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Fillers: Restylane® and JuvédermTM - How It Is Done

When I inject Restylane® and Juvéderm (hyaluronic acid), I typically avoid using local anesthetic because it can obscure the existing skin wrinkles or lip contours. I use the smallest caliber needle that will allow me to inject the filler (usually a 27-gauge), and minimize needle-pricks by injecting as I withdraw the syringe. I prefer the longer needle because this avoids multiple needle pricks.

Are Restylane® and Juvéderm treatments painful?

It is somewhat painful, but takes only about five minutes to treat the lips and nasolabial creases. I use a smaller, 30-gauge needle to inject prominent vertical ("radial") lip lines. Occasionally, a deep frown line between the eyebrows ("glabellar”) or tear troughs are also treated.


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