What do I need to do (or not do) before my Restylane or Juvederm treatment?

As with all treatments that involve cosmetic injections, the most likely negative outcome from a Restylane or Juvederm injection (and any treatments involving cosmetic dermal fillers) is the development of bruising.  This is not considered an “adverse reaction” – only a common negative side effect.

 

Avoiding certain supplements or medications ten days prior to dermal injections will help minimize this risk of bruising.  However, some prescribed medications should not be stopped until discussed with your physician.  The products most commonly responsible for pronounced or delayed bruising are:  Ibuprofen, Aspirin, (any non-steroidal anti-inflammatories), Ginko Biloba, St. John’s Wort, Fish Oils, and Vitamin E greater than 200 IU per day.  The effects from these products and other prescribed medications may last as long as ten days in the body so stopping them the day before will not help avoid the issue.  Some patients find value in taking Arnica tablets prior to their Juvederm or Restylane injections.  At Celibre, we apply topical Arnica gel following injectable treatments.  Diligent use of ice packs is also beneficial in avoiding bruising from dermal injections like Restylane and Juvederm.

There are also certain techniques or areas that make bruising a higher probability and these should be discussed with your injection practitioner.  Make certain that your practitioner involves you in the treatment plan to discuss methods of minimizing any potential negative side effects of dermal injections.

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FREE Los Angeles Restylane injections consultation, www.celibre.com/contactlist.aspx.

restylane bruise picture 

Los Angleles Restylane before and after pictures at www.celibre.com/restylaneba.aspx.

Lori Haney, RN, MEP-C

Certified Laser Medical Safety Officer

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How long does Restylane last?

Restylane is a hyaluronic acid (HA) filler used for the correction of fine lines, folds, and shaping of the face.  Restylane injections typically provide good outcomes for anywhere between three to six months with the average length of time being four months for patients new to Restylane treatment.

 

Experience and research supports the that Restylane injections may last longer with consistent use of fillers (every 4-6 months).  This is related to the body’s response to make collagen in the treated areas – a good thing!  Medicis (the manufacturer of Restylane) has now provided research to support that benefits may last as long as eighteen months but only when used consistently.  Technique and areas being treated will also have a role in longevity of the Restylane injections.

 

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Los Angeles Restylane Injections, www.celibre.com/restylane.aspx

Schedule a FREE Los Angeles Restylane consultation, www.celibre.com/contactlist.aspx.

mouth frown revision with restylane before and after pictures mouth frown revision with restylane before and after pictures

Mouth frown revision with Restylane.  More Restylane Los Angleles before and after pictures at www.celibre.com/restylaneba.aspx.

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer

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Posted by administrator on Wednesday, November 26, 2008 2:09 PM
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Can I use Botox or Restylane while pregnant or breastfeeding?

For insurance reasons, we are not allowed to provide any laser treatments or injection treatments like Botox and Restylane if you are pregnant or breastfeeding.

 

This does not mean that any side effects would be seen from the Botox or Restylane injections, just that it is a precautionary measure that we take to ensure safety for patients and for the organization.

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Learn more about Los Angeles Botox, Restylane and Juvederm injections, www.celibre.com/wrinkles.aspx

Schedule a free Los Angeles Botox, Restylane or Juvederm consultation, www.celibre.com/contactlist.aspx.

 

Los Angeles Botox, Restylane and Juvederm before and after pictures visit www.celibre.com/botoxba.aspx, www.celibre.com/restylaneba.aspx, www.celibre.com/juvedermba.aspx.

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer

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What's the difference between permanent and non-permanent facial fillers?

The answer may seem quite obvious – permanent fillers such as Radiesse and Sculptra, have more longevity than non-permanent fillers such as Restylane, Juvederm and Perlane.  "Permanent" injectable fillers typically last a period of years (depending on the one used) whereas "non-permanent" fillers last up to 18 months (Restylane and Juvederm) after repeated injections at 4-6 months apart.

 

Some patients believe they receive more value for their money and time by using permanent fillers - which can be used less often.  On the upside, if the treatments do last a lot longer and if they are not priced disproportionately higher, there can be value in using a longer term injectable fillerOn the downside, once the permanent filler product is injected, there is no way to remedy the situation if the patient is dissatisfied with the outcome or if there is a complication.  Permanent injectable treatments also have a higher risk of granulomas (lumps) that may or may not be treatable once they are discovered.  For these reasons, the risk of using the permanent fillers is higher because the procedures cannot be reversed.

