Restylane - Patients ask Dr. Ringpfeil answers
Please feel free to use the blog below to share information about Restylane or to ask Dr. Franziska Ringpfeil a question that might be of interest to others.
Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery
Restylane/Juvederm
Overview:
These fully synthetic hyaluronic acid compounds fill facial lines and other areas of volume loss. Our body's own enzyme hyaluronidase degrades them over time. The difference between Restylane and Juvederm is the amount of cross-linked hyaluronic acid which causes small differences in downtime and durability.
Expected results:
Correction of static intermediate and deep lines, lip augmentation, treatment of dark circles under the eyes from volume loss, correction of scars.
Preparations:
Avoidance of aspirin and ibuprofen for 10 days. Local anesthesia by injection makes the procedure more comfortable.
Post treatment instructions:
Avoidance of aspirin or ibuprofen for 3 days.
Time to desired results:
3-10 days.
Duration of desired effects:
6-9 months.
Contraindications:
Allergy to hyaluronic acid (extremely rare)
Downtime:
3-10 days of swelling, redness and possible bruising in treated areas (may last longer on the lower lids or lip).
Related Procedures
Hi Dr. Ringpfeil,
I just turned 30 and I have what looks like deep tear troughs. My left eye looks much worse than my right. I also have some darkness and mild crepiness. I have been using neocutis and ROC retinol with no improvement. I would like to know if there is anything that can be done other than fillers? Can laser, PRP or thermage help with this? Also, if I were to get fillers – is there a chance of going blind from them? Will the fillers worsen the skin over time? And if a patient doesn’t like the results, can an injection be done to get rid of the fillers? Also, which filler would be recommended for this issue and would the cost be over $600? Thank you so much!
Injection of fat or hyaluronic acid fillers is the most sensible treatment of deep tear troughs. Fat is typically harvested form elsewhere on your body via liposuction. It provides great results that last for several years. Upfront cost is significantly greater and ranges around $8-10K. The downside of the procedure is a small chance that the grafted fat might not take. In addition, fat transfer cannot easily be corrected if you do not like results. Blindness has not been reported as complication of fat transfer to the face because the blunt cannulas used in the process cannot slip accidentally into an artery. Hyaluronic acid injection under the eyes is typically carried out with a blunt microcannula and aspiration technique. Blindness has been reported in a few individuals who had non-cannula based injections in medial cheeks or under eyes. The risk is very small but not impossible. Hyaluronic acid fillers are easily correctable with injectible hyaluronidase. They last about 6-12 months in tear troughs. Most young individuals need 1 ml of a fine filler (Belotero Balance/Restylane Silk/Restylane-L, Juvederm Volbella). We lie Belotero best for underyes and current charge is $600 per 1 ml.
Hi
I’m 20 years old and i have a bad dark circles under the eye what would you recommend me to do? I’m afraid to do anything with injections or filler in this early age. So I’m looking for something els
Thank you
Dark circles at a young age are often hereditary or are caused by extensive rubbing of eyes with untreated seasonal allergies. In case of a genetic predisposition, you may benefit from a reflecting eye cream, such as Teamine Eye Cream or its concealer (the latter has to be applied extremely sparingly to avoid a pasty look). It does not resolve the condition but improves the look on the days you use them. In case of allergies, please speak to your family doctor about best management option and use Aquaphor ointment nightly on both upper and lower lids after a moist compress of 10 minutes.
For wrinkles under eyes and bad dark circles would be more recommended Restylane or Juvederm fillers?
Dark circles and indentations under the eyes can be improved with filler. Most injectors in the US, including our office, prefer Restylane or Belotero Balance because Juvederm ultra can cause unusual swelling in the eyelid area. When minimal, wrinkles under the eyes can be treated with a minute amount of Botox. Otherwise wrinkles can be tightened with laser or corrected by surgery.
I am 49 yrs old and interested in fillers for under my eyes. Does Dr. Ringpeil do the injecting? I have read that it is best to have a plastic surgeon, rather than a dermatologist, do the injections, but I am not sure what this recommendation is based on. Please comment.
I perform all injectible fillers and neuromodulators at both offices. I am unaware of the recommendation to have a plastic surgeon inject the under eye area. Most plastic surgeons have their nurses inject fillers whereas most dermatologists perform injections themselves. However, it is most important to have a rapport with the person who is injecting and to understand what can and what cannot be achieved.
hi i woul like to know how much is the cust for restylane to put in my nasolabial thank you.
Most nasolabial folds (the depression from the corner of the base of the nose to the corners of mouth) can be filled with one or two syringes of Restylane. If they are very deep, placement of filler in the cheek area may be needed for best results and that may require a higher number of syringes. Our cosmetic price list is on the website. We currently we charge $500 per syringe of Restylane.
Are removal of skin tags typically covered by insurance? I have a couple from pregnancy under my arm that are getting irritated by rubbing against my bra.
Skin tags are benign growth that occur most often in areas of friction. Most insurances consider removal of asymptomatic skin tags an elective service. Many insurances, however, consider removal of skin tags that show signs of irritation (pain, redness, swelling etc) a covered service. There are very few insurances that do not cover removal of irritated tags.