Galderma has been a leader in the facial filler industry worldwide for many years. Their Restylane brand of fillers has enjoyed worldwide success and universal popularity since its inception. Restylane initially gained FDA approval in the U.S. in 2003, followed by Restylane Lyft in 2007. More recently, Galderma added a new line of fillers, known as their XpresHan fillers.
Dr. Greene has served as a consultant, advisory board member, and national trainer for Galderma, and was one of their top national trainers for Restylane Silk. He has instructed numerous other physicians and injectors on proper injection techniques using Dysport and Restylane.
The newer generation Restylane fillers utilize what Galderma calls XpresHan Technology, which helps to create natural looking filler results. These fillers differ in their viscoelastic properties, creating fillers that are more elastic in nature. This elasticity helps the filler to move more naturally with the tissue, which is important in many areas of the face. Each of these XpresHan fillers differs in their degree of elasticity and support, which allows them to be used in many different areas of the face.
Dr. Greene and Holly have performed over 70,000 injectable treatments, leading one of the busiest injectable practices in the U.S. This ____ a wealth of experience to offer to their patients. Dr. Greene has long been an injectable specialist and is a leading expert in facial fillers. He has been a national trainer for Allergan and Galderma, training other physicians and injectors how to properly inject a variety of fillers.
Dr. Greene takes an innovative anatomic approach to filler treatments, which leads to more natural, long lasting results. A primary emphasis of Dr. Greene’s practice is non-surgical filler treatment of the face. He has also published and lectured extensively on Botox and injectable fillers, and he was a contributing editor for a textbook on Botox and hyaluronic acid fillers (Restylane and Juvederm).
Holly Shipley has been with GreeneMD for her entire career, establishing herself as one of the premier injectors in South Florida at one of the busiest injectable practices in the U.S. Along with Dr. Greene, Holly customizes treatments for each patient, which often involves a combination of different fillers and techniques in order to achieve the best outcomes.
The Restylane XpresHan fillers are made up of hyaluronic acid, a naturally occurring substance that helps to promote hydration by attracting and binding water. Their viscoelastic properties offer a unique balance of flexibility and support, allowing the use of the various fillers in different areas of the face.
Dr. Greene’s specially formulated topical numbing cream is applied for 15 to 20 minutes prior to treatment. Treatment takes approximately 15 to 30 minutes to perform. The treatments involve very small needles, and comfort is enhanced due to the numbing cream and Dr. Greene’s gentle injection technique.
While initial results can be seen immediately following treatment, there is some initial swelling that may mask the final outcome. It generally takes a few days for the major swelling to subside, though evaluation of the final result takes two weeks, after the majority of the swelling has resolved. Minor bruising is to be expected, but can typically be camouflaged with makeup. More significant bruising is very uncommon, and can take 2-3 weeks for complete resolution. Avoiding certain medications and supplements, such as baby aspirin and fish oil, can minimize bruising. Patients who have bleeding tendencies may experience more visible bruising than others.
There is no downtime after treatment, though we typically recommend patients to refrain from exercise for 24 hours. Mild transient side effects may occur, such as minor swelling and bruising.
A major advantage of Restylane fillers is that it is composed of hyaluronic acid (HA). Hyaluronic acid fillers can be dissolved if necessary using a specific enzyme, hyaluronidase. Experienced injectors like Dr. Greene and Holly are often asked to dissolve filler placed by other injectors.
All facial fillers require extensive experience and an advanced understanding of anatomy in order to achieve the absolute best results. Dr. Greene has served as a national trainer for Allergan and Galderma in order to train others how to safely and properly inject facial fillers.
Most patients report only mild discomfort during treatment. We use a specially formulated numbing cream that enhances comfort for our patients. After having used a number of different numbing creams in the past, we have found a formulation that is most effective for our patients. All of the Restylane fillers are also formulated with lidocaine to further enhance patient comfort.
One of the primary benefits of the Restylane XpresHan fillers is that they each possess specific properties to allow them to be best used in specific areas of the face. In many patients, different XpresHan fillers are used to achieve the most natural, balanced results. These XpresHan fillers are particularly well suited for dynamic areas of the face with a lot of movement, since their elastic properties ensure a more natural outcome.