Revanesse® Versa® is hyaluronic acid dermal filler. Hyaluronic acid is a naturally occurring substance that is found within the body. It may be produced by bacteria and purified for use as injectable soft tissue filler in order to correct the appearance of facial wrinkles and creases, (nasolabial folds).
The product is approved for use in the U.S. by the Food and Drug Administration for the cosmetic treatment of facial wrinkles and creases.
Before and After
How Does it Work?
Versa® injectable gel is a nonsurgical, physician-administered treatment.
Versa® is placed under the skin using a fine needle to fill, the soft tissue of the dermis-the dense inner layer of skin beneath the epidermis-to add volume and diminish wrinkles and folds. Versa® injectable gel is used most effectively for those wrinkles and folds in the lower third of your face, like your “laugh lines”, “smile lines” or “parentheses” (nasolabial folds), or “marionette lines” (oral commissures).
Versa® is made from hyaluronic acid-a naturally occurring substance in your skin that helps to hydrate and add volume. Hyaluronic acid may diminish with age, contributing to the formation of wrinkles and folds. Versa® injectable gel works to correct this by restoring hyaluronic acid in your skin, helping to smooth wrinkles and folds.
The extent of the procedure may involve one or several areas of the face, and the appropriate dosage for each area may vary, making it difficult to provide a meaningful cost estimate until you are examined by a doctor.
The average cost for VersaTM $600 per syringe. 2-5+ syringes per average treatment. Product duration is 12-24 months.
What to Expect
The most common side effects of Versa® include…
Here's what to expect:
Because Versa® injectable gel is a simple, nonsurgical treatment, there is minimal recovery or downtime. So you can make an appointment for treatment get right back to your life right after. Here’s what to expect:
Before you go: Some doctors recommend that you avoid any medications that can prolong bleeding, such as aspirin and non-steroidal anti-inflammatories (NSAIDS), for at least a week prior to treatment in order to reduce the risk of bruising and bleeding at the injection site.
When you arrive: If this is your first visit, your healthcare professional will ask about your medical history, including any allergies you may have or medications you may take, and will tell you more about wrinkle treatment with Versa®. Versa® injectable gel does not require an allergy test.
Before the procedure: Although anesthesia is not required, your healthcare professional may use topical or injectable anesthesia to numb the treatment area first.
The procedure: Your healthcare professional will ease the Versa® injectable gel under your skin to augment, or fill, wrinkles and folds. Following the injection, your healthcare professional may gently massage the treated areas. The procedure is quick and easy. The injection itself usually takes only about 15 minutes.
After the procedure: With Versa®, there is minimal recovery or downtime.
Seeing results: You should see an immediate improvement in the treatment areas. Most patients need one treatment to achieve optimal wrinkle smoothing, and the results last up to 6 months or more. However, results may vary and correction is temporary. Supplemental “touch up” treatments may be required to achieve and maintain optimal results.
Are there any warnings I should be aware of?
If you have an adverse inflammatory reaction, such as redness, pain and swelling that persist for one week or more after treatment with Revanesse Versa, you should report this immediately to your doctor. If you are under the age of 22 you should not be treated with Revanesse Versa.
Warning: One of the risks with using this product is unintentional injection into a blood vessel. The chances of this happening are very small, but if it does happen, the complications can be serious, and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities, blindness, stroke, temporary scabs, or permanent scarring of the skin. If you have changes in your vision, signs of a stroke (including sudden difficulty speaking, numbness or weakness in your face, arms, or legs, difficulty walking, face drooping, severe headache, dizziness, or confusion), white appearance of the skin, or unusual pain during or shortly after treatment, you should notify your health care practitioner immediately.
Are there any reasons why I should not receive the Revanesse Versa® injection?
– are pregnant or breastfeeding, as the safety of these products for use during pregnancy, or in women who are breastfeeding, has not been studied
– have a history of hypertrophic scarring or keloid formation
– have evidence of scars at the intended treatment sites
– have acne and / or other inflammatory diseases of the skin, such as rosacea, seborrheic dermatitis, and psoriasis
– have allergic history including:
– severe allergic reactions (anaphylaxis)
– heightened immune responses to common allergens, especially inhaled allergens and food allergens (atopy)
– allergy to natural rubber latex
– allergy to hyaluronic acid products
Streptococcal proteins or have plans to undergo administration of graded doses of allergens (desensitization therapy) during treatment with Revanesse Versa have acute or chronic skin disease, such as seborrheic dermatitis or rosacea, in or near the injection sites, or any infection or unhealed wound of the face
are under concomitant anticoagulant therapy, antiplatelet therapy, or have a history of bleeding disorders, clotting disorders such as hemophilia or connective tissue disorders such as systemic lupus erythematosus
You should never use Revanesse Versa in conjunction with a laser, intense pulsed light, chemical peeling or dermabrasion treatments, or with Over-the-counter (OTC) wrinkle products or prescription wrinkle treatments within 4 weeks (28 days) prior to treatment, as there is a possible risk of inflammation at the treatment site if these procedures are performed before treatment.
What are the risks?
Swelling: Swelling is also expected and may take several days to a week to resolve. It is unusual but medical treatment may be necessary if swelling is slow to resolve.
Pain: Some discomfort is expected with injections but usually lasts less than a day.
Other risks that are less likely, but may occur, include the following: Acne-like skin eruptions, Skin sensitivity (rash, itching, tenderness), Skin infection, Damage to nerves or blood vessels, Skin lumpiness, Scarring, Skin necrosis (death of the skin), Hyperpigmentation (darkening of the skin), Reactivation of herpes infection (blisters or skin sores).
As with using any dermal filler, there is a risk of allergic reaction. If you have a very serious allergic reaction (anaphylactic shock) you may require emergency medical help and be at risk of death. Some symptoms of allergic reactions are: a rash, having a hard time breathing, wheezing when you breathe, sudden drop in blood pressure, swelling of the face, fast pulse, sweating, dizziness or fainting, inability to breathe without assistance, a feeling of dread.
One of the risks with using this product is unintentional injection into a blood vessel. The chances of this happening are very small, but if it does happen, the complications can be serious, and may be permanent. These complications, which have been reported for facial injections, can include vision abnormalities or blindness.
What are the side effects?
The most common side effects include: bruising, redness, swelling, pain, and itching.
You should seek immediate medical attention if you develop symptoms such as unusual pain, vision changes, a white appearance of skin near the injection site (blanching) or any other unexpected symptoms. While rare, unexpected symptoms include unusual pain, vision changes, or any signs of a stroke (including sudden difficulty speaking, numbness or weakness in your face, arms, or legs, difficulty walking, visual changes, face drooping, severe headache, dizziness, or confusion) during or shortly after the procedure.
Rare, but serious risks, of dermal fillers include: scarring, blurred vision, partial vision loss, and blindness if the dermal filler is inadvertently injected into a blood vessel. In occasionally rare cases, there have been reports of unintentional injection of the product into a blood vessel with dermal filler products. It is recommended that doctors take care to avoid injection into blood vessels (especially around the forehead, nose and eye area) for these reasons, allergic reaction that may lead to a severe reaction (anaphylactic shock) that requires emergency medical help.
Publication / Media Exposure The DUAL PRACTITIONER Infectious disease specialist Dr. Gerald Pierone talks with an assistant at his Facial Rejuvenation office. His aesthetics practice in Vero Beach grew out of his work with HIV/AIDS patients. BY MARY ANN...
Q: I’ve had other fillers for nasolabial lines and loved the results. Now I’m considering Bellafill, but have received conflicting information regarding injection technique. Should I seek out a doctor that only uses the micro cannula technique, or does a...