Restylane® Injection Questions and Answers

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Question:

I read recently that Restylane had been approved for use in the United States. However, I am unable to find a physician in my area that uses the treatment. Is restylane US approved, and if so how can I find a physician in my area?

Answer:

Dear Cherie, To my knowledge, Restylane has not been approved for use due to problems with infection and extrusion during the clinical trials of the material in Canada. I am certain that all plastic surgeons and dermatologists will receive notification when the material is approved (if it is).

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

Thank you for your information.My hope is that the botox will have softened the lines and broken my frown habit by the time I have the brow lift or facelift.My two year divorce goes to trial next month and an unreadable face is an asset! My Restylane injections were performed in NYC.My doctor gets the Restylane from Canada.They are injected in the nose lines and in my chin around the lower lip where there are lines from sun damage.

Answer:

The botox will help with facial expressions but the long-term cure of removing the minor muscles of frowning should be done at the time of the brow lift. Be careful using non-FDA approved drugs since you would not be covered in any way from long-term possible complications.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

Question:

I have been using restylane and botox for 6 months with good results.I am considering a facelift.Do the botox and restylane interfere with the surgery?Thank you.

Answer:

Dear Lainie, I would suggest that you consider a brow lift so that you no longer require the botox injections. These should have no interference with face or brow lift procedures. The restylane is a different story. As long as a large amount been injected for a long time, there should be little problem as long as the surgeon stays very deep to the plane where it is present in your skin. There can be problems with infection and extrusion after the procedure with areas so treated. I thought that Restylane was only available in Canada so far?? Where did you have the injections performed.

Gregory Caputy, MD, Chief Surgeon
Honolulu, HI

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