Revanesse®Versa™ is commonly referred to as Versa.

How does Versa work?

Versa is a Hyaluronic Acid (HA) injectable gel filler used to smooth moderate to severe wrinkles and nasolabial folds. Since our skin naturally contains Hyaluronic Acid, HA fillers are particularly helpful in correcting visible signs of aging.

Nasolabial folds are the lines that run from the sides of the nose to the corners of the mouth. These lines become more dramatic with age and repetitive movements. Since these lines are static, they cannot be treated with neuromodulators (Botox or Jeuveau). The HA will plump the treated area by adding volume in the skin depressions and attracting hydration to the injected areas.

Versa Results

Patients can expect to see an immediate improvement in the softening of wrinkles and the folds found around the mouth.

How many treatments are needed?

Most patients only need one treatment to achieve their desired look but we encourage a follow up visit in 2 weeks to ensurer the filler has settled in the way we all expect it to.

How long does Versa last?

All HA filler treatments are NOT permanent. Versa has been shown to last up to 12 months. After the 12 months, you will need a follow up to maintain the results or receive more volume.

What are the side effects?

After treatment you will experience a little redness and swelling, however, it has been reported that the Vollure causes less swelling in general. Any redness, swelling, and potential bruising should last less than a week leaving you with soft, flawless volume.

Schedule your Versa consultation today!

Revanesse®Versa™ is commonly referred to as Versa.

What is Revanesse Versa?

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.

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 Newport Aesthetics. 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 (contraindications) receive the Revanesse Versa injection?

You should not be treated with Revanesse Versa if you:

• 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?

• Bleeding and Bruising: Bleeding is usually minimal and resolves within a few minutes. It is possible to have a bleeding episode from the injection of the local anesthesia or filler that requires treatment, but it is unusual. Bruising in the area is also an expected reaction and can take up to a week to resolve.
• 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.

Side Effects:

Ask your provider (or our Medical Director – Dr. Ann Mai) if you have questions about any of the side effects, and please inform Newport Aesthetics immediately if you have any side effects. Please tell us if you have any other problems with your health or the way you feel, whether or not you think these problems are related to the products.

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.

Patient Assistance Information:

If you have further questions, please contact:
Prollenium US
1-866-353-3015

For more information about Revanesse Versa, please ask us!

For more information about receiving a Revanesse^® Versa^TM treatment, read our Patient Information Sheet.

Schedule your Versa consultation today!

What are injectable fillers?

Fillers are gel-like substances that are injected beneath the skin to restore lost volume, smooth fine lines and deep creases, or enhance facial contours. Over the last few years, more than 1 million men and women annually have chosen this popular facial rejuvenation treatment, which can be a cost-effective way to look younger without surgery or downtime.

How can fillers enhance my appearance?

While fillers are casually known as “wrinkle fillers,” they can do much more than just smooth out wrinkles, although they are excellent at this too! Here are a few of the common issues dermal fillers can help address:

• Smooth out lines around nose and mouth. (a.k.a. marionette lines, smile lines, and parentheses
• Enhance & restore volume to sunken cheeks
• Diminish vertical lip lines
• Plump & enhance the lips
• Smooth out a chin crease

What are fillers at Newport Aesthetics made with?

There are a variety of FDA-approved filler products that we use to achieve an individual patient’s goals. Each is uniquely formulated to have a certain texture, density, and injection depth, which means that certain fillers work better for certain areas of concern. In general, fillers are categorized by the substance they are made from. A note for your safety: always make sure that you are receiving FDA-approved, brand name fillers, which are only available through a licensed physician – yes, doctor!!

Hyaluronic Acid (HA)

Hyaluronic acid is a naturally-occurring substance that is already found in your skin. It helps keep skin plump and hydrated. HA fillers are typically soft and gel-like. The results are temporary, lasting 6 to 12 months or longer before the body gradually and naturally absorbs the particles. Certain HA fillers are infused with lidocaine to help minimize discomfort during and after treatment. FDA approved HA fillers offered at Newport Aesthetics include: Versa, Juvederm XC, Voluma, Vollure and Volbella. Others that are available elsewhere are: Belotero, Restylane, Restylane Silk, Restylane Lyft (formerly Perlane), Restylane Defyne, and Restylane Refyne.

Calcium Hydroxylapatite (CaHA)

Calcium hydroxylapatite is also a naturally occurring substance, found primarily in our bones. When used in a filler, the calcium particles are very tiny, almost microscopic, and suspended in a smooth gel. The consistency of a calcium hydroxylapatite filler is typically thicker than that of a hyaluronic acid filler, and the results will typically last longer as well, about 12 months for most patients. Calcium hydroxylapatite is also reported to help stimulate natural collagen production, and it is typically used for deeper lines and wrinkles. There is one FDA-approved calcium hydroxylapatite filler: Radiesse.

Poly-L-lactic Acid

Poly-L-lactic acid is a biocompatible (meaning it is safe to use in the body), biodegradable synthetic substance. It has been used for many years in a number of medical devices, such as dissolvable stitches. Poly-L-lactic acid fillers are considered “semi-permanent,” as the results typically last more than 2 years, and can help stimulate collagen production. As a thicker filler material, Poly-L-lactic acid is typically used to treat deeper facial wrinkles. The one FDA-approved Poly-L-lactic acid fillers is Sculptra Aesthetic.

