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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

Asked 34 months ago by curioscat in nyc
Sort 5 expert answers by:
+1

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.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

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... more
Harold J. Kaplan, MD
Los Angeles Facial Plastic Surgeon
+1

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 Dermatologist
+1

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... more
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+1

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... more
Arnold R. Oppenheim, MD
Virginia Beach Dermatologist
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