injected under the eyes. It flows well through a longer needle so you can do fewer sticks. Finally the newer Restylane L version is virtually painless because of the addition of lidocaine, an anesthetic.
Q. I Have a Deep Horizontal Wrinkle on Both Sides of my Chin. Can Botox Help?
A. As a general rule, Botox is used first in the upper one third of the face (the crow's feet, frown lines, and forehead lines) and filler complements the neuromodulating effect of the Botox. In the lower two thirds of the face, volumizing with filler is the primary, non-surgical anti-aging tool. Botox can be used to complement the effect of the filler. The lines you describe are called the marionette lines or folds (depending on the severity). When they are severe, it looks like you are always sad or frowning. Perlane is a great filler in this area. It is by no means, however, the only option. Perlane is a large particle hyaluronic acid filler, related to Restylane. It also comes as Perlane L, which has added lidocaine to reduce the discomfort of injections. Botox is used adjunctively here. We inject the mentalis muscle and the depressor angularis oris (the DAO) in conjunction with the filler to increase the duration of the correction. As always, be sure you go to an experienced board certified dermatologist or plastic surgeon for optimal results.
More Restylane/Perlane Related Questions
- Restylane Treatment in New Orleans - I have deep ridges between my eyes and cheeks. I just look tired all the time. I am aware of using dermal fillers to fill in the indentations, but I have also read about a lot of problems with that approach to correct the "tear troughs". Can you help me decide if I should do this?
- Perlane and Restylane New Orleans - I am confused about fillers. How does a doctor choose which is best?
- Restylane Treatments New Orleans - I have acne scars and do not have time to miss work from a laser. What else can I try?
- Restylane Injections in New Orleans - How Many Syringes of Restylane for Long Tear Troughs?
- Restylane New Orleans - I had Restylane lip injections 2 months ago at a med spa. I noticed a lump over the top of my left lip immediately after the injections, before the swelling started to kick in, but thought nothing of it at the time. 2 weeks later, the aesthetician said that this was present prior to the injections but the lip injections have made it more noticeable. Can it be corrected as I am now very self-conscious about it?
- New Orleans Restylane - I am only 27 and get a fair amount of sleep but my dark circles have become developed into slight hollowness. I have a great fear of needles going in me that I don't even have my ears pierced. Can you be put to sleep while getting or can you close your eyes while they are injecting near your eyes?
- Restylane Before and After New Orleans - I had Restylane injected 4 months ago while on vacation in California. I have what seems to be the Tyndall effect. How long will it last? Can you advise what laser improves the blue color.
- Restylane Perlane New Orleans - Is it safe to do Restylane if I have cervical cancer?
- What is Restylane New Orleans - 11 months ago, I had a young dermatologist inject me at a teaching hospital. I got the treatment for free, so I did not want to complain, but I have had a blue lump on one side ever since the Perlane was injected. Is there anything that can be done so long after?
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Lupo Center for Aesthetic and General Dermatology
Mary P. Lupo, M.D. - Connect on Linkedin
Our mission at the Lupo Center is to provide patients with innovative, effective and ethical care to make each person look and feel their personal best. To fulfill our goal, we provide state-of-the-art medical, surgical and cosmetic treatments to all patients.
Board certified dermatologist and clinical professor of dermatology Mary P. Lupo, MD has been a leader in the field of non-surgical rejuvenation since 1983. She travels internationally to teach her innovative techniques, and her reputation brings in patients from around the country. She started the first formal residency training program for injectables and peels in 1983 at Tulane Medical School and served as past president of Women’s Dermatologic Society, adjunct professor of dermatology at Tulane and a founder of Cosmetic Boot Camp. Dr. Lupo holds membership in many prestigious dermatology associations, participates in clinical trials for approval of new drugs and devices and acts as an advisor for numerous aesthetic-minded companies.
