Description
Teosyal RHA 2 with Lidocaine 2 x 1 ml – A Flexible Filler for Lines That Move: A Complete 22-Section Guide
Quick answer:
Teosyal RHA 2 by Teoxane (Geneva, Switzerland) is a resilient hyaluronic acid gel, 23 mg/ml, with 0.3% lidocaine for comfort. The box holds 2 prefilled syringes of 1 ml with 30G 1/2 inch needles. It is designed for areas that move: moderate lines around the mouth, smoker lines, nasolabial folds and subtle lip definition. It is a prescription medical device injected only by a qualified, trained doctor in a clinic after an assessment; it is never self-injected and is not meant to be bought for home use. Results vary from person to person.
Urgent safety warning: vascular occlusion
Rarely, filler can enter a blood vessel. Skin turning pale or white (blanching), a mottled or dusky patch, severe or increasing pain, or any change in vision during or after the injection is an emergency. Tell the injecting doctor immediately or go to an emergency department. Very rarely this can lead to skin necrosis, vision loss or stroke; prompt treatment, including hyaluronidase, which can dissolve hyaluronic acid fillers, matters.
Key Facts About Teosyal RHA 2
| Name | Teoxane Teosyal RHA 2 with Lidocaine 2 x 1 ml |
| Manufacturer | Teoxane (Geneva, Switzerland), Teosyal RHA range |
| Composition | Resilient hyaluronic acid (RHA) 23 mg/ml cross-linked with BDDE, with lidocaine hydrochloride 0.3% |
| Pack | 2 prefilled syringes x 1 ml sterile injectable gel |
| Needles | 30G 1/2 inch, 2 per syringe |
| Placement | Superficial to mid dermis, decided by the doctor |
| Amount | Decided by the doctor; there is no fixed dose |
| Typical duration | Studies reported up to about 15 months in nasolabial folds; varies by person and area |
| Who injects | A qualified, trained doctor only; never self-injected |
| Expiry | Printed on the pack |
Short description: A soft, flexible hyaluronic acid filler made to bend and stretch with the face, used by doctors to soften moderate lines that appear when you talk, smile and purse your lips.
On this page
- Introduction
- What is it?
- How the resilient gel works
- Key benefits
- Illustrative situations
- Who is it for?
- Who should avoid it?
- How is it used?
- Timing your session
- Results timeline
- Common mistakes
- Myths and facts
- Side effects
- Interactions
- Warnings
- Assessment before treatment
- What to pair it with
- Filler comparison
- When to contact the doctor
- NSL expert tip
- FAQ
- Conclusion
Introduction to Teosyal RHA 2
Teosyal RHA 2 answers a specific problem. Some lines are barely visible when the face is still, yet they deepen every time you speak, laugh or drink through a straw. A stiff gel in these areas can look fine at rest and then show as a ridge or an unnatural line when the mouth moves. Teosyal RHA 2 was developed for exactly these moving zones.
This page explains what is inside the syringe, how the resilient gel behaves, who it may suit, and what a safe treatment looks like. If you are still deciding between filler families, start with our guide to types of dermal fillers. Everything here is educational; the decision to treat, and how, belongs to the doctor who examines you.
What Is Teosyal RHA 2?
Teosyal RHA 2 is a sterile injectable gel of resilient hyaluronic acid (RHA) at 23 mg/ml, cross-linked with BDDE, with 0.3% lidocaine hydrochloride added to reduce discomfort during the injection. The box states “Hyaluronic acid + lidocaine, 2 x 1 ml” and contains 2 prefilled single-use syringes with 30G 1/2 inch needles, 2 per syringe.
It belongs to the Teosyal RHA range from Teoxane in Geneva. In the United States, the FDA approved RHA 2 for moderate to severe dynamic facial wrinkles and folds in adults aged 22 and over. It is a professional medical device sold for clinics and doctors, not a home product.
How the Resilient Gel in Teosyal RHA 2 Works
Hyaluronic acid is a natural component of the skin that binds water. In a filler it is cross-linked so it stays in place longer instead of being broken down within days. Teoxane describes its RHA gels as designed to move with facial expressions: the gel stretches when the face moves and then recovers its shape.
The doctor places Teosyal RHA 2 in the superficial to mid dermis, the layer where moderate lines form. The gel supports the skin from below, so the crease looks softer. The lidocaine numbs the treated tissue as the gel goes in, which makes the procedure more comfortable but does not replace the doctor’s own numbing plan.
Key Benefits of Teosyal RHA 2
- Teosyal RHA 2 is a flexible gel designed for areas that move a lot, such as around the mouth.
- Can soften moderate dynamic lines and folds while aiming to keep expressions natural.
- Suitable for subtle lip definition rather than large volume.
- Contains 0.3% lidocaine to reduce injection discomfort.
- Hyaluronic acid can be dissolved with hyaluronidase by the doctor if needed.
- Studies reported results lasting up to about 15 months in nasolabial folds, although every person differs.
Teosyal RHA 2 in Practice: Illustrative Situations
These are simplified examples of how a doctor may think, not promises or instructions.
