Q: What is Restylane?
A: Restylane is a crystal clear injectable gel composed of hyaluronic acid, a natural substance that already exists in the body. Restylane is non-animal based and free from animal protein. Allergy pretesting is not necessary.
Q: How does Restylane work?
A: Restylane is injected into the skin with an ultrafine needle to plump the skin to smooth away wrinkles and folds such as the lines from your nose to the corners of your mouth (nasolabial folds) or into your lips for patients over the age of 21 for lip enhancement.
Q: How long does Restylane last?
A: Restylane effects generally last at least six months and gradually disappears from the body. If you are treated again at 4 1⁄2 or 9 months after your first treatment, Restylane can last up to 18 months in the nasolabial folds. In the lips Restylane generally lasts six months.
Q: Has Restylane been studied?
A: Restylane has been studied in facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds), and in the lips. The studies show that Restylane effects generally last at least six months and gradually disappears from the body. If you are treated again at 4 1⁄2 or 9 months after your first treatment, Restylane can last up to 18 months in the nasolabial folds.
Q: Who should not use Restylane (Contraindications)?
A: Safety has not been established and should not be used in people who are:
- Breast feeding
- Wishing to be pregnant
- Under 21 years for lip enhancement
- Under 18 years or over 65 years
- Highly allergic (for example: gram positive bacteria)
- Prone to bleeding disorders
Q: What are some warnings to consider?
A: The use of Restylane at sites with skin sores, pimples, rashes, hives, cysts, or infections should be postponed until healing is complete. Use of Restylane in these instances could delay healing or make your skin problems worse.
You may experience skin discoloration (bruising), swelling, redness, tenderness, pain, itching, or small lumps in the area where you are injected. If any of these events occur, the majority usually last one to two weeks. If any symptom lasts longer than two weeks, call the doctor who administered the Restylane injection.
Inflammatory papules (red or swollen small bumps) may rarely occur. You may need antibiotics to treat them.
In clinical studies swelling was higher in younger patients (28%) compared to older patients (18%) and bruising was higher in older patients (28%) compared to younger patients (14%). The majority of these events were mild.
If you are injected with Restylane into your lips, your physician should be able to feel the product when touching your lips.
Q: What should patients do prior to treatment?
A: Restylane requires no pretesting, but you should take a few precautions before being treated. Avoid using St. John’s Wort, high doses of Vitamin E supplements, aspirin, and other non-steroidal anti-inflammatory medications, such as ibuprofen prior to treatment, because these may increase bruising or bleeding at the injection site. Also, if you have previously suffered from facial cold sores, discuss this with your physician. He or she may consider prescribing a medication to minimize recurrences.
Q: Do the injections hurt?
A: Restylane is injected directly into the skin with an ultrafine needle. To help maximize your comfort, you should discuss the use of numbing medicines with your doctor before treatment.
Q: How much does Restylane treatment cost?
A: Restylane is a customized procedure based on your specific needs, so the cost will vary from patient to patient. In general, the cost of Restylane is similar to the cost of similar procedures. Our doctors will give you an estimate of the cost.
Q: What is the dose of Restylane?
A: The amount used depends on your face and what you would like to have treated. The average patient who has all of the severe wrinkles around the mouth or lips corrected will use less than half a tablespoon.
Our specialists will determine the correct amount of product needed.
Post-treatment checklist to follow after a Restylane treatment?
Please observe the following after treatment
- Cold compresses (a cloth dipped in cold water, wrung out, and applied to the injected area) may be used immediately after treatment to reduce swelling.
- Avoid touching the treated area within six hours following treatment so you do not accidentally injure your skin while the area is numb. After that, the area can be gently washed with soap and water.
- Until there is no redness or swelling, avoid exposure of the treated area to intense heat (sun lamp or sun bathing).
- If you have previously suffered from facial cold sores, there is a risk that the needle punctures could contribute to another occurrence. Speak to your physician about medicine to prevent this from happening again.
- Avoid taking aspirin, non-steroidal anti- inflammatory medications, St. John’s Wort, and high doses of Vitamin E supplements for one week after treatment. These agents may increase bruising and bleeding at the injection site.