Perline contour plastic surgery. Getting rid of deep wrinkles. An alternative to plastic surgery.

Restylane is one of the most popular biogel fillers successfully used for contouring. The product contains hyaluronic acid in a concentration of 2% and is used to fill fine and deep wrinkles, folds, correct the contour of the face, and lip contour.

The Restylane line of fillers is produced by the Swedish company Q-Med AB. It includes biogels that differ in the type of imperfections being corrected, the presence of lidocaine and other additives. Unlike analogues, Restylane has a dense consistency. Thanks to this, the biogel slowly dissolves in soft tissues, which provides a longer lasting effect.

Restylane product line

• Restylane is a basic biogel for eliminating wrinkles and folds on the face of medium depth.
• Restylane Perlane Lidocaine is a filler designed to fill deep folds (nasolabial, horizontal wrinkles on the forehead, etc.), contouring problem areas in the eyebrows, cheeks and cheekbones. The drug contains lidocaine in its formulation, an effective anesthetic that reduces discomfort during injections.
• Restylane Vital is a product used for facial skin rejuvenation procedures (biorevitalization), improving tone, and imparting elasticity. The product is especially effective for older patients, people with pronounced photoaging of the dermis (symptoms appear with regular and prolonged exposure to direct sunlight).
• Restylane Vital Light - the product is used in revitalization procedures for patients under 30 years of age, as well as in preparation for correction of facial contours and problem areas using thicker fillers.

Contraindications

Contraindications to the use of filler include:

• particularly sensitive skin prone to allergies and scarring to the product;
• pregnancy and lactation;
• acute diseases and exacerbation of chronic and systemic connective tissue diseases;
• poor blood clotting;
• inflammatory processes of the skin;
• existing filler residues from other manufacturers;
• laser treatment, chemical peeling or dermabrasion performed 2-10 days before the gel is administered.

Benefits of Restylane

The advantages of the Restylane line of drugs are:

• Safety. Biogels practically do not cause allergic reactions and are not rejected due to their natural composition. The hyaluronic acid included in the formula is a biological component of the dermis, so the skin accepts the filler as a natural component.
• Quick effect. The effect of using the drug is noticeable immediately after the procedure, but the final result will be visible after 7 days, when the filler is distributed under the skin. The result of the procedure lasts for a period of six months to 8 months (depending on the individual characteristics of the patient), after which the manipulations can be repeated.
• Lack of rehabilitation period, strict long-term restrictions. After the procedure, the patient can immediately go about his business, subject to some nuances: do not visit the sauna or bathhouse for a couple of days, do not exercise, do not sunbathe and do not use facial cosmetics.
• Compatible with other cosmetic procedures. After injections with Restylane, it is allowed to carry out peelings (after 21 days), give Botox injections and other drugs (after 14 days).

Composition of the drug

The drug has sterile purity, there are no protein impurities and toxins , so it is almost impossible to transmit an infection with the filler, and allergic reactions are also excluded.

During the production of the gel, chemicals bind to hyaluronic acid molecules, so when introduced into the body, the product is slowly absorbed. At the same time, it integrates with tissues, i.e. there are no obstacles for substances - growth factors, since oxygen, glucose, hormones can move freely in the injected filler, and cells can move between its fragments. During the entire time the filler is in the layers of the dermis, the skin will be healthy, moisturized, elastic and tightened.

At the end of metabolism, the filler breaks down into water and carbon dioxide, which occurs in 2 phases. The first phase lasts 6-12 months, during which the half-life of the filler occurs during the local disintegration process. During the second phase, the products entering the bloodstream will degrade quickly, so there is no systemic effect when using filler.

1 ml of Restylane Perlane contains 10,000 large particles and 20 mg/ml hyaluronic acid. New batches of the drug contain 3% lidocaine .

How is the procedure done?

The cosmetologist’s manipulations take place in stages:

• Removing cosmetics from facial skin;
• Treating work areas with an antiseptic;
• Application of anesthetic (if necessary);
• Injecting a doctor-selected dose of the drug under the skin into predetermined points with a thin needle.

After Restylane enters the dermis, hyaluronic acid accumulates water molecules, smoothing the skin and making it elastic, adding volume. Minor reactions in the form of redness, swelling, and bruising are possible. They will all disappear within 1 week.

Properties of the drug

The hyaluronic acid filler Restylane Perlane is completely compatible with the environment and cells of the body. Acid rejection does not occur, and over time it is completely metabolized. For injections, a preliminary allergenicity test is not required.

Due to the accumulation of fluid in the skin at the injection sites, defects are corrected - an increase in skin volume where there is significant depletion.