A former smoker in her late forties with fine vertical lines above the upper lip: the lines show most when she talks. The doctor may consider a soft, flexible gel such as Teosyal RHA 2 rather than a dense volumiser that could feel firm in a thin, mobile lip border.
A man in his fifties with moderate nasolabial folds that deepen when he smiles: he wants a fresher look without looking “done”. After examining him at rest and while smiling, the doctor discusses whether a flexible gel suits his folds or whether deeper support is needed first.
A woman who wants slightly more defined lips, not bigger lips: a light, flexible filler may give subtle definition. If she wanted real lip volume, the doctor might suggest a firmer product instead.
Who Is Teosyal RHA 2 For?
- Adults (the FDA approval covers adults aged 22 and over) with moderate dynamic lines and folds.
- People bothered by perioral or “smoker” lines and lines around the mouth.
- People who want subtle lip enhancement or definition rather than large volume.
- People who prefer a natural result that keeps facial movement.
- Only after a face-to-face assessment by a qualified doctor who confirms the product suits them.
Who Should Avoid Teosyal RHA 2 or Take Extra Care?
- Anyone with a history of severe allergies or anaphylaxis.
- Anyone allergic to hyaluronic acid, to any ingredient of the gel, or to lidocaine or other amide local anaesthetics.
- Active skin infection, inflammation, cold sores or acne at the area to be treated.
- Bleeding disorders.
- Pregnancy and breastfeeding: not studied, so treatment is avoided.
- People under the age set by the label (the FDA approval is for adults 22 and over).
- Autoimmune disease or a history of keloids: the doctor must assess first.
- A recent laser treatment or chemical peel at the same area.
How Is Teosyal RHA 2 Used?
Teosyal RHA 2 is injected only by a qualified, trained doctor (a dermatologist or plastic surgeon) in a clinical setting. Never try to inject it yourself, and do not buy it to use at home. A typical visit looks like this:
- Consultation: the doctor takes your medical history, medicines and allergies, examines your face at rest and in motion, and explains the expected result and risks.
- Preparation and numbing: the skin is cleaned, and the doctor may add numbing cream; the lidocaine in the gel adds comfort during the injection.
- Injection by the doctor: the doctor decides the amount, the points and the technique for your face. There is no fixed dose.
- Aftercare: for about 24 to 48 hours avoid makeup, heavy exercise, saunas, alcohol and pressing or massaging the area, unless your doctor tells you otherwise.
- Review: the doctor may see you again to check the result and decide whether a touch-up is useful.
Timing Your Session
Because swelling and bruising can last a few days to about two weeks, avoid booking right before a wedding, a photo shoot or travel. Leave at least two weeks before an important event. Avoid treatment while you have a cold sore, a skin infection or a recent peel or laser at the same area. Your doctor may also ask you to pause supplements that increase bruising before the visit, and you should never stop a prescribed blood thinner on your own.
Teosyal RHA 2 Results Timeline
- Immediately: some softening of the lines is visible, mixed with swelling from the injections.
- First days: redness, swelling and tenderness are common and usually settle within days.
- About 1 to 2 weeks: swelling and bruising have mostly settled, so the result is easier to judge.
- Months: the gel is gradually broken down by the body. Studies reported results lasting up to about 15 months in nasolabial folds, but areas that move a lot and individual factors can shorten this.
Results vary with the area, the amount, the technique and the person, and a touch-up may be needed. Read more on how long fillers last.
Common Mistakes
- Buying a Teosyal RHA 2 syringe online and asking a non-doctor, or yourself, to inject it.
- Expecting a light flexible gel to rebuild lost cheek volume; that needs a different product.
- Judging the final result in the first days while swelling is still present.
- Massaging or pressing the area, or heavy exercise, right after treatment without the doctor’s advice.
- Hiding blood thinners, supplements or allergies from the doctor.
- Ignoring pale skin or severe pain after the injection and waiting for it to pass.
Myths and Facts
Myth: filler around the mouth always looks stiff. Fact: Teosyal RHA 2 is designed to move with facial expressions, but the result still depends on the doctor’s choice of product, amount and technique.
Myth: the result is permanent. Fact: hyaluronic acid is gradually broken down by the body; duration varies.
Myth: lidocaine in the gel means no numbing is ever needed. Fact: it reduces discomfort during the injection, and the doctor decides whether more numbing is needed.
Side Effects of Teosyal RHA 2
Common effects after Teosyal RHA 2 at the injection site are usually temporary and settle within days to about 1 to 2 weeks:
- Redness, swelling and tenderness.
- Bruising.
- Small lumps or firmness.
- Itching.
Rare but serious effects include accidental injection into a blood vessel, infection, delayed nodules or granulomas, and allergic reactions. See our full article on dermal filler side effects.
Interactions
- Blood thinners such as warfarin or other anticoagulants, and antiplatelet medicines, raise the risk of bruising and bleeding. Tell the doctor; never stop them without the prescribing doctor’s approval.
