What is Restylane Silk®?
Restylane Silk® is a lower viscosity HA filler that has many applications. Restylane Silk® is very useful for filling fine wrinkles around the eyes and lips, as well as treating the tear trough area under the eyes. When injecting Restylane Silk®, Drs. Leveque, Butler, & Patterson 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.
Injectables – Restylane
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.
Tear Trough Treatment with Restylane Silk®
More definitive treatment of the tear trough deformity is accomplished with a lower eyelid blepharoplasty.
Restylane Silk® is a lower viscosity HA filler that has many applications. Restylane Silk® tends to be softer and more easily molded than some of the other hyaluronic acid fillers.
Though rare, there are reported cases of blindness while injecting fillers around the eyes. These cases of blindness were thought to be caused by injection of filler inside the lumen of an artery under high enough pressure that the filler material “backed-up” into the arterial tree behind the eye – then with the next heartbeat the filler was pushed forward into the artery that supplies the retina, blocking it and subsequently causing a “stroke” of the retina. Since this is a very serious concern, Drs. Butler, Patterson & Leveque do many things when injecting around the eye to further reduce the risk of this rare complication. Some of these preventive measures include: understanding the vascular anatomy of the face, using blunt cannulas which are less likely to enter vessels, injecting very slowly using low pressures, injecting a small amount of epinephrine before the procedure to cause the blood vessels in the area to temporarily constrict (clamp down), and applying ice to the area prior to injecting filler which also causes the blood vessels in the area to temporarily constrict (clamp down).
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.