Dermal Fillers in New York City
With Dr. Shridharani
At LUXURGERY, Dr. Shridharani and his team are proud to offer the full spectrum of available FDA approved dermal fillers – class of injectables approved to temporarily improve volume in the midface, cheekbone area, nasolabial creases, lips, marionette lines, smile lines, kisser’s lines, temporal hollows and other areas of the face. As one age, it is normal to see a reduction in fullness in certain areas of the face leading to a less oval and upside-down triangle-shaped face. One often notes a more square face as a result of gravity and volume loss. Even in youth, patients are often seeking more fullness in their lips and cheekbones to slightly accentuate these areas. When done safely and properly, beautiful facial harmony and symmetry can be obtained.
Nose Reshaping using Dermal Fillers
What Are Dermal Fillers?
Dermal fillers, or soft tissue fillers, are products made from substances such as hyaluronic acid, calcium hydroxyapatite, poly-l-lactic acid, polymethyl methacrylate or collagen. These substances can reduce the appearance of wrinkles and creases, raise depressed scars, and add contour to the lips and cheeks. Fillers are long-lasting but temporary solutions that are administered in the comfort of our office. Products are selected based on each patient’s preferences and desired outcome.
Who Can Receive Dermal Fillers?
The dermal fillers that are used in our practice have naturally-occurring ingredients such as hyaluronic acid. Those that have synthetic chemicals (Radiesse) have been thoroughly studied for safