Restylane is a Hyaluronic Acid-based product that received its FDA approval to smooth facial wrinkles and folds such as nasolabial folds. It is one of the only two fillers on the market with a specific FDA approval for use in lips.
It received FDA approval to be available premixed with lidocaine (a numbing solution), which added the ‘L’ after its name.
It is thinner than Restylane Lyft (Perlane) and Juvederm Ultra Plus XC, and more comparable if not mildly more delicate than Juvederm Ultra. Because of its consistency, it is well suited for off-label treatment of under-eye hollows and tear troughs (the sunken eye appearance) but doesn’t seem to have as much impact in areas of thicker skin (in our experience).
- Lasts 6-9 months on average
- Instantly reversible
- FDA Approval – December 2003 / 2011 (lips) / 2012 (with Lidocaine)
Restylane L FAQ
What Is Restylane-L Made Of?
Restylane is made of biodegradable hyaluronic acid. Hyaluronic acid is found in all living organisms and is a natural substance that can be used to boost the volume and fullness of the skin. Restylane-L incorporates lidocaine, which is a numbing solution.
How Much Do Restylane-L Fillers Cost?
Many factors can affect the cost of Restylane treatments. The location of the facility you choose, the experience of your cosmetic provider, and the number of areas that are treated can all affect cost. On average, however, a single syringe of Restylane costs approximately $499 to $700. Be cautious that some places list half syringe prices, and make sure that the product is genuine and US manufactured. Speak with your cosmetic provider for more information.
Are Fillers Covered By Insurance?
No, cosmetic fillers are not typically covered by traditional insurance plans.
What Side Effects May I Experience With Restylane-L?
Side effects are minimal, but there is always a chance you may experience some swelling, redness, tenderness, busing, itching or pain at the injection site. As with any injection, it will be important that you tell your cosmetic provider all the medications that you are currently taking, as they may increase risks of some side effects such as bruising or infection. Your provider may choose to prescribe certain medications such as the antivirals acyclovir or Valtrex before injection of Restylane-L.
Is Restylane-L the Same as Restylane Lyft?
Not exactly. While Restylane-L and Restylane Lyft both incorporate lidocaine to increase volume and fullness in targeted areas, and aim to diminish moderate to severe wrinkles, Restylane Lyft is thicker and can have more robust results. Restylane-L is versatile for use in many areas including perioral, lips, and nasolabial folds. While off label for the upper half of the face, it is the most common product used for under eye hollows. Restylane Lyft is specifically engineered and FDA-approved to increase fullness and combat wrinkles in the cheeks, mid-face, and the tops of hands.
What Is Restylane Best Used For?
Restylane is a hyaluronic acid-based filler. It is FDA approved and often used to treat lines and volume deficiencies in the lower half of the face. However, one of its most common uses is its off-label improvement of under eye hollows as it causes the least amount of Tyndal discoloration, superficial water retention, and possible nodules. It is also easily reversible with an enzyme called hyaluronidase (Hylenex or Vitrase.) Restylane-l lips is an effective treatment and can smooth and add volume to the lips or cheek areas. Restylane is useful in large areas and/or areas that need volume.
What Restylane is best for Lips?
Restylane-L, Restylane Silk, and Restylane Kyss are good choices for lip enhancement. Restylane-L is useful for enhancing lip volume, lifting corners of the mouth, correcting moderate to severe shadows in the nasolabial folds, and treating marionette lines. Restylane Silk helps to minimize wrinkles and lines on and around the lips as well as surrounding superficial creases. It helps to create a silky, smooth-looking, hydrated lip texture. Restylane Kyss has the best of both worlds – it gives the proper firmness to provide support to the lips, but also the perfect level of softness to allow lips to remain soft and tender. It also lasts 12 months as opposed to Juvederm Ultra, which only lasts 6-9 months. The only risk is that this product may result in more cases of lumps than Juvederm.
Does Restylane-L Work Immediately?
Restylane starts working immediately. After approximately two weeks, the product should be settled and final results should be visible. As with any injection, there may be mild side effects from Restylane treatments such as bruising, redness, and swelling. These side effects should dissipate entirely within two weeks of treatment. After this point, it is easier to reliably see the final effects of your Restylane-L treatment.
