Restylane New Jersey

Fillers is a term that was coined to identify what these products do. Simply put, they fill the valleys known as wrinkles and fine lines.

Fillers are one of the most often performed procedures after Botox.  Have you thought of why that may be the case?  Fillers offer an immediate result.   Rather than looking in the mirror and wishing that things could be different, but feeling that you don’t need surgery,  fillers offer a means of improvement performed in the safety of Dr. Friedlander’s office. They help to turn back the clock resulting in an improvement that can be subtle or profound.

What Happens as We Get Older?

As we age, gravity gets the better of us. Gravity, when combined with sun damage and heredity stimulates a gradual descent of the skin, muscle and fat of the face, leading to folds around the mouth (Laugh lines), jowls and marionette lines, and a loss of volume sometimes described as a gaunt appearance in its extreme. Fillers can help to correct this and restore a more youthful appearance.

Dermal Fillers Procedure

*Results may vary

What kinds of Fillers are there?

There are several types of fillers on the market. The 3 most common are:

  • Hyaluronic Acids (HA’s)-Juvederm and Restylane
  • Calcium Hydroxyl Appetite  (CaHA) – Radiesse®
  • Poly  L-Lactic Acid (PLLA)-Sculptra®

What is the Difference Between the Fillers?

Besides having different chemical structures, these fillers behave differently after they have been injected. The result, however is the same…more youthful, plumper skin with fewer, less noticeable wrinkles.

The largest group falls into the category of Hyaluronic Acids (HA’s). These are a group of naturally found sugars in the body that hydrate or plump the skin by helping  to replenish the natural volume. Don’t worry.  These products are not animal derived and are not associated with allergic reactions unlike their predecessor (injectable)Collagen.


  • Restylane
  • Resylane Silk
  • Restylane Lyft
  • Restylane Defyne
  • Restylane Refyne 

Restylane®, like Juvederm® is a natural product intended to improve the signs of facial aging. It can be used in the same areas as Juvederm®. It too, contains lidocaine, a topical anesthetic, rendering the treatment virtually painless. Like Juvederm®, Restylane® comes in several formulations which are used for different purposes.

Restylane® is a crystal cleargel formulation  that can be used to restore fullness  to multiple regions of the face. In 2003, Restylane  became the first  HA on the market to be FDA approved for correction of  moderate to severe facial lines associated with aging such as the nasolabial folds, or the smile  lines that run from the nose toward the corners of the mouth.  Its indications have since been expanded to include the marionette area or the lines that run from the corners of the  mouth to the jaw, the lip and the lip (smokers) lines. It is ideal for the hollow region below the eye (orbital rim) since it maintains its stability and does not absorb large amounts of water causing swelling.  Restylane is a medium thickness HA which offers  versatility in improving visible signs of aging. Its restores volume which becomes depleted with age, hydrating the skin and creating softer more youthful contours.

Restylane New Jersey

Restylane® Lyft  was previously known as Perlane.  The rebranding of perlane as “Lyft” is appropriate since this formulation is thicker and  more viscous, than its sibling  due to its unique HA cross linking.  It is used for facial augmentation since it retains its shape and fullness better.  As we age, gravity drags the skin downward, causing numerous changes.  As the skin descends, the cheek bones look lower, the cheeks look hollow and we develop jowls.  Restylane Lyft  counteracts this by “lifting” the skin of cheeks, restoring volume and fullness to the cheeks and nasolabial areas as well as the jawline.

Restylane New Jersey

Restylane® Silk has many of the same properties of Restylane and Restylane Lyft. It has a relatively  high G’  which means it retains its shape but it has a lower viscosity so it can be used to restore lip definition and shape.   Since it is a smoother product, it is not associated with as much fullness or volume restoration as Restylane.  It can be used to smooth away fine lip (smokers) lines and improve lip definition.  It is reported to last several months, but  the high muscle activity of the mouth may affect its longevity.

Restylane New Jersey

Restylane® Defyne along with Restylane® Refyne  are the newest additions to the Restylane family.  They  have a long track record of safety and efficacy, having been available in Europe under the name of Emervel for many years.  Their siblings, Restylane, Restylane® Silk and Restylane® Lyft once injected smooth the wrinkles and folds, but lack flexibility. Refyne and Defyne  were designed using a unique manufacturing process called XpresHAn    (pronounced  like expression) Technology.  XpresHAn Technology customizes the degree of HA crosslinking in each product, determining the size and properties of the gel,  improving their flexilbility and support. Restylane ® Refyne is designed to be very flexible and provide subtle support, while Restylane® Defyne is designed to be less flexible. They are both suited for areas with a high degree of movement such as the peri oral area or  laugh lines since they restore a more natural appearance during times of facial expression, meaning you don’t look different when you laugh and smile.

Restylane Defyne – Defyne Your Expression
Restylane Refyne – Refyne Your Laugh Lines

What areas can be treated with Restylane?

Fillers and Injectables Beverly HillsThe aging process is caused by multiple factors including gravity, genetics and sun exposure.  There is a loss of facial fat, thinning of the skin, loss of fullness and elasticity followed by a change in the appearance of our complexion typically associated with dry skin. There is  a reduction in the natural amount of HA  in the tissue which results in a loss of moisture.  Early changes are seen around the mouth and chin followed by the cheeks.  These areas respond well to Restylane and include the nasolabial folds, the marionette areas, the lips and lip lines, the cheeks and the orbits.  Some of these areas were  previously hard to treat  due to increased muscle activity and are responding well to more flexible fillers allowing for a natural show  of expressions.

What can I expect during my treatment?

Dr. Friedlander will review the areas to be treated with you.  She will discuss the benefits  of your treatment and the differences between the fillers that are available.  Certain fillers are better suited to correct age related lines and wrinkles than others.  The actual treatment takes only  a short while, and you will an immediate improvement.  Ice packs applied before and after the injection help to reduce swelling.  All fillers contain lidocaine, a  local anesthetic  which numb the area as the injections are given.  If you are concerned about discomfort, a topical anesthetic can be provided.

Are there any risks?

Fillers have a long track record of safety.  Side effects  are uncommon and are short lived, improving spontaneously.  They may include redness, swelling, bruising and tenderness in the areas treated. These cannot be predicted and do benefit from the application of ice packs after the procedure is completed.  You can return to work and regular activities shortly after the procedure.

For more details and to find out which fillers you  are a candidate for,  please contact us to schedule a consultation or call our office at 973-912-9120. You may also use our online consultation tool provided on this page.

* = Results may vary


Beverly Friedlander MD