Restylane

Restylane Dosage/Direction for Use

Manufacturer:

Galderma

Distributor:

Forewide
/
DCH Auriga - Healthcare
Full Prescribing Info
Dosage/Direction for Use
Needle: The size and the length of the cannula will affect the force needed to extrude the gel. If a thinner cannula is used the resistance during injection may be too high resulting in an increased risk for leakage or separation of the cannula and syringe. The same considerations are applicable for needles.
Restylane: Disposable sterile 29G TW (thin-walled) needles are provided. In case a replacement needle is required a needle within the range of 29-30G should be used.
Alternatively, a sterile blunt cannula 27-28G can be used.
Restylane Lyft: Disposable sterile 29G TW (thin-walled) needles are provided. In case a replacement needle is required a 27G needle should be used.
Alternatively, a sterile blunt cannula 23-25G can be used.
Restylane Lyps Lidocaine: Disposable sterile 29G TW (thin-walled) needles are provided.
Alternatively, a sterile blunt cannula 25-27G can be used.
Restylane Defyne: It is important to use a sterile, appropriate needle or blunt cannula. Suitable needles (27G x ½" Ultra thin wall) are supplied with the syringe in the blister pack. As an alternative, a blunt thin walled cannula with a recommended size of 27G can be used.
Restylane Kysse: It is important to use a sterile, appropriate needle or blunt cannula. Suitable needles (30G x ½" Ultra thin wall) are supplied with the syringe in the blister pack. As an alternative, a blunt thin walled cannula with a recommended size of 25-27G can be used.
Restylane Refyne: It is important to use a sterile, appropriate needle or blunt cannula. Suitable needles (30G x ½" Ultra thin wall) are supplied with the syringe in the blister pack. As an alternative, a blunt thin walled cannula with arecommended size of 27G can be used.
Restylane Volyme: It is important to use a sterile, appropriate needle or blunt cannula. Suitable needles (27G x ½" Ultra thin wall) are supplied with the syringe in the blister pack. As an alternative, a blunt thin walled cannula with a recommended size of 27G or wider can be used.
Assembly of needle/cannula to syringe: Restylane/Restylane Lyft/Restylane Lyps Lidocaine: Use the thumb and forefinger to hold firmly around both the glass syringe and the luer-lock adapter. Grasp the needle shield (or hub if using cannula) with the other hand. To facilitate proper fastening, both push and rotate firmly. Strict aseptic technique must be followed. Improper assembly may result in separation of the needle and syringe during injection.
Restylane Defyne/Restylane Kysse/Restylane Refyne/Restylane Volyme: Use surgical gloves; unscrew the protective cap from the stopper; carefully remove the stopper from the syringe; firmly screw the needle/cannula with its shield onto the tip of the syringe; remove the shield just before injection.
Treatment Procedure: The patient shall be informed about the indications, expected result, precautions and potential adverse events.
Cleanse the area to be treated with a suitable antiseptic solution and allow it to dry before injection.
To avoid breakage of the needle or cannula, do not attempt to bend or otherwise manipulate it before or during treatment.
Before injecting, remove the air by pressing the rod carefully until a small droplet is visible at the tip of the needle/cannula.
Align the bevel of the needle by turning the syringe on its axis. If a blunt cannula is used, an entry point is made in the skin, for example with a sharp needle of appropriate size.
When using a needle, aspiration prior to injection is recommended to reduce the risk of inadvertent injection into a blood vessel. Inject slowly while pulling the needle backwards.
Injection should stop just before the needle is pulled out from the skin to prevent material from leaking out from the injection site.
Inject slowly. During injection, it is recommended to keep the side hole of the cannula facing downwards, away from the skin surface, to ensure that the flow of the gel is maintained at the correct tissue depth. Inject the gel by gently pressing down on the plunger rod with the thumb or palm of the hand
Do not apply excessive pressure to the syringe at any time. Presence of scar tissue may impede advancement of the cannula/needle. If resistance is encountered the cannula/needle should be partially withdrawn and repositioned or fully withdrawn and checked for function.
It is recommended to change needle/cannula for each new treatment site.
Defects should be fully corrected, but not overcorrected, at each treatment session.
If "blanching" of the skin is observed as a result of over-superficial injection, the whitened area should be massaged gently until it returns to a normal colour.
Restylane/Restylane Lyft: The patient's need for pain relief should be assessed. For optimal patient comfort, topical or local anaesthesia is recommended when treating wrinkles (Restylane) or when shaping the contours of the face and correcting folds (Restylane Lyft). For lip augmentation, anaesthesia through a nerve block can be used.
At each treatment session a maximum dosage of 2 mL per treatment site is recommended.
The correction site should be massaged to conform to the contour of the surrounding tissues.
If there is pronounced skin laxity, it is recommended that the product be injected on two or more separate occasions.
After the first treatment, additional implantations of the product may be necessary to achieve the desired level of correction. Periodic follow-up injections help sustain the desired degree of correction.
Restylane Defyne/Restylane Refyne: At each treatment session a maximum dosage of 2 mL per treatment site is recommended.
Choose from a variety of injection techniques, i.e. serial puncture, linear threading or cross-hatching.
Gently massage the treated area after injection.
Restylane Kysse: At each treatment session a maximum dosage of 1.5 mL per treatment site is recommended.
Choose from a variety of injection techniques, i.e. serial puncture, linear threading or cross-hatching.
Gently massage the treated area after injection.
Restylane Lyps Lidocaine: The patient's need for additional pain relief should be assessed. For lip augmentation, anaesthesia through a nerve block can be used.
At each treatment session a maximum dosage of 1.5 mL is recommended for each lip.
If necessary, the injection site should be moulded to distribute the product evenly.
After the first treatment, additional implantations of the product may be necessary to achieve the desired level of correction. Periodic follow-up injections help sustain the desired degree of correction.
Restylane Volyme: At each treatment session a maximum dosage of 2 mL per treatment site is recommended.
Choose from linear threading or cross-hatching injection techniques.
Gently massage the treated area after injection.
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