Dermal Fillers

 Juvederm and Restylane appear to be very similar on the surface.

Both injectable dermal fillers use hyaluronic acid to achieve a volume replacement benefit which result in wrinkle eradication and lifting of the skin. Both treatments are non-surgical, require no downtime and are virtually pain free. Finally, they both can be used in similar facial areas to correct similar aging symptoms.

There are, however, a few key differences between Juvederm and Restylane. Here’s an overview of the benefits and weaknesses of each filler.

The formulas of Juvederm and Restylane use the same active ingredient: hyaluronic acid.

Hyaluronic acid is a natural carbohydrate molecule found in all living cells. Hyaluronic acid is a well-known humectant which means it has the ability to attract and retain moisture. In fact, it can hold up to 1,000 times its weight in water. This ability is what allows both fillers to add volume and plump the skin. Since, the hyaluronic acid found in both Juvederm and Restylane are naturally occurring there is little to no risk of allergic reactions among patients.

The biggest difference between Restylane and Juvederm is their texture. 

Restylane is granular and more cohesive while Juvederm has a smoother texture. These texture differences give both fillers different strengths. The smoothness of Juvederm makes it better at addressing finer lines and wrinkles in tight facial areas. In contrast, the cohesive nature of Restylane allows it to stay in the place in the injected which makes it ideal for adding volume in specific sunken facial areas. Restylane is also moldable, which allows the injector to better create shapes and contours.

Restylane and Juvederm both have different formulas that target different facial areas.

Juvederm can be used to address numerous areas of the face including the cheeks, and mouth. The Juvederm family includes Juvederm Ultra (orgional formula), Juvederm Voluma (FDA approved to enhance cheek volume), Juvederm Volbella (targeting lip lines and other fine lines around the mouth), and Juvederm Vollure (formulated to target severe folds and wrinkles included the nasolabial folds).

Restylane can be used to address many of the same facial areas as Juvederm, however it is particularly effective in treating volume loss under the eyes and mid face. It can also be used to for hand rejuvenation by adding volume to the back of the hands. The Restylane family includes Restylane (original filler) Contour and Lyft for cheeks, Silk for fine lines, Kysse for lips and Refyne and Defyne for lines and folds.

The Results of Each – and the Speed

Juvederm and Restylane both have the ability to provide dramatic results, eradicating lines and wrinkles while boosting volume to make the skin firmer and plumper in appearance. Juvederm actually works slightly faster, its results are apparent immediately whereas the results of Restylane takes a few days to fully settle.

How Long Do They Last

Comparing result duration between dermal fillers can be difficult as many variables beyond filler type including the treatment area and the patient’s metabolism play a role. Clinical results state that these fillers can last anywhere between 9 to 12 months.

The hyaluronic acid found in both formulas is biodegradable which is why results are non-permanent, over time the body will naturally cannibalize the added hyaluronic acid returning the treatment area to its pre-treated state. Patients can choose to maintain the results of Restylane and Juvederm by undergoing periodic maintenance treatments.

Does it Hurt?

Patients experience little to no pain during a filler treatment, especially when it is performed by a Cosmetic Injection Specialist with Medical Credentials, like Rose Streeter, RN, BSN.

Juvederm and Restylane procedures are non-surgical and minimally invasive, the filler is administered through a series of injections using an ultra-fine needle. Many formulas in both families contain lidocaine, which numbs the skin during injections to minimize any patient discomfort. Added topical numbing cream may also be applied to the treatment area if requested by the patient.

How long is a treatment appointment, and what is the downtime?

Dermal filler treatments like Juvederm and Restylane are extremely quick and can even be performed during a patient’s lunch hour. While treatment time can differ, most patients will be in and out of the office within 30 to 45 minutes.

There is little to no downtime (recovery time) required for either Juvederm or Restylane.  Average is a few days of mild swelling and potential for slight bruising. Patients can go right back to their normal daily activities directly following the procedure. It also helps to avoid blood thinners one week prior like aspirin, advil etc., ( Tylenol is okay) alcohol consumption, fish oils, Chinese herbals, and vitamin E. We do ask patients to reframe from working out for 24 hours to help decrease any post procedure swelling.

Are there any Side Effects? 

Potential side effect for both treatments are relatively minor and typically resolve without any intervention. Common side effects may include bruising, swelling, redness, rash, or pain around the site of the injection. Serious side effects are rare and can include allergic reactions, changes to skin color, infection, numbness, and scarring.

So which is the better filler – Juvederm or Restylane?

The answer is a simple “it depends”. While it’s good for clients to understand the differences and benefits of each filler, the final decision on which filler is best for you should be left up to a Cosmetic Injection Specialist with Medical Credentials, like Rose Streeter, RN, BSN. She will be able to assess your individual needs in order to develop the best course of treatment. In fact, it’s not uncommon to recommend using a combination of both fillers to create the patient’s desired end result.

