Was Restylane Silk the right choice for nasolabial folds, marionette lines, and lip border definition/volume?

Question

Did 1 syringe Restylane 2 wks ago. Returned today as folds not as smoothed out as I hoped and wanted more to my lips (1st time was just a couple drops). I happened to mention Rest. Silk this time and we wound up going with that. Worried that Silk was the wrong choice. My concern is not fine surface lines. I have a lean face, with n/l muscles closely attached to skin. I can benefit from volume. In terms of lips, goal was to define and bring up border/roll. Concerned I wasted $ on wrong filler.

Michael A. Zadeh, MD, FACS · Answer

Restylane Silk is a great filler for the etched in vertical lip lines or to give a subtle and natural lip enhancement. It can be useful in the nasolabial folds if there are very superficial etched in lines. Usually, however, the issue with nasolabial folds and marionette lines is volume loss and Restylane Silk is not the best choice in those situations. Regular Restylane or Juvederm work better. Spreading 1 syringe out over all those areas is a recipe for suboptimal results.

Aldo Guerra, MD · Answer

I prefer Silk in the lips and tear trough areas. For the laugh lines, I really like Restylane-L or a Juvederm product. Silk is a better choice in finer lines and so if your laugh lines are really fine then I think it will be OK.
Be sure to talk about these concerns with your injector.
Best wishes, Dr. ALDO :)

Jaime S. Schwartz, MD, FACS · Answer

I appreciate
your question.Without photos, difficult to comment on what would be the best filler for you.  The best way
to assess and give true advice would be an in-person exam.  Restylane Silk is an excellent filler for fine lines, lips, etched lines, tear troughs and nasolabial folds.  If you are looking for volume enhancement, Restylane Lyft would have been a better choice.

Please see a
board-certified cosmetic plastic surgeon that specializes in aesthetic and restorative
plastic surgery.

Best of luck!

Dr. Schwartz

Board
Certified Plastic Surgeon

Director-Beverly
Hills Breast and Body Institute

#RealSelf100Surgeon

Steven J. Rottman, MD, FACS · Answer

Thank you for your question. I prefer Restylane Lyft for the nasolabial folds and marionette lines. These areas typically require significant volume to correct the deprssions and Silk is not ideal for this. Silk is best used to treat fine lines, commonly seen on the upper lip. Hope this helps.

Robert W. Sheffield, MD · Answer

For lip enhancement and for vertical lip lines and fine lines around the mouth Restylane Silk and Juvederm Ultra Plus are excellent choices.  For deeper lines and folds there are better fillers more specifically designed in relation to their molecular composition such as the original Restylane or Juvederm.  If there are volume issues related to the cheek area, then Juvederm Voluma XC or Restylane Lift are good products.

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Answers (10)

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