Restylane®

If you have recently had Restylane injected and dont feel fully corrected, see your board-certified dermatologist or plastic surgeon for an evaluation. You may simply need more filler, or filler placed differently.

Generally, the needle size of the fillers has stayed the same (smaller needle for the thinner fillers, bigger needle for the thicker ones), but there has been some advancement in the details of the needle engineering and design that are intended to handle the fillers for a smoother delivery and more reliable performance. However, of course, with more experience over years of use, techniques have also advanced over the years.

There are no limits on flying after filler treatment. However, the altitude may impact bruising, so it's best to wait a day or two. This also keeps you in the proximity of your injector in case you have any concerns.

Nerve damage typically presents as numbness and pain. This is a risk of any injection, and it simply occurs because the needle pokes the underlying nerves. This should subside within a few weeks to months.

Both options have a great safety profile when used by a board-certified dermatologist or plastic surgeon.

Although each injector will have a different answer, Restylane and Juvederm tend to produce the same amount of swelling after injection. The amount of swelling can depend more on the placement and technique than the exact product used.

Its generally safe to get hyaluronic acid injectable fillers placed even with rosacea, especially if youre just considering upper lip injection and not also cheeks. Melolabial (nasolabial) fold and cheek injections could potentially temporarily create some pinkness which might be construed as a rosacea flare, but should not be of long-term concern. Doxycycline, often given for acne or rosacea, should not have any consequences relating to injectable fillers, and definitely will have no impact on bruising.

After cosmetic injectable treatments, many patients are carefully trying to not touch anything, but be reassured: If you are gentle with your application of creams and washing your face, you wont hurt anything! Keep in mind that most anti-aging creams truly do very little other than plump up the outer layers of skin as a moisturizer, smoothing the appearance of wrinkles. Only a few truly biologically change the skin, and even fewer have proven this to the FDA, so they can avoid the expense and hassle of having to be regulated and marketed as a drug rather than a cosmetic!

After getting lip fillers, it is recommended to would wait a day or two before heavy kissing, but the gel itself wont break down faster than normal with lots of kissing. Depending on how much is injected, there is a very small chance it could be slightly manipulated into different locations, but do not worry about that too much, especially after several days.

Restylane (or Juvederm) and Botox (or Dysport) can be used together on the same day with no trouble at all. Using the filler and neuromodulators in different areas poses no issue, and they can often be used synergistically to help problems together in one area like the glabella or upper lip area (not too much Botox!).

There is no way to guarantee zero risk of bruising, even with the most careful technique by the most skilled and appropriate injector, but there are several tricks to minimize risk. Avoid aspirin, ibuprofen, and other similar medications for two weeks prior to treatment. Use ice packs right after treatment and even later that day on and off. Do not exercise on the same day after your treatment. Make sure you see an experienced and conscientious board-certified core specialty physician.

As long as you have waited well past the initial, expected "post-treatment swelling" period (maybe even up to a month or so), it is fine to add additional volume of the hyaluronic acid fillers if you feel you would like more volume or line correction. Restylane and Juvederm do wear off faster in the areas with more movement (smile lines faster than under eye tear troughs, for example), so needing to "top off" filler in these areas sooner does make more sense. See a board-certified, careful, and artistic dermatologist or plastic surgeon for your treatments.