Posts tagged “Restylane”

What options do I have for my weak chin?

June 24th, 2013
Q.
Hi
I would like to find out about the options to help with a weak chin.
I would imagine that augmentation would be required however for my job and hobbies I’m not sure this is suitable. On a side profile My chin is far behind the end point of my nose, even the position of my lips, this causes me great confidence issues as I am very aware of the issue
I have been reading about the the fillers and would like to find out more.
permanent or not etc
Any further help would be great
many thanks 
A.
Hi there I would look at your jaw position first and how the upper jaw sits with the lower jaw – as you could consider some orthodontics (braces that can be invisible) that would provide a more long term solution and support the lips and soft tissue.
If you are more inclined to consider using fillers, I’d suggest looking at Restylane, Juvederm or Radiesse and a non-permanent solution first.
Good luck
Adam
Dr Adam Thorne

Dr Adam Thorne

52 Harley Street, London, W1G 9PY
Web: www.harleystreetdentalstudio.com Tel: 020 3642 7971

View My Profile Dr Adam Thorne

What filler would be best for nasolabial lines?

March 25th, 2013
Q.
Hi dr,
I would like some advice on which filler would be best for nasolabial lines. I am 19 years old and don’t have wrinkles but recently the expression lines going down from my nose to mouth have become deeper, and it has given my face a more gauntish, harder look, and I have very faint marionette lines because of this too. Where as before my face looked alot fuller. I think this is from poor diet, smoking and drinking too much coca cola.The expression lines don’t look even either, and the one on the left side of my face goes straight down, whilst on the right side it is curved and slightly softer around the mouth. I am choosing between restylane and juvederm. I like juvederm because I read it gives a more softer look than restylane, which is what I would like, but am worried because I heard juvederm tends to spread out more and go into other areas. I don’t want it to spread to the cheek area as I already have very full cheeks and it will look weird. I want it specifically for the nasolabial folds, too soften them. I want a filler that will look natural and subtle and just make my face look the same as it used to and not really different.
A.
Hi There,

Both Restylane and Juvederm are excellent fillers and wold do a great job. I don’t think that Juvederm will spread any more than Restylane.
It’s probably more important to choose your practitioner carefully.

Best wishes,

Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

How can I treat my aged and sunken face?

March 18th, 2013
Q.
Hi there,
I have got quite sunken cheeks and more lines on my face since loosing a lot of weight. Whilst my body look the best it ever has my face seems to have aged. I have tried a few creams and serums but they haven’t really made any difference to my face at all. I have been looking on the net at dermal fillers and things and I don’t really know very much about them or where to begin really. I just want my face to look younger, not a great change to to plump it out abit. Can you give me any advice about what creams to use and what fillers you think would help with my face?
A.
Hello there,
Although there are good creams to improve the tone and texture of the skin surface they will not replace lost volume or plump the skin. This is where hyaluronic acid (HA) dermal fillers come in. They can not only subtly restore lost volume but can be used to provide a more widespread plumping and re-hydation of ageing skin. My personal preference is to use either Restylane or Emervel but there are other HA fillers. There are a number of ways in which HA fillers can be used to achieve this; you would have to discuss this with a reputable Cosmetic Doctor.
Best Wishes,
Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey
Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

Would Restylane be safe to put in my nose?

February 13th, 2013
Q.
Hello dr Peter, first sorry my bad english, to ten  years ago i put artecol in the wrinkle the noise to the mouth.Now I want to put something like restylane or another thing? But Doctor say that is dangerous , i don’t know what i do, please help, what can i put? im so sad to see my face like this way and i can t do something:( please answer my question and i hope you understand my bad english! thanks for your attention

A.
Thank you for your question.
The problem with all semi-permanent fillers is that they can suddenly cause problems years after they have been injected, even if everything had previously ben very settled. Restylane is a very safe hyaluronic acid filler. However, your doctor probably said that they wouldn’t inject it where Artecol had been used just in case it caused it triggered a reaction with the Artecol.
Kind Regards,
Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey
Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

How can I increase the volume in my lips?