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For more information on all of Celibre's Los Angeles injection treatments visit www.celibre.com/wrinkles.aspx.

Schedule a FREE Los Angeles Restylane, Juvederm or Perlane consultation with Celibre Medical, www.celibre.com/contactlist.aspx.

Restylane los angeles before and after pictures Restylane los angeles before and after pictures

Los Angeles Restylane Injections by Celibre Medical.  More Los Angeles Restylane before and after pictures at www.celibre.com/restylaneba.aspx.

Non-permanent injectable fillers are called hyaulronic acid cosmetic dermal fillers.  The primary benefit of using non-permanent fillers over longer term ones is that when a situation arises wherein the treatment needs to be reversed, it's possible to do so.  There is a remedy that dissolves these hyaluronic acid products within a few minutes to several hours.  Also, these types of products can offer improved facial sculpting because of the smaller particles used in the products.  For this reason, shorter term non-permanent fillers like Restylane, Juvederm and Perlane offer lower risks.

There are pros and cons for almost every product.  Only you and your practitioner can decide what's best for your goals.  Regardless of what you choose, be certain that your injection practitioner is trained to use the product and has been doing so for some time.  When choosing to use these products, make certain that you have reviewed the risks and benefits with your practitioner.

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer

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Botox and Restylane Technique. What went wrong?

Take a look a tthe photo below.  This well known actress appears to have had some injection work done, most likely Botox and fillers which have created some unintended consequences. 

First the Botox.  On the side fo the nose, she has what is commonly referred to in the industry as "bunny lines".  Bunny lines appear on the side of the nose most often in response to utilizing too much Botox Cosmetic to the forehead and brow area.  You're probably saying to yourself, How does Botox injected in the forehead cause lines around the nose?  Well, Botox relaxes the muscles it is injected into so that wrinkles smooth out and disappear.  But when the muscles injected are relaxed too much, it can cause other muscles to work harder to animate the face (smile, frown, etc.).  As these "unopposed muscles" strengthen in response to the overuse of Botox in other areas, they can create unintended consequences, such as the bunny lines. This wrinkling of the sides of the nose looks unnatural.

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Los Angeles Botox injections by Celibre Medical, learn more at www.celibre.com/botox.aspx.  

Schedule a free consultation for Botox Los Angeles - www.celibre.com/contactlist.aspx.

los angeles botox injection

Los Angeles Botox Injections for frown lines around the mouth. 

Botox Los Angeles before and after photos, www.celibre.com/botoxba.aspx. 

Los Angeles Restylane Injections Before and After Photos, www.celibre.com/restylaneba.aspx.

Now bring your attention to her mouth. It would appear that her injector augmented (filled) the pink part of the mouth without also addressing the vermillion border which is the area wherein the pink of the lip is outlined by the white part of the mouth..  When the lips are injected in the body rather than the border, they tend to "roll" over the teeth, giving the appearance of a swollen or fattened lip.  This is what makes them look unnatural.

Whether injecting Botox Cosmetic or cosmetic dermal fillers, the concept is to enhance the appearance of the face and to bring interest to an area using the natural form and contour of the patient's face.  In this case, that concept has been ignored resulting in an overdone appearance that invites negative attention.  To the untrained eye, most will only notice that something isn't quite right.  To an experienced practitioner, we think of all that should have been done differently.       

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer 

 

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Adding volume to the aging face using injectable fillers.

As we age, our facial structure changes.  Sometimes we know what's changed, aren’t certain how or why this is occurring or, more importantly, what may be done to address the concerns.  One of the main issues for our patients is a loss of facial volume due to thinning of the skin.  When this happens, not only do we lose volume, but the skin we do have shifts which then affects the structure and shape of the face.  We also lose muscle and skeletal mass as bone gets reabsorbed by the body.  The face becomes elongated and the heart shape or upside down triangular shape of a more youthful face becomes the opposite.  We often hear that the eyes are the windows to the soul, and women often complain that their eyes are testimony to the aging process.  We’d like to suggest that it isn’t the windows that have necessarily changed but the frame of the windows.  The “frame” being the midface. A young face appears rounded with soft contours.  Whereas, the aging face displays a more angular appearance where there is more defined borders and hollow areas.

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Los Angeles Restylane injections, Perlane, Botox and Juvederm, www.celibre.com/wrinkles.aspx

Schedule a FREE consultation for Los Angeles Restylane injections as well as Juvederm, Perlane and Botox, www.celibre.com/contactlist.aspx.

restylane los angeles before and after photos los angeles restylane before and after photos

Los Angeles Restylane Injections before and after photos for mid face filling.  

