What is RHA / Hyaluronic Acid?
At Pristine Wellness Center, we use the RHA Collection as our primary line of hyaluronic acid fillers. These fillers, developed by Revance, were recently FDA-approved in the U.S. but have been used in Europe since 2015.
The RHA Collection includes four types of fillers:
- Redensity (#1) – The softest and most lightweight filler.
- RHA #2, #3, and #4 – Increasing in thickness as the number goes up.
What Makes RHA Fillers Unique?
The RHA Collection stands out because of its unique cross-linking technology, which allows the filler to mimic your body’s natural hyaluronic acid. This gives a smoother, more natural appearance and allows the filler to move naturally with facial expressions.
For more details, check out our virtual event video on RHA fillers, where we explain their benefits and how they work!
How RHA Fillers Work
There are 4 different type of RHA fillers, Redensity ( #1) and RHA #2,#3 and #4. As the number goes up, there is thicker filler.
In general, Redensity is the softest one, comparable to Belotero Balance and Restylane Refyne but it lasts longer and looks more natural.
We use Redensity for filling very fine and superficial lines such as smoker lines to remove the lines without causing any bumps or lumps. Also, Redensity can be used for the lips to hydrate the lips without adding any visible volume to the lips. This is good for people who want to refresh the lips without adding any volume.
RHA#2 is also good for the lips, mostly used in patients who have less collagen and firmness on the skin to add volume and still look natural.
RHA #3 and #4 are mainly for nasolabial folds, cheeks, chin and temple area as well as the jaw line.
The specific characteristic of RHA fillers that makes it stand out among all other hyaluronic acid fillers is the way it is cross linked to make it look more like our own hyaluronic acid and move with your muscle movement.
What are the Benefits of RHA Fillers?
Who is a good candidate for RHA?
A good candidate for RHA fillers is someone who needs to add volume to their face, either due to aging or desiring enhancement.
As we age, we lose collagen, starting around age 18, leading to volume loss that RHA fillers can help replace lost volume.
Additionally, those who want to enhance certain features, like achieving fuller lips, may also be ideal candidates, as RHA fillers can provide a natural look.
How long does a treatment last?
- Add volume to LIFT and contour the cheek area for up to 2 years.
- Add subtle volume to the lips and SOFTEN the appearance of vertical lip lines for up to 1 year.
- Add the desired range of fullness to PLUMP the lips for up to 1 year.
- Add subtle volume to SMOOTH moderate to severe facial wrinkles and folds for up to 18 month.
- Add volume to FILL moderate to severe facial wrinkles and folds beyond 1 year
- Correct moderate to severe facial wrinkles and folds for up to 1 year.
More than 90% of patients reported to be satisfied 8 weeks after treatment and the rate of satisfaction remained at more than 88% at one year.
The hyaluronic acid gel is created via bacterial fermentation of the Streptococci culture in a sterile laboratory environment. Hence, there is very small risk of disease transmission.
Who should avoid this?
Certain groups of people are advised not to use this skin treatment due to an inadequate safety profile status, including:
- People with gram-positive bacteria allergy;
- People with hypersensitivity to hyaluronic acid and/or lidocaine;
- People with a tendency to develop hypertrophic scars;
- People with a history of anaphylactic shock;
- Children;
- People who are pregnant or breastfeeding.
- Patients suffering from untreated epilepsy.
Dr. Izadi’s actual patient, subject to copyrights.
Dr. Izadi’s actual patient, subject to copyrights.
Dr. Izadi’s actual patient, subject to copyrights.
Why Choose Pristine Wellness?
At Pristine Wellness Center, Dr. Izadi, our esteemed medical director, personally performs every procedure. As one of the most experienced medical professionals working with these procedures, she has achieved a remarkably high success rate, as reflected in her patients’ glowing testimonials.
Dr. Izadi is a quadruple board-certified physician with extensive expertise in functional and integrative medicine. She continuously enhances her knowledge by traveling the world, learning from leading doctors and scientists, and bringing the most advanced techniques back to her patients.
At Pristine Wellness Center, we pride ourselves on offering highly personalized care in a concierge-style setting—all at an affordable price, making top-tier treatments accessible to the average American.
Experience the difference in care and expertise at Pristine Wellness Center.
Looking for smoother, more youthful skin?
Let’s find out if RHA Fillers are the perfect fit for you!
Preparation & Care for RHA Treatment
Before Treatment
- Patients should not wear make -up during the first 12 hours after injection
Patients should not take high dose vitamin E, aspirin, anticoagulant for one week prior to the procedure.
Patients must not discontinue such treatment without talking to their prescribing physician.
After Treatment
- Patients should minimize exposure of the treated area to excessive sun, UV lamp exposure and extreme temperature ( cold weather, sauna) at least during the first 24 hours or until initial swelling and redness has resolved.
- Exposure to any of the above may cause or exacerbate or extend the duration of temporary redness, swelling, itching at the treatment area.
- Patients should notify the provider if any of these occur.
Risks & Possible Side Effects
COMMON REACTIONS
- Redness
- Swelling
- Bruising/Pain
- Headache
- Itching
- Tenderness
- Light Bleeding
The chances of severe side effects are very rare, and they usually occur if the product is injected into a blood vessel.
COMMON SIDE EFFECTS for all RHAs : ( these side effects might last from 3-14 days)
- Pain: 27%
- Redness: 33%
- Swelling: 74%, might use ice pack for 10-15 min and be careful not to cause thermal injury since lidocaine already numbed the skin.
- Firmness: 54%
- Lumps, Bumps: 58%
- Bruising: 78%
- itching16%
- Discoloration: 48% (Tyndall effect)
These effects should only last for up to 7 days I advise to avoid situations or places with extreme temperatures like direct sunlight, saunas, tanning sessions, and freezing temperatures. Drinking alcoholic beverages and performing strenuous exercise must also be avoided until the skin has healed completely.
RARE SIDE EFFECTS:
- Vision Abnormalities
- Stroke
- Permanent Scarring
- Temporary Scabs
Disclaimer
The FDA is warning health care providers and patients not to use any Juvederm Ultra 2, 3 or 4, because these products are not approved for use in the U.S. As such, the safety and effectiveness of these products cannot be assured. A list of approved products and indications for use in the U.S. can be found in the table below.
The FDA has NOT approved liquid silicone or silicone gel for injection to fill wrinkles or augment tissues anywhere in the body.
These days, people across the country are seeking treatments to smooth smile lines and crow’s feet and to plump up their lips and cheeks.
One treatment involves injecting dermal fillers into the face. In studies of dermal fillers approved by the U.S. Food and Drug Administration, people generally report they are satisfied with their treatment results.
But injectable dermal fillers are not for everyone and may not be indicated for people with certain conditions (such as bleeding disorders or certain allergies). If your health care provider confirms that dermal fillers are an option for you, know that all products have benefits and risks. The FDA advises you to work with a licensed health care provider and to understand all of the risks and benefits before receiving treatment. (See more safety tips below.)