With the correct calculation of the required amount of the drug and the injection zones, the gel will be distributed evenly without compaction in the connective and synovial tissues and intercellular fluids.

Popular questions

Which is better - Restylane or Botox ?

“Botox” is a kind of poison in minimal doses that paralyzes muscle tissue, preventing their movement, and therefore the formation of wrinkles. Restylane, in turn, retains the necessary moisture in the right places, which ultimately helps smooth out wrinkles. Each patient decides for himself what will be best, but most doctors are of the opinion that such injections help achieve maximum results in combination with each other.

Do injections cause pain?

If pain occurs, it is tolerable. But, as a rule, an anesthetic is used.

How many procedures will be needed?

To achieve the desired result, it is worth completing a full course of 3-4 procedures with a break between them of 1 month.

You need to undergo a small number of procedures

Can this drug be used during pregnancy?

Pregnancy and breastfeeding are the main contraindications to the procedure.

Is it possible to drink alcohol after injections?

It is best to give up alcohol for 5-7 days after injections.

What if there is a possibility of allergic reactions to the drug?

The drug has a unique composition and a special manufacturing process. It does not contain any impurities of animal origin, which eliminates the possibility of allergies.

Allergies from Restylane usually do not occur.

Results and durability of the effect

Restylane is a filler, reviews of which indicate the effectiveness of biorevitalization or mesotherapy. The drug is biodegradable, so it dissolves over time.

The durability of the effect depends on many factors:

• patient's age;
• correction areas;
• the degree of negative age-related changes;
• soft tissue conditions;
• individual characteristics of the body.

On average, skinboosters and Restylane fillers preserve the aesthetics of the corrected areas from 6 months to 1.5 years. The result of therapy will be increased elasticity of the epidermis, tone and healthy complexion, smooth microrelief and maximum hydration.

Use of hyaluronidase in case of unsuccessful results

In case of a possible unaesthetic appearance, migration of the gel under the skin or inflammation, the patient wants to return to its previous appearance. For this purpose, hyaluronidase of animal origin is used. The enzyme accelerates the biodegradation of HA: it decomposes it into enzymes, after which they are excreted by the blood and lymph flow . Hyaluronidase powder is dissolved with saline before being introduced into the corrected area by injection or sonophoresis (with ultrasound). The drug is able to remove the filler within 2 days.

The method also has a negative side, since the solution can cause swelling that persists for a long time. In addition, uneven filler removal is possible, which is especially noticeable on the lips. If the patient is prone to allergies, then hyaluronidase must be administered along with antihistamines.

Photos before and after the procedure

Photos before and after injections of the drug "Restylane" No. 1

Photos before and after injections of the drug "Restylane" No. 2

Photos before and after injections of the reparative "Restylane" No. 3

Restylane's unique paradox is isovolemic degradation.

One of the features of the drug Restylane is its rather long-lasting effect. Typically, bioresorbable implants decrease in volume as they degrade. Restylane has the unique property of maintaining its original volume for a long time.

As the connecting “bridges” disappear, water takes their place. Thus, the less concentrated the implanted material becomes, the more water it accumulates. As a result, the original volume is maintained despite drug resorption. As a result, the material is completely resorbed, leaving no fibrosis at the injection site.

Material prepared by Ulyanova Irina Valentinovna

Filler injections

A filler is a special filler that is injected subcutaneously and used in contouring. Such fillers differ in characteristics, methods of administration, principle of action and constituent components. They also have their own advantages and disadvantages. When choosing the most suitable filler, it is worth considering some characteristics that it should have:

• simple storage method;
• excellent biological compatibility;
• does not provoke allergies;
• speed of resorption;
• absence of carcinogens.

It is important to use quality fillers

Contraindications to the use of Restylane

Since hyaluronate is considered a natural element produced by the human body, there are not many contraindications to the use of filler, but you cannot do without them:

• pregnancy and lactation;
• elevated blood sugar levels;
• serious skin diseases at the sites of exposure;
• herpetic and infectious infection;
• high body temperature;
• problems with blood circulation;
• epileptic seizures.

Contraindications should be taken into account when deciding to use Restylane.

Cost of Restylane brand fillers

The average cost of Restylane fillers and skinboosters is presented in the table:

Precautionary measures

The patient must inform the cosmetologist about the treatment (drug) and procedures being taken before undergoing contouring. You should trust the injection of fillers only to an experienced specialist to avoid an ugly result ! After the procedure, the doctor must destroy the used syringe with needle and auxiliary materials.

