Restylane Silk with Lidocaine

Restylane SILK is the newest FDA approved hyaluronic acid filler to the Restylane family of products. This product is a thinner particle than the original Restylane (mid range particle used in the nasal labial folds and marionette lines) and Restylane Lyft (larger particle that is used to add volume to a larger area like cheeks.) Restylane SILK is ideal for pucker/smoker/lipstick lines (perioral lines) and adding a more hydrated look to lips. Restylane SILK is a smaller particle and thinner product, an ultra fine needle is used. Since the lips are one of the most sensitive areas of the face, the lidocaine in this product makes the treatment a more comfortable experience. The results are immediate!

How long does Restylane SILK last?

One treatment of Restylane SILK should last 6-9 months and sometimes up to a year. Individual results vary, but some studies show that hyaluronic acid stimulates your own collagen to grow where the filler is injected. In the FDA trial for Restylane SILK, of 221 patients, 98% had visible improvements 14 days after injection, and 76 % of patients still had results a 6 months.

Where can Restylane SILK be injected?

Restylane SILK is FDA approved (on label) for the perioral lines around the lips. It is also used to add a more hydrated look to lips, but can be also used off label for other fine lines in the face such as crow’s feet, forehead lines, and add volume to brows and upper eyelids.

Do Restylane SILK injections hurt?

Effort is made to make this treatment as comfortable as possible. Ice is used to numb the area, and the lidocaine in Restylane SILK quickly numb the area treated. Most people find this treatment very tolerable and no dental block is needed.

What are the common side effects?

Most common side effects are mild swelling and bruising. You may have tenderness and mild discomfort. Swelling may be present up to 7 days, but is usually much decreased after 2-3 days.

What should I do at least 1 week BEFORE my treatment?

To decrease your risk of bruising:

  1. Avoid taking blood-thinning medications one week prior to procedure, such as Asprin, Warfarin, Dipyridamole, Clopidogrel, nonsteroidal anti-inflammatory drugs (NSAIDS), fish oil, vitamin E supplements, St. John’s wort, garlic tablets, ginkgo biloba, and ginseng.

  2. Start taking Arnica tablets found at Whole Foods or vitamin stores. Follow the instructions on the packaging.

  3. One day prior to appointment, start taking Bromelain (follow the instructions on the packaging) and/or eat FRESH pineapple.

  4. Avoid consuming alcohol prior to your procedure

If you have any medical concerns with stopping or starting any medication or supplement, be sure to check with your physician first. If you are on Warfarin or Coumadin, check with your doctor prior to taking Arnica and/or Bromelain.

What should I do AFTER my treatment?

The following are some steps you can take to minimize reactions and get comfortable:

  1. Apply cool compresses to injection site (gently, without firm pressure) for 5 minutes up to 4 times a day

  2. Reduce facial expressions/lips pursing for 48 hours

  3. Avoid rubbing or touching the treated area

  4. Avoid lipstick, Vaseline or other lip products immediately after injection

  5. Avoid sun exposure as long as bruising persists

  6. Elevate head while sleeping

  7. Avoid vigorous exercise for 24 hours

  8. Stay hydrated

You may take Tylenol for discomfort. Traumeel topical works well for bruising (found at Whole Foods or vitamin stores). Bromelain tablets help minimize bruising by digesting proteins that trigger bruising and swelling (or eat fresh pineapple). Take 250 mg 4 times a day until the bruise has healed. Minor bruising can last 2-14 days. You can also take Tumeric, 250 mg 4 times a day until the bruise is healed.

If you have a history of facial cold sores, there is a risk that the needle punctures could contribute to another occurrence. Be sure to let Joann, RN, know if you need medication.

How much do I need and what is the cost?

Most people only need 1 cc of Restylane SILK for the perioral lines around the lips.  Call for pricing.

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