- Aspirin and anti-inflammatory painkillers (NSAIDs) such as ibuprofen can increase bruising.
- Supplements such as omega-3 fish oil and vitamin E can also increase bruising.
- Lidocaine allergy: because the gel contains lidocaine, anyone allergic to lidocaine or other amide local anaesthetics must tell the doctor and should not receive this product.
Warnings
- Vascular occlusion: blanching, mottling, severe pain or vision changes during or after treatment are an emergency. Contact the injector immediately or go to an emergency department.
- Professional use only: a qualified doctor injects it in a clinic. Never self-inject.
- Each syringe is single use; never re-use a syringe or share it.
- Store as stated on the label; do not freeze.
- No filler gives a guaranteed result, and results vary.
The FDA also publishes consumer guidance on dermal fillers, linked at the end of this page.
Assessment Before Treatment
Before Teosyal RHA 2, no routine blood test is required for most healthy adults, but the doctor’s assessment is essential. It covers your medical history, allergies (including to lidocaine), current medicines and supplements, previous fillers or permanent implants in the area, a history of cold sores, and the condition of the skin. People with a bleeding disorder or autoimmune disease may need advice from their own specialist first.
What to Pair Teosyal RHA 2 With
- Daily sunscreen and a good skincare routine to protect the Teosyal RHA 2 result.
- Stopping smoking, which deepens lines around the mouth over time.
- Deeper volume products, chosen by the doctor, when lines are partly caused by lost support, for example Radiesse filler or a deep hyaluronic acid volumiser.
- Skin-quality treatments when the problem is thin, crepey skin rather than a single line.
Teosyal RHA 2 Compared With Other Fillers
| Product | Type | Concentration | Lidocaine | Typical use |
|---|---|---|---|---|
| Juvederm Voluma | Cross-linked HA filler (VYCROSS) for deep volume | 20 mg/ml | Yes, 0.3% | Cheek and midface volume, chin and jawline projection, temple hollows |
| Juvederm Ultra 4 | Cross-linked HA filler (HYLACROSS) | 24 mg/ml | Yes, 0.3% | Deep folds such as nasolabial and marionette lines, lip volume |
| Teosyal RHA 2 | Resilient HA filler (RHA) for moving areas | 23 mg/ml | Yes, 0.3% | Moderate dynamic lines around the mouth, smoker lines, nasolabial folds, subtle lip enhancement |
| Aliaxin SV | Highly cross-linked HA filler of non-animal origin | 25 mg/ml | No | Structural volume for cheekbones, midface and chin |
| Croma PolyPhil | Polynucleotide skin booster, not a volumising filler | 20 mg/ml (40 mg per 2 ml) | Not listed in the composition | Skin firmness, elasticity, hydration and fine crepey lines of face, neck, decollete and hands |
Teosyal RHA 2 sits at the light, flexible end of this group. It is not a cheek volumiser, and it is not a skin booster; your doctor chooses between them based on what is causing the line.
When to Contact the Doctor
- Immediately: pale or white skin, a mottled patch, severe or increasing pain, or any vision change.
- Signs of infection: increasing redness, heat, pus or fever.
- Swelling of the face, lips or throat, or difficulty breathing: emergency.
- Lumps or swelling that appear weeks or months later.
- Swelling or bruising that does not settle after about two weeks.
NSL Expert Tip
From the No Style Like pharmacy team: with Teosyal RHA 2, the most useful question to ask your doctor is “how will this look when I talk and smile?”. Lines around the mouth are judged in motion, not only in a still photo. Choose a qualified doctor who examines you both ways, ask to start conservatively, and remember a touch-up is easier than reversing too much.
Teosyal RHA 2 FAQ
Can I inject Teosyal RHA 2 myself?
No. It is a professional medical device injected only by a qualified, trained doctor in a clinic.
Does it contain lidocaine?
Yes, 0.3% lidocaine hydrochloride, to reduce discomfort.
Is it a lip filler?
It can be used for subtle lip enhancement and definition; it is not designed for large lip volume.
How long does it last?
Studies reported up to about 15 months in nasolabial folds; results vary by area and person.
Can it be dissolved?
Hyaluronic acid fillers can be dissolved by the doctor with hyaluronidase if needed.
How many syringes are in the box?
Two prefilled syringes of 1 ml, with 30G 1/2 inch needles.
What is the expiry date?
The expiry date is printed on the pack.
Teosyal RHA 2: Conclusion
Teosyal RHA 2 is a flexible 23 mg/ml resilient hyaluronic acid filler with lidocaine, made for moderate lines and folds in areas that move, especially around the mouth. It is injected only by a qualified doctor after an assessment, results vary, and any sign of blanching, severe pain or vision change is an emergency. Doctors and clinics can order it from No Style Like Pharmacy with delivery across Egypt.
Reviewed by the No Style Like Pharmacy content team. This information is for educational purposes only.
This is a prescription medical device for professional use; follow the instructions for use and your doctor’s advice. This content does not replace medical advice. Learn more at FDA – Dermal filler dos and don’ts.
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