More Celibre Medical Restylane Los Angeles Before and after photos, www.celibre.com/restylaneba.aspx.

Because of gravity and age facial muscles begin to contract which leads to a downward and inward pull.  This is represented by drooping of the eyelids combined with a constant contraction of the frown lines (between eyes) and crow's feet (sides of the eyes).  The mouth begins to contract in a purse string effect.  This then leads to the fine lines so annoyingly known as “smoker’s lines.”

 

As the volume of tissue in our faces change, jowls along the jaw line appear and pockets of volume loss below the corners of the mouth also known as marionette lines show.  The mouth may become thin with a loss of definition and fullness.  We begin to see a flattening and enlarging the surface area between the bottom of the nose and the upper lip. In contrast, consider the youthful mouth that has a defined border and full body to the lips.

 

What are the options for those interested in slowing down the aging process with Botox and injectable fillers?  Or, more importantly, how can we look like we used to without an unnatural appearance?  The traditional face lift may not be the most appropriate solution because of the loss of volume.  If we understand that the factors involved in aging are volume loss as much as gravity, the ideal treatment is to restore the volume before deciding if surgical intervention will be beneficial.  This is where Botox cosmetic and cosmetic dermal fillers such as Restylane, Juvederm and Perlane play a valuable role. 

 

By relaxing hyperactive facial muscles with FDA-approved Botox Cosmetic and adding volume with FDA-approved cosmetic fillers (Restylane, Juvederm, Perlane), we can restore a more refreshed appearance - a natural, more youthful and appealing look.  The many techniques and products offered in accomplishing this goal is considered “shaping” of the face, and there is an artistry involved in these injectable treatments.  Be certain to choose a practitioner that has an aesthetic eye and appreciates the individual canvas that they see before them.

 

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer

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Posted by Alok on Tuesday, September 16, 2008 10:29 AM
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Do Cosmetic Injections (Botox, Juvederm, Restylane, Perlane) hurt?

As we all know with any invasive procedure, there is a certain amount of discomfort that is to be expected.  For those that are concerned with the degree of discomfort, there are several options that will lessen any anxiety.

First, the syringes/needles used for these procedures are very small.  Patients receiving Botox injections do well with or without icepacks.  We offer icepacks for comfort as this helps to numb the area quickly and effectively.  Some prefer not to use ice because the coldness is more uncomfortable than the procedure itself.

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Learn more about the Celibre los Angeles Restylane injection program at www.celibre.com/restylane.aspx

Schedule a FREE consultation for Los Angeles Restylane treatment at www.celibre.com/contactlist.aspx.

los angeles restylane for dark circles before photo los angeles restylane for dark circles after photo

Los Angeles Restylane injections for dark circles under the eyes. 

More Restylane Los Angeles patient before and after pictures at www.celibre.com/restylaneba.aspx.

Filler procedures (examples: Juvederm, Restylane, Perlane) tend to be more uncomfortable because the product is more viscous (thicker) than the Botox Cosmetic.  Most patients report that it is the placement of the product (hyaluronic acid) that causes the discomfort more so than the actual injection.  The area being treated will make a big difference in the level of discomfort one may experience with the lips and mouth area being the most sensitive.  At Celibre Medical, it is our practice is to utilize a triple, compounded numbing cream in addition to icepacks to lessen the discomfort.

We believe in being advocates for our patients by being very mindful of the need for appropriate comfort measures when injecting Botox, Restylane, Juvederm and Perlane.  Above all else, technique is the most important factor in making certain that anxiety/discomfort is kept to a minimum.   Keep in mind that the discomfort is very short-lived, and patients continue to come in on a regular basis for their treatments.  We are convinced that patients will immediately see that the benefits will outweigh the memory of any temporary discomfort.  Never hesitate to share any concerns or questions that you have with your injection specialist.  Your Los Angeles Botox, Restylane, Juvederm or Perlane injector should be willing to take the time to discuss discomfort and take the measures necessary to make sure you can be comfortable when getting your injections done.

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer 

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What is the difference between Restylane, Juvederm, & Perlane?

