Trust Chelsea Eye for Restylane and Perlane in New York City.
Restylane® and Perlane® are gels that are injected
into the skin with an ultra-fine needle to
lift and add volume to the areas being treated.
Similar to one of the body’s own natural
substances (hyaluronic acid), both products
have been proven to be safe. The hyaluronic
acid in Restylane® and 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. Instantaneously wrinkles can be
smoothed, lips can be sculpted and facial
contours can be shaped.
Restylane® and Perlane® are
classified as cosmetic fillers. While there are numerous injectable
fillers on the market today, many of them have
their drawbacks ranging from allergic reactions
to short life spans. Restylane® and Perlane® are
safe and natural.
RESTYLANE® - is intended for wrinkle
correction and lip enhancements
RESTYLANE® FINE LINES - is
used for correcting thin superficial lines,
for example around the mouth, forehead lines
and smile lines
PERLANE® - can be used for
shaping facial contours, such as cheeks and
chin, correcting deep folds, and for volume
augmentation of the lips.
In 1996, the biotechnology company Q-Med of
Sweden created a genetically engineered version
of hyaluronic acid (Restylane® and Perlane®).
Hyaluronic acid is a polysaccharide, or natural
sugar, that is found largely in the skin. Its
primary function is to provide volume and pliability
to the skin. The unique characteristic of hyaluronic
acid is its ability to bind with water up to
1000 times its volume. This property makes
it ideal as a filler agent, for even while
hyaluronic acid filler is being naturally degraded
it continues to attract more water to it. This
characteristic allows it to hold its shape
Restylane® and Perlane® Applications:
Correcting nasolabial and other folds
Shaping the cheeks and chin for facial contour
Restylane® and Perlane® Benefits:
No skin test is necessary. Allergic reactions
are almost non-existent
Lasts up to 60% longer than collagen fillers
Clinical trials show that Restylane® and Perlane® are effective for up to six months after lip
Juvéderm™ injectable gel is a colorless hyaluronic acid gel that is injected into facial tissue to smooth wrinkles and folds, especially around the nose and mouth. Hyaluronic acid is a naturally occurring sugar found in the human body. The role of hyaluronic acid in the skin is to deliver nutrients, hydrate the skin by holding in water, and to act as a cushioning agent.
In its natural form unbound hyaluronic acid forms a liquid made of highly-hydrated individual polymers (chains) that are metabolized in the body in just 12 hours. The liquid hyaluronic acid is transformed into a soft solid, or "gel" by a process known as cross-linking wherein the individual chains of hyaluronic acid are chemically bound together. The firmness of the gel depends on the degree of cross-linking of the individual hyaluronic acid chains. The body metabolizes cross-linked hyaluronic acid more slowly, resulting in a longer duration of effect when hyaluronic acid is used therapeutically.
JUVÉDERM™ dermal filler, a 'next generation' hyaluronic acid dermal filler approved by the FDA in June, 2006, contains the highest concentration of cross-linked hyaluronic acid of any dermal filler currently available. These attributes provide optimal results with a single treatment in the majority of patients and deliver sustained results for up to 6 months or longer. Juvéderm™ may last longer than the other available hyaluronic acid products on the market. We are currently involved in a national investigational trial to determine if patients prefer Juvéderm to Restylane® when injected into nasolabial folds.
JUVÉDERM™ is injected into areas of facial tissue where moderate to severe facial wrinkles and folds occur. It temporarily adds volume to the skin and restores a smoother appearance to the face.
Side effects are mild or moderate in nature, and their duration is short lasting (7 days or less). The most common side effects include, but are not limited to, temporary injection site reactions such as redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching and discoloration. As with all skin injection procedures, there is a risk of infection.
Video with Dr. Joseph Eviatar on CBS-TV in New York
RADIESSE™ is one of the most advanced new injectable products for
The advantage of this product is its longer lasting effect.
RADIESSE consists of calcium hydroxylapatite
suspended in gel (carboxymethylcellulose). Because
calcium hydroxylapatite is a normal constituent
of bone, it should not elicit a chronic inflammatory
or immune response. Additionally, the gel carrier
doesn't require allergy testing such as required
Hydroxylapatite has been used in humans
for many years in prosthetic implants in dental,
facial and orthopedic surgery. The use of the injectable product in vocal chords
and bladder neck areas has shown that the product
remains soft without new bone formation when
injected into soft tissue.
In December, 2006, RADIESSE was recommended for approval by the FDA
for aesthetic uses. Dr. Eviatar has been successfully using RADIESSE since 2001 with excellent results, and he is a principal investigator in an FDA study for the use of RADIESSE™ to treat facial lipoatrophy in patients with HIV.