November 13th, 2012
Q.
Hello I’m interested in increasing the volume of my lips, they are very thin, not what a women wants at all! I’ve done some research and I’ve heard mixed reviews about Juvederm? I didn’t know if researching it on the internet was a reliable source? I was hoping to get your opinion on which product is best to use for lip enhancement? What is the price of a syringe at your clinic? Thanks a lot for your time its appreciated! Regards.
A.
The problem is that when things don’t go as expected people are very motivated to share their experiences on the internet. However, when things go well they tend not to bother posting on the web which gives a bit of a skewed view of things.
For reasons of personal preference I use Restylane but Juvederm is an excellent HA filler and suitable for use in the lips. Personally I would always go for either Juvederm or Restylane.

In our clinic a 1.0ml syringe of Restylane is £325.
When comparing prices remember that when clinics quote prices per ‘syringe’ you need to be aware of the fact that a syringe can be either 0.5 or 1.0ml therefore you need to look at volume as well.
Also, don’t forget that when choosing a treatment it is not just about shopping around for the lowest price. Having facial injectables such as Botox or Restylane is not like buying the cheapest product from the supermarket – this is your face we’re talking about here. As well as the cost of the actual product you are also paying for the time, advice, expertise and follow-up from a qualified professional.

Best wishes,
Dr Peter Forrester
Cosmetic Doctor
Esher, Surrey

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

How safe are dermal fillers and how long have they been around for?

October 29th, 2012
Q.
How long has dermal filler been used for treating the face? There’s so many different brands that it makes me wonder about how safe they are and what kind of regulations there are in place. Do you know where I can find this information? What systems do you use and what evidence do you have that they are okay? I’m sure I’ll be back to ask more questions as I’m considering treatment but this is as good a place to start as any! Thanks for your time.
A.
The first fillers in common use to treat the face were based on bovine collagen. These became popular in the 1980’s but their use has gradually declined partly because of the necessity of having a pre-treatment test for allergy. Restylane was the first hyaluronic acid filler and was first used in 1996. SInce then it has been in continuous use across the world for 15 years and has been used approximately 14 million times giving it a long and proven safety record. Other hyaluronic acid fillers have subsequently come on to the market, the most notable of which is probably Juvederm that was introduced in 2006.

In the USA dermal fillers have to pass the strict FDA approval process and there are only half a dozen or so approved fillers. Contrast this with Europe where the approval process is less rigorous and where there are 100+ fillers on the market. My advice is to stick with FDA approved products, of which Restylane and Juvederm are two.

Restylane is my preferred filler because, as I’ve said it has a long safety record. There have been fillers introduced in the last 10 years that initially appear to be very good but then have caused problems years after they were first injected. With Restylane we know that there are not going to be any sudden surprises.

Please fire another question my way and I’l do my best to respond as soon as my time permits.

Kind regards,

Dr Peter Forrester
Cosmetic Doctor

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

I need multiple dermal filler treatments, will you do this in one sitting and how much will it cost?

October 12th, 2012
Q.
Hello Peter, My question to you is that i feel i need multiple dermal fillers in different places on my face. I need around my nose and lips, forehead and cheeks. Will you do this in one sitting or break up the treatment? Also do you use a different filler for each particular area? If so do they last the same amount of time? I know its hard not seeing my face but could you give me a ballpark figure for the 3 different treatments together? Thanks!
A.
Hello,

There is no reason why you cannot have multiple fillers at one sitting. Most hyaluronic acid (HA) filler manufacturers produce a range of fillers, each of which will differ in their consistency, the thicker fillers being used more deeply under the skin. If I were treating different areas of the face I might use Restylane superficially, Restylane Perlane more deeply and perhaps Restylane Sub-Q or Emervel Volume in the deeper layers. These decisions would be made depending on the facial area and what we were trying to achieve.

