Restylane

Restylane is a crystal-clear gel made from stabilized non-animal hyaluronic acid and water. The gel is a biotechnologically produced version of hyaluronic acid, a tissue friendly substance that occurs naturally in the body. Restylane enhances your looks naturally by simple injections restoring your skin’s youthful volume, creating a softness and revitalising your appearance.

Restylane Injections

Restylane is injected into the skin in tiny quantities using a very fine needle. The gel gives natural volume to smooth away the appearance of lines and create fuller lips. The treatment is very quick and often takes less than 20 minutes. No skin test is required because Restylane does not contain any animal derived ingredients. Many of these injections are undertaken by our aesthetic nurse practitioners.

Tear trough Restylane injections however, are a very specialist form of treatment close to the eye. For this reason these injections are only undertaken by our oculoplastic surgeons.

 

Case Study - Cath's Treatment

Volume enhancement of the cheeks using Juvéderm Voluma and tear trough Restylane injections

A characteristic sign of ageing is loss of soft tissue volume in the cheeks.  Descent of the cheek fat can produce a heavier look to the lower face as well as a tired appearance by creating dark circles in the lower eyelids and hollows beneath the eyes (tear trough defects or eyelid hollows).

The loss of volume in the cheeks can be improved with the use of Juvéderm Voluma™ or Restylane SubQ™ injections. These can help to restore a more youthful shape to the face by filling the central and outer part of the upper cheek area. This creates a subtle but aesthetically pleasing improvement of the shape of the cheekbone area in addition to addressing the volume loss of the central cheek. The treatment also tends to reduce the effect of the downward pull of gravity on the facial skin. Juvéderm Voluma™ or SubQ™ cheek volume enhancement is an ideal treatment to combine with tear trough Restylane injections.

Cath had noted over recent years that she had some progressive descent of the cheek tissues with the development of dark circles and hollows below her eyes giving her a tired look. Cath had undergone bilateral tear trough Restylane injections 12 months previously but she had recently noted a recurrence of the lower eyelid hollowing and a deep crease below her left eye.

Cath hoped that some improvement could be made in the shape and projection of her cheeks and also requested further tear trough Restylane rejuvenation on the left side.

Cath’s experience of the change in shape and appearance of her mid-face is very common amongst our patients undergoing this type of treatment. Her photos are seen below.

The treatment is performed either after the application of some topical anaesthetic cream to the skin of the cheeks or with a local anaesthetic injection to numb the cheek skin.

Cath had a total of 2ml of Juvéderm Voluma™ injected into the cheeks (1ml on each side) via a single entry point on each outer lower cheek (see the photo below). From this entry point the filler can be carefully placed into the central and outer upper cheek area. The dermal filler can be moulded immediately after injection to achieve the desired shape.

In addition to Juvéderm Voluma™ to the left cheek Cath also had 0.5ml of Restylane™ injected into the left tear trough to improve the hollowed appearance on this side.

 

 

Facial Restylane Injections

How does Restylane work?

By replenishing nature’s supply of hyaluronic acid Restylane revitalises and plumps up the skin, instantly diminishing the appearance of lines and giving a softer look. The gel is injected into the skin to create a natural beauty lift. Restylane instantly enhances lips and diminishes the effects of wrinkles and lines. It is not collagen and it is not Botox. Restylane does not affect facial expression.

Recent studies illustrate that Restylane stimulates the production of collagen to promote healthy skin, improving overall skin tone and elasticity.

Restylane, Restylane Perlane, and Restylane Lipp:

  • Diminish the appearance of frown lines on the forehead and above the nose.
  • Soften those harsh creases from the nose to the mouth.
  • Plump up lips and enhances the border around them, increasing definition and helping lipstick and liner stay put.
  • Correct ageing marionette lines at the corners of the mouth. •  Plumps cheeks and accentuates natural features, e.g. high cheek bones.Give a gentle lift to the brow.
  • Restylane Sub-Q adds volume to the cheeks and can further improve the appearance of tear troughs when used in conjunction with tear trough Restylane injections.

 

What are the advantages of Restylane over the many other injectable non surgical cosmetic treatments?

  • Natural and safe – FDA approved in December 2003.
  • No animal ingredients.
  • No skin test needed.
  • Instant and long lasting results.
  • Biodegradable, non permanent.
  • Quick treatment, takes around 30 minutes.
  • Extensive clinical data supporting efficacy and safety.
  • Reversible with the use of Hyalase injections.

 

Why is Restylane described as a natural beauty treatment?

Restylane is injected into the skin restoring youthful volume to smooth facial lines, enhance lips and facial contours creating a natural beauty lift. Restylane contains Stabilized Non-Animal Hyaluronic Acid (NASHATM) which is the basis of all Q-Med products. The patented and unique stabilisation process employed by Q-Med in the manufacture of Restylane results in a minimally modified hyaluronic acid (HA) molecule. Hyaluronic acid exists naturally in our bodies. Its most important function is to carry and bind water. The Restylane HA molecule is virtually identical to that of our natural HA in our skin – the body recognizes Restylane as endogenous. This reduces the risk for inflammatory reaction and ensures long lasting treatment results.

 Nutrients, oxygen and hormones are able to pass freely between the crystal clear gel particles, leaving the skin natural and healthy looking. As the gel breaks down, water takes its place and when totally absorbed the gel disappears unnoticed from the body.

Will it hurt?

 Most people describe the treatment as uncomfortable rather than painful.

