Stylage M Bi-Soft is a premium hyaluronic acid-based dermal filler designed for medium-depth facial volume restoration and contouring. Part of the innovative Stylage range by Vivacy Laboratories, this product features advanced IPN-Like technology and optimal rheological properties for natural-looking, long-lasting results.

Key Product Specifications

Active Ingredient: Cross-linked Hyaluronic Acid (24 mg/ml)
Volume: 1.0 ml pre-filled syringe
Needle: 27G½” needle included
Particle Size: Medium (optimal for mid-dermal injection)
Viscosity: Intermediate viscosity for balanced lift and moldability
pH: Physiological (approximately 7.0)
Osmolality: Isotonic with human tissues

Clinical Indications

Primary Indications:

Moderate nasolabial folds correction
Marionette lines treatment
Cheek volume enhancement
Lip border definition and volume
Chin contour improvement
Minor facial asymmetry correction

Treatment Areas:

Mid-face volume restoration
Perioral region enhancement
Lower face contouring
Jawline definition (mild to moderate)

Injection Technique Guidelines

Injection Depth: Mid-dermis to superficial subcutaneous layer
Injection Technique: Linear threading, serial puncture, or fan technique
Flow Rate: Controlled, smooth injection due to optimal viscosity
Recommended Volume per Site: 0.1-0.5 ml depending on treatment area

Expected Results & Duration

Onset: Immediate visible improvement
Peak Effect: 2-4 weeks post-treatment
Duration: 12-18 months (varies by individual factors)
Touch-up: Typically required at 6-9 months for optimal maintenance

Contraindications

Absolute Contraindications:

Known hypersensitivity to hyaluronic acid
Active skin infection at injection site
Inflammatory skin conditions (active acne, eczema, psoriasis)
Pregnancy and breastfeeding (as precautionary measure)
History of severe allergic reactions or anaphylaxis
Patients under 18 years of age

Relative Contraindications:

Autoimmune disorders
Bleeding disorders or anticoagulant therapy
History of hypertrophic scarring or keloids
Recent facial procedures (within 2 weeks)
Unrealistic patient expectations

Side Effects & Complications

Common (Expected) Reactions:

Mild erythema (24-48 hours)
Localized swelling (2-7 days)
Minor bruising at injection sites
Temporary tenderness or discomfort
Slight asymmetry (typically resolves within 2 weeks)

Rare but Serious Complications:

Granuloma formation
Vascular compromise/occlusion
Infection
Persistent nodules
Migration of product
Late-onset inflammatory reactions

Pre-Treatment Protocol

Patient Assessment:

Complete medical history review
Allergy screening (especially to HA products)
Realistic expectation counseling
Photographic documentation
Informed consent process

Pre-Treatment Instructions:

Discontinue blood thinners if medically appropriate (7-10 days prior)
Avoid alcohol 24 hours before treatment
Consider arnica supplementation to minimize bruising
Postpone treatment if active cold sores or skin infections present

Post-Treatment Care Instructions

Immediate Care (First 24 hours):

Apply cold compress intermittently to reduce swelling
Avoid touching or massaging treated areas
Sleep with head elevated
Avoid strenuous exercise
No alcohol consumption

Week 1-2 Post-Treatment:

Gentle cleansing with mild, non-irritating products
Avoid extreme temperatures (saunas, steam rooms)
No facial massages or aggressive skincare treatments
Use broad-spectrum SPF 30+ sunscreen daily
Avoid dental procedures if lips were treated

Storage & Handling

Storage Temperature: 2-25°C (36-77°F)
Storage Location: Original packaging, away from light
Shelf Life: 24 months from manufacture date
Do Not Freeze: Product integrity compromised by freezing
Single Use Only: Discard after use to prevent contamination

Pricing & Practice Integration

Cost Considerations:

Premium positioning in mid-range filler category
Cost-effective due to longevity (12-18 months)
Single syringe typically sufficient for moderate corrections
Higher patient satisfaction due to natural results

Practice Benefits:

Predictable, consistent results
Lower revision rates due to product stability
Excellent safety profile
Strong brand recognition and patient confidence

Patient Selection Criteria

Ideal Candidates:

Ages 25-65 seeking natural enhancement
Realistic expectations about outcomes
Good overall health status
Commitment to follow-up appointments
Understanding of maintenance requirements

Poor Candidates:

Patients seeking dramatic transformation
Those with unrealistic expectations
Poor compliance with post-care instructions
History of multiple filler complications
Psychological contraindications to cosmetic procedures

Frequently Asked Questions for Providers

Can Stylage M Bi-Soft be mixed with other fillers?
Not recommended. Mixing different HA formulations can alter rheological properties and potentially increase adverse reaction risk.

What’s the difference between Stylage M and M Bi-Soft?
M Bi-Soft features enhanced cross-linking technology for improved tissue integration and potentially longer duration.

How soon can retreatment occur?
Wait minimum 2-4 weeks to assess final results before considering additional treatment.

Is hyaluronidase effective for correction?
Yes, hyaluronidase can effectively dissolve Stylage products if overcorrection or complications occur.

Can this be used with Botox?
Yes, but recommend spacing treatments by 2 weeks to minimize bruising and allow proper assessment of each treatment.

Emergency Management

Vascular Compromise Protocol:

Immediate hyaluronidase injection (150-300 units)
Aspirin 325mg if not contraindicated
Nitroglycerin paste application
Warm compress application
Immediate ophthalmologic/vascular surgery consultation if needed
Document thoroughly and follow up closely

Stylage M Bi-Soft