To prepare the tissues before the filler is introduced and after the procedure, it is necessary to perform a professionally correct massage of the corrected area. The skin should be disinfected.

Side effects

After injections of Restylane Perlane, side effects appear:

• bruises and itching at the injection site;
• noticeable swelling and edema;
• hematoma, hyperemia and slight bleeding;
• excessive increase in the volume of the corrected zone due to incorrect calculation of the drug;
• acne-like papules;
• occlusion of the lumen of the terminal artery when filler enters a blood vessel;
• the appearance of infection in soft tissues due to insufficient disinfection of the skin before injections.

The infection must be treated, excessive increase in volume can be removed with hyaluronidase, and the remaining phenomena will go away on their own after 1-3 days in the skin of the face, after 2-8 days around the lips.

Restylane lip filler injections

Restylane is a filler, reviews of which from cosmetologists are mostly positive. Using the gel you can adjust the volume of your lips.

Indications for use of Restylane in the lip area are:

• pronounced asymmetry;
• insufficient volume;
• blurred outline;
• pronounced age-related changes;
• desire to improve lip aesthetics;
• dissatisfaction with natural volume, shape.

Through microinjections with a biosynthesized hyaluronate composition, visible results can be achieved after the initial session, but the final aesthetic effect will become noticeable after 14 days - after 2 weeks the swelling will subside. The key to a high-quality procedure and natural effect is the professionalism of the doctor.

For a beautiful and natural effect of plump lips, cosmetologists use a combination of fillers of different densities, introducing a gel with increased density into the contour area, and a softer and more plastic one to directly add volume to organic tissues.

Restylane is biocompatible, there is no risk of allergies. Penetrating inside, it saturates tissues and cells with stabilized hyaluronic acid, replenishing lost or insufficient volume.

The effect lasts for six months; after the gel is absorbed, an additional session of Restylane therapy is required.

Price of Restylane drugs

The drugs are not cheap. On average they cost about 15 thousand rubles. But the end result is certainly worth the effort. The drug is very popular and in demand among patients and cosmetologists around the world.

Taking into account the intended area of ​​influence, the price of the drug fluctuates.

The cost depends on the scope of work and what type of Restylane was chosen

Price of injections using Restylane.

1. To get rid of nasolabial folds you will need no more than 2 ml of gel. The procedure will cost between 15-30 thousand rubles.
2. To cope with eyebrow folds and wrinkles, you will need approximately 1 ml, which will cost about 10-15 thousand rubles.

Other procedures.

1. Restylane for lip volume 1-2 ml – 15-20 thousand rubles.
2. Restylane for lip contour correction up to 1 ml – 10-15 thousand rubles.
3. Restylane for getting rid of small and medium wrinkles 1-2 ml – 15-25 thousand rubles.

The price justifies the result

Skinboosters Restylane

Skinboosters or skinbooster are progressive innovations in the field of cosmetology. The main task of such products is to improve the quality of the skin and enhance its natural properties. The main active ingredient is stabilized hyaluronic acid, synthesized according to the NASHA standard.

This is a component of non-animal anthropogenesis that minimizes the likelihood of the risk of allergic manifestations.

Hyaluronate synthesized using this technology is a substance of increased density, which contributes to its slow resorption. Skinbooster Restylane's structure resembles a viscous dense gel, which helps smooth out the microrelief by filling wrinkles.

Indications for the use of skin boosters are:

• insufficient skin moisture;
• decreased elasticity, loss of tone;
• signs of aging;
• optimization of plastic surgery results.

The main difference between a skin booster and a filler is its specific microstructure, which promotes maximum hydration, stimulation of collagen synthesis, accelerated metabolism and cellular renewal. The advantage of such therapy is not only the improvement of the structure of the dermis and external aesthetics, but also renewal at the cellular level.

The QMed company offers a line of skin boosters, which includes:

1. Vital. Gel hyaluronate is indicated for mature patients with dense dermis and visible signs of aging to restore the biological state of young skin. Skinbooster helps fight wrinkles, sagging, loss of tone, increased dryness or oiliness, dullness and other cosmetic problems at a deep cellular level. After a course of Restylane Vital, the skin becomes more elastic, moisturized, tightened, and a visible rejuvenation effect is created.
2. Vital Light. Skinbooster with hyaluronic acid base, designed for younger skin. The purpose of the course with the drug Vital Light is to prevent the first signs of aging, enhance the natural properties of young skin, activate the internal processes of regeneration and synthesis of active substances. Indicated for patients with increased dryness, sensitivity, at the first signs of photoaging, for preventive purposes against age-related changes.

The effect after revitalization with Vital and Vital Light skinboosters lasts for 6 months or more.

