Advanced facial fillers such as Juvederm, Radiesse, Restylane, Perlane and Belotero have unique properties that allow to re-structure, volumize and contour the face. The best facial fillers improve the texture of the skin and reduce wrinkles. The longevity depends on the filler, the location treated, how the body absorbs the material, how the patient’s face ages as well as the patient’s lifestyle (sun exposure, smoking, etc.).
The most recent facial filler to gain FDA approval is Juvederm Voluma which has been used for several years in Europe, Latin America, Middle East, Asia Pacific and Canada. The advantage to this product is the staying power of up to two years making it a great option for patients who want a long lasting result. Voluma also has an advantage in that the results can be reversed if the patient doesn’t like it. Because is one of the top injectors in the Northeast, our practice is one of the first to offer Juvederm Voluma.
Regardless of the filler used in treatment, these products are the tools toward a larger goal of facial rejuvenation for natural and youthful results. This is why finding a physician who is experienced in all injectable products is key. As a physician trainer for the makers of these products,has become world-renowned and is considered a top facial filler injector in New York City. His innovative injection techniques are often featured in the press when they discuss non-surgical options for rejuvenation. Some of these procedures include Liquid Eye & Facelift.
While Juvederm and Restylane are more helpful for volume around the lips or eyes, and for superficial wrinkle correction, thicker products such as Radiesse and Perlane can be helpful for facial reshaping. Permanent fillers such as ArteFill are less versatile, but in select cases, can be effective. One of the most exciting facial rejuvenating products is Sculptra. Sculptra is not a traditional filler. It stimulates the body’s own collagen to create volume and contour. Many of these treatments are considered “off-label” by the FDA so having them performed by an expert is key to excellent results.
Best Fillers in NYC -Restylane, Juvederm Voluma, Sculptra NYC New York NY
Types: Restylane®, Restylane-L®, Perlane®, Perlane-L®, Juvederm® Voluma, Juvederm® Ultra and Ultra Plus, Sculptra®, Radiesse®, Belotero
Dermal fillers are delivered by injections to add volume to the face or to plump up scars, marionette lines, laugh lines or lips. They are a popular form of skin rejuvenation to soften fine lines and restore youthful contours. Results greatly depend on the skill and experience of the physician.
As with most injectable treatments, you are relying not only on the physician’s intimate knowledge of the physiology of the skin and underlying muscle structure, but also on her aesthetic sense, skill, and ability to deliver an appropriate and natural-looking result. Injectable treatments are often viewed unfavorably exactly because there are a lot of poorly executed examples in plain view on people’s faces.
The physician Laser Dermatology are internationally acclaimed experts in the use of dermal fillers, with a reputation for achieving natural results that do not advertise that the patient “had work done.”
Facial Fillers - New York, NY
What Do Facial Fillers Fix?
Facial fillers replace skin substances that, when lost, cause wrinkles. The skin thins by loss of collagen and fluid. In youth, the skin remains plump from a natural sugar called hyaluronic acid that attracts and binds to the body’s water. Fillers are substances that are injected to fill in wrinkles and facial depressions that may come with age. With the advent of choices for facial fillers, we can choose the best for the specific problem and longevity.
There are now so many fillers available, we prefer to categorize them by their ideal usage. Fillers can be used to treat three conditions:
1. Superficial fine lines
2. Facial folds and crevasses
3. Facial volume loss
We all want fillers to last as long as possible, but don’t want bumps from over-injecting. Gradual, precise and pointed is our method. The most superficial lines, those that appear “etched” into the skin require the thinnest fillers. As the need for more volume replacement increases, fillers are placed deeper and can be thicker. Medium thickness fillers are used for actual folds in the skin and deeper crevasses, such as the naso-labial folds. Naso-labial folds run from the corner of nose to the corner of the mouth. Medium depth fillers also may be very effective for melo-labial folds that run downward from the corners of the mouth to the jaw; otherwise referred to as “marionette” lines. These thicker fillers are also longer lasting than the thin, superficial fillers.
Since there are a number of available fillers for fine and deep wrinkles, both may be used in the same patient, and in conjunction with one another. We often layer fillers in the same areas in order to plump folds and fill the lines that may lie in the depths of those folds.
