Adult, Pediatric & Cosmetic Dermatology, Laser & Skin Surgery | Tucson, AZ | Botox
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What is Perlane® used for? Perlane® is used to smooth moderate to severe facial folds and wrinkles such as the lines from the nose to the corners of the mouth (nasolabial folds). Perlane® generally lasts for about 6 months. It has been found to be a safe dermal fi ller that restores volume and fullness to the skin.
How does Perlane® work? Perlane® is injected into the skin with an ultrafi ne needle. It plumps the skin to smooth away wrinkles and folds. Perlane®’s water-loving nature attracts and binds water molecules to help maintain volume. Perlane® is composed of hyaluronic acid, a natural substance that already exists in the body. The hyaluronic acid in Perlane® is a crystal clear gel that is chemically cross-linked (the long chemical strands are tied together) to delay breakdown by skin enzymes. Perlane® is nonanimal-based and free from animal protein. This quality prevents disease transmission. Allergy pretesting is not necessary.
How long does Perlane® last? Perlane® is proven to deliver long-lasting results. Studies have shown that Perlane® effects generally last about six months as shown in the following graphs. Perlane® gradually disappears from the body without a trace. Summary of results Perlane® was studied in multiple clinical studies. In one, treatment of the nasolabial folds with Perlane® resulted in an improvement in wrinkles in 137 of 149 patients after three months, and 105 of 148 patients after six months. In another study, treatment of nasolabial folds with Perlane® resulted in an improvement in wrinkles in 122 of 141 patients after three months, and 88 of 138 patients afte six months. Side effects were mild. Most of the side effects went away in seven days. Perlane® did not cause allergic reactions. See the patient diary information on page 12
What are some risks that may be experienced? As with all procedures like this, the injection of Perlane® carries a theoretical risk of infection and formation of scar tissue. The safety and effectiveness of Perlane® have not been established in the treatment of lips, in nursing mothers, and in patients under 18 or over 65 years of age. Perlane® use in nursing could harm you or the nursing child. The use of Perlane® in African-American patients can result in hyperpigmentation (darkening of skin color), which may take several weeks to correct. If you have had herpes before, an injection can cause the herpes to come back. The safety of Perlane® used with other skin therapies such as laser, mechanical or chemical peeling, and hair removal has not been established. The use of Perlane® in these skin therapies may not work or they may damage your skin. You should avoid exposing the area(s) treated with Perlane® to excessive sun or UV lamps, and extreme heat and cold until any redness or swelling has disappeared. Safety Perlane® has been used safely by dermatologists and plastic surgeons since 2000 worldwide. Q Who should not use Perlane® (Contraindications)? A Perlane® should not be used by people with previous bad allergies (particularly to certain microorganisms known as gram positive bacteria), to drugs that have required in-hospital treatment, or in people with bleeding disorders. Perlane® should not be injected anywhere except the skin or just under the skin.
What are some warnings to consider? The use of Perlane® at sites with skin sores, pimples, rashes, hives, cysts, or infections should be postponed until healing is complete. Use of Perlane® in these instances could delay healing or make your skin problems worse. You may experience skin discoloration (bruising), swelling, redness, tenderness, pain, itching, or small lumps in the area where you are injected. If any of these events occur, the majority usually last less than seven days. If any symptom lasts longer than two weeks, call the doctor who administered the Perlane® injection. Inflammatory papules (red or swollen small bumps) may rarely occur.
Do the injections hurt? Perlane® is injected directly into the skin in tiny amounts by an ultrafine needle. To help maximize your comfort, you should discuss the use of numbing medicines with your doctor before treatment.
How much do Perlane® treatments cost? Perlane® is a customized procedure based on your specific needs, so the cost will vary from patient to patient. In general, the cost of Perlane® is comparable to the cost of similar procedures. Because Perlane® is long lasting, it may prove to be very economical over the long term. Please ask your doctor to give you an estimate of the cost.
What are the major side effects? Rarely, the doctor may inadvertently inject the product into a blood vessel, which can cause injury to the blood supply and damage to the skin. Rarely, a few people have developed infections of the gel that must be treated with antibiotics or other treatment. Infection of the gel may be hard to treat, but will always go away when the gel is absorbed.
What should patients do prior to treatment? Perlane® requires no pretesting, but you should take a few precautions before being treated. Avoid using St. John’s Wort, high doses of Vitamin E supplements, aspirin, and other non-steroidal anti-inflammatory medications, such as ibuprofen prior to treatment, because these may increase bruising or bleeding at the injection site. Also, if you have previously suffered from facial cold sores, discuss this with your physician. He or she may consider prescribing a medication to minimize recurrence.
What is the dose of Perlane®? The amount used depends on your face and what you would like to have treated. The average patient who has all of the severe wrinkles around the mouth corrected will use less than half of a tablespoon.