Revolax: What You Need to Know

Pros

• It instantly adds volume that can last 12 to 18 months.
• There’s no downtime.
• Revolax fillers are infused with the anesthetic lidocaine to minimize pain during and after treatment. 
• Synthetic hyaluronic acid is nearly identical to what our bodies naturally produce, so it metabolizes completely over time.
• An injection of hyaluronidase can break down Revolax, if you don’t like your results or have a complication.

Cons

• Revolax isn’t FDA-approved, so most dermatologists and plastic surgeons in the U.S. don’t offer it.
• Results are temporary; you’ll need follow-up treatments if you want to maintain them.
• While most people have only mild side effects like bruising and swelling, unintentionally injecting filler into a blood vessel can lead to serious complications if the filler is not dissolved quickly.

Your provider will assess your facial structure, determine the best filler for your goals, and explain potential risks. 

Ask them about their injection method. Some providers use a cannula with a blunt tip rather than a needle; it’s less likely to puncture a blood vessel and may cause less bruising and swelling.

They’ll cleanse the injection area with alcohol or an antiseptic wipe. Revolax fillers contain lidocaine, a topical anesthetic, so it’s not usually necessary to numb the skin. However, if you are nervous about injections, you can ask for a topical anesthetic to be applied first.

Your provider will slowly inject Revolax under your skin, gently massaging the area with their fingertips to get the desired effect before making the next injection. Each injection takes a few minutes, so unless you’re having a full liquid facelift, the procedure should take only about 15 to 20 minutes.

You may want to apply a light ice pack afterward, to reduce discomfort and constrict the blood vessels (which can help minimize bruising). There’s no downtime, so you’ll be able to go on with your day.

Swelling, bruising, and tenderness at the injection site are common side effects, but they should resolve within a week or two. The injected area may feel sore and stiff to the touch or appear uneven (due to swelling) for up to a week after the injection. If you still have asymmetrical results after your swelling has gone down, ask if your provider can correct the issue during a touch-up appointment. 

If small lumps or bumps do occur, they usually resolve on their own within a few weeks. Applying an ice pack and softly massaging the area can help speed up the process. 

To minimize side effects, avoid drinking alcohol and taking blood thinners, such as ibuprofen, aspirin, and other nonsteroidal anti-inflammatory drugs (NSAIDs), for a week before your appointment. You’ll also need to refrain from exercising for 48 hours afterward.

It’s rare, but all fillers carry a risk of tissue death if accidentally injected into a blood vessel and not dissolved quickly. Hyaluronic acid–based dermal fillers like Revolax can be dissolved with an injection of hyaluronidase, an enzyme that breaks it down—though, according to doctors on RealSelf, it may be somewhat more resistant to dissolution than other HA-based fillers because it’s so dense. Because of this, it’s essential to find an experienced injector (like a board-certified dermatologist) who has an intimate understanding of facial anatomy.

You should see more volume immediately, but it takes about two weeks for the swelling to go down so you see the final results. At that point, you can decide if you want touch-ups or changes.

Revolax typically lasts 12 to 18 months, depending on which type is used, the amount your doctor injects, and how quickly your body metabolizes the hyaluronic acid.