Can You Use Restylane Under Eyes?
While Restylane is not yet FDA approved for use in the under-eyes, it is the most common product of choice for that area. Because of its lower risk of Tyndal (bluish discoloration under the skin from hyaluronic acid fillers), nodules, and water retention, it is known to work great under the delicate skin of tear troughs and for treatment of under eye hollowing (i.e. the dark circles underneath the eyes). Restylane is also typically used as a treatment for facial wrinkles and folds of the lower half of the face, including the lip area, nasolabial folds, and marionette lines. Restylane-L (and other Restylane treatments) can increase the volume and fullness in the targeted area, and diminish the signs of aging. Under the eyes, this increase in volume can help correct a sunken and hollow appearance.
What Should You Not Do After Restylane?
After your Restylane treatment, you should avoid any exposure to intense heat (via the sun, sun lamps, hot showers, or sauna) to reduce swelling. To reduce risk of increased bruising, patients can avoid taking aspirin, anti-inflammatory medications (e.g. ibuprofen), St. John’s wort, and high doses of vitamin E. Follow your cosmetic provider’s instructions for the best results.
Does Restylane Hurt?
Restylane treatments are nonsurgical and minimally invasive. When done by a trained cosmetic professional, these treatments can be very comfortable and comparable to receiving acupuncture. Any pain from swelling usually dissipates within a few days. Additionally, some bruising and redness may appear at the site, which should resolve within two weeks of your treatment. If you are very sensitive or have anxiety, Nitrous gas can be used for its calming and pain relief effects. Topical numbing creams are also available and can be applied 30 minutes prior to your procedure. For lip injections, a dental block can help prevent any sensation of filler administration into the lips. Ice packs, vibrations modalities, and squeeze balls can also be good resources during the procedure.
Can Restylane Last Years?
Sometimes yes. But typically, Restylane treatments only last between six and nine months. When used to treat the lip area, results usually dissipate faster (five to six months) due to the high mobility and higher concentration of natural hyaluronidase enzyme in the area. In the tear troughs however, Restylane treatments may last longer, even over a year, as a result of there being little movement in the area.
Which Facial Filler Lasts the Longest?
The facial fillers that last the longest are Sculptra, Juvederm Voluma and some features of Radiesse. Juvederm Voluma can be used in the cheeks and has been shown in clinical trial studies to last up to two years. Sculptra does not have a volumizing gel but is rather a collagen boosting product that stimulates collagen production, which then results in growth of volume over 6 weeks. It takes the body about 2 years to break down the naturally developed collagen. Radiesse has features of both where it can volumize in and of itself (lasting about a year) and it also mildly stimulates collagen growth for longer lasting effects (up to 2 years).
Does Restylane Improve Over Time?
Restylane is a non-permanent, minimally invasive treatment. Restylane-L fillers are hyaluronic acid-based and dissolve over time. On average, Restylane treatment results last approximately six to nine months. Some patients choose to get additional treatments to maintain their results. In some cases however, as the product breaks down, it can move into a more superficial layer in the skin which can attract water and appear as if it is expanding in size. If the result of such phenomenon is unfavorable, the product can easily be melted with hyaluronidase, an enzyme that breaks down hyaluronic acid fillers instantly.
What Age Should You Get Fillers?
There is no “right” age to get fillers. Everyone ages differently and has different “problem areas.” For example, some younger individuals have under-eye hollowing due to genetics and can benefit from treatment as young as 18. However, the range in which most women get facial fillers is between 35 and 54 years of age. You may want to schedule a consultation with a cosmetic provider to find out whether you are a good candidate for these treatments.
Where Can You Inject Restylane?
Restylane is a good treatment for the lip area, cheeks, hands, and under-eye area. Restylane provides an increase in volume, which thereby adds fullness to the targeted area and diminishes the appearance of moderate to severe wrinkles and lines.
Is Restylane Reversible?
Yes, Restylane is a hyaluronic acid based filler that can be instantly broken down through injection of hyaluronidase (also known by the brands Hyelenx or Vitrase.) This is a quick and easy procedure as Restylane is one of the few products that can be reversed with a one time administration of hyaluronidase. Some products such as Voluma may need several sessions to achieve reversal.
Our team has years of experience in providing Restylane treatments. Get in touch today!