Juvederm, Restylane, Prevelle, Evolence Raleigh, NC Plastic Surgeon
Compares Dermal Fillers
on: December 29, 2008, 3:54 am
Release Author: Michael
Law MD Aesthetic Plastic Surgery
Release Summary: Juvederm, Restylane, Prevelle Silk, Evolence
Raleigh, NC Plastic Surgeon Michael Law MD Compares Dermal Fillers
Release Body: Juvederm, Restylane, Prevelle Silk, Evolence Raleigh,
NC Plastic Surgeon Michael Law MD Compares Dermal
and Perlane are naturally-occurring injectable agents used for
lip enhancement and to soften facial lines and creases. We have
found Restylane, Perlane, Juvederm Ultra, and Juvederm Ultra Plus
to be very well tolerated, and have yet to encounter an allergic
or inflammatory response to any of these products. According to
our Allergan representative, our Raleigh, North Carolina Plastic
Surgery Practice is one of the top users of Juvederm in the U.S.,
but we do still use Restylane and Perlane for some patients and
we feel confident in the safety and efficacy of both Restylane
and Juvederm products.
and Juvederm do NOT contain any material that does not naturally
occur in soft tissues, such as hydroxyapetite or methylmethacrylate,
which can result in granuloma (cyst) formation and chronic inflammation.
Be VERY wary of injectable agents that contain materials that
do not naturally occur in soft tissues, as the risk of these complications
is often minimized to patients.
or Juvederm injections require just a few minutes to perform.
The aesthetic improvement is immediate, and in general we will
attempt to slightly overfill the lips and overcorrect lines and
folds, so that the desired effect remains once the mild initial
swelling subsides (in about 24 hours). The goal is an aesthetic
improvement that appears natural.
injections of Juvederm Ultra or Juvederm Ultra Plus, Restylane
or Perlane can be performed with little or no pain by administration
of local anesthesia just prior to the injection. Injection of
the lips is usually completely painless, using intra-oral anesthesia
that produces total numbness of the lips. For injection of lines
and creases on the face, a local anesthetic solution is used that
causes vasoconstriction, decreasing the likelihood of bruising
following the injection. Our aim is to provide an immediate and
beautiful aesthetic enhancement, with little or no discomfort
duration of the improvement varies from patient to patient. Some
patients have reported ressults of up to a year with Juvederm
Untra Plus. Many patients that enjoy the results of their hyaluronic
acid treatments become interested in permanent soft tissue enhancement.
For these patients, structural fat grafting, using autologous
(the patient's own) fat. Using specialized instrumentation and
technique, structural fat grafting can produce permanent improvements
in facial contours.
Silk is a new hyaluronic acid dermal filler that can eliminate
wrinkles or create fuller lips instantly. Dr. Michael
has recently introduced Prevelle Silk into his North Raleigh Plastic
Surgery Practice. Prevelle Silk contains lidocaine, a numbing
agent that helps minimize discomfort associated with the injection.
Prevelle is also unique because it leaves virtually no swelling.
People can get an injection in the afternoon and look beautiful
just hours later. The cost for Prevele Silk is just $295.00 for
a 1 cc injection. results lasts approximately 2-3 months.
expect that many people who try Prevelle Silk as their first filler
will be pleased with the results and may opt for a longer lasting
filler like Juvederm, Perlane or Restylane for longer lasting
wrinkle reduction or lip plumping in the future. Mentor Corporation,
the manufacturer of Prevelle Silk will be introducing other hyaluronic
acid based dermal fillers in the near future that promise to have
a longer lasting results than Prevelle Silk.
is a porcine (Pig) derived collagen product used to provide soft
tissue augmentation. Although no allergic reactions have been
reported with Evolence, there have been several reports of nodule
formation in the lips. I am currently not using Evolence in my
practice. I feel more comfortable with Juvederm, Restylane or
Prevelle Silk for temporary soft tissue augmentation and structural
fat grafting for permanent augmentation.
number of other products are available as soft tissue fillers,
but many are as yet inadequately tested, and others have been
found in some cases to produce disastrous and permanently disfiguring
results, such as injectable silicone. Remember, when considering
the injection of a soft tissue filler,be sure that your doctor
can explain to you what the substance is, why he or she has chosen
it, and what side effects and potential complications can occur.
Once again, be very wary of injectable agents that contain materials
which do not naturally occur in soft tissues, as the risks of
complications can be significant. For more information please
call 919 256-0900 or visit www.michaellawmd.com
Details: 10941 Raven Ridge Rd. Raleigh, NC 27614