As we get older, our skin changes – and with it, our appearance.
I’ve just entered my mid-thirties and things are starting to happen. Lines are appearing where they weren’t before; I have wrinkles and graying roots.
With many years (we hope) of aging before me, it seemed like a good idea to find methods to stop some of the signs in its tracks – and that’s why I tried Restylane Silk.
Restylane Silk is a new “lighter” version of Restylane, meant to make subtle differences rather than more significant ones. In my case, I have noticed what appear to be dry, chapped lips for a while – cognizant that my lips were wrinkling, the choice was clear.
We all want fuller lips – but we don’t necessarily want the “duck lips” we see on some celebrities. Restylane Silk, known for being lighter and softer (hence the silk) sounded like the best of both worlds. Perhaps a subtle plump was the answer.
I visited another professional for my treatment but later, chatted with plastic surgeon, Michael Olding, MD., about this new treatment, who it may be a fit for, and what people can expect when considering taking the plunge themselves.
How does Restylane Silk differ from Restylane "regular"? Is it just basically a "Light" version?
I like that description since the particle size of the material is smaller than that of Restylane. But, they are both hyaluronic acids and are hydrophilic (which means they attract water) and plump up the wrinkle or area not only by their presence, but because they “attract” water.
So what’s the difference between using a lot of Restylane Silk or a regular amount of “regular”?
That’s a good question because it would seem logical to just inject the Restylane in the lips (which has certainly been done with good effect). The theory is that Restylane Silk will plump up those fine wrinkles better, better than other hyaluronic acid products.
We use Restylane Silk for plumping of lips, filling wrinkles around the mouth -- what other potential uses is it approved for? And, who would you recommend it for, or not recommend it for? (i.e., is there an age that is "too young" or a person who is not a candidate?)
It is indicated in submucosal implantation for lip augmentation and implantation in the dermis to correct perioral lines in patients over 21. Therefore, if it is injected in any other scenario, it is considered “off-label”. We all have used injectables off-label. That doesn’t mean it’s illegal, just that the product has not been tested in those other places. That goes for the age too. We can inject in someone under 21, but it has not been tested in this group of patients and therefore we don’t know if it will work in the same way as the over 21 crowd.
How do the costs range, in comparison to other fillers on the market?
It is more expensive than many of the other fillers.
How long do the results tend to last?
Is there anything we can do to make them last longer?
Fillers last longer in areas that are not mobile. In terms of making them last longer in one location like the lips, I am unaware of any way to increase the longevity, however it has been reported that if one injects a second time into the same area, the second injection will tend to last longer than the first.
Any side effects we should worry about?
There are POTENTIAL side effects from any kind of filler. In addition to the typical bruising that could occur with any injection, if injected incorrectly they could get into a blood vessel and cause blindness, but remember this is true for ANY filler, even your own fat. Because they are foreign bodies, you could be allergic to them. Again, like all fillers, you could develop a “granuloma” which is an inflammatory response. If a patient isn’t happy with the results, filler can be removed by injecting hyaluronidase (which breaks down the product and with it the granuloma). Occasionally a steroid or antibiotic can be used to address the side effects.
The procedure itself - I had it, and it just was a little pinch, didn't really hurt - is that the general case?
Pain is so variable from one person to another. Some do not flinch with the injection (but that is a small percentage, usually the ones who have had it before), but for most it hurts as you might expect from sticking a needle in the skin of the lip.
Do you advise any specific pre or after care? For instance, to deal with or ward off swelling or bruising?
I advise no makeup for 24 hours, and ice immediately following the procedure. I also inform them that they will swell for the first 42-72 hours, and that it will improve thereafter.
As for me? I got my lips done a few weeks ago, and I love them – I still look like me, just younger with fuller lips!