Tissue Fillers

Restylane/Perlane by Medicis are natural, long-lasting, crystal-clear gels for filling out lips, facial wrinkles and facial folds. The Hyaluronic Acid in Restylane/Perlane, which is manufactured using a non-animal based process, is almost identical to that naturally found in the body (your joints rely on hyaluronic acid for lubrication for example).

Restylane and Perlane are seamlessly integrated into the tissue, allowing for normal circulation and skin nutrition. Unlike permanent implants, Restylane/ Perlane are metabolized by the body over time, leaving you a choice when the effect of the treatment has worn off.

Restylane/Perlane is injected into the dermis and provides volume where the concentration of the body's own Hyaluronic Acid has diminished. Transient redness or tenderness can occur but is very rare (about 1 in 2000 treatments) so pre-testing is not usually performed.

We offer 3 Medicis products at Sanders Medical Vein & Laser:

• Restylane Fine Lines - used to treat the finer lines around the eyes or mouth
• Restylane - used to enhance lips, most lines and folds
• Perlane - used to enhance lips and deeper folds where a longer lasting effect is desired and to contour and enhance cheeks.

All three products contain Hyaluronic Acid but differ in their density with Perlane being the most dense and Restylane fine lines the least dense.

How long does it last?

	Photos: Courtesy of Medicis

What to expect during treatment
Restylane and Perlane are injected using tiny needles using a near painless technique. We use anaesthetic solution to minimize discomfort when necessary and ice to minimize swelling. The results are immediate and most patients can resume their normal activities that day with the exception of lip treatments which can cause mild swelling for a day or two. The treatment session usually lasts 30-45 mins. depending on the number of sites being treated. There is a high degree of satisfaction with these treatments.

Please visit: www.restylane.ca

Radiesse
Radiesse (formerly Radiance) is a biocompatible, non-toxic, non-allergenic filler that reduces the appearance of wrinkles and skin folds around the mouth and nose, and fills certain scars. Popular for its long-lasting results, Radiesse benefits should be evident for one to two years.

Is Radiesse Right for Me?

Radiesse candidates are typically between the ages of 35 and 65. Radiesse usually provides up to 80 percent improvement immediately after treatment. Since Radiesse is temporary, treatments must be repeated over the years to maintain the benefit. Alternative treatments or surgical procedures may be more appropriate in years to come, as your condition changes. Discuss expectations with your doctor before treatment.

The Radiesse Procedure

The Radiesse procedure is performed in the doctor's office. It is most often performed with local anesthesia. Patients may experience minimal discomfort from the needle injection. Depending upon the extent of treatment, the procedure can take a few minutes, up to fifteen minutes. Patients return home within minutes after the procedure.

The procedure involves injecting a compound of calcium hydroxyl apatite microspheres that are suspended in a carboxymethylcellulose gel. Calcium and phosphate ions, naturally occurring in our bodies, primarily make up the calcium hydroxyl apatite particles. The gel contains an organic compound of carbon, hydrogen, and oxygen, as well as glycerin and sterile water. Thin connective tissue forms around the microspheres so that the microspheres act as a filler that remains permanently implanted at the site location. Results are fully evident within one week. Radiesse can last two years or more, but touchups may be necessary throughout this time period.

Recovery after Radiesse Treatment

There may be minimal swelling, which usually subsides in twenty-four to thirty-six hours. There may also be some discomfort and bruising. The discomfort can be managed with Tylenol or Ibuprofen. Normal activities can be resumed immediately; however, patients are advised to stay out of the sun.

Evolence
Evolence is another exciting and newer filler comprised of collagen that has been crosslinked with a sugar molecule to increase it’s longevity. It is used to treat lips, and more superficial facial folds and can last up to a year in some patients. It also causes less initial swelling than Perlane or Restylane. Allergic reactions are very rare. It can be used in combination with any of the other fillers we offer.

Before	After

Visit the Evolence website for more information: www.evolence.com

Teosyal
Teosyal is an innovative new Hyaluronic filler that works particularly well in lips for a natural, fuller more sensuous look. Teosyal is also more competitively priced than most other fillers and can be very cost effective if larger volumes are used for such indications as cheek augmentation or nasal line smoothing. Ask us for details.