Polymethylmethacrylate (PMMA)

Polymethylmethacrylate (PMMA) is a synthetic, biocompatible substance that has been used in medicine for much of the last century. When used in dermal fillers, PMMA takes the form of a “microsphere” or tiny ball, that remains beneath the skin indefinitely to provide continued support. PMMA fillers will also contain collagen, a naturally occurring substance in the skin that provides structure and firmness. There is one FDA-approved PMMA filler: Bellafill (formerly known as Artefill). This can last up to 5 years!

Why choose Newport Aesthetics for filler treatments?

When selecting an injector for injectable treatments, give your decision the same level of care and scrutiny that you would for a surgical procedure. Even though it is non-surgical, filler treatment is still a medical procedure that requires specific training, knowledge and skill to ensure safe treatment and natural-looking results. You’ll want to choose an injector with an extensive knowledge of facial anatomy, a well-developed aesthetic eye (look at how they groom themselves), and a surgeon’s skill and precision.

Whomever you choose, make sure your injector has a proven background in cosmetic medicine as well as training and substantial experience performing filler injections. Ask to see Before & After photos of each potential provider’s patients. If an R.N. or physician’s assistant will be performing your injections, that person should be working closely under the supervision of a qualified physician, preferably board-certified.

What to Expect During Treatment

Filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will meet with your injector to discuss your concerns and goals.

Pre-treatment Consultation

During your consultation, your injector will evaluate your area of concern and review your medical history. While the risks associated with dermal fillers are minimal, you need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions, or medications can jeopardize your safety or results. For instance, you need to tell your injector if you have been taking NSAIDs (e.g., aspirin, ibuprofen, naproxen) or blood thinners, as these increase the likelihood of bruising.

Your Injectable Filler Treatment

Just before treatment, the area will be cleaned, and you may be given a topical anesthetic to numb the area prior to injection. Many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Ask us! Your injector will then inject a precise amount of filler strategically beneath the skin.

Depending on the product and the areas treated, you should be able to notice results immediately after receiving filler injections. Some patients experience mild bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment, but your cosmetic surgeon may ask you to take the day off from exercise or other strenuous activity.

How long do the results last?

How long the effects of dermal filler treatments will last varies widely, depending on the product used, the area of treatment, and the patient. Generally speaking, the denser the product is and the more deeply it is injected, the longer it will last, although this is not a hard and fast rule. To maintain your results, your injector can repeat treatment, adjusting the amount and techniques as necessary to ensure optimal results.

Hyaluronic Acid fillers tend to be the most temporary option, and therefore are often recommended for first-time filler patients. These will typically last from 6 to 24 months, depending on which product is used – the longer lasting products tend to cost more as well. For example, injections to the lips will wear out a little faster than those to the nasolabial folds. Certain HA fillers, such as Voluma and Vollure, are formulated to last longer.

Synthetic fillers tend to be longer lasting, as they are not absorbed by the body. They can be a great option for the right patient, but you’ll want to be ready to commit to results that will be there for several years—and take care to choose an experienced, qualified provider whose aesthetic style you like.

With the help of an experienced, qualified injector, injectable fillers can provide natural-looking enhancements to help you feel more confident in your appearance.

If you are ready to learn more about your options, the next step is to meet NEWPORT AESTHETICS!

Before Treatment

No anti-inflammatory drugs (Ibuprofen, Motrin, Advil, Midol, Aleve, etc.), aspirin, high doses of Vitamin E, or Gingko Biloba one (1) week prior to treatment. This will reduce the possible side effects of bruising and/or swelling in the treated area(s).

Consuming alcoholic beverages prior to treatment may increase the chances of bruising and/or swelling.

You cannot be pregnant or breastfeeding to receive treatment.

If you have a history of oral herpes, you must pre-treat with an anti-viral three (3) days before your scheduled visit. Our physician, Dr. Ann Mai is on site and can prescribe this for you. Those who do not pre-treat can still be injected but will take higher doses of the medication with treatment.

After Treatment

Swelling, redness, and tenderness will occur after your treatment and usually resolves within 72 hours.

Cold compresses (a cloth dipped in cold water, wrung out, and applied to the injected area) may be used immediately after treatment to reduce swelling.

Avoid touching the treated area within 6 hours of treatment so you do not accidentally injure your skin. After that, the area can be gently washed with soap and water.

Until there is no redness or swelling, avoid exposure of the treated area to intense heat (sun lamp or sun bathing) or extreme cold weather.

If you have suffered previously from facial cold sores, there is a risk that the needle punctures could contribute to another occurrence.

Ask us about medications that may minimize a recurrence (pre-treatment).

Avoid taking aspirin and other non-steroidal anti-inflammatory medications (NSAIDS), St. John’s wort, and high doses of Vitamin E supplements for one (1) week after treatment. These agents may increase the risk of bruising and bleeding at the injection site.

Avoid aesthetic lasers, microdermabrasion, or IPL over areas with filler for a minimum of one (1) week after treatment.

Follow Up

Follow up treatments are recommended to be scheduled usually every 12 months.

Consistent repeated treatments will produce the best resolution of volume loss and wrinkles.

Protect your investment in yourself!