Perlane
Deep Dermal Wrinkle Correction |
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Perlane® for deeper wrinkles and structural lip augmentation is a clear gel hyaluronic acid product. Perlane is used for pronounced wrinkles and facial folds such as the nasolabial folds that run from the sides of the nose to the mouth and for adding fullness to thin lips.
Perlane is an identical product to Restylane but with larger gel particle sizes, making it ideal for building up skin tissue on a deeper level. Dr. Cobos will use Perlane either alone or as a cushion base with Restylane of Juvederm on top. |
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Why use 2 fillers instead of only one? Two fillers are not always needed for complete correction, but when indicated, two may be the best choice. By using a product that is more volumetric as a first layer, as is the case with Perlane, it is then possible to correct the depth of the wrinkle or fold and allow the top layer of the more fluid product such as Restylane or Juvederm to finish the correction for a soft, smooth appearance. Hyaluronic acid products are ideally suited for layering and complete corrections may sometimes require both.
Lip augmentation using Perlane offers a beautiful three dimensional plumpness which is further sculpted with the vermillion lip border being enhanced by Restylane or Juvederm. The proper filler selection will be explained by Dr. Cobos.
Filler sensation and touch are important to how happy you are with your procedures. Both Perlane and Restylane are instant, long-lasting, soft and totally natural in touch, feel and appearance. Dr. Cobos uses Perlane for the following: |
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- the nasolabial folds
- pre-jowl area
- pre-jowl area
- cheek area
- ip border definition (vermillion border)
- lip corner uplift
- fuller lips (lip enhancement)
- philtrum improvement (tiny natural ridges
- above the lip and below the nose - (sometimes
thought to create more sexual appeal for
both men and women)
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Perlane, Restylane, Juvederm, Radiesse and Cosmoderm all provide an instant correction to folds, wrinkles and volume loss in lips and the face. Another product, Sculptra, is a volume enhancer that actually triggers the skin to create its own collagen. This makes Sculptra unique in it's method of causing volume replacement on a more "global" level in the face. Sculptra does not have the same instant correction effect as the collagen building takes place over a number of months, but effects last up to 2 years or longer. |
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Dermal filler Layering
You can compare filler layering to spackle and paint. When there are uneven areas or gouges in a wall (think wrinkles and folds) the first step is to fill the area with spackle (deeper fillers like Perlane and Radiesse). The paint that goes on top to provide the ultimate smooth surface is to a wall is similar to Restylane or Juvederm or Cosmoderm smoothing the surface of the skin. |
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Hyaluronic acid is a critical component of youthful-looking skin. Young skin is smooth and elastic because it contains a large amount of hyaluronic acid. Once hyaluronic acid is lost, due to age and various environmental factors, your skin is less pliable, tends to sag and wrinkles form. Aging and the consequential loss of hyaluronic acid also results in thinner lips and flatter cheeks.
Replacing lost Hyaluronic Acid |
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Technology has made it possible to recreate hyaluronic acid in a lab and stabilize it to make it long-lasting. The technology used to create Restylane gel is known as NASHA - Non Animal derived Stabilized Hyaluronic Acid - and it enables physicians to instantly 'add back' lost hyaluronic acid with a quick and simple injection.
Video of how NASHA gel works in the skin. |
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How is a Perlane® procedure performed? |
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Perlane® is injected directly into your skin. For ultra sensitive areas such as the lip, a "lip block" is used to make the procedure comfortable. This is similar to the procedure a dentist performs. Other areas typically only require a topical numbing cream prior to injection.
View the Restylane Before and After Photo Gallery |
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Can I use Perlane with Botox?
Yes, and in many cases Dr. Cobos recommends this wrinkle fighting technique. By preventing extreme muscle movement, the Botox helps the Perlane last longer. It's a synergistic effect that seems to prolong the positive effects of both.
How long will the results of a Perlane® treatment last?
Restylane® effects last between six and nine months. Some injection locations maintain the correction longer than others.
Will Perlane work for me if I have facial hollows?
To some degree, yes. Perlane can be used to instantly add volume to the cheek area, the prejowl area and and temples as well as filing deep wrinkles and folds. If you are experiencing the hollowness in your face that comes with fat loss, a natural result of aging for many women and men, Dr. Cobos may recommend the re-volumizer Sculptra mentioned above.
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Pre-Treatment Suggestions
Prior to a Perlane® treatment, or any injection procedure, you should avoid taking aspirin, non-steroidal anti-inflammatory medication or vitamin E supplements unless prescribed by your primary care physician. If in doubt, please check with your primary physician before stopping any medications.
Post Treatment Suggestions
- Lip augmentation will likely result in some swelling. Hyaluronic acid is a water absorbing product and initially it will draw water from your surrounding tissues, which may make the lips a bit fuller than you anticipated. This will balance out in a couple of days. To help alleviate this initial swelling, using cold cloth compresses will be helpful.
- Redness and some minimal swelling in facial areas is to be expected and this also dissipates within a few days. Any bruising may take several days longer.
- Refrain from going into the sun, do not take hot baths or go into hot tubs until all redness and swelling is gone.
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Related Treatments
Phone :714-870-SKIN
Premiere Dermatology
Providence Medical Center
1950 Sunny Crest Drive, Suite 2300
Fullerton, Ca. 92835
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