Cosmetic Injectables and Dermal Fillers
Dermal filler injections can be a simple yet highly dynamic treatment to subtly augment features that have lost volume due to facial aging. The extensive collection of fillers available at our NYC-area practice can plump the lips, add fullness to the cheeks, fill creases (such as marionette lines and parentheses wrinkles), and improve sunken areas of the face, depending on your treatment goals. Our board-certified plastic surgeon, Dr. Neal Goldberg, administers dermal fillers at our state-of-the-art med spa. In most cases, injections take no longer than 15 to 30 minutes and the rejuvenative effects can last several months.
TYPES OF INJECTABLE FILLER TREATMENTS
3702 View Gallery JUVÉDERM™ is a biodegradable, but long-lasting injectable filler composed mostly of hyaluronic acid—a material found in the skin, muscles, and tendons of the body. As an injectable gel, hyaluronic acid adds structure and volume to the lips, facial wrinkles, and folds. JUVÉDERM™ is FDA-approved to correct moderate to severe facial wrinkles and nasolabial folds. Other uses of JUVÉDERM™ include lip augmentation, facial contouring, and more. Made with a smooth hyaluronic acid gel, JUVÉDERM™ is a very popular product for non-surgical wrinkle correction.
Radiesse® is a dermal filler made with calcium hydroxylapatite suspended in a water-based gel. It’s FDA-approved for moderate to severe facial wrinkles and folds, but plastic surgeons frequently use Radiesse® for a wider range of cosmetic skin treatments, including facial augmentation and contouring. Dr. Goldberg might recommend Radiesse® for correction of marionette lines, nasolabial folds, skin depressions, or for non-surgical nasal contouring and augmentation.
Restylane®, which is FDA-approved to fill moderate to severe facial folds, wrinkles, and nasolabial folds, utilizes hyaluronic acid. Additionally, it may be used off-label for lip augmentation, marionette lines, fine lines, hollow tear troughs, and facial contouring.
Restylane® Kysse is the most recent addition to the Restylane® product line. This new and exciting filler is FDA-approved to plump and soften the lips, allowing patients to achieve a fuller lip shape as well as a more youthful pout. Restylane® Kysse can not only improve the appearance of the lower face, but the filler can also improve the way the lips feel when compared to similar injectables. While some lip fillers can cause the lips to feel unnatural upon injection, many patients report that Restylane® Kysse adapts seamlessly to their own movements and facial expressions. This is most likely due to the product’s unique chemical formulation, which incorporates cutting-edge XpresHAn Technology™.
Restylane Lyft®, formerly called Perlane®, is a thicker hyaluronic acid filler used for adding volume to deeper folds. This is often ideal for treating nasolabial folds on a patient with heavier cheeks. Restylane Lyft® generally lasts six to eight months with optimal treatment.
Restylane Contour® is a uniquely formulated, FDA-approved injectable designed to augment the cheeks and better shape the facial contours. Like other Restylane® products, Restylane Contour® is composed of a thick, flexible hyaluronic acid gel injected to plump the area(s) of treatment. Thanks to its smooth consistency, Restylane Contour® is able to seamlessly integrate with the skin and create a natural plumping effect. This can enhance the appearance of flat, sunken, or hollow cheeks without sacrificing an elegant and natural look.
As the most recent variation of the Restylane® product line, Restylane Contour® is most successful when addressing contour irregularities in the mid-face. It’s often recommended as an ideal non-surgical option to add volume and fullness to the cheeks.
Belotero Balance® is an ultra-thin hyaluronic acid filler used for filling shallow wrinkles. This is ideal for the vertical lines around the lips. The effects generally last three to four months.
Voluma® is a brand new, longer-lasting, ultra-thick hyaluronic acid filler used for deep volume filling. It is most commonly administered to the upper and outer cheeks. Voluma® can last as long as 18 to 20 months, although results vary from patient to patient.
THE DERMAL FILLERS PROCEDURE
First, the skin surface is cleansed with an antiseptic and a topical anesthetic is administered for comfort, if desired. For Juvéderm® injections, topical lidocaine and ice packs are often applied for pain five minutes before and after injection. Dr. Neal Goldberg carefully selects the injection sites, administers the chosen filler, and then massages the area to guarantee a smooth effect.
Dr. Goldberg always does the most fabulous job with my injectables. I’ve been using him for years. He is warm, affable, and very highly skilled. He is always very honest about what I need and never tries to up-sell. I also know people who have had cosmetic surgery by Dr. Goldberg, and they all say the same wonderful things. Whats more, his rates are very reasonable compared to what’s around. I would strongly recommend Dr. Goldberg for anyone looking for a plastic surgeon.