The thickest fillers are more for volume enhancement for the face that needs to be “plumped up.” As the face ages, the cheeks get hollow in addition to droopy. Patients may need lifting as well as volume. In younger patients, however, facelifts can often be delayed by filling the cheeks. This can actually give a small lift as well and is called the “Liquid Facelift.” Of course, nothing substitutes for a beautiful and professional facelift if it’s a means to elevating jowls or excess skin under the neck. But we can go a long way in making you look more refreshed by starting with fillers.
There are a number of options for facial volume restoration. The most natural technique is using one’s own fat. The fat is re-injected immediately after removing it from elsewhere in the body. This technique is called lipo-transfer. However, we now use it less than we did a few years ago because lipo-transfer is similar to a surgical procedure in preparation and healing time. Plus there are a number of facial fillers available that can restore facial volume that may last for up to a year or more. These are Sculptra, Radiesse, and the thinker Hyaluronic Acid products; Perlane and Juvederm Ultra Plus.
There are many types of injectable fillers available today. The most popular fillers are made from hyaluronic acid (Restylane, Juvederm). Hyaluronic acid is a clear gel that already exists in the human body. It attracts water, hydrating your skin. Hyaluronic acid fillers have been safely used in Canada and Europe since 1996. Unlike many other fillers, Hyaluronic Acid is non-animal-based and poses no risk of animal disease transmission or allergic reaction.
The hottest new application for Restylane is to fill dark circles under the eyes. Often, dark circles are the result of fat bulging in the lower eyelid that is exaggerated by a hollow area called the “tear trough.” By placing Restylane into this tear-trough, there is less shadow and therefore improvement in dark circles, making you look more rested and smooth.
We also use Radiesse, a non-surgical facial contouring filler that delivers an immediate, longer lasting result. Radiesse may be thought of as a longer lasting filler for deep facial folds and may even be used for volume enhancement. Radiesse appears to last even longer than hyaluronic acid fillers for treatment of naso-labial folds and marionette lines. Radiesse provides immediate visual improvement common with other fillers, along with the benefit of long-lasting results. This is because Radiesse is made of very tiny, smooth calcium hydroxylapatite (CaHA) microspheres. These particles stimulate your own collagen to grow. microspheres (particles) form a scaffold through which your body’s own collagen grows.
Common fillers:
SUPERFICIAL FILLERS (FOR FINE LINES):
Restylane Silk
Belotero
MEDIUM DEPTH FILLERS (MEDIUM WRINKLES):
Restylane
Juvederm Ultra XC
Perlane
DEEP FILLERS (VOLUME LOSS):
Restylane Lyft
Juvederm Ultra Plus
Radiesse; calcium hydroxyapetite.
Sculptra: Poly-L-Lactic Acid
Juvederm Voluma
LARGE VOLUME FILLERS – (WHEN PATIENTS REQUIRE A LARGER QUANTITY OF FACIAL VOLUME ENHANCEMENT):
Fat lipotransfer; Spinning the patient’s own fat in a centrifuge and then depositing very small amounts with each of multiple passes. A patient’s fat is the most “natural” filler and the fat has a much better longevity. There is more swelling than with other fillers, but the results are smooth, natural, and often long lasting.
Sculptra; poly-lactic acid. Patients retain long lasting facial volume enhancement after two to four injections spaced a month apart. Sculptra is a true volume filler for the face. It can restore youthful fullness to the cheeks, temples, and anywhere in the face there has been considerable loss of youthful fat. Collagen and hyaluronic acid products are best used for lines, folds and wrinkles. When you desire true restoration of fullness, Sculptra may be the ideal substance.
Radiesse
Restylane Lyft
Juvederm Voluma
Facial fillers replace skin substances that, when lost, cause wrinkles. The skin thins by loss of collagen and fluid. In youth, the skin remains plump from a natural sugar called hyaluronic acid that attracts and binds to the body’s water. Fillers are substances that are injected to fill in wrinkles and facial depressions that may come with age. With the advent of choices for facial fillers, we can choose the best for the specific problem and longevity.
