Restylane™ - Related FAQ's
Q: Why does my friend get longer effect from her fillers than I do? Should I start to use her NYC dermatologist for Restylane?A: There can be many reasons as to why the two of you have different results. One of you may have deeper folds and may need more volume of filler than you’re getting. Sometimes I place Radiesse deeply, and then place Restylane or Juvederm on top. Adjacent areas that help support the folds, such as the cheeks lifting up the smile folds, can be augmented with Sculptra, Radiesse and fat injections. The number of syringes of filler is important as just that alone is crucial to providing the best duration of filling.
Q: Can Restylane or Botox work better on the smile creases?
A: Botox might weaken the smile muscles creating temporary deformity for up to four months in this area. Botox is usually used in the forehead, crows’ feet, chin, neck (as off-label areas). Restylane and Juvederm work very well as fillers for smile folds. Radiesse, which is not a hyaluronic acid as Reste and Juve, works well, too.
Q: I hate a deep crease that is below my lower eyelid and above the cheek. What can be done?
A: Some patients do get great improvement by using Restylane off-label and filling the tear trough crease. Bruising and swelling is a possible temporary outcome.
Q: Can I have a filler like Resty injected for my 11?
A: The vertical creases between the eyebrows in the forehead are often referred to the "11" because they are parallel for most patients. What is interesting, is that the Restylane, alone, is not usually the most optimal treatment. Botox injections are the best treatment to reduce muscle contraction and the number of lines that form from this contraction. If a filler must be used after Botox, wait at least one week if not two to maximize the results of the Botox and then add a filler such as Restylane or Juvederm Ultra. Avoid the thicker fillers as this may interfere with the circulation of the region and cause an ulceration and scarring.
Q: Can I have Restylane if I have lupus?
A: There may be reasons specific for your current condition for which your rheumatologist or dermatologist would prefer you not to have the injection of Restylane or Juvederm, but when I have checked with these specialists for my patients who have Lupus I have been given their approval to do so.
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