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What's a Good Age to Start Restylane?

I'm 31 and just starting to notice subtle nasolabial folds. I don't have any wrinkling, good skin otherwise, no sun damage and don't smoke. (natural complexion is olive).

When should I consider Restylane? Does starting early prevent worsening in the long run? Or would it be the same as if I started at 35? I saw a picture of twins - one started w/ Botox in her 20's and looked younger than the one who started 10 yrs later. thanks

Doctor Answers 5

Fillers and wrinkles

Fillers are good for filling depressions in many areas of the face.  I have treated women in their early 30's but could't tell you unless I saw you for an exam.

New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Early use of Restylane to prevent wrinkles

Hi Curious,

As Dr. Persky pointed out, there are studies that show that early use of dermal filler products like Restylane stimulate the production of fibroblasts which in turn create new collagen.

We have many patients in their mid twenties to early thirties that have begun to use Botox and dermal fillers at the earliest signs of wrinkle (and fold) development because that want to take a preventative approach.

Ultimately, the choice of when to start is yours and yours alone, but if you decide to start sooner than later, know that you are not alone.

Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

23211 Hawthorne Blvd.
Torrance, CA 90505

If you have folds, you are a candidate

If the folds have begun, then you are a candidate for fillers. If you start sooner rather than later, your eventual lines may not get as deep. When people do wait for the lines to become deep folds, then it is harder to give full correction.

Ronald Shelton, MD
Manhattan Dermatologic Surgeon
5.0 out of 5 stars 33 reviews

317 East 34th St
New York, NY 10016

Restylane...What is the Best Age to Start

Hi CCat,

Studies a few years ago from the University of Michigan (Go Blue) showed that hyaluronic acids (Restylane, Juvederm, Preville Silk) stimulate the body to form collagen where it is injected.

In some areas the effect is incredible. When the forehead "11" lines are injected with both Botox and hyaluronic acid filler simultaneously, more often than not the line does not return even after the Botox has worn off.

In the nasolabial folds, there is also some collagen production. We find that when the filler wears off, usually the lines are not as deep.

A recent episode of "Nip/Tuck" had Dr. Troy injecting his 1 year old daughter's lips so that her mother could make some money from the infants modeling. One year old is a little early to start, but add say 3 decades as in your case and if the lines are bothering you, go ahead and get treated.

Choose your injecting physician carefully. Waiting till you are 35 will not really make a difference in the big picture.

Be well.

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
5.0 out of 5 stars 28 reviews

16311 Ventura Blvd
Encino, CA 91436

Restylane is not a preventive

Botox works on dynamic wrinkles. If the muscles causing them are relaxed these wrinkles are generally going to be less prominent. Many of us who have been using Botox for some time are now seeing that patients who have "stuck wilth the program" have a younger looking face than their cohorts.

However, Restylane does not do this. It effects lines at rest and does not interfere with their production. Therefore, I would tell you to start using Restylane when your lines bother you, not as any sort of preventive measure.

Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
4.5 out of 5 stars 13 reviews

5320 Providence Road
Virginia Beach, VA 23464

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.