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for Eyelid and Facial Plastic Surgery

Dr. Kevin Perman


Phone (301) 571-0000
6420 Rockledge Drive, Suite 4300 | Bethesda MD 20817


At The Center for Eyelid and Facial Plastic Surgery, we use fillers either alone or in combination with surgical procedures to restore volume, dealing with both deep and superficial wrinkles. This “stacking” approach to restore volume includes personalizing a program to the patient’s needs. Thicker fillers will volumize the deeper wrinkles/shadows, with the thinner fillers for the fine wrinkles, especially around the lip and corners of the eyelids. Again with a filler experience that dates back many years, to use in Europe before hyaluronic acid fillers were FDA approved in the U.S., experience is why our patients keep coming back.

A treatment plan based on fillers and skin care/rejuvenation is the perfect temporizing approach for the patient who may not be ready to consider surgery. This can be discussed and personally formulated to your needs at the time of consultation.

Perlane does not make you numb. Perlane simply reduces the visibility of wrinkles and folds. 

What Areas of the Face Can Be Treated with Perlane? 

The hyaluronic acid in Perlane can be used to improve the contour of facial skin and to reduce wrinkles, folds, scars, and other facial skin depressions.

Perlane in Washington DC
Perlane is available from The Center for Eyelid and Facial Plastic Surgery in Bethesda MD
 Click Here to Visit the Perlane Website

Common uses for Perlane filler include: 

· Wrinkle correction 

·Diminishing worry lines, smile lines, crow's feet, marionette
lines at corners of the mouth,and smoker's lines

· Lip enhancement 

· Reducing the severity of nasolabial folds 

· Chin augmentation 

· Filling cheek depressions 

· Redefining lip border 

· Softening acne scars 

· Hand rejuvenation 

· Other, less common, uses for Perlane filler include: 

· Filling hollows under the eyes 

· Creating a temporary eyebrow lift 

· Correcting facial depressions caused by fat loss 

· Softening the appearance of jowls 

· When can one see the effects of Perlane injection?

What is the advantage of Perlane? 

The big advantage of Perlane is that it is a non-permanent and natural treatment. The chemical contains a natural bodily chemical which fills up the skin like normal tissues. The modeling and contouring effects appear natural. 

Is there any allergic test required? 

Unlike injection of collagen there is no allergic testing required before injection. The product in Perlane is non animal and has no allergic tendencies. 

How long is a treatment? 

Perlane injections do not take long. The treatment is performed by injecting Perlane under your skin. Since no pre-test is needed, your procedure can usually be done in less than one hour. Most injections can be performed within 30-45 minutes. Many patients like the added comfort provided when we apply an ice pack, while others prefer an anesthetic block. This makes the treatment relatively painless. 

How will I look right after my treatment? 

After our skilled board certified doctors' Perlane injections, normal activities can be resumed immediately. Discomfort is minimal. The treatment site may have a little swelling, which may last a few hours. There may be some slight bruising which can be covered with make-up. If the lips are treated, initial swelling and tenderness may occur within the first several days, but subsides after 2 - 3 days. 

How long does Perlane last? 

The effects of Perlane last twice as long as collagen- up to 6-8 months. 

Does one need additional treatments? 

Yes, Perlane is not permanent and repeat injections are required to maintain the wrinkle free face. Most individuals will require a repeat session once a year. If treatment is stopped, the wrinkles will re appear. 

Is the injection painful? 

Most individuals do not like needles but there is minimal pain associated with injection of Perlane. For those who are anxious about needles, the physician can apply a topical local anesthetic 20 minutes prior to the injections. 

Is it safe? 

Yes. Hyaluronic acid occurs naturally in the body and therefore it also dissolves naturally with time and is integrated into your body's tissues. The synthetic, biodegradable hyaluronic acid known as Perlane has been used in Europe and Canada for many years. It has the same 20 mg/cc strength of hyaluronic acid as Restylane; they just vary in gel particle size. This variability makes for tailoring of injections according to the depth of the wrinkles and desired lip enhancement.