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School of Medicine
Restylane, Perlane and Juvederm
Restylane, Perlane and Juvederm are treatments for facial lines and wrinkles, and is also used for lip enhancement. Restylane, Perlane, and Juvederm belong to a class of fillers made from hyaluronic acid (HA), a substance found naturally in the skin. It is purified into a gel-like substance that is placed under the skin to fill in lines.
- How are HA fillers administered?
After topical numbing cream is applied for 20-30 minutes, the product is carefully injected into the skin using an ultrafine needle. After the injections, your physician may gently massage your skin to optimize contouring. To make the procedure comfortable, in addition to the topical numbing cream, many HA fillers are mixed with lidocaine. These measures truly enhance the patient’s comfort during the procedure.
After the treatment, the area is pink with tiny injection marks. Patients may have differing degrees of swelling depending on the site treated and the number of syringes used. Bruising may occur.
The results are immediate, unlike Botox and Dysport which can take anywhere from 3-7 days. But it typically takes a few days to see the full improvement as any redness and swelling resolves.
- Is there any post-treatment care needed?
Patients leave the office with an ice pack. They may wish to sleep propped on a few pillows and on their back that night if possible. Make-up can be applied immediately as needed. If the area around the mouth was treated, extensive dental work should be delayed few a few weeks to limit stretching of that area.
- How are fillers different from Botox and Dysport?
Fillers are a purified gel-like substance carefully placed under the skin to fill in facial lines and wrinkles. Botox and Dysport are distinct products precisely placed under the skin to relax facial muscles that cause wrinkling and furrows.
- How do I prepare for treatment?
Patients should avoid taking aspirin, NSAIDS (Ibuprofen, Advil, Motrin), St. John’s Wort, fish oil and high doses of Vitamin E supplements for one week prior to treatment. This will help to minimize bruising. After treatment, some patients may use a cream or herbal supplement to limit bruising.
- How long do HA fillers last?
Duration depends on the area treated. Average duration is 6-9 months. With each additional treatment and with full correction of the facial lines, the duration increases and can be as long as 12-18 months.
We are located in Green Spring Station, a Johns Hopkins outpatient satellite, in Lutherville, Maryland, just north of the city of Baltimore. The Center is off the Baltimore Beltway 695 (exit 23B) and the Jones Falls Expressway (Rt. 83). Our practice is in Pavilion I, Suite 350. Free parking is available.
Schedule a cosmetic consultation with one of our Board Certified Dermatologists to discuss which treatment plan is best for you.
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