Restylane, Juvederm, and Perlane are names of cosmetic injectable fillers.  These products are also known as hyaluronic acid fillers or HA for Hyaluronic Acid, which is a natural substance found in all of our bodies and is responsible for lubricating joints.  These products are manufactured in a synthetic form for the use of facial cosmetic enhancement.  These fillers work by filling lines, wrinkles, and restoring volume in areas such as the tear trough (the hollows of the eyes), lips, laugh lines, hollows of the cheeks, the chin and jawline, and much more.  Restylane, Juvederm and Perlane not only fill areas immediately, but they also attract water to the area over the several weeks after injection.

For more information on all of Celibre's Orange County and Los Angeles wrinkle treatment programs visit www.celibre.com/wrinkles.aspx.

These products are extremely safe and are used not only by millions in the United States but in other countries as well.  They also have a proven safety record with very little risk for allergic reaction which makes HA's much safer than collagen and silicone.

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Schedule a FREE Los Angeles Restylane consultation with Celibre Medical, www.celibre.com/contactlist.aspx.

Restylane los angeles before photo Restylane los angeles after photo

Los Angeles Restylane Injections by Celibre Medical.  More before and after pictures at www.celibre.com/restylaneba.aspx.

At Celibre, we offer Restylane, Juvederm, and Perlane.  Restylane & Juvederm are produced by two different manufacturers but have very similar benefits.  Both are considered non-permanent and generally last approximately 3-4 months.  Although the manufacturer of Juvederm (Allergan) has received FDA approval to state that Juvederm may last up to one full year, most practitioners will tell you that this is not typical.  We are pleased with the ease of the product when shaping the face.  Perlane is similar to Restylane & Juvederm but is a longer lasting filler.  Because Perlane uses larger particles in its product, it is designed for deeper folds and is placed at a different depth within the tissue for optimal results and a natural filling effect.   

The use of Restylane, Juvederm and Perlane has increased dramatically over the past several years as consumers discover the value of shaping the face to achieve dramatic improvement in the appearance of folds and wrinkles.  When considering treatments, be certain to choose a practitioner that listens to your goals and involves you in the educational process and treatment plan.

To learn more about Celibre injection treatments visit www.celibre.com/wrinkles.aspx or call or e-mail at www.celibre.com/contactlist.aspx.

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer

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What is the difference between Botox and Restylane?

The difference between Botox Cosmetic and Restylane is a very common question in our practice.  Consumers hear these names often but aren't sure how the two products are used.  Botox Cosmetic and Restylane are brand names.  Besides Restylane, there are many other fillers such as Juvederm, Perlane, Sculptra etc.  Botox Cosmetic is a product designed to temporarily relax specific muscles in the face to prevent or help resolve existing lines and wrinkles.  This is a very safe product with an excellent safety record.  Although Botox addresses fine lines and wrinkles, it does not add volume such as fillers. 

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Botox Injections Orange County Before and After Photos, www.celibre.com/botoxba.aspx.   

Restylane Injections Orange County Before and After Photos, www.celibre.com/restylaneba.aspx.  

Click to call or e-mail for a free consultation, www.celibre.com/contactlist.aspx.

Fillers (Restylane, Juvederm, etc) are hyaluronic acid products that work by attracting water to the area to enhance volumization. Hyaluronic Acid is found in all of our bodies and is a very safe, natural product found in all living cells. Hyaluronic acid has the ability to absorb 1,000 times it's weight in water, which is why these products are so effective at providing volume to the face.  Fillers work well to add volume and definition to the mouth, cheeks, tear trough area (under the eyes), the laugh lines (nasolabial folds), and even to enhance shaping around the chin and corners of the mouth.  Often, Botox works well to relax the muscle that is causing deep furrows between the eyebrows (glabella area) but will not affect changes to very deep, older folds.  When this happens, these wrinkles are referred to as static creases.  This condition is then addressed by adding a small amount of a filler to fill in these folds.  The results are often dramatic and a pleasing cosmetic result.  By combining both modalities (Botox Cosmetic, Restylane, Juvederm and Perlane) patients are able to achieve a very natural, appealing outcome.  http://www.celibre.com/wrinkles.aspx.

Learn more about the Celibre los Angeles Restylane injection program at www.celibre.com/restylane.aspx

Schedule a FREE consultation for Los Angeles Restylane treatment at www.celibre.com/contactlist.aspx.

los angeles restylane for dark circles before photo los angeles restylane for dark circles after photo

Los Angeles Restylane injections for dark circles under the eyes.

Restylane Los Angeles patient before and after pictures at www.celibre.com/restylaneba.aspx.

Lori Haney, RN, MEP-C

Certified Medical Laser Safety Officer

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