Hyaluronic acid (HA) filler injections including Restylane®, Juvederm® &Voluma® are the 2nd most common non-surgical cosmetic procedure performed in the United States. In 2013, there were nearly 2 million injections with HA fillers.*
Hyaluronic acid is an important structural building material that is naturally present throughout our bodies. Hyaluronic acid is being made and degraded throughout your body while you are reading this webpage. This is why hyaluronic acid is an excellent material for adding volume to the the face. Because HA is constantly being produced and degraded by your body, injected HA will also eventually be degraded and is therefore considered a temporary filler. For more permanent results,“fat transfer” or “fat grafting” may be a better solution.
Restylane Silk® is a lower viscosity HA filler that has many applications. Drs. Leveque & Butler primarily useRestylane Silk® for treating the tear trough deformity underneath the eyes. They prefers Restylane Silk® for this because it tends to be softer and more easily molded than some of the other hyaluronic acid fillers. Restylane Silk® is also very useful for filling fine wrinkles around the eyes and lips. When injecting Restylane Silk®, Drs. Leveque & Butler may use small disposable cannulas. These cannulas are not larger than the standard needles packaged with Restylane Silk®; however, they and many other plastic surgeons have found that injecting Restylane Silk® with cannulas is safer and causes less bruising because the dull cannula tip is less likely to enter or cut small blood vessels.
If you have a history of cold sores, your plastic surgeon may place you on prophylactic Valtrex® a few days prior to having any injections around your mouth. This will help prevent cold sore (Herpes simplex) eruptions after filler injections.
HA filler injections are done in the office and take less than an hour to perform. Results last anywhere from 4-12 months with most people being satisfied with the result for 9-12 months. Some patients may experience swelling, bruising and mild redness after filler injection so it is a good idea to schedule filler injections at least a week before any major events.
*Cosmetic Surgery National Data Bank: Statistics 2013. (2014). Aesthetic Surgery Journal / the American Society for Aesthetic Plastic Surgery, 34(1 suppl), 1S-22S.doi:10.1177/1090820X14542571