Restylane and Perlane now contain lignocaine, a local anaesthetic that numbs the area being injected and helps to reduce discomfort.

What areas can be treated?

Restylane treatments can be used for smoothing out facial lines, creating more sensuous looking lips and shaping facial contours, such as cheeks and chins. It is a subtle approach to enhancing looks naturally.

How long does the treatment effect last?

One of the great advantages of Restylane is that the effects are long lasting but not permanent.

 •          Facial lines, cheek augmentation: Follow-up treatment is usually needed after 9 -12 months.

  • Lips: Follow-up with Restylane Lipp is needed after about 6 months.
  • Hands, décolletage: Follow up with Restylane Vital is recommended at around 9 months.

 However, duration depends on many factors, such as skin type, lifestyle, age, the degree of perfection demanded by the patient and the injection technique of the practitioner.

 Restylane is FDA approved, what does this mean?

 In December 2003, the FDA (Food and Drug Administration), the regulatory authority in the USA, approved Restylane for the treatment of facial lines. Restylane is the first injectable cosmetic treatment made from stabilized non-animal hyaluronic acid, to be approved by the FDA.

 The FDA has strict regulations, even more rigorous than most equivalent regulatory agencies in Europe. Many medical devices and cosmetic products fail to meet its demanding criteria. FDA approval of Restylane is further proof that Restylane is one of the safest and most effective non-surgical treatments available today for reducing the effects of facial lines and restoring volume lost through the ageing process.

More than 10 million treatments have been carried out since the launch of Restylane in 1996 which is further testimony to Restylane’s safety.

You keep talking about hyaluronic acid, does this mean it burns?

 No. Hyaluronic acid is a form of sugar molecule that occurs naturally in both humans and animals. The word acid is used in the biological sense, as in a type of protein, in the same way as doctors talk about amino acids or DNA.

What are the risks of side effects?

 Some common injection-related reactions might occur after a Restylane injection. These reactions include redness, swelling, pain, itching, discoloration or tenderness at the injection site. They typically resolve spontaneously within one or two days after injection.

What happens to my treated skin in the sun or in the cold?

The treated areas must not be exposed to intense heat or extreme cold for the first few days after treatment. This is to avoid risk of inflammation since the area has been disturbed. The gel will not harden or soften as outside temperatures change. Saunas and steam rooms should also be avoided for the first few days after treatment.

 

 

Juvéderm

Juvéderm is a very similar product to Restylane and is used for very similar indications with the exception of tear trough rejuvenation. Juvéderm tends to be more hydrophilic (it attracts water) and for this reason it can cause undue swelling in the tear trough area. Restylane is therefore preferred in this specialist location.

Case Study - Cath's Treatment

Volume enhancement of the cheeks using Juvéderm Voluma and tear trough Restylane injections

A characteristic sign of ageing is loss of soft tissue volume in the cheeks.  Descent of the cheek fat can produce a heavier look to the lower face as well as a tired appearance by creating dark circles in the lower eyelids and hollows beneath the eyes (tear trough defects or eyelid hollows).

The loss of volume in the cheeks can be improved with the use of Juvéderm Voluma™ or Restylane SubQ™ injections. These can help to restore a more youthful shape to the face by filling the central and outer part of the upper cheek area. This creates a subtle but aesthetically pleasing improvement of the shape of the cheekbone area in addition to addressing the volume loss of the central cheek. The treatment also tends to reduce the effect of the downward pull of gravity on the facial skin. Juvéderm Voluma™ or SubQ™ cheek volume enhancement is an ideal treatment to combine with tear trough Restylane injections.

Cath had noted over recent years that she had some progressive descent of the cheek tissues with the development of dark circles and hollows below her eyes giving her a tired look. Cath had undergone bilateral tear trough Restylane injections 12 months previously but she had recently noted a recurrence of the lower eyelid hollowing and a deep crease below her left eye.

Cath hoped that some improvement could be made in the shape and projection of her cheeks and also requested further tear trough Restylane rejuvenation on the left side.

Cath’s experience of the change in shape and appearance of her mid-face is very common amongst our patients undergoing this type of treatment. Her photos are seen below.

The treatment is performed either after the application of some topical anaesthetic cream to the skin of the cheeks or with a local anaesthetic injection to numb the cheek skin.

Cath had a total of 2ml of Juvéderm Voluma™ injected into the cheeks (1ml on each side) via a single entry point on each outer lower cheek (see the photo below). From this entry point the filler can be carefully placed into the central and outer upper cheek area. The dermal filler can be moulded immediately after injection to achieve the desired shape.

In addition to Juvéderm Voluma™ to the left cheek Cath also had 0.5ml of Restylane™ injected into the left tear trough to improve the hollowed appearance on this side.

 

Emmervel is a new dermal filler from Galderma. For further information about this product and its uses, please click here for a downloadable PDF from Galderma.

Before treatment Before treatment A photograph of Cath showing her appearance before her treatment
After treatment After treatment A photograph of Cath immediately following the injection of Juvéderm Voluma™ into her cheeks and a left tear trough Restylane injection
During treatment During treatment A photograph of Cath undergoing her treatment
Before treatment Before treatment A side view photograph of Cath before her treatment
After treatment After treatment A side view photograph of Cath after her treatment
Before treatment Before treatment A side view photograph of Cath before her treatment
After treatment After treatment A side view photograph of Cath after her treatment

Show extra before and after images

What our patients say

"...This procedure is a huge success and my GP is most impressed!... Please thank your theatre and reception staff for being so welcome and efficient..." Read Lady C's letter