Tag Archives: injections

Restylane Silk for Aging Lips

12 Apr

  

A New Addition to the Restylane Family

Restylane Silk is now FDA approved for submucosal implantation for lip augmentation and dermal implantation for correction of perioral rhytids (smoker’s lines) and it is currently available on the US market.   This product provides a subtle solution to aging signs around the lip and mouth area.  It’s greatest quality is subtle enhancement; your lips will not look “done” or “artificial.”  

  

Hyaluronic Acid for Lip Augmentation

Although Restylane Silk is the first product to be FDA approved for lips, we have been using other products for years.  Juvederm and Restylane are commonly used to augment the lips in an “off-label” treatment (FDA approval costs millions of dollars and takes many years.  These products are all very safe to inject in the lips by a trained professional).  

These products, along with Belotero, are all in the hyaluronic acid family.  Hyaluronic acid (HA) is a sugar your body naturally produces; these products are synthetic gels.  Because your body naturally makes this sugar, the chances of being allergic are almost zero.  This family of products IS reversible, if for any reason, you are unhappy with the results.

The molecular structure of Silk is smaller, and the product flows to where it is needed.  It doesn’t over bulk, and is a perfect finishing agent for fine lines.  

Which product is best is really dependent on who the client is, and what result they want.  If you are looking for subtle and natural lip augmentation, Restylane Silk is the product for you!  

My Experience 

At the beginning of March, I was told this product would be available and I was so excited to try it.  Lip augmentation has always been a specialty of mine, and I was told “I would love this product for the vermillion border” (where the color changes from pink to skin-toned).  

 

I was excited to try it, but my idea of an “ideal” client for this product was way off!  I first tried it on a 24 year-old patient.  She (and I for that matter) were not impressed, it looked like nothing was done.  Then I realized I was supposed to be using it for a whole different population of client.  The older patient who didn’t want to look like anything was done!   Oops… Probably should have read the email about the product FIRST. 

So then I tried it on an employee in her 50’s.  The results blew me away!  Like always, the pictures do the results no justice.   

The final result is very natural looking.  It is hard to see from the picture, but the before has a defined ridge above the lip, which is SO much improved with the Silk injections.  (The spray tan and make-up can throw you off in the after pictures.) 

The technique used to inject this product is VERY different than previous products used to treat lips.  If incorrectly injected, the product will not give you the best results, cause swelling, and has been reported as painful by patients.  This product requires the knowledge and expertise of a skilled injector.  

I had a few clients trial the product (including my awesome mom!).  They sent me their after pictures via text.  Again, not the greatest quality pictures, but every client was extremely happy with the results and gave great feedback.  (Thank you ladies!). 

    

Final Thoughts

Because the typical Silk client is older, make sure you consider timing in booking an appointment for this procedure.  Like any injectable product, swelling and bruising are always a possibility.  You want to avoid icing post-procedure to allow the product to smoothly integrate into the tissue.  If you have a big meeting at work the next day, you probably should reschedule (…the meeting OBVIOUSLY!  Who wants to wait for such amazing results!  Plus, then the meeting will go better with your new confidence!).   

How long will a bruise last?  Remember everyone is different.  Some people don’t bruise at all.  Check out my blog on bruising info.  

Other Uses

I read Silk was also a fabulous filler to use in the glabellar crease… Blog post coming soon!   

For questions or to book an appointment with me, call my office at 781-235-4957.  You can also book online at http://www.LauraKimberleyRN.com.  


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Preventative Botox

22 Jun

The 40-52 year-old age group continues to be the majority of Botox recipients, but injections continue to become increasingly popular amongst younger clients (ASPS 2013 Plastic Surgery Statistics Report).

It’s Never too Soon to Start Botox!

One in four women over the age of 30 is interested in learning more about Botox injections. It is around this age we start to really notice fine lines on our faces. It is actually better to start treating the fine lines of the face at a younger age, preventing the fine lines from becoming deeply etched “railroad tracks,” as one patient of mine in her early 30’s, L.M., so lovingly called her forehead.

There is no specific age that is “perfect;” it’s never too late to start, and so long as you’re over the age of 18 and you have wrinkles forming at rest, you are a candidate for Botox injections. I have a few clients in their lower 20’s with the skin of a 40 year old. The scale we use to determine the age your skin looks is called the Glogau Scale.

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Does your skin look the age it should according to the Glogau Scale? If you think your skin looks older than it should don’t put off trying Botox because you think you need to wait to be a certain age to start. Botox will prevent the premature advancement of mild to moderate wrinkles to “railroad track” status. Botox will completely erase mild to moderate lines with small “natural” looking doses. As lines progress into the advanced to severe stages, higher doses are necessary to soften the lines. At a certain point, Botox will not completely get rid of deep wrinkles, and fillers are needed in conjunction with Botox treatments. Yep… starts to get expensive. Starting early means less Botox needs to be injected, and if you keep up with it regularly, the amount you need will decrease in number of units and periods between treatment times, due to muscle atrophy (your muscles become weaker and more sensitive to the product. And your metabolism slows down… the one good thing about that is that the body doesn’t metabolize your Botox as fast. Or cake. Unfortunately. 😩

Being preventative is always the best approach to your health. SUNBLOCK is your first line of defense! But if you feel like your skin is looking older than it should, a lil Botox never hurt anyone.

I’d say a majority of my patients are in the 20-45 year old age range. It’s becoming more acceptable to openly talk about doing Botox amongst younger people. (Although there’s always that one person who has to put their negative opinion in the mix when it comes up. THEY would NEVER do it. Yea… I’ll see them in five years, when all their friends are doing it!).

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L.M. started doing Botox a few years ago, and doesn’t regret it at all! Her cousin started coming with her to see me, who then brought her friends and her sisters. These women are all starting in their early 30’s, and they look amazing. You would have no idea they are doing Botox unless they told you. They are all health-conscious and hard working (ie not Desperate Housewives!). It is also such a bonding experience to share amongst your close friends. Nothing says friendship like a needle to the face… Errrrr…

If you’re thinking about doing Botox, talk to a professional about whether or not it’s right for you. And if there’s one quote I’ve heard over and over again it’s

No one ever regrets having kids, getting divorced, or doing Botox.

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The Internet Gives Botox A Bad Rep

29 May

I have heard some interesting things from patients over the years about Botox and Fillers and information they gathered from the internet or from friends who have read stories online. The internet is a wonderfully useful place of information… So long as you are reading it on a reputable site (.org) or from a reputable person (for example, I am an expert in Botox and Fillers, please refer to my credentials page!).

When looking at internet sites, you need to take into account the validity and reliability of the information that is being given to you.

Yes, Wikipedia is great… But it is not a reliable source of information. (Although I still use it!).

Consider who is giving you the information when it comes to product safety. When looking at prices it should be unit based. Like when you go into CVS and you compare how much shampoo is by the unit cost because the bottle size is different. Fillers are charged in number of syringes.

Use your judgement, and remember you can’t believe everything you read! If you have a question, ask someone with expertise in the area. If you aren’t sure their answer is true, or you want a second opinion, get one! But please take the stories you read online with a grain of salt.

Interpreting Botox on the internet.

Trying New Products

27 May

Just like tissues come in the brand “Puffs” or “Kleenex,” there are different brands of products used in aesthetic medicine.

It is very difficult for patients to determine which product is right for them without consulting with a professional… and some professionals only use certain brands of products. I’m very lucky that the office I work with (and a lot of my patients!) let me experiment with different brands.

Right product, right place, right person!

Currently, I’ve been experimenting with different brands of Hyaluronic Acid Fillers (JuvĂ©derm, Restylane, and Belotero). I use these products in tear troughs, temples, lips, vertical lip lines, marionette lines, nasolabial folds, and cheeks. They are not for large areas of hollowness (Radiesse and Sculptra are more cost effective choices). HA’s are great to experiment with because they can be dissolved if you don’t like the result. If you are a virgin to fillers, these are a good idea to start with.

Kiss, Kiss.

We all know I love Belotero under the eyes, and I almost always use this product for tear troughs (More Belotero!.)  The only time I use JuvĂ©derm is for patients I think really should be getting a blepheroplasty…but aren’t ready to go under the knife (Observing Surgery: Blepharoplasty.)  But what about the Lips? ….Well it depends!

The Patient’s Concern

Bigger, Fuller Lips

Juvéderm remains my go to product for lip augmentation. It looks and feels the most natural (when injected right!), and is FDA approved to last up to a year.

I have found a place for Restylane in my heart recently, however. I had my vermillion border injected about 3 weeks ago, and I love it. This product really defines the border of the lip!

Vertical Lip Lines

For women trying to treat vertical lip lines, or “smokers lines,” I have mixed feelings on using HA’s vs. Botox. I usually tell people to try Botox first. Over treating the upper lip with a hyaluronic acid can create a “monkey lip.” It doesn’t look good! I’ve seen this happen a lot with Restylane and JuvĂ©derm.

While Belotero is a good product to treat these lines, I’ve found the results don’t last long when I mix the product with lidocaine (local anesthetic). The lips are VERY sensitive, and require some sort of local and injected numbing agent (anyone who disagrees with this has never had their lips injected—it’s a lil pinchy).

My technique is to use both Juvéderm and Belotero. As you age, you loose collagen and the shape of the jaw and teeth changes. This causes an elongation of the upper lip. If you look really closely at an angle there is a horizontal ridge above the lip line. I fill this ridge with Belotero. The lips also begin to thin as you age. Juvéderm into the wet/dry border replaces this volume loss. I have found it can improve vertical lip lines when injected into the vermillion border and manipulated into the vertical lines. It may not completely get rid of them, but it will improve them, and it looks very natural (not like a monkey lip).

Downturned Corners

Changes in the shape of the jaw and gravity causes the corners of your lips to turn downwards as you age. By giving support to the lower lip in areas of volume loss, that from can be turned upside down before it turns into a full out marionette line (which Radiesse is the best for!).

To read more about lip augmentation check out Pucker-Up, Princess – Damn Sexy Lips.

Love Big Lips!  Lips, Lips, Lips!.

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