Facial fillers go about their work just as you would assume — they “fill” wrinkles and reshape the face from beneath. This differs completely from neuromodulators such as Botox®, which relax muscles that form wrinkles when the muscles contract. The original dermal filler was Restylane®, approved by the FDA for use in the United States in 2003. It remains, along with Juvéderm®, among the world’s most popular fillers.
Restylane® is categorized as a “natural” filler. This is because Restylane® is made primarily of hyaluronic acid, a naturally occurring substance in the body that is responsible for plumping and firming the skin. Hyaluronic acid does this partly by binding with nearby water molecules.
What began as a single product, Restylane®, has grown into an entire family of fillers, similar to what Juvéderm® has done. At Fante Eye & Face Centre, we carry the entire line of Restylane® fillers. We also offer the entire line of Juvederm fillers.
How is Restylane® different than Juvéderm®?
These two dermal fillers are very similar. They are both made of hyaluronic acid, so there is no need for allergy testing. Both tend to be smooth before and after injection.
But there are some differences between the world’s most popular fillers:
- Fluid accumulation under the skin — Restylane® typically causes less fluid to accumulate around it than Juvéderm® …this is a signficant advantage for the thin skin around the eyes where Restylane® is preferred. For other parts of the face with thicker skin, it may be a small disadvantage since Juvéderm® may provide a little more fullness
- Smoothness — There is some opinion that Juvéderm® is smoother than Restylane®, although both products behave very similarly in patients and neither is likely to cause bumpiness.
- Cohesiveness — Some doctors feel Restylane® is more cohesive and tends to stay where it was placed better than Juvéderm®. This allows Restylane® to be used to build up areas such as the lower eyelid/tear troughs. It is also used to highlight the edges of the lips such as cupid’s bow.
The Restylane® family of fillers
At Fante Eye & Face Centre, we offer all six facial fillers in the Restylane® family. Like Juvederm®, all of these are hyaluronic acid fillers and intended for different areas of the face.
Restylane® – This was the first hyaluronic acid dermal filler, and is still very popular across the globe. It targets marionette lines, nasolabial folds, and other wrinkles by adding volume beneath the wrinkle or crease and pushing the surface skin upward. Its results last from 6-12 months.
Restylane-L® – Restylane-L is basically Restylane® with Lidocaine added for comfort. This filler is ideal for improvement in the tear trough and for dark circles below the eyes.
Restylane® Silk – Restylane® Silk is an alternative to Juvederm Volbella. It is used for subtle lip enhancement and for the correction of vertical lip lines. It provides results for around six months
Restylane® Lyft – Restylane® Lyft adds volume to the cheeks and corrects smile lines. It is an alternative to Juvederm® Voluma. Results last from one year to 18 months.
Restylane® Refyne – Restylane® Refyne was approved by the FDA in December 2016. This new addition to the Restylane® line (along with Defyne, see below) is used to correct smile (marionette) lines and nasolabial folds. Refyne is specifically formulated to treat mild to moderate lines and wrinkles. Galderma has cross-linked the gel in Restylane® Refyne and Defyne to help support the patient’s natural expressions — for real-life results that help maintain natural movement when smiling, frowning, or otherwise moving your mouth.
Restylane® Defyne – Approved along with Refyne, Defyne also specifically targets nasolabial folds and marionette lines. The difference is that Defyne is designed for use on moderate to severe creases and lines. Both Refyne and Defyne provide results that last up to one year.
Can Restylane® and Botox be injected in the same session?
Because they function in totally different ways, dermal fillers such as Restylane® and neuromodulators such as Botox can be used at the same time. Usually they are injected into different areas, since they are doing different things. Some patients prefer to wait the 4-6 days it takes Botox to fully relax the injected muscle before opting to use a filler to fill out any remaining wrinkles or creases.
What are the side effects with Restylane® fillers?
Since Restylane® is made with hyaluronic acid, which occurs naturally in the human body, allergic reactions are almost unheard of, so pre-testing isn’t necessary. The most commonly observed side effects are swelling, redness, pain, bruising, headaches, tenderness, lump formation, and itching at the injection sites. These are typically mild in severity and usually resolve themselves in seven days with smile and marionette lines, and within 14 days on the lips. If you’re allergic to lidocaine you cannot use Restylane®-L, as it has some lidocaine in the product to keep the patient comfortable.
Occasionally, lumps or granulomas can form near the injection sites. This side effect can be reversed with an injection of hyaluronidase, an enzyme that speeds up the natural degradation of the hyaluronic acid in the body.
As with all fillers, the expertise of your injector is important to achieve the best results. The team at Fante Eye & Face Centre has received special training in the use of various fillers, including the entire Restylane® family. Dr. Fante has personally injected thousands of happy people.
There is no downtime after an injection session with any Restylane® product, other than the possible side effects described above.