What are the long term risk of Restylane?
Doctor Answers (3)
Lip augmentation with fillers vs. fat transfer
1. Injectible fillers: this is the most commonly used technique and is very capable of producing the subtle result that you are requesting. Both Restylane and Juvederm are reasonable choices, but I generally prefer Juvederm because it diffuses further from the site of injection, yielding a smoother appearance.
2. Fat transfer: fat can be suctioned from your abdomen or thighs and injected elsewhere in the body, including the face. While this works reasonably well in many areas, it is typically less successful in the lips. Why? The lips are in constant motion, making it difficult for the newly injected fat cells to obtain a stable blood supply.
3. Permanent lip implants: I regularly place PermaFacial implants for lip augmentation. These are soft, flexible, solid silicone implants that have the advantage of permanent results.
Any of these techniques is reasonable, though I would favor fillers and lip implants over fat for the reasons above. With regard to tumors and biofilm, I am unaware of these difficulties with Restylane or Juvederm, as both products are temporary and resorbable. This type of complication is more likely with permanent injectibles, such as liquid silicone, which I do not recommend.