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INDUSTRY INSIDER | RESTYLANE SILK |


enhancement with its perioral indication.’ With Restylane Silk, Galderma is poised


(A) Before and (B) after 59-year-old patient treated with Restylane® Silk and Restylane-L®. Treatment included: 2.8 ml of Restylane® Silk in the lips in perioral lines and 1ml of Restylane-L® in the nasolabial fold


to address some unmet needs practitioners have been clamoring for. ‘From a standpoint of the product itself, one of the important points is that it is the first and only injectable filler that has a specific FDA indication for upper lip enhancement and the smoothing of wrinkles around the mouth. In the clinical trials, it was injected into the red lips as well as into the white lips to both restore volume, which was the primary endpoint of the study, but also to smooth wrinkles,’ said Dr. Brian Biesman, a Nashville-based oculoplastic surgeon. According to Washington DC based


dermatologist Rebecca Kazin, ‘Restylane Silk is comprised of a smaller particle gel, and was designed specifically for lip enhancement. We as physicians need to demonstrate to patients that lips can be subtly and tastefully enhanced without looking artificial. The product is very easy to inject with a smooth soft consistency that works well for lips of all ages.’


(A) Before and (B) after of a 46-year-old patient treated with Restylane-L® and Restylane® Silk. Treatment included: 2ml of Restylane® Silk in the lips and perioral lines and 2 ml of Restylane-L® in the nasolabial folds.


record. All of the Restylane products are based on NASHA® technology, a stabilised hyaluronic acid of non-animal origin. Restylane Silk is not exactly new.


Actually, it was originally marketed in the EU under the brand Restylane® Fine Lines, and subsequently Restylane Touch®, and is currently marketed in Canada under the former brand3


. ‘Restylane Silk is a very versatile filler,


which combines smoothness with a good lifting capacity. It is very helpful for perioral lines as well as touch ups after treatment with other Restylane products. The safety and science behind Restylane is very reassuring for practitioners along with the fact that this family of filler has been used successfully for over 20 million treatments worldwide,’ said Rajiv Grover, London-


Finer fillers


In the US market at present, there is Belotero Balance® (Merz Aesthetics, Greensboro, NC) and Restylane Silk (Galderma). There are some similarities between these two hyaluronic acid gel fillers; however, each product has a place and offers specific


18 ❚


benefits. Restylane Silk contains lidocaine, whereas Belotero does not. Belotero Balance is FDA approved to temporarily smooth out and fill in moderate- to-severe nasolabial folds4


.


Although many practitioners consider the sweet spot for


January/February 2015 | prime-journal.com


Belotero to be the tear trough area, it is quite popular for treating fine, etched lines around the lips as well. In the Restylane Silk study, the primary focus was volume, and fine lines were a secondary focus.


based Plastic Surgeon and Past President of the British Association of Aesthetic Plastic Surgeons (BAAPS).


Coming to America Galderma is rolling out Restylane Silk to injectors who are eagerly awaiting something new and novel for their patients to kick-off the new year. Steven Fagien, an oculoplastic surgeon


based in Boca Raton, Florida says, ‘Restylane Silk is definitely an improvement over existing products available in the US market. It is an excellent refiner and definer, and a great finishing agent for the correction of facial fine lines and the vermillion border. It’s the next generation of the Restylane family of products that definitely fills a niche for fine lines and lip


Injection technique pearls Among the biggest barriers to entry for new patients having dermal filler injections for the first time, is their concern about ending up with a ‘trout pout,’ ‘duck lips,’ or ‘sausage rolls.’ This is largely driven by examples of overfilled lips they are seeing on the silver screen, in reality TV shows, and even at the mall. Restylane Silk offers some advantages that may aid practitioners to achieve a more natural- looking lip. According to Edward Farrior, Tampa, FL


facial plastic surgeon and Past President of the AAFPRS, ‘Historically the lips have been a challenging area to inject. There is an increasing demand from patients to have a natural looking result, without irregularities, bruising,


swelling,


downtime, or discomfort during the treatment. This is a tall order but I believe that Restylane Silk can potentially check most if not all of those boxes. In the past, the options for lip rejuvenation, such as tissue grafts and autologous fat grafts, have limitations for lip enhancement. Some HAs on the market can be too hydrophilic or dissolve too quickly. Restylane Silk offers us a new tool in our armamentarium that addresses both volume and perioral rhytides.’ As with every new filler, there is a


learning curve for obtaining optimal results.


‘Restylane Silk, like other


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