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Restylane™, Restylane Lyft, and Juvederm™ Injectable Gel are Hyaluronic acid-based products that are great volume enhancers. Hyaluronic acid is a natural substance found in the human body. Although Restylane, Restylane Lyft and Juvederm were approved for injection to the nasolabial folds, off-label use of these products has revolutionized facial rejuvenation.

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Unlike Collagen, they do not require allergy testing, and they may last from six to twelve months depending upon the product used. There may be some minor bruising and swelling of the treated regions that will often resolve in a few hours to a few days. The products can also be dissolved if the patient is not satisfied with the result.  For more information, visit our blog.

Cheek Augmentation and Elevation

Injectable fillers like Restylane™, Restylane Lyft, and Juvederm™ can be used to augment the cheek region and create malar prominence. Recently, Voluma™ XC was approved for cheek enhancement. Recent studies suggest that this product can last up to two years. In Dr. Wallach’s practice, these products have replaced the use of cheek implants for the majority of his patients. This is great for a patient with hypoplastic (small) cheeks or for patients that have facial wasting. Cheek hollows can also be filled with these products. With cheek enhancement, often times this can improve the upper nasolabial fold as well. The use of fillers for the cheeks is also a great adjunct to face lifting techniques.

Chin and Jaw Line Augmentation/Rejuvenation

Injectable fillers can soften the appearance of early jowling along the lower border of the face. It can also be used to augment the chin for some patients or even soften the step-off that some patients obtain with chin implants.

Liquid Facelift

The liquid facelift is a marketing phrase that refers to a non-surgical procedure incorporating both facial filler material such as Restylane™, Restylane Lyft™, Juvederm, Radiesse, and Sculptra along with using the neuromodulators, Botox™ or Dysport.  Areas around the eyes such as the tear trough can be filled to soften the “double-bubble” deformity of the lower lid-cheek attachments that appear with increasing age.

Earlobe Rejuvenation

One tell-tale sign of aging is a thin earlobe that occurs with facial soft tissue atrophy. Placing a small amount of filler into the lobe can help to rejuvenate the lobe. “Plumping the earlobe” can be combined with trimming of a hanging earlobe during a face lift, and this can significantly improve the ear’s appearance.

Hand Rejuvenation

Commonly as a person ages, there is soft tissue wasting of the hands and the skin often has “sun spots.” The hands can look thin with a veiny and bony appearance. Injectable fillers like the Hyaluronic acid products can be used to improve this “wasting’ look. This can be combined with light based systems to treat the sunspots. An example of the light based system includes Broad Band Light (BBL) or what many know as Intense Pulsed Light (IPL) to improve the hand’s appearance.

Nasal Contour

Some nasal augmentation can be performed with filler material. This can be applied to the nasal dorsum or the tip. Dr. Wallach believes that in most cases, a better more permanent result occurs after a formal rhinoplasty, but he will use the facial injectables for minor irregularities.

“I believe true confidence comes from a feeling of self-assuredness from one’s inner self. However, I also believe that it is heavily impacted by a lack of confidence with one’s outside appearance as well. Plastic surgery can help improve confidence in this way.”

Steven Wallach, MD

Peri-oral Rejuvenation

The peri-oral facial aging can be improved with injectable fillers.

Lip Augmentation

Lip augmentation by filling the white roll or injecting the lip muscle can augment it nicely. Filling the white roll of the lip can improve vertical lip lines that occur with age, sun exposure, and smoking. Injecting the vertical lines directly can improve them as well. This can also be combined with neuromodulator injections and laser peels.

Marionette Lines

Treating the marionette lines that run on the side of the mouth to the chin can be improved as well.

Peri-oral Commissure

The peri-oral region can be filled to improve the downward appearance of the corners of the mouth that occurs with age.

Peri-orbital Rejuvenation

The eye region is often the first area that shows facial aging, and hyaluronic acid injectable filler products can be used with great success in this region.


If the upper eyelids appear hollow from aging or after a blepharoplasty, injectable fillers can be used in this region to give a more youthful upper eyelid contour. Often Restylane™ is the preferred hyaluronic acid in this area because of its small particle size. This can be combined with neuromodulators like Botox™ and Dysport to enhance the appearance.


The lower eyelid and especially the tear trough region at the nasojugal groove, and the area between the lid-cheek junction are great areas to treat with filler product. Restylane™ is a great product to treat this delicate area because of the small particle size. This area is prone to bruise more than other regions because the tissues are thin and the area is very vascular. Treatment can also compliment the results of a lower lid blepharoplasty. Neuromodulators like Botox™ and Dysport can be used to treat the crow’s feet along the lateral eyelid as well.

Eyebrow and Corrugator Region

The eyebrow region can be treated to provide more fullness and lift the sagging brows and lateral hooding that commonly appear in the upper eyelid region with age. Neuromodulators like Botox™ and Dysport can help raise the lateral brow as well. Areas such as the “11” lines that are produced by overactive corrugator muscles are often best treated by the neuromodulators. However, with repeated motion lines can appear “etched” and injectable fillers can fill these lines to soften them.