Whether you're longing to reverse the common signs of aging or address a health issue that otherwise would require an invasive treatment, you have more options to look and feel better with RADIESSE™ because unlike fillers that need to be injected superficially into the skin, RADIESSE can be injected into deeper tissues for facial shaping. RADIESSE is a new generation injectable filler that offers versatility for both cosmetic and reconstructive use without surgery. Its unique composition provides the immediate visual improvement common with other fillers, along with the benefit of long-lasting results. RADIESSE particles form a scaffold through which your body's own collagen grows, and for this reason, the desired long-term effect is achieved.
For facial contouring, RADIESSE can be used for:
Improvement in the appearance of lower eyelid bags
Lateral brow elevation
Improvement in facial volume loss due to aging or disease (i.e., HIV lipoatrophy)
Facial depressions from trauma
RADIESSE offers versatility and years of testing to prove its safety and effectiveness. Any form of facial contouring with RADIESSE is performed as a non-surgical, minimally invasive out-patient procedure in our office. For longer lasting results in patients who could benefit from diffuse areas of facial volume augmentation, treatment with Sculptra™ may be a better option.
Results are immediate and only require a few long-lasting treatments, which means RADIESSE™ is also cost-effective – saving you time and money. While treatment results may vary, results typically last months longer with RADIESSE™ compared to other fillers.
HIV-related facial wasting
If you are suffering from the stigma of HIV lipoatrophy (facial wasting) due to medications, RADIESSE is a safe and effective injectable shaper that provides immediate contour improvements and can give your face an overall healthy, full appearance with long-lasting results. (1-1 1/2 years depending on the patient and site of injection).
EVOLENCE® dermal filler is made of natural collagen, one of the most prevalent materials in your body. The advanced collagen in EVOLENCE® has been naturally cross-linked, so it mimics the 3-dimensional structure of your skin's own collagen. This allows it to integrate beautifully and support your skin's own existing collagen network by adding structure, strength, and volume for a natural look and feel that last.
Collagen is nature's most fundamental and abundant building block. In fact, collagen makes up to 80% of the skin's dermis, providing structure, strength, and support. Collagen depletes naturally over time as we age, leading to a tired or aged appearance. This happens through the formation of new wrinkles and folds, and changes in facial contour and structure. The natural pace of collagen loss can be accelerated by such factors as sun exposure, genetics, hormonal changes, and smoking. By replacing lost collagen with an advanced collagen compound that lasts, EVOLENCE® dermal filler can help enhance and maintain the structure, volume, and naturally younger-looking appearance of your skin.
The unique collagen of EVOLENCE®:
Achieves immediate, natural-looking results, so you can walk out looking refreshed
Causes minimal-to-no swelling or bruising, so you can get right back to daily activities
Last through 12 months and is well priced
Does not require a skin pre-test, so you can get results in 1 visit
EVOLENCE® is recommended for the correction of moderate-to-deep facial wrinkles and folds, such as nasolabial folds, the ones that appear from your nose to the corners of your mouth ("smile lines").
While introduced to the US in late 2008, EVOLENCE® has been used extensively in Canada, Europe, Israel and Asia for several years.
ArteFill® is the first FDA-approved non-resorbable aesthetic injectable implant for the correction of nasolabial folds. It can also be used in other facial areas for re-shaping.
ArteFill® is a unique combination of homogeneous precision-filtered microspheres suspended in a solution of purified collagen gel and 0.3% lidocaine to alleviate discomfort during injection. ArteFill® received final approval from the FDA in October, 2006, making it the first and only non-resorbable aesthetic injectable implant to gain FDA approval.
ArteFill® is designed with dual action to correct facial wrinkles. It does this as a result of its composition, which is a combination of precision-filtered microspheres (20% of total volume) made from polymethylmethacrylate (PMMA) and purified bovine collagen (80% of total volume). All microspheres have a defined size of 30 to 50 microns in diameter and have a smooth, round surface. Aesthetic results are visible immediately after injection. PMMA is not taken up by scavenger cells (macrophages) and cannot be degraded by enzymes. Thus, the microspheres will remain intact beneath the creases, providing a permanent support structure to support the wrinkle and to prevent further wrinkling. As with all products using bovine collagen, a skin sensitivity test must be performed.
In contrast, FDA-approved temporary filler treatments using biological fillers to increase the thickness of the skin, such as autologous fat, bovine collagen, and hyaluronic acid (Restylane®, Hylaform®, Juvéderm®), provide only temporary effects because they are naturally absorbed by the body following implantation. While a permanent filler such as ArteFill® is not appropriate for use in all patients, Dr. Eviatar will discuss the advantages and disadvantages of using temporary fillers versus ArteFill® depending on the type of correction that is needed.