Perlane is made by Medicis, the same company that manufactures Restylane. Perlane and Restylane are both made of hyaluronic acid, but the particle size is larger in Perlane, making it thicker. Both products are clear gels. Hyaluronic acid is a component of human skin and joint fluid. Hyaluronic acid binds water, so when it is injected into wrinkles, it adds volume, filling them. This makes the wrinkles less deep, smoother, less noticeable. Perlane,–like Juvederm, Elovesse, and Perlane, the other popular hyaluronic acid fillers–is purified from bacteria, so no human or animal proteins are present, eliminating risk of allergic reactions. Perlane is typically used in deeper creases around the mouth and lower face and in the lips. It last 6 – 9 months or more in most patients, probably a little longer than Restylane and Juvederm.

Dr. Goldman has one of the largest injectable filler practices in Northern Ohio. As a result, he was recently named an Evolence Star Trainer by Ortho-Neutrogenia/Johnson and Johnson, to train other physicians in injection techniques. He uses the injectable fillers as part of a full spectrum of option for facial rejuvenation. He believes in a graduated approach to facial rejuvenation, starting with non-surgical techniques, including Botox, injectable fillers, and medical-grade skin care as first-line treatment. The second treatment tier involves treatments including CO2 laser resurfacing with the Fraxel Re:pair laser and more involved injection techniques using fat injection (with the patient’s own fat) or layering of multiple different fillers concurrently.

Surgical options are graduated as well. The facelift remains the gold standard for facial rejuvenation, but other procedures including the endoscopic brow lift, eyelid lifts (blepharoplasty), and neck lifts can be used in conjunction with, or instead of the facelift, in appropriate patients.

Dr. Goldman’s extensive experience with facial surgery gives him a thorough understanding of facial anatomy, allowing him to use more advanced techniques than other physician less experienced in surgery and injection techniques.

Feel free to email or call with any questions about injectable Perlane, Botox, or facial surgery.