Restylane ® (Perlane, Lipp, SubQ & Touch)
Product Summary
This brand has a lot of support from practitioners and is currently one of the most popular dermal fillers used in the U.K..
Since the manufacturer, Q-Med, launched Restylane® in 1996 it is estimated that over 4 million treatments have been carried out worldwide. The product range has since been expanded and now consists of five different sizes of gel particle specifically designed for use in certain areas of the face.
As of 2009, some of the product range is available with the addition of 0.3% lidocaine (Restylane® Lidocaine and Restylane® Perlane Lidocaine) for improved patient comfort.
Generic name
Non-animal stabilised hyaluronic acid (NASHA) gel.
How is it made?
By bacterial fermentation from streptococci bacteria.
Is a skin test required before treatment?
No.
Is it temporary or permanent?
Hyaluronic acid is completely broken down within the skin over a period of months, eventually leaving no trace of the filler.
Licenced status
Medical device.
Treatment should be performed by
Should be used by trained members of the medical profession only.
Restylane® Product range
Restylane
This has an intermediate gel particle size that makes it suitable for moderate wrinkles and lip enhancement. It is recommended that it is injected into the middle part of the dermis (middle layer of skin).
Perlane
This has a larger gel particle size and is used for deep lines, facial contouring, and lip enhancement. It is injected into the deep layer of the dermis.
Touch
Has the smallest gel particle size in the Q-med range and is used for the correction of very thin superficial lines. It is injected into the upper part of the dermis.
Lipp
It has been specially designed and formulated for injecting into the lips for enhancement and contouring of thin looking lips, the cupid’s bow, or to simply add fullness. It claims to be structured to withstand the range of mouth movements and strains – like talking, smiling, laughing and kissing - that characterise the lip area and therefore last longer.
SubQ
It has the largest gel particle size in the range and is used to replace fat loss in the face and create or restore a more defined facial contour. The procedure requires a larger needle and deeper injections below the skin layers.
This product is promoted as an alternative to fat transfer . As a result, you will find fewer practitioners who are adequately trained to use SubQ.
Vital and Vital Light
It is aimed at a whole new approach to skin rejuvenation, using mesotherapy, (sometimes called biorevitalisation) techniques. It is targeted at a broad range of treatment areas including the face, neck, décolletage (the area between the neck and breasts) and hands; designed to replenish the hyaluronic acid lost through ageing, hence hydrating the skin and improving its elasticity and tone. For more information, please see our Restylane® Vital page.
Not to be used in
Individuals with a known hypersensitivity to hyaluronic acid.
Duration of effect
This depends upon the degree of correction required, your age and lifestyle as well as the correct placement of the product by a practitioner.
Clinical trials indicate that it is effective for six to twelve months for the treatment of wrinkles and for around six to nine months for lip augmentation.
Reported side effects
Transient erythema (redness), swelling, pain, itching, discoloration or tenderness at the implant site. Typically resolution is spontaneous, within one or two days after injection into the skin, and within a week after injection into the lips.
Additionally, temporary palpable lumpiness has been noted after injection in some patients.
Localised reactions thought to be of a hypersensitivity nature have been reported in about 1 in every 2000 treated patients. Redness, tenderness and rarely acneform papules may occur.
In addition in rare cases (in less than 1 in 15,000 treatments) granuloma, superficial necrosis and urticaria have been reported.
Costs
Again, this depends on area treated and how much is required, and the practitioner doing the treatment, but ranges are in the region of: £250 to £400 per treatment.
Before and After
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Before Treatment |
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Images provided courtesy of Dr David Eccleston at MediZen .
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Left: Full face pictures prior to treatment. |
Right: Full face pictures following rejuvenation using the Restylane® dermal filler range, (a combination of Restylane, Touch and Perlane) to revitalise facial appearance. |
Images provided courtesy of Q-med Limited.
All before and after photographs are real patients, your results may differ.
Bibliography
Olenius,M
The First Clinical Study Using A New Biodegradable Implant For The Treatment Of Lips, Wrinkles And Folds.
Aesthetic Plastic Surgery;1998:22:97-101
Duranti,F et al
Injectable Hyaluronic Acid Gel For Soft Tissue Augmentation: A Clinical And Histological Study.
Dermatologic Surgery;1998:24:1317-25
Troilius,C
Soft-tissue fillers: What options are available today?
Aesthetic Surgery Journal; 1999:19(6):502-5
Cantisano-Zilkha, M, Bosniak, S
Hyaluronic Acid Gel Injection For Facial Rejuvenation: A Three Year Clinical Experience.
Operative Techniques In Oculoplastic Orbital And Reconstructive Surgery; 1999:2(4):177-81
Bousquet, M-Th. and Ågerup, B
Lip Implantation: European Experience.
Operative Techniques In Oculoplastic Orbital And Reconstructive Surgery; 1999:4(2):172-6
Erian, A
Erian’s Original Technique Of Lip Enhancement.
International Journal Of Cosmetic Surgery And Aesthetic Dermatology; 2000:2(1):17-19
Friedman, P.M., Mafong, E.A., Kauvar, A.N., Geronemus, R.G.
Safety data of injectable nonanimal stabilized hyaluronic acid gel for soft tissue augmentation.
Dermatol Surg 2002 Jun;28(6):491-4.
Restylane ® (Perlane, Lipp, SubQ & Touch) Reviews
Overall Product Rating For Restylane ® (Perlane, Lipp, SubQ & Touch)
Restylane ® (Perlane, Lipp, SubQ & Touch) Reviews. Read and compare 3 patient reviews and ratings for Restylane ® (Perlane, Lipp, SubQ & Touch). See if others recommend this cosmetic procedure and think its value for money. Or write your own review below!
Interested in having cosmetic surgery, non-surgical medical aesthetic or beauty Products, cosmetic dentistry or hair loss solutions but confused about whether it’s the right thing for you? Learn more by reading reviews from people who have had the procedures or share you own experiences by writing a review and rating the products. Tell us about your overall satisfaction with the treatment, how painful it was, whether you’re happy with the results and the cost of treatment. Compare your experience with others and tell those still deciding if you would recommend the procedure.
Overall satisfaction with Product
out of 5 based on 3 reviews
Level of pain experienced with Product
Satisfaction with results achieved
Value for Money
Restylane ® (Perlane, Lipp, SubQ & Touch) Reviewed by paola flessati on 16/09/2011
very sattisfaction
Overall satisfaction with product
out of 5
Level of pain experienced with product
Satisfaction with results achieved
Value for Money
Restylane ® (Perlane, Lipp, SubQ & Touch) Reviewed on 01/03/2011
The effect did not last very long. Within 3 months I could see the smile lines again. I am not sure if I would have it done again.
Overall satisfaction with product
out of 5
Level of pain experienced with product
Satisfaction with results achieved
Value for Money
Restylane ® (Perlane, Lipp, SubQ & Touch) Reviewed by sharon maguire on 14/01/2011
I was very pleased with it but is was very expensive.
Overall satisfaction with product
out of 5
Level of pain experienced with product
Satisfaction with results achieved
Value for Money