With regards to how long they would last, in general the thicker the filler and the deeper they are placed, the longer they last.
Fillers are almost always priced by the syringe. Beware when comparing prices that some practitioners quote prices per syringe without stating the volume of the syringe. Usual syringe volumes will vary between 0.5ml to 2.0mls. The volume needed will depend on the areas and how much enhancement you were looking to achieve and because of this realistic figures are difficult to quote. Cost might vary anywhere from £300-£900.

Best Wishes,
Dr Peter Forrester
Cosmetic Doctor

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

I’m a male with deep wrinkles in my forehead, what would be the best treatment?

October 5th, 2012
Q.
Hi Peter, Hope your doing well. I’m in my mid 40’s now and have developed some unsightly wrinkles on my forehead. To tell the truth i was slightly embarrassed to go into a clinic and ask about dermal fillers so i thought i’d just ask on here. With male wrinkles i know they are a lot more pronounced on the face so i was wondering what the best type of dermal filler would be for myself? How many times per year would i have to receive treatment for these? Hope to hear from you soon!
A.
Hello there,

Most people develop forehead wrinkles because of the action of forehead muscles repeatedly folding the skin. This usually results in vertical frown lines between the eyebrows and horizontal lines that get worse when looking surprised or raising the eyebrows. As the skin progressively ages, this repeated folding slowly changes from being visible only during movement to being there all the time. There are two main approaches – either to weaken the muscles temporarily with Botox or fill the lines with dermal filler.

Any of the hyaluronic fillers would be suitable, however I tend to prefer Restylane because of its long safety record. In this situation fillers may appear to have advantages over Botox particularly with regard to longevity. However, most people who are bothered by these lines are likely to have strong muscles (which is why they’re getting the lines) this means that their muscles will tend to crease the fillers, significantly reducing their effect and length of action.

Because of this the best approach is often to weaken the muscle action with Botox and then consider the addition of a small amount of filler to treat any lines remaining after Botox. This approach might need to be repeated 2-3 times in the first year but then perhaps only 1-2 per year.

The best option for you can only be decided following an examination of your forehead and discussion of the pros & cons.

I hope this helps, best wishes

Dr Peter Forrester
Cosmetic Doctor

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester

What are the best dermal fillers for the tear trough area?

September 28th, 2012
Q.
Hi, I am having dermal fillers on the 9th October hopefully for tear trough area and upper cheek. have lost volume under my eyes and upper cheek which makes me look tired. I would like to look fresher. I will be 40 this year and feel that I need to look fresher as I work with the public and in the beauty industry.I just want a natural look and to add volume where it has disappeared I have told that they may be using Juvederm Voluma. What are the best fillers for this area and is Juvederm Voluma safe for the tear trough area?

Thank you 

A.
Hi there,

Juvederm Voluma is an excellent filler to replace volume lost from the cheek and mid-face area. However, it is much too thick a product to use on the Tear Trough.

In the wrong hands the Tear Troughs can be a problematic area to treat. Tear Trough treatment is a particular interest area of mine and I believe that the secret to a successful result is to use the correct product, in the correct place, in the correct amount and importantly with the correct technique. Over-treatment is a concern in this area and I rarely use more than 0.5-1.0ml of filler in total, to treat both sides. It is one of those areas where it may be better to slightly under treat and review a few weeks later rather than risk adding too much volume. The Tear Trough is an unforgiving area and even a small amount too much will look obvious.

Having said that, Tear Troughs are a satisfying area to treat and are probably the only area of the face where a relatively small amount of filler can produce such a dramatic improvement.

From a product point of view I believe that for Tear Troughs it is difficult to beat the classic Restylane (not thicker products such as Restylane Perlane/Sub-Q)
I hope that this is of some help.

Best wishes,

Peter Forrester

Dr Peter Forrester

Dr Peter Forrester

6 Esher Park Avenue, Esher, Surrey, KT10 9NP
Web: www.drforrester.co.uk Tel: 01372 890 890

View My Profile Dr Peter Forrester