Temporal Region

Some patients develop temporal hollowing with age. This area can also be treated with facial injectable fillers.

If you would like more information about Dr. Wallach and his success with New York City Restylane, Restylane Lyft and Juvederm procedures, we hope you will not hesitate to contact our Manhattan offices at (212) 861-6400 or by mail at 14 East 90th Street, Suite 1B in New York, NY 10128; or using our contact form to request additional details.


Can Restylane cause blindness?

It is very very rare for a filler product to cause blindness. This is thought to be due to retrograde injection into the arterial system to the eyeball.

Can you mix Juvederm and Restylane?

Yes, you can use different filler products at the same time.

Can Restylane last for years?

Restylane typically lasts 6-9 months.

Do Restylane bumps go away?

Bumps from filler product can happen upon injection. If it is picked up soon after injection, it can often be massaged out.

Can you drink after Restylane?

Yes, you can drink after having had Restylane injections.

Does Restylane help dark circles?

Restylane may help dark circles under the eyes by camouflaging them.

Can you lay down after Restylane?

Yes, you can lie down after Restylane injections.

Does Restylane improve over time?

Restylane will last for 6-9 months and will usually look nice and improve the area that was deficient for the 6-9 months it lasts.

Does Restylane settle?

The area treated by Restylane may look a bit swollen initially after injection. This is more common in the lips. This swelling will usually subside in 2-3 days.

How long does it take for Restylane to take effect?

Restylane will immediately take effect.

Does Restylane work immediately?

Restylane will immediately take effect.

How long does Restylane stay swollen?

If you get swollen form Restylane injection, it will often take 2-3 days for the majority of the swelling to subside.

How can I make my Restylane last longer?

You can not make Restylane last longer. I do find that in very active people like personal trainers, that the product resorbs a bit quicker.

How often can you get Restylane injections?

You can get Restylane injections as often as you feel you need to maintain the results.

How long do Restylane fillers last?

Restylane usually lasts 6-9 months, Some of the companys other products can last longer.

How often should you get Restylane?

Usually Restylane lasts 6-9 months, so I have my patients return on that schedule or when they feel that the areas treated have deflated.

Is Restylane a filler?

Restylane is a filler product and is derived from hyaluronic acid.

Should you ice after Restylane?

Icing may help with mild bruising and or swelling.

Is Restylane a permanent filler?

Restylane is not a permanent filler product.

Should you massage Restylane?

You should only massage Restylane gently if you feel a lump after initial injection.

Is Restylane good for Cheeks?

Restylane is an excellent product to enhance the cheeks.

What happens after Restylane injections under eyes?

I like to dilute my Restylane product when I inject around the eyes so that it blends better and is less likely to cause lumps.

Is Restylane good for under eyes?

It is an excellent product for the lower eye hollowing. I like to dilute my Restylane product when I inject around the eyes so that it blends better and is less likely to cause lumps.

What happens when Restylane wears off?

When Restylane dissolves over time, the area treated will look deflated.

What is Restylane best used for?

Restylane is great for under eye hollowing and can be used for other areas of facial deflation as well.

Whats the difference between Restylane and Restylane LYFT?

Restyane LYFT is a longer lasting product than Restylane. It was once called Perlane. It can last 9-12 months and can be used in areas of facial deflation.

What reduces swelling after Restylane?

Ice may help reduce swelling after injection, but usually time will reduce the swelling.

Where do you inject Restylane?

I like to place the product within the subcutaneous space below the skin. In some areas, I may choose to go deeper especially around the lower lid.

What should I do after Restylane?

Each doctor may have different recommendations. In general, I do not have my patients do much. I prefer that they do not rub the area for several hours so they do not displace the product. After that, they can pretty much do whatever they want.

Which is better Juvederm or Restylane?

I do not think one product is any better than the other. They are very similar products.

What should you not do after Restylane?

Each doctor may have different recommendations. In general, I do not have my patients do much. I prefer that they do not rub the area for several hours so they do not displace the product. After that, they can pretty much do whatever they want.

Which lasts longer Juvederm or Restylane?

Juvederm ultra and Restylane lasts about the same amount of time. Juvederm ultra plus lasts about 9-12 months similar to Restylane LYFT

I Love Dr. Steven Wallach, hands up with praise and his receptionist Ashley and other staff is amazing. I love my new Wallach body if I could rate 100 stars I would.

Melisa G.

New York, NY

I got Lipo 360 and Lipo done to my inner thighs and it was honestly the best experience . Everyone in the office including him make sure I knew everything that was happening and honestly I love the results so much !!

Brittani P.

New York, NY

I’m so happy with the results from the Botox shots that Dr. Wallach performed on me. He spent a lot of time talking about the different fillers that would make my face look the most natural and youthful.


New York, NY

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