Aesthetic Filler Treatments
According to its manufacturer, Allergan, Inc., JUVÉDERM® XC injectable gel is designed to “temporarily treat moderate to severe facial wrinkles and folds such as nasolabial folds” in people older than 21. Unlike the original JUVÉDERM® injectable gel, JUVÉDERM® XC is infused with lidocaine to make its injection more comfortable.
JUVÉDERM® XC is a smooth-consistency gel that restores volume to the skin, and smooths away moderate-to-severe facial wrinkles and folds. It is made of hyaluronic acid (HA), a sugar that occurs naturally in the body. In terms of the skin, HA’s role is to deliver nutrients and hydration, and act as a cushioning agent. Young, healthy skin contains a lot of HA, but factors that include aging and sun exposure reduce the amount, causing skin to lose structure and volume. JUVÉDERM® XC is most effective in improving the appearance of nasolabial folds, the lines that run from the bottom of the nose to the corner of the mouth on both sides of the face.
JUVÉDERM® XC Injectable Gel Procedure
JUVÉDERM® XC injections take about 15 minutes to administer in a doctor’s office. A fine needle is used for the injection, which is given under the skin in the targeted area to add volume or fill in wrinkles and folds. Because JUVÉDERM® XC contains lidocaine to improve comfort, an anesthetic may not be needed. However, a doctor may still elect to use a topical anesthetic on the area to be treated before giving the injection. Afterword, the doctor may gently massage the treated area(s).
Once treatment is completed, patients can return, with virtually no downtime, to their regular activities. For the first 24 hours after treatment, to reduce the risk of complications, patients should avoid strenuous exercise, excessive sun or heat exposure, and alcohol consumption.
Results of JUVÉDERM® XC Injectable Gel
The results of JUVÉDERM® XC are visible immediately after injection; any swelling and bruising, to which ice can be applied, should subside during the next few days. Results can last 6 to 9 months, and, in some cases, up to year. However, according to its manufacturer, “Results from injectable dermal filler vary and correction is temporary. Supplemental ‘touch up’ treatments may be required to achieve and maintain optimal correction of . . . wrinkles and folds.”
For customized treatment, Allergan, Inc., offers two types of JUVÉDERM® XC: JUVÉDERM® Ultra XC, which is suitable for superficial facial lines and folds, and JUVÉDERM® Ultra Plus XC, a stronger formulation that is used for deeper facial folds and lines. JUVÉDERM® XC is the first HA filler that is FDA-approved for use on people of color.
U.S. Food and Drug Administration (FDA)-approved Restylane® injectable gel is a cosmetic “filler” that contains hyaluronic acid (HA), a natural substance that is found in the body. HA gives volume and elasticity to the skin, but as the body ages, HA levels decrease, resulting in loose skin and wrinkling. When injected, Restylane® gel is designed to plump the skin beneath lines and wrinkles, smoothing them out and making them less noticeable.
The most common areas for Restylane® treatment are the glabellar lines (which run between the eyebrows) and the nasolabial folds (which run from the sides of the nose to the corners of the mouth). Restylane® injectable gel is also FDA-approved, for those 21 and older, for enhancing the lips. According to manufacturer Medicis, results can last for up to 6 months, at which point the hyaluronic acid is reabsorbed by the body.
Benefits of Restylane® Injectable Gel
When injected, Restylane® gel plumps up glabellar lines and nasolabial folds, making skin appear younger and look smoother. When used for lip enhancement, it makes the lips fuller and gives them more definition.
Side Effects of Restylane® Injectable Gel
The most common side effects of Restylane® injectable gel are swelling, redness, pain, bruising and tenderness in and around the injection sites. They typically go away within a week.
Although considered safe for most patients, Restylane® injections carry a risk of infection, bleeding or allergic reaction.
Advantages of Restylane® Injectable Gel
One significant advantage that Restylane® injectable gel has over other facial fillers made with hyaluronic acid is that it contains nothing of animal origin. As a result, it does not require a potential user to undergo allergy testing, which can sometimes take weeks.
Another advantage is that Restylane® injections are performed in-office, usually by a dermatologist, in less than half an hour, and require little-to-no downtime for the patient.
Made of hyaluronic acid, Perlane is similar in consistency to Restylane®, but contains larger gel particles that help lift and fill deeper depressions. Hyaluronic acid is a transparent gel that is found naturally in the body and gives the skin its fullness. Over time, hyaluronic acid levels naturally decrease and cause the skin to sag and depress. Injecting this substance into the skin can fill these depressions and restore the skin back to its original fullness.
Perlane injections are administered using topical anesthetic to minimize discomfort and delivered directly into the skin of the affected area to fill in the wrinkles, fine lines and folds that develop over time. Injections usually take 30 to 45 minutes to perform, after which patients can immediately return to work and other regular activities.
While you may experience side effects such as swelling, redness, bruising and discomfort after treatment, these side effects are usually mild and will go away on their own within a few days. Perlane is considered safe for most patients, but does carry a risk of infection, bleeding or allergic reaction. Your doctor will discuss these risks with you prior to treatment.
Results of Perlane
The results of a Perlane injection are visible right away and can last for six to eight months, depending on the condition of each patient’s skin, as well as their age and life .
Results can be maintained through touch-up injections administered once or twice each year. As treatment continues, results tend to last longer with less need for maintenance treatments.