Restylane/Perlane - Related Questions

Q. 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?

A. Well, I cannot give you a specific answer to this question since I have not seen you and done a proper evaluation, so I will answer in general terms that might help you and others. First, your concerns are justified. There is a lot of chatter on the internet about this technique. It is also a top topic at meetings like my Cosmetic Boot Camp. This area should be injected conservatively, using a thinner, less viscous hyaluronic acid filler to reduce the risk of lumping and persistent swelling. While either a needle or cannula can be used, the injections should be deep to prevent see-through the skin of the HA. I like to stage the procedure over 2-3 visits, since it is easier and safer to add than to subtract. Make sure the dermatologist knows how to reverse it if is lumpy. Be prepared for bruising and do stop vitamin E, aspirin, ibuprofen, and any fish oil that is in the ethyl ester form (the triglyceride form is OK). Choose an experienced injector. A good way to know is to ask to see their before and after results. I like to tell patients I try for a base hit rather than a home run. I never want to strike out and not give great results. Good luck.


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?
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  • 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.
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  • 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. | Skylar A. Souyoul, 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, clinical 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.

Dr. Skylar Souyoul practices the full range of medical, surgical and aesthetic dermatology. During her dermatology training, she worked closely with Dr. Lupo to learn the “Lupo Process” for cosmetic injections and laser procedures. She works with her patients to create a skin care regimen, which may include in-office procedures as well as over-the-counter cosmeceutical or prescription treatments depending on the patient’s needs. Dr. Souyoul continues to remain current on the most cutting-edge treatments so she can provide her patients with individualized treatments and optimal results. She is also a Clinical Assistant Professor of Dermatology at Louisiana State University Health Sciences Center.

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Dr. Lupo is an absolute artist. She is so skilled and knowledgeable and honed her craft to such perfection, that I feel comfortable putting myself in her capable hands. Her office is top notch and is always leading the path to new and improved techniques. They are very high tech in managing appointments and files electronically. Her staff is very customer service oriented and very friendly. She carries excellent lines of skin care products. Dr. Lupo always takes the time to explain what she recommends and why, and keeps you informed throughout the visit. I would thoroughly recommend her for any dermatologic/aesthetic needs. I have been a patient since 2002.
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