The course consists of at least 3-4 sessions with an interval of 2-3 weeks.

Reviews

Anna, 35 years old

“I used Restylane Perlane for the nasolabial folds and lips. Everything is fine in the nasolabial area, but lumps have appeared in the lips. Now the doctor will do something about it.”

Marianna, 42 years old

“I did my cheekbones with Perlane. Now I like my face, and from the outside people began to say that I have a decisive and strong-willed appearance. This drug suits me due to its long-lasting action and pronounced effect. Now I’ll just use this filler to correct my appearance.”

Lilia, 38 years old

“I removed wrinkles on the bridge of my nose. The effect was just right! The skin straightened out from the inside and began to look better. The cosmetologist offers to add Botox, but I refused, there is no reason to add another product.”

Tamara, 45 years old

“I injected Perline into the nasolabial area and above the lip, where there were deep wrinkles. The doctor informed me that she uses the crossover method for better effect and long-term preservation of the drug in the skin. There was a lot of swelling and terrible bruising. Apparently the subcutaneous injuries were severe, because it hurt for a long time. A month later, the bruises and swelling had just gone away, but the wrinkles were creeping up already on the 5th day. So what now? I wasted a lot of money and my dream didn’t come true.”

Valentina, 40 years old

“You need to correct your appearance in a good clinic with certificates. You can get the drug in your skin from familiar cosmetologists at home. It is unknown how and where it was previously stored, or how it was transported. May be expired. And the doctor may not have the necessary experience in this very “crossover” method. Hence the bruises and swelling. Yes, and wrinkles that were simply bypassed. Perhaps the doctor pressed hard during the massage after injecting the filler. I pricked my lips and smoothed out wrinkles on my forehead. “Everything is normal, since the master was good, all precautions were followed.”

Procedure technology

The injection procedure takes 30-40 minutes. Biogel is injected into the dermis strictly under a fold or wrinkle using successive injections with a thin needle. Using Restylane , lip augmentation is performed by a series of injections into their contours. Anesthesia is usually not needed for injection into fine wrinkles. But when nasolabial folds are smoothed out with the help of the drug or facial features are changed, then either local anesthesia using lidocaine cream or conduction anesthesia is performed. After Restylane injections, reviews of which can be seen on our website, a hospital stay is not required.

Lip correction with Restylane:

After the procedure, the result is noticeable almost immediately, but it becomes most pronounced after a week. Wrinkles become smaller or disappear completely, and lips acquire a seductive appearance after Restylane injections, you can see photos on our website.

The duration of action of the Restylane injection varies from person to person, but usually from 6 to 12 months. The more dehydrated the tissues and the faster the metabolic processes, the faster the effect will pass. At the same time, massages, saunas, electrical procedures and other effects that improve blood circulation in tissues contribute to a greater rate of absorption of the drug.

If you are interested in the drug "Restylane", then you can read patient reviews on the forum of our portal and ask experienced cosmetologists at Moscow clinics. More detailed information and the cost of injections can be found by calling Moscow cosmetology clinics, which can be easily found on our portal.

About precautions, adverse reactions and ways to eliminate them:

• excessive increase in volume of lips and cheekbones is easily eliminated with injections of hyaluronidase;
• redness, itching, swelling are short-term side effects that go away on their own within 6-7 days;
• hematomas and bleeding in the injection area may occur if the patient takes certain medications (aspirin, ibuprofen, naproxen, thrombolytics, etc.). It is always necessary to warn the cosmetologist about taking medications;
• infection of the soft tissues of the face can occur due to poorly disinfected skin before the procedure;
• hyperpigmentation in the injection area sometimes occurs in patients with dark skin; goes away in about a month.

In addition, it should be borne in mind that studies of the safety of Restylane drugs in pregnant and lactating women, as well as in minor patients, have not been conducted. Therefore, it is better for patients in these categories to refrain from performing manipulations.

You also need to know about the US Department of Health restrictions on the volume of gel used:

• 1.5 ml when injected into the lips;
• 6 ml for wrinkle correction.

Action of fillers

Their main purpose is to add volume to problem areas of the face, filling voids. Fillers are divided into several types.

1. Permanent - special gels that contain synthetic substances.
2. Permanent ones, in addition to synthetic ones, contain natural components.
3. Temporary. They have a distinctive feature: they are considered the most popular and harmless, but their effect lasts for 6 months.

Important ! The main task of fillers is to restore lost volume in the subcutaneous tissues, which often occurs in older age. Being under the skin, the filler fills wrinkles and smoothes them out.

Fillers add volume to problem areas