Not all Cosmetic Injection Specialists are the Same

While Botox is not as complicated as  cosmetic surgery, choosing a heavily discounted service or new injectionist may save a few pennies; but can also have less than satisfactory results.  For this reason, you want to have any work of this type done by a Cosmetic Injection Specialist with medical credentials such as Rose Streeter, RN, BSN. With over 21 years of injection experience and a nursing background, Rose stays on the leading edge with continuous training and education in medical aesthetics. She is professional and conservative by nature and can help customize your treatment to your individual needs. Her studio is private, with no waiting room, providing a comfortable atmosphere.

Release Your Inner Beauty – Schedule today!

If you are bothered by the site of fine lines and wrinkles when looking in the mirror or believe your lips, cheeks or folds between the nose and mouth could use more volume, reach out to Aesthetic Creations, Inc. today. Call 720-301-0417 to schedule your consultation, or book online at www.rosestreeterrn.com.

 A common question from dermal filler patients is “How long do dermal fillers last?” The best answer to this seemingly simple question is “It depends.”

Result duration can significantly differ from patient to patient based on a number of factors including the type of filler used, which area of the face is treated, and the patient’s own metabolism level. It also depends on the area the filler is placed. If the filler is placed in a high movement area such as the lips then the filler will not last as long.

Here’s a simple chart showing the average length of time that results last for the fillers from Aesthetic Creations:

By Filler Type – Result Duration

Different fillers provide varying duration of results as illustrated in the table above. The variations in the length or results are due primarily to differing materials used in each brand’s formulation, along with the consistency of the filler (thicker fillers tend to last longer). However, it’s important to keep in mind that result duration is merely one of many factors to consider as fillers also differ in their ability to address specific aging symptoms or be used in specific facial areas.

By Facial Area – Result Duration

The area of treatment will also impact how long filler results can last. Here’s a basic summary of how long fillers typically last in each facial area:

Lips: There are many different fillers for lip augmentation (i.e. lip injections). Popular choices include Juvederm Ultra and Restylane-L, both of which can last up to 12 months.

Eyes: Hyaluronic acid-based fillers like Restylane used to treat the eyes (including the tear trough area) typically last around 12 months.

Nose: Nose enhancement through a “liquid rhinoplasty” procedure can be performed with Restylane, which can last anywhere from 9 to 12 months.

Cheeks: Restylane used to enhance the cheeks can last up to 15 months.

Corners of Mouth: Hyaluronic acid fillers like Juvederm and Restylane produce great results, with both fillers lasting up to 1 year in the area.

Chin: Chin augmentation procedures using Radiesse often last between 16 and 24 months.

How to make Dermal Fillers Last Longer

The only way to indefinitely keep the results of fillers is to undergo periodic “maintenance” treatments. The simple touch up injections can be performed just as the results begin to wear off.

Additionally, simple habits like wearing sunscreen daily, eating a healthy diet, and practicing a good skin care regimen (shown below). 

What is a Good Skin Care Regimen that helps results last longer?

The benefits of injectables (like many other cosmetic treatments) will last longer for individuals who properly take care of their skin. Patients who moisturize daily and stay hydrated by drinking plenty of water will enhance the water-absorption effect of hyaluronic-based fillers, helping treated areas remain plump and wrinkle-free!

In addition to moisturizing, choose skincare ingredients that stimulate collagen production and protect your skin from free radicals. A stronger skin structure helps prolong the effects of toxin or dermal fillers. Antioxidants like Vitamin C also protect against damage from sun and pollution.

Look for collagen-boosting ingredients such as retinol or collagen peptides. You’ll find these ingredients in moisturizers, cleansers and serums.

Not all Cosmetic Injection Specialists are the Same

While Botox is not as complicated as  cosmetic surgery, choosing a heavily discounted service or new injectionist may save a few pennies; but can also have less than satisfactory results.  For this reason, you want to have any work of this type done by a Cosmetic Injection Specialist with medical credentials such as Rose Streeter, RN, BSN. With over 21 years of injection experience and a nursing background, Rose stays on the leading edge with continuous training and education in medical aesthetics. She is professional and conservative by nature and can help customize your treatment to your individual needs. Her studio is private, with no waiting room, providing a comfortable atmosphere.

Release Your Inner Beauty – Schedule today!

If you are bothered by the site of fine lines and wrinkles when looking in the mirror or believe your lips, cheeks or folds between the nose and mouth could use more volume, reach out to Aesthetic Creations, Inc. today. Call 720-301-0417 to schedule your consultation, or book online at www.rosestreeterrn.com.