Frequently Asked Questions:

Cosmetic Fillers - Restylane®, Perlane® and Juvéderm™

Want to enhance you lips, or get rid of wrinkles?

Facial wrinkles and creases begin to appear as the underlying collagen and elastin fibers begin to break down and wear out.  While this breakdown is part of the natural aging process, it can also result from excessive squinting, frowning, and smiling.  Until recently, the most frequently used material for filling facial wrinkles and frown lines was injectable collagen.  However, collagen injections are not for everyone.  A very small percentage of patients are allergic to bovine collagen.


Now a natural product can help you meet your goals without fear of an allergic reaction.  This natural, synthesized and fully degradable hyaluronic acid called Restylane® has been used for Europe for years.


How do cosmetic or dermal fillers work?

Restylane®, Perlane® and Juvéderm™contains hyaluronic acid in the form of a crystal clear gel.  It is injected into the skin to lift the lip, wrinkle or fold.  Once in your skin, it creates volume, resulting in a healthy and vital appearance.  When injected into the lip it can restore a more natural and /or sensuous look.  In contrast to other biodegradable implants, Restylane®, Perlane® and Juvéderm™ are not extracted from animals.  This means no risk of allergic reaction.  Therefore, it is perfectly safe to use instantly without pre-testing.


What areas respond the best to treatment?

Fine lines on the upper and lower lip that are not severe enough to require laser resurfacing, smooth and fill nicely with cosmetic fillers.  Deeper wrinkles and folds in the cheek areas (nasolabial, melolabial and lines at the corners of the mouth) also respond well using Restylane®, Perlane® and Juvéderm™.  Lip enhancement has up to twice the longevity of standard collagen implants treatments.


Are cosmetic fillers safe?

Yes.  Hyaluronic acid occurs naturally in the body and therefore is also dissolves naturally with time and is integrated into your body’s tissue.  The synthetic biodegradable hyaluronic acid has been used in Europe and Canada for many years and is now approved in the United States.  Your doctor will tailor your cosmetic filler treatments according to the depth of the wrinkle and desired lip enhancement.


Where does it go after it wears off?

Over time, the molecules bind with water, resulting in the degradation of the product, which is then metabolized by the body.


What are the treatments like?

The treatment is performed by injecting Restylane®, Perlane® and Juvéderm™ under your skin.  Since no pre-test of the skin is needed, your procedure can usually be done in less than one hour.  Many clients like the added comfort provided with an anesthetic cream, while others prefer an anesthetic block.  This makes the treatment relatively painless.


How long does it last?

Depending on the area treated, most folds and wrinkles require one treatment.  The repeat maintenance treatment is not usually required for approximately 6 months or longer.  By experience these products last almost twice as long as regular collagen injections.  The great thing about cosmetic fillers is that you can replenish your natural beauty when very you feel the need.  Unlike permanent implants, Restylane®, Perlane® and Juvéderm™ always leaves you a choice when the effect of the treatment has worn off.  A touch up can be performed any time you like after the previous treatment.


How will I look after my treatment?

Following your injections, normal activities can be resumed immediately.  Discomfort is minimal.  The treatment site may have a little swelling, which may last a few hours.  There may be some slight bruising which can be covered by makeup.  Depending on the area treated, correction can last up to six months or longer.  If the lips are treated, initial swelling and tenderness may occur within the first several days, but subsides after two to three days.  If you have been wondering how to get rid of your wrinkles but aren’t ready for surgery, cosmetic fillers may be your answer.

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