I Had Restylane Last November, My Dr. Keeps Saying I Need More, Should I Believe Him?

I had restylane the last November. The Dr. told me I only need one syringe -$700. I did not had pain, but after a week, my nasolabial area is looking almost the same as before. I when back to see my doctor and he told I need one more syringe. I am feeling very upset because I don’t know if he is telling me the true or not. I also had it on my on my marionette lines and after that he told me that it doesn’t work there. Now he thinks I should have radiesse. I should get a new doctor???

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11 Doctor Answers | Asked by vanidad in miami

Doctor Answers (11)
Community Comments (0)

Yes find a new doctor.

The most important thing is the chemistry of confidence you have with your surgeon. If you are not sure you can trust you doctor, it is time to get other opinions. You have so many great choices where you live that there is no reason to feel stuck with a particular individual who makes you upset. The reality is that you probably do need more volume. Many doctor swear by Radiesse. I personally do not like this product. While I have used it, I switched over... more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Do I need more Restylane

Most physicians like to start out conservatively and add another filler if that's needed, especially on first time patients, because it's hard to know how the filler will work, how the skin will respond, if the patient will like it, etc. It is not uncommon to need more than one filler, especially if your lines are deeper, or you need more volume, or you're trying to fill more than one area. I'm not necessarily surprised that you might need another one. However, if you... more

He may be right!

Your story is not at all uncommon. One of the most common "problems" with fillers is incompete or insufficient improvement of a line, fold or wrinkle. It is important to discuss this fully with your physician (preferably before treatment). Often it is necessary to use more than one syringe for deeper lines to achieve a better correction. Radiesse is a very good filler as is Restylane, but they are different products with different uses. Typically,... more

Restylane to nasolabial folds

It is very possible that your injector underestimated the amount of product you would need. That being said, if you feel as if you can't trust your injector, a second opinion is always a good idea.

Harold J. Kaplan, MD

4 reviews

Los Angeles Facial Plastic Surgeon

www.celibre.com

Getting more filler

If you see no visible difference after one week, a second opinion might be a good idea. Although fillers can dissolve more quickly in some people, one week is very fast for it to be gone.

When do you need more filler or botox?

The real question here is "what do you think?!?" You doctor may want to give you more restylane to make you look better. But that ideal is in his or her mind. What really matters is what you think of how you look. Do YOU think you need more? If you do, then get more. If not, be happy with the way you look. It's also OK to change your mind later.

Need more restylene

Whether you need more or not depends only on you.If after the injection you are happy with the amount and the look then you do not need more restylene.However it will diminish in time and more will need to be added.

The Secret to Fillers: Do You Need More?

There is no doubt that in well trained hands, fillers work. Typically, the secrets to patient satisfaction relate to 3 factors: 1) Injector technique. With the introduction of family Doctors, Dentists, and others into the milieu of injectables, it is incumbent on the patient to look at credentials and training (look for a Board Certified Facial Plastic Surgeon, Plastic Surgeon, Dermatologist, or Occuloplastic Surgeon for your injectables), 2) Volume of filler. If you... more

Need for more restylane?

Choice of fillers really depends on how deep your lines are. Generally products like Radiesse, Juvedem Plus and Perlane are recommended for deeper lines. Sometimes it is difficult to predict how your lines will respond until the product is actually injected. While your physician may have thought Restylane would be sufficient, he may be recommending Radiesse due to your lack of response. Also if your physician has before and after pictures of your treatment, the improvement may be more... more

Radiesse is much better than Restylane for the nasolabial folds

I rarely use Restylane to treat the nasolabial folds as I find Radiesse to be much more effective. In clinical trial comparisons, Radiesse has been proven to be much more effective than hyaluronic acid fillers like Restylane for treatment of the nasolabial folds. The problem you are describing is most likely due to the use of a superficial "wrinkle filler" like Restylane in this area instead of a "volume filler" like Radiesse. Radiesse is injected deeper, beneath the... more

Fillers

Pateints often need more filler than they think. I know that patients are a bit hesitant to get too much and rightfully so, so it is not uncommone for patients to come back for more after initial treatment.