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How Restylane® Works: The science behind Restylane®

You will need the following items or information from your provider in order to complete the Restylane RewardsSM Redemption Form and submission process. Please print this list and take it with you when you receive your treatment to ensure you have everything you need to receive your Restylane Rewards.

1. Name and address of injector.

2. Type of injector (M.D., R.N., etc.).

3. Treatment date.

4. Number and size of Restylane® syringe(s) used in your treatment. Each treatment must use a minimum of 0.8 mL of Restylane in any combination of syringe sizes. For your convenience, you can use the area below to note the needed information:

Number of syringes

0.4 mL

1.0 mL

5. A receipt documenting treatment with Restylane® (credit card receipts can not be accepted as proof of treatment).

6. The end flap(s) from the Restylane® box(es) containing the Medicis Aesthetics™ logo used in your treatment (click here for examples). Providing the end flap(s) from the Restylane box(es) that contain the Medicis Aesthetics logo with your submission is for your protection. This ensures that you have received genuine FDA-approved Restylane.

You will also need to provide your User Name on www.RestylaneUSA.com when completing the Restylane Rewards® Redemption Form. Remember, you must postmark your rewards submission within 30 days of your treatment.

Restylane^® and Perlane^® are available only through a licensed practitioner.
You must register on RestylaneUSA.com to be eligible for Restylane Rewards^®.

Restylane (and stylized), Perlane (and stylized), Redefining Beauty and Restylane Rewards are trademarks of HA North American Sales AB.
All other trademarks are the property of their respective owners.