While many people think of aging as merely getting wrinkles it is also marked by the loss of volume in the face. Skin also loses collagen and elasticity as we age. Facial features once accentuated by fullness can become marked by more severe contours and thin skin.

Fillers are commonly used to fill in deep smile lines, deep grooves that extend from the corner of the mouth down to the jaw line and the lip borders. The semipermanent fillers of Perlane® and Restylane® can be expected to last from six to nine months. Everyone is different and how long a filler will last for you is hard to predict for certain. However, over time it is our experience that both types of filler products build up your own body’s collagen. Over time, less product and fewer treatments will be necessary to maintain a youthful appearance. The procedure is performed quickly and usually some sort of numbing agent is used to anesthetize the area. Most people feel completely comfortable immediately returning to their daily routine but do report that they feel a bit sore or swollen for 12 to 24 hours.

Perlane®, like Restylane® and the Juvederm® family, is a hyaluronic acid dermal filler. It is a long-lasting gel injected into the skin with an ultra-fine needle. Made of a hyaluronic acid, naturally found in human tissue, Perlane® is a completely safe treatment. The hyaluronic acid in Perlane simply supplements the body's age-depleted hyaluronic acid to plump-up the lip or to raise the skin and 'fill in' the particular wrinkle being treated.

The difference between Restylane® and Perlane® is the size of the particle (with Perlane® containing more hyaluronic acid). This means that Perlane® does a better job of filling deep lines like the grooves between the nose and the mouth, called the nasolabial folds, while Restylane® is used in finer lines.

The most common side effects with Restylane® use are bruising and swelling, occurring in approximately 20% of patients. Rarely do patients experience an allergic reaction. If you are prone to cold sores, consider taking a cold sore suppressant before treatment as some patients have reported a cold sore or infection at the injection site.