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Juvaderm ® and Restylane ®

Juvaderm ® Information coming soon

Restylane ® is a naturally occurring gel, much like the material already present in the connective tissue of the lips and other areas of the body. It does not require a skin test before we can use it for you. The most significant difference between Restylane and the collagen products is that the clinical studies that have been performed show that Restylane appears to last longer-- possibly up to one year vs. about 4 months for the collagen injectables. Once Dr. Grenga has checked to assure that you can proceed with injectable collagen or Restylane, you may have these performed right in the office, and usually able to go right back to work or to your next stop! Collagen will not tighten the skin or help you deal with damage from sun or smoking. It can be an excellent way to tidy up the smaller lines before going on to your facelift, laser resurfacing, or chemical peel. Thinning of the lips is among the most common reasons why Dr. Grenga performs injections of collagen and Restylane at our center.

This attractive woman shown in the first before/after photo has gradually developed a thinner upper lip. Restoration of plumper, younger appearing lips is shown, on the right, after injection. The fine lines which were present at the junction of the pink part and the skin are significantly decreased after injection. Definition of the outline and better "pout" is produced also.

When adequate volume or balance exists, injectable materials such as collagen or Restylane can enhance lip definition even more. Injectables have the advantage of not requiring the downtime associated with surgical insertion of permanent implants.

Adjustments to the shape and plumping of the lip are significantly easier with injectables as well. Note the enhanced definition of this young woman's lips after her successful Restylane injection. Injection of the lips is custom created by placing a filler such as Restylane into the parts of the upper and/or lower lip that are to be enhanced. Individual components of the lips can be addressed, or the entire lip can be filled to a plumper, more youthful look.

The women shown here have had lip injections with Restylane, one of the newest and most versatile injectable agents for plumping and shaping the lips and other facial soft tissues. Each are shown before and at least two weeks after injection.


The injection itself is performed by Dr. Grenga, under a local anesthetic to make the procedure go more comfortably. The "down time" is brief and may last only a few days or so. You'll be able to see your result almost immediately. The individual shown above possesses thinned lips and some creases in the upper lip that are the result of soft tissue atrophy, a normal process of ageing. The lines on the upper lip are commonly called "smoker's lines" but many of Dr. Grenga's patients with these annoying wrinkles are not smokers at all! The Restylane injection helps to soften the deepest of these wrinkles and at the same time restores some volume to the thin lips.

Do you think that you are a candidate for a Juvaderm ® or Restylane ® procedure? Just contact any of our office staff to schedule your comprehensive consultation with one of Tidewater's most experienced plastic surgeons.

Learn more about Juvaderm ® here.

Learn more about Restylane ® here.