What are Restylane and Perlane?
Restylane and Perlane are injectable skin fillers that contain hyaluronic acid. They are mainly used to lift wrinkles, folds, hollows, scars, and to restore youthful fullness to the face. They are also very popular lip-enhancing agents. Restylane was the first hyaluronic acid on the market and continues to be the number one dermal filler worldwide. Its modifications allow it to last longer than the body’s own hyaluronic acid, which is the ingredient that allows our face to retain its volume by absorbing water. Perlane is a heavier version of Restylane that is injected to correct deeper areas.
These products are packaged in pre-filled syringes. Most patients require one or two syringes, but this will vary with what Dr. Davis is correcting.
What does Dr. Davis improve with Restylane and Perlane?
Dr. Davis most often uses Restylane and Perlane to lift the naso-labial folds (area between the upper lip and cheeks which make you look tired) and to fill in the fine vertical lines and wrinkles around your mouth. She can also inject Restylane and Perlane to lift the “marionette lines” below the corners of the mouth (which simulate a frown), to fill sunken cheeks, and to lessen shadows and hollows beneath your eyes. She can augment your cheek bones to give more definition to a flat face, can smooth your jaw line to lessen the appearance of jowls, and can add volume to your lips with these products. Restylane and Perlane can also lessen the depth of vertical lines all around the mouth, which come after years of pursing the lips (from using straws, from kissing, and from smoking). Dr. Davis can also lift indented scars from acne, chicken pox, or trauma.
What is the difference between Restylane and Perlane?
While both fillers contain hyaluronic acid, their gel particles are different sizes. Perlane has larger particles which are beneficial for deeper, more prominent folds, wrinkles, and hollows; especially common in men, older women, or women who are very thin. It is a heavier product than Restlyane, which allows it to fill more depth. Restylane has smaller particles that are used to smooth out more superficial wrinkles that form from smiling and everyday expression. Dr. Davis can decide which filler or combination of fillers will be most beneficial for you, depending on the various areas she is treating.
How long will my Restylane/Perlane treatment from Dr. Davis last?
Ultimately, you decide, based on your desired look, how often to get treatments. However, for maintaining full correction, Dr. Davis recommends coming in every six months for Restylane and Perlane. After a certain amount of time, the product is broken down by your body and eliminated completely. It is also helpful to leave a “reservoir” of this material present so that you experience full correction every six months without having to go back to your baseline appearance.
Are Restylane and Perlane treatments safe?
Yes. Both fillers are FDA approved, have been used in over 1.4 million procedures in the U.S, and are used in over 70 countries worldwide. Restylane continues to be the most-studied dermal filler in the world. Also, unlike some other hyaluronic acid fillers, Restylane and Perlane contain no animal protein, which eliminates the risk for animal-borne disease contraction. Dr. Davis has been injecting these products since they became FDA approved in 2003. She has extensive expertise treating a high volume of patients with these fillers.
Do Restylane and Perlane treatments hurt?
Because of the ultrafine needle used during injection, patient discomfort is minimal. However, you do have the option to come 30 minutes prior to your appointment to sit with anesthetic cream at no additional charge. In February 2010, Restylane-L and Perlane-L (pre-made with anesthetic) were introduced and have replaced the standard Restylane and Perlane. This has eliminated most of the discomfort associated with this treatment.
How do I prepare for Restylane and Perlane?
There are certain precautions we recommend adhering to for about a week prior to your procedure. These will help to reduce bruising, bleeding, and swelling during and after the procedure.
Avoid the following:
- All pain relievers except Tylenol: avoid Alleve, Aspirin, Ibuprofen, and even low dose baby aspirin (unless recommended by your physician).
- Vitamin E and all multi vitamins containing Vitamin E. Foods high in Vitamin E should also be avoided such as: sunflower seeds, dry roasted almonds, olives, papaya, spinach, arugula, broccoli, blueberries.
- Cinnamon and horseradish
- Herbal remedies such as St. John’s Wort, Ginkgo Biloba, Ginger Root, Fish Oil, etc.
- Alcoholic beverages (optional)
Take the following:
We recommend that you purchase Arnica tablets, which can be bought at Metro Drugs, Whole Foods or other health food and vitamin stores. Follow the instructions on the package; you can start taking these pills as early as a few days before your procedure. We suggest that you take them at least the day before and the day of the treatment. You may also want to take them after. Arnica gel is not nearly as effective.
An alternative supplement to minimize bruising after the treatment is Bromelain (pineapple extract). You can take 500mg twice a day for 3 days following a procedure. You should begin taking Bromelain the day of your treatment, after the procedure has been completed. Bromelain can be taken in addition to or instead of Arnica tablets, though Bromelain should not be taken before the treatment, only after.
Can there be any problems after Restylane/Perlane Treatment?
The most common problems after Restylane/Perlane treatments are swelling and bruising at the injection site. We allow you to remain in your examination room to ice your face after treatment in order to minimize these. If all the above precautions are taken, bruising will be very slight. The swelling will go down by itself over a day and a half. Occasionally, you may feel bumps after your treatment. These can be massaged down with the use of a simple lotion or antibacterial product such as Bacitracin ointment. You should know that Restylane and Perlane (and all hyaluronic acid fillers) can be dissolved by the injection of a medication called Vitrase. If for any reason you are unhappy with your results, you are not forced to keep the filler present.