March 05, 2012
POST-TREATMENT CARE FOR COSMETIC INJECTABLES
Directly after injections, the treated area may feel overly full or swollen. In the case of swelling, it may help to apply ice to the swollen area(s). It is recommended that patients refrain from strenuous exercise, sun exposure, and alcohol intake for the first 24 hours. Results tend to last for 6 to 18 months depending on the filler injected. Touch-up injections are, therefore, necessary to maintain the look achieved. Side effects are extremely rare, but may include redness, pain/tenderness, firmness, swelling, lumps/bumps, bruising, itching, edema, tenderness, or discoloration.
FREQUENTLY ASKED QUESTIONS ABOUT INJECTABLE FILLERS
To help you in your research, Dr. Goldberg has provided additional information by answering many of the most common questions about injectable fillers. If you would like more information, we invite you to schedule a consultation.
WHAT CAN DERMAL FILLERS TREAT?
A non-surgical approach to facial rejuvenation, dermal fillers can help address many common signs of aging, including wrinkles, volume loss, and mild skin inelasticity. Additionally, some formulas can help smooth scars, contour the face, and plump lips. Each type of dermal filler offers a unique selection of benefits. To determine the right product for your needs and goals, you should speak with an extensively trained injector like Dr. Neal Goldberg.
WHO IS A GOOD CANDIDATE FOR INJECTABLE FILLERS?
Ideal candidates will be in good general health with a desire to address fine lines, creases, volume loss, acne or injury scars, and/or another aesthetic concern. Patients should also have reasonable expectations for results. It is our practice to provide information and guidance to assist you in your decision-making process.
WHAT ARE THE MOST COMMON TYPES OF DERMAL FILLERS?
Broadly speaking, most soft tissue fillers fall into one of a few categories: collagen-based fillers, hyaluronic acid-based fillers, calcium hydroxylapatite fillers, and poly-L-lactic acid fillers. Collagen-based fillers were the first of their kind. They have become less popular with the advent of hyaluronic acid-based fillers (which include Juvéderm® and Restylane®). Both utilize naturally occurring proteins that can enhance the fullness and volume of the skin. Radiesse® is composed of calcium hydroxylapatite, which is thicker than hyaluronic acid and can address deeper wrinkles and help contour the face.
WHO SHOULD ADMINISTER THE INJECTIONS?
While an injector is not required to be a medical doctor, choosing an extensively trained plastic surgeon to perform the treatment offers a variety of benefits. As an experienced plastic surgeon, Dr. Goldberg has a thorough understanding of all the soft and bony tissues of the face. He also has a comprehensive appreciation for facial aesthetics. With his knowledge and skill, he can deliver the fillers where they can provide the greatest advantages while minimizing the risk of complications. We believe the safest option is to choose a board-certified plastic surgeon to administer cosmetic injectables.
DOES THE TREATMENT HURT?
Your comfort is one of our highest priorities, and we will make every effort to ensure your experience is as pleasant as possible. With dermal fillers, most patients report little discomfort and many formulas include a local anesthetic to help minimize pain during treatment. Any soreness should be minor and pass quickly.
WHAT ARE THE SIDE EFFECTS?
Side effects can vary somewhat between different filler formulations, but for the most part some mild swelling, tenderness, and redness in the treated area is normal, and these symptoms should subside quickly. In fact, patients often opt to undergo treatment during their lunch break. Dr. Goldberg will provide more specific information based on your unique needs during your initial consultation.
WHEN WILL I SEE RESULTS?
Hyaluronic acid-based dermal fillers can provide immediate improvement in the affected area. Other formulations may also provide instantaneous results, while certain types require a longer activation period. Dr. Goldberg will discuss the expected timeframe with you during your first appointment.
HOW LONG DO SOFT TISSUE FILLERS LAST?
Generally speaking, many fillers will last approximately six months to one year, but there are a number of notable differences between products. Juvéderm Voluma® can last as long as a year and a half or more, while Belotero Balance® often begins to fade in efficacy after about three or four months. Your unique response to treatment will also affect how long the results will last. During your first appointment, we will discuss the typical benefit length for the filler or fillers you are interested in and let you know what factors can alter these estimations. Additionally, occasional “touch-up” injections can extend the effects if desired.
WHAT ARE THE LIMITATIONS FOR INJECTABLE FILLERS?
Cosmetic injectables can rejuvenate the face and provide significant reduction in the appearance of numerous common signs of aging; however, these formulas cannot replace plastic surgery procedures. Some issues cannot be adequately addressed with fillers, including moderate to severe skin laxity and some deeper wrinkles. Dr. Goldberg can examine your concerns and provide guidance about the best course of action based on your individual anatomic needs, desired outcome, and budget.
For more information about non-surgical injectable fillers, call our office for a consultation at 866-481-5585.