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Cosmetic Medicine and Surgery


Restylane™ and Pearlane™ has been manufactured and distributed in Sweden by Q-med for more than 10 years. As it is purely bio-degradable and not made from bovine (cow) collagen, there are none of the problems of allergic reaction noted with Allergan's products, Zyderm™ or Zyplast™.  The new product by in-A-Med, Cosmoderm™ is human compatible collagen.

MAJOR CREASES and WRINKLES: The smaller creases can be filled by layering the Restylane™.  Pearlane™ is used for smoothing and filling the larger creases.  Together, even major defects can be corrected.

L IP ENHANCEMENT : The intention is to give you the fuller lips you desire. For some patients with very thin lips, the goal may be to have a more normal appearance. For other patients, very thick and sexy lips are the goal.  Some patients desire a defined edge to the lip or a return to their less aged lip.

PROCEDURE DESCRIPTION :   Restylane™ is made of hyaluronic acid, another ground substance in the skin. The acid is cross-linked so that when it is placed into the skin it will have a longer lasting result. While Restylene will last longer than bovine collagen, some patients have reported intermittent lip swelling while the Restylene is in place. It has none of the complications of bovine collagen. It has been used in Europe, Canada and the Far East for 10 years, completely replacing Zyderm™ and Alloderm™.

Alloderm™ is donor tissue with all of the viable cells removed. Using local anesthesia, it can be placed into both the body of the lip and the vermillion border.  Zyderm™ is the traditional collagen that patients have been using. Because the collagen is derived from animal sources, a patient must have a skin test to determine if they are allergic. Either collagen can be injected into the edges of the lips to crisp the line, into the body of the lip to increase the red lip, or both. The collagen will need to be re-injected every few months. Some individuals have a reaction to the collagen after months or with repeat injections. Cosmoderm™ is a much better In-A-Med product than Zyderm™ so it is likely that Zyderm™and Zyplast™ will soon become obsolete. All collagen products last for 2-3 months.

RECUPERATION AND HEALING : Postoperative pain is usually minimal. The most common postoperative issue is swelling. This is highly variable and it depends on the technique, how much your lip has been enlarged, and on individual healing characteristics. Swelling could last as long as two weeks.  Lip enhancement can be done either alone or in conjunction with most other cosmetic procedures.

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