How long does Restylane last?

After the holidays I'm finally going to get rid of my stupid worry lines and hire a doctor to shoot me up with a big 'ol whack of dermal filler. But here's the thing: I really want to get the best bang for my buck and have heard that some dermal fillers last a lot longer than others. My default filler would probably be Restylane, only because it seems to have the best reputation. But apparently Juvederm Ultra Plus and Perlane are thicker and will last anywhere from 9-12 months, which is a helluva lot longer than Restylane, where I've heard you can consider yourself lucky if you get 6 months out of a treatment. Is any of this stuff true though? How long do the effects of Restylane REALLY last for? I've heard so many different things I don’t know what to believe anymore. Please help.


F, 35, Kansas

You expressed many questions, and I will try to answer each of them. Dermal fillers are excellent noninvasive cosmetic treatment options. They are each similar but have different characteristics and provide slightly different outcomes. You mentioned an interest in Perlane®, and it is now named Restylane Lyft®. 

Restylane, Juvederm Ultra Plus and Perlane/Restylane Lyft are great fillers. Each has slight differences and specialties, and all three are FDA approved for treating lines and wrinkles. Each is formulated with hyaluronic acid, which is found naturally in the skin and other tissues in the body. They are biodegradable, and the length of time for the results of each filler is slightly different for each person. And you can dissolve each of these fillers with hyaluronidase if you don't like the results. Hyaluronidase speeds up the body's natural dissolving process and helps the body to dissolves hyaluronic acid fillers and quickly remove any unwanted results.

Restylane® is the first dermal filler introduced in the US, and it has a long history of safe use. Its has an average level of consistency and is recommended for adding volume to lips, treating wrinkles under the eyes and filling smile lines. It may last up to nine months. Lip treatments with Restylane® last between three and four months. 

Restylane Lyft/Perlane

Restylane Lyft® was the second filler introduced to the United States public, and it has a long history of safety and excellence. The fillers name was changed to describe what it does best, which is to lift deflated temples and cheeks. It adds a natural firm fullness to areas on the face. Restylane Lyft® and Juvederm Voluma® are both excellent fillers for adding lift and volume to cheeks and depressed scars. Restylane® can be used to add lift and volume to the cheeks. Lifted cheeks will raise and release folds around the mouth caused by the weight of the skin. 

Juvederm Ultra Plus®

Juvederm® is a newer product line and is a well-respected filler that quickly diffuses into the skin. It is less likely to create bumps because it's not as cohesive and firm as Restylane® or Restylane Lyft®, which stay precisely where they are injected. Juvederm® injections must be molded and smoothed by the doctor and built upon to add more dimension. Juvederm® also lasts longer than Restylane® and Restylane Lyft®. It may last up to 12 months versus the nine months that Restylane® typically lasts. Juvederm® is a very soft, pliable filler that is perfect for treating the lips and small lines and wrinkles on areas of the face. You can also schedule annual or bi-annual dermal treatments to keep a consistently wrinkle-free appearance.

The best way to select a filler is to visit a cosmetic doctor for a consultation and examination. You will learn what your doctor specializes in and what would work best with your skin type and cosmetic desires. Best of luck!

I have heard of great results coming from Juvederm, but I don't think that you should throw out the idea of Restylane exactly yet. My aunt had excellent results from using Restylane, and it looked very natural compared to some of my friends who have used Juvederm. Have you talked with your doctor about which option is better for you?