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Aesthetics Practice Today

Restylane Silk: Smooth and Natural Enhancement

Published June 23, 2015 2:08 PM by Mina Grasso
The "liquid facelift" has been an innovative answer to the demand for a rapid non-surgical way to enhance and rejuvenate the youthful volume that has diminished with aging. Over the last decade this has been accomplished with various fillers, neuromodulators like Botox and biostimulators that encourage growth of one's own skin components.

The "liquid facelift" has allowed us to understand and teach our patients about the natural aging changes of the face that relates to volume loss from diminished fat, muscle and unfortunately even bone as well as thinner skin. As a result of an increased understanding of facial aging, we have changed the manner in which we approach facial rejuvenation with volume. New products such as Voluma have entered the market to help us approach our patients differently in order to restore a more natural youthful appearance. Often diminished deep fat pads can be supplemented to approximate an appearance one had in the picture we carry of ourselves in our mind. We have come a long way since the days of superficially placed bovine collagen that lasted around three months to products that can last up to two years. We have moved away from chasing lines to global volume replacement from forehead to chin.

Although tissue fillers have been around over decades, many patients are still hesitant and fear looking unnatural and overdone. Over the years they have witnessed others who appeared "ducky", "monkey-like," "puffy" or "too full."

One of the biggest "giveaways" that many have witnessed is a mature woman with vertical lip lines that have been over filled with Juvederm or Restylane and distorted the shape of the upper lip in particular creating a "Marge Simpson" look with the upper lip protruding much past the lower lip. Patient's facial structures and ideal shapes are very different. The goal is to understand the volume change for each individual that is enhancing and flattering and often will not be detected by an observer as "having some work done."

Restylane Silk is now available to address the challenges that we have had with other fillers. Patients are sometimes not interested in getting fuller lips but simply want to address the vertical lip lines. In certain instances this will be all that needs to be done. In addition, patients who have lost definition of the lips due to the natural process of aging, environmental factors and habits can benefit with subtle enhancement-like lip definition. I often recommend patients a more "hydrated" appearance of their lips with Restylane Silk as the product, hyaluronic acid, will indeed hold more water in the area like a younger person does with the higher natural hyaluronic acid concentration in their skin.

Various fine lines around the face including the crows feet, glabella, forehead, nasal labial and cheek creases are ideal areas for Restylane Silk. Another one of my favorite areas to treat with Restylane Silk is along the infraorbital to the lateral orbital area that is below the eye over to the hairline area, often thin, crepey and sometimes showing fine lines of volume depletion. Some women have very thin skin overlying the bony structures and many of the other fillers have a higher risk of lumpiness and can cause a Tyndall effect, or bluish look where the filler is visible through the thin skin.

Restylane Silk is used much like bovine collagen fillers in the past to address vertical lip lines, lip reshaping and mild enhancement as well as fine lines in various fine lines around the face. Restylane Silk's advantage is it lasts about double the duration depending on the patients skin status and location of product placement. 

It seems that we have gone full circle with availability of tissue fillers. Our focus went from chasing lines to plumping, volumizing and lifting and then back to the old way, filling lines softly and naturally in order to address needs of patients whose concerns are fines lines around the lips and face, lip reshaping and subtle enhancement.

When using the Restylane Silk to primarily address superficial fine lines one to two syringes can cover a lot of ground.  Adding Restylane Silk can be the ultimate. finishing touch to a revolumized and contoured rejuvenated face.

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    Occupation: Physician Assistant/Nurse Practitioner
    Setting: Miami & Upland, Calif.
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