Tag Archives: restylane

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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Video Blog: Tear Trough Augmentation

18 Nov

Check out my video blog on YouTube: 

One of my favorite procedures to do since the introduction of Belotero Balance in the United States last October.

The tear trough is a grooved demarcation where the cheek skin meets the much thinner and highly vascular eye skin.  Because of the anatomy of this area, a thinner hyaluronic acid like Belotero is the perfect product (Belotero: The Buzz.).  It does not last as long as the more viscous hyaluronic acids, but it also has fewer complications.

Treatments in the middle third of the face, which contains the eyes, nose, and cheeks, require an aesthetic eye and advanced knowledge of facial anatomy.  Filling the tear trough area often requires cheek augmentation as well in order to look natural.  The cheeks can require a large amount of product depending on the degree of volume depletion.  Make sure you discuss this with your injector prior to injections!

This is a very advanced procedure, make sure you check out before and after pictures before being injected!  Many practioners do not offer this procedure because of the advanced training and skill it requires.  When done correctly, it looks AMAZING.  I’m not even a very good iPhone photographer, and I have some great before and after’s on my Pinterest and in other blog posts:

More Belotero!.

I hope you enjoyed my video.  They are really hard to make!

Bruising After Fillers

29 May

I wrote this post MONTHS ago… And I just made a corresponding video. So if you prefer the sound of my voice to actual reading Botox and Bruising vBlog. It does contain different information then the rest of this blog post. So feel free to read on!

A few months ago, Alyssa Sylvestri (a famous photographer/videographer), Sarah Victor (a super famous youtube make-up artist), and I (just plain super) had a business related girls day that was SUPER fun.  This blog will prove it.

Sarah did my make-up.  Then I injected her lips with Restylane and her forehead with Botox Cosmetic.  She is now an addict and will be attending “I’m Young and Beautiful Forever Anonymous.”

Sarah’s Restylane Experience

Sarah asked me what kind of things my clients were interested in learning about when it came to make-up applications.  Easy.  You all HATE under eye circles (which I fix with Belotero and it’s so amazing, check out my Pinterest before and afters!).  The other thing I thought of was how to cover a bruise.

And for some reason I cannot insert the link to this right now….

Moving on….

Bruising can happen.  Period.  End of Story.  It’s the most likely “complication” when it comes to aesthetic medicine.  I put the word complication in quotes because it’s not really technically a complication, but to some women it’s the worst possible thing that could happen to them.  Ever.  (These are called dramatic patients).  Kidding!  Kidding!  But in all seriousness it sucks, but it will go away.  I PROMISE.

A bruise is caused by blood leaking into the interstitial tissue.  It can happen from any trauma.  When you pierce the skin with a needle, you are creating trauma.  But it’s totally worth it in the case of Botox and Fillers.

There are ways to prevent bruising.

AVOID THE FOLLOWING FOR 24-48 HOURS BEFORE AND AFTER INJECTIONS:

  • Blood thinners like Alcohol.  I understand that it is REALLY hard to avoid alcohol for 4 days, especially if you have children/a husband/a job or all of the above.  Do the best you can.
  • Anti-coagulant medications.  Anything with Ibuprofen in it.  This includes Advil.  Other examples are coumidin and aspirin.  **DO NOT DO THIS IF YOU ARE TAKING THESE MEDICATIONS FOR YOUR HEART!  NEVER DISCONTINUE PRESCRIPTION DRUGS FOR VANITY.  Take tylenol if you need too.
  • Fish Oil.  Because it is some sort of blood thinner/greaser type thing.
  • You may want to avoid getting your period.  If you can?  If you can do this… I have some questions.  But what I mean to say here is book your appointments in a timely manner with your menstrual cycle.

TAKE THE FOLLOWING FOR 24-48 HOURS BEFORE AND AFTER INJECTIONS:

  • Arnica Montana:  you can buy this at Whole Foods or GNC.
  • Eat Pineapple.  I think this is what they make Arnica from.  But I could be wrong.  But it’s definitely good for helping bruises.
  • Immediately after injections ice the site.  This causes constriction of the vessels that carry the blood, which means blood flow slows down.  Which means less blood is available to leak into the tissue.  It also helps with swelling.

DO NOT:

  • Push on a bruise.  You will make it worse.
  • Fall asleep with ice on your face.
  • Put ice directly on your face. You can burn it.
  • Over dose on Arnica Montana or Pineapple.  More is not better.  Arnica in high doses is not good for your liver.  Pineapple in high does is not good for your stomach.  Trust me.  I know!

If you have more questions, make sure you consult your injector.

Aesthetic Consultation: Botox and Fillers

25 May

What to ask for and expect during consultations for Botox and fillers. consultation video

Juvederm vs Restylane for Lip Augmentation

9 Feb

Trying to decide which product you want to go with for lip augmentation?  Check out this post!  

For more basic information:

Lip Augmentation: Basic Information for Patients.

Lip Augmentation: Basic Information for Patients

4 Feb

Interested in Lip Augmentation?  Check out this video and learn the basics!

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 (Juvéderm, 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 Juvéderm 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 Juvéderm.

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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