There is a well-defined spectrum of specific techniques and products for facial rejuvenation. Dr. Romano prefers the hyaluronic products for areas, such as the lips, where a very soft gel product is best. It is also best in areas of furrows and depressions, but NOT fine etched-in wrinkle lines or areas that need a firm, non-compressible product, such as in raising the corners of the mouth.
The hyaluronics—such as Perlane, Restylane, Juvéderm, and others—are basically a very pure and stabilized form of hyaluronic acid. It is a clear, transparent, viscous gel-like material that has been used as an implant for over 20 years. It is completely organic, and is not made from any animal products. Hyaluronic acid is a constituent of all connective tissues in humans and most vertebrates. It is a naturally occurring polysaccharide, which is an important structural element of all connective tissues in the body including the skin, joint fluid, and connective and subcutaneous tissues. Hyaluronic acid belongs to a group of substances that are similar in all living organisms. It is a relative of GAG (glucose amino glycan). Therefore, in its pure form, it is extremely biocompatible and safe. The stabilized form of hyaluronic acid is designed to last for a very long time and undergoes degradation only very slowly over the course of about a year.
The treatment is preceded by a local anesthetic, so you have no pain. Camouflage makeup is applied before you leave. You can return to work immediately. There should be no bruising, and you will see a natural and beautiful result right away.
Perlane, Restylane, and Juvéderm Products are Best For:
- Furrow and crease lines—NOT for fine or etched-in wrinkle lines
- Laugh lines (nasolabial furrows)
- Tear-trough lines (under-eye furrows)
- Lip or lip-border enhancement
- Cheek enhancement
- Chin or jaw line enhancement
- Use with Botox in certain areas (combination therapy)
- Raising mouth corners
- Use when you WANT something that is temporary (“trying out the look”).