There are now so many fillers available, we prefer to categorize them by their ideal usage. Fillers can be used to treat three conditions:
1. Superficial fine lines
2. Facial folds and crevasses
3. Facial volume loss
We all want fillers to last as long as possible, but don’t want bumps from over-injecting. Gradual, precise and pointed is our method. The most superficial lines, those that appear “etched” into the skin require the thinnest fillers. As the need for more volume replacement increases, fillers are placed deeper and can be thicker. Medium thickness fillers are used for actual folds in the skin and deeper crevasses, such as the naso-labial folds. Naso-labial folds run from the corner of nose to the corner of the mouth. Medium depth fillers also may be very effective for melo-labial folds that run downward from the corners of the mouth to the jaw; otherwise referred to as “marionette” lines. These thicker fillers are also longer lasting than the thin, superficial fillers.
Since there are a number of available fillers for fine and deep wrinkles, both may be used in the same patient, and in conjunction with one another. We often layer fillers in the same areas in order to plump folds and fill the lines that may lie in the depths of those folds.
The thickest fillers are more for volume enhancement for the face that needs to be “plumped up.” As the face ages, the cheeks get hollow in addition to droopy. Patients may need lifting as well as volume. In younger patients, however, facelifts can often be delayed by filling the cheeks. This can actually give a small lift as well and is called the “Liquid Facelift.” Of course, nothing substitutes for a beautiful and professional facelift if it’s a means to elevating jowls or excess skin under the neck. But we can go a long way in making you look more refreshed by starting with fillers.
There are a number of options for facial volume restoration. The most natural technique is using one’s own fat. The fat is re-injected immediately after removing it from elsewhere in the body. This technique is called lipo-transfer. However, we now use it less than we did a few years ago because lipo-transfer is similar to a surgical procedure in preparation and healing time. Plus there are a number of facial fillers available that can restore facial volume that may last for up to a year or more. These are Sculptra, Radiesse, and the thinker Hyaluronic Acid products; Perlane and Juvederm Ultra Plus.
There are many types of injectable fillers available today. The most popular fillers are made from hyaluronic acid (Restylane, Juvederm). Hyaluronic acid is a clear gel that already exists in the human body. It attracts water, hydrating your skin. Hyaluronic acid fillers have been safely used in Canada and Europe since 1996. Unlike many other fillers, Hyaluronic Acid is non-animal-based and poses no risk of animal disease transmission or allergic reaction.
The hottest new application for Restylane is to fill dark circles under the eyes. Often, dark circles are the result of fat bulging in the lower eyelid that is exaggerated by a hollow area called the “tear trough.” By placing Restylane into this tear-trough, there is less shadow and therefore improvement in dark circles, making you look more rested and smooth.
We also use Radiesse, a non-surgical facial contouring filler that delivers an immediate, longer lasting result. Radiesse may be thought of as a longer lasting filler for deep facial folds and may even be used for volume enhancement. Radiesse appears to last even longer than hyaluronic acid fillers for treatment of naso-labial folds and marionette lines. Radiesse provides immediate visual improvement common with other fillers, along with the benefit of long-lasting results. This is because Radiesse is made of very tiny, smooth calcium hydroxylapatite (CaHA) microspheres. These particles stimulate your own collagen to grow. microspheres (particles) form a scaffold through which your body’s own collagen grows.
Common fillers:
SUPERFICIAL FILLERS (FOR FINE LINES):
Restylane Silk
Belotero
MEDIUM DEPTH FILLERS (MEDIUM WRINKLES):
Restylane
Juvederm Ultra XC
Perlane
DEEP FILLERS (VOLUME LOSS):
Restylane Lyft
Juvederm Ultra Plus
Radiesse; calcium hydroxyapetite.
Sculptra: Poly-L-Lactic Acid
Juvederm Voluma
LARGE VOLUME FILLERS – (WHEN PATIENTS REQUIRE A LARGER QUANTITY OF FACIAL VOLUME ENHANCEMENT):
Fat lipotransfer; Spinning the patient’s own fat in a centrifuge and then depositing very small amounts with each of multiple passes. A patient’s fat is the most “natural” filler and the fat has a much better longevity. There is more swelling than with other fillers, but the results are smooth, natural, and often long lasting.
Sculptra; poly-lactic acid. Patients retain long lasting facial volume enhancement after two to four injections spaced a month apart. Sculptra is a true volume filler for the face. It can restore youthful fullness to the cheeks, temples, and anywhere in the face there has been considerable loss of youthful fat. Collagen and hyaluronic acid products are best used for lines, folds and wrinkles. When you desire true restoration of fullness, Sculptra may be the ideal substance.
Radiesse
Restylane Lyft
Juvederm Voluma
Best Dermal fillers in New York, NY
I have nothing but praise for Doctor What a wonderful bedside manner and I am a Registered nurse, so I get a lot of exposure to doctors. I have had several procedures with Dr. ncluding breast augmentation/revision, lip fillers, and Botox. She is very skilled with injectables and I trust her judgement completely. She is probably the most relatable, down to earth person that I have met. I also find that she cares not only of my cosmetic/plastic surgery goals, but of my health in general. She always asks about other aspects of my life/health which gives me even more trust in her. I am excited about continuing to see Dr. n the years to come and do not hesitate to recommend her to anyone with cosmetic/plastic surgery needs and/or goals!
Fillers Under the Eyes and Cheeks NYC New York NY
There are many combinations of fillers and lasers that can be used to help improve the midface and tear troughs. My suggestion is you get a formal consultation with someone experienced in fillers and who uses all types to determine which is the best one for you. Also someone who uses cannulas, which limit bruising, swelling and pain from injectable fillers
Improving the tear trough area nyc new york ny
There are several good fillers on the market for improving the tear trough area. Restylane seems to be the easiest to use with the lowest risk of dissatisfied patients. There is usually no bruising or excessive swelling with Restylane use and it typically lasts up to 9 months. On some occasions, other products can leave the skin with a blue hue or excessive swelling. An Oculoplastic Surgeon will be able to judge the right amount of filler to use without over-filling or causing the skin to be bumpy. I hope you find this
Least problematic under eye filler thus far overall is Restylane nyc new york ny
There are no FDA approved fillers for under the eye. Most fillers only have FDA approval for Naso Labial Folds. At this date there is only one FDA approved filler for lips (Restylane).
Risking long term or permanent fillers under the eye is not worth the potential negative results. Restylane injected properly under the eye typically lasts longer than it does in other areas, so you'll likely see the volume you are enjoying longer than you might think.
Fillers have been used for many years in "off label" application.The "off label" use of fillers is chosen independently by each physician. Off label is not illegal and in most cases not dangerous. It simply means the filler is being used in a way or in an area of the face that was not included in the FDA clinical studies.
Most U.S. physicians who treat under eye hollows with fillers will generally choose Restylane or Juvederm. Both fillers consist of hyaluronic acid gel which is a degradable product most closely resembling natural skin tissue.
Careful injection of these hyaluronic gels at the proper depths and within the anatomical safety boundaries generally gets good results.The nice "fail safe" of HA gels is that they can be dissolved quite easily if the patient is not happy with the results.
There are fillers which are "contraindicated" in certain areas - meaning they are known to create a problem or are suspected to be capable of creating a problem.
Because the tear trough is such a sensitive area, and the skin is thinnest there, any "lumping" will show. It is also a highly reactionary area and more easily bruises or swells.
Injector techiqiue and precise knowldege of eye area anatomy is extremely important. Pick experience over price promotions - particularly for eye area injections.
It sounds that you are happy with your Restylane. If you were my patient I would encourage you to accept the temporary nature and appreciate the safeguards that come with it.
Risking long term or permanent fillers under the eye is not worth the potential negative results. Restylane injected properly under the eye typically lasts longer than it does in other areas, so you'll likely see the volume you are enjoying longer than you might think.
Fillers have been used for many years in "off label" application.The "off label" use of fillers is chosen independently by each physician. Off label is not illegal and in most cases not dangerous. It simply means the filler is being used in a way or in an area of the face that was not included in the FDA clinical studies.
Most U.S. physicians who treat under eye hollows with fillers will generally choose Restylane or Juvederm. Both fillers consist of hyaluronic acid gel which is a degradable product most closely resembling natural skin tissue.
Careful injection of these hyaluronic gels at the proper depths and within the anatomical safety boundaries generally gets good results.The nice "fail safe" of HA gels is that they can be dissolved quite easily if the patient is not happy with the results.
There are fillers which are "contraindicated" in certain areas - meaning they are known to create a problem or are suspected to be capable of creating a problem.
Because the tear trough is such a sensitive area, and the skin is thinnest there, any "lumping" will show. It is also a highly reactionary area and more easily bruises or swells.
Injector techiqiue and precise knowldege of eye area anatomy is extremely important. Pick experience over price promotions - particularly for eye area injections.
It sounds that you are happy with your Restylane. If you were my patient I would encourage you to accept the temporary nature and appreciate the safeguards that come with it.
Hyaluronic Wrinkle Fillers are NOT equally effective for all Wrinkles NYC New York NY
Hyaluronic Acid Fillers Work for Which Wrinkles: Dynamic and static wrinkles? Shallow and deep?
Do fillers work for any wrinkle? Do they work for dynamic and static wrinkles? Shallow and deep? How depressed does the furrow have to be to be filled without causing a lump?"
Do fillers work for any wrinkle? Do they work for dynamic and static wrinkles? Shallow and deep? How depressed does the furrow have to be to be filled without causing a lump?"
EXCELLENT question. In my opinion, all fillers work better with static wrinkles than with dynamic ones and shallower wrinkles are much easier to fill than deep ones. Fillers are NOT a magical eraser for all wrinkles and folds in all locations. For this reason, to achieve a good result your doctor needs to posses experience, judgment and an artistic sense to know when to add Botox to the treatment, combine several different fillers or combine laser, surgery and fillers, as needed.
When you see an aesthetician or non-surgeon who has only one tool on his bag of tricks you can be sure that that single tool WILL be used even in cases where it is of marginal to no benefit
Wrinkle Fillers Juvederm, Restylane, Prevelle or Fat Transfer NYC New York NY
Over the last several years, a number of new soft-tissue fillers including Restylane, Perlane and Juvederm have been introduced to the U.S. For physicians, deciding what to inject is an extremely important decision, as some fillers are safe for essentially all patients, while others can have troubling and even disfiguring side effects. The first filler that gained widespread acceptance is bovine collagen. However, that product tended not to last very long and also required a skin test prior to treatment. Human-sourced collagen products were then developed, but they had the stigma of being derived from the tissue of human cadavers. Also, the results did not last much longer than those from bovine collagen.
Injectable hyaluronic acid (Restylane, Perlane, Juvederm) is produced in culture instead of being taken from an animal or human source, which eliminates many of the concerns associated with injectable collagen products. Hyaluronic acid has many of the qualities of the ideal filler: it is safe and affordable, it produces natural-looking results, and it is extremely effective for most patients. In our plastic surgery practice and medical spa, we have seen a much higher rate of patient satisfaction when using hyaluronic acid products than with collagen products.
Juvederm for Tear Troughs NYC New York, NY
In our practice, Juvederm is the only injectable filler that we use in the tear trough area. It has the most natural and consistant result of all the fillers - it is also has a very good safety profile. You want to be sure to go to someone very experieced before getting injections in this region. Restylane can often last 6-12 months in the tear trough region.
Botox
Botox is the brand name of a toxin produced by the bacterium Clostridium botulinum. In large amounts, this toxin can cause botulism, which you probably associate with food poisoning. Despite the fact that one of the most serious complications of botulism is paralysis, scientists have discovered a way to use it to human advantage. Small, diluted amounts can be directly injected into specific muscles causing controlled weakening of the muscles.
The FDA approved such usage in the late 1980s upon the discovery that Botox could stop ailments like blepharospasm (uncontrolled blinking) and strabismus (lazy eye). Cosmetic physicians have been using Botox for years to successfully treat wrinkles and facial creases. In April 2002, Botox gained FDA approval for treatment of moderate-to-severe frown lines between the eyebrows - called glabellar lines. However, Botox is often used for other areas of the face as well.
Sculptra™
Sculptra™
Sculptra™ is a new injectable product used to counteract the loss of fat beneath the skin, a condition called lipoatrophy. Sculptra™ is injected into the deep dermis layer of the skin to improve the appearance of sunken cheeks, hollow eyes, indentations and wrinkles. There is no need for allergy testing, since Sculptra's main component is an alpha hyrdoxy acid that has been used for 20 years in surgical products such as dissolvable sutures. Clinical trials have shown that the benefits of Sculptra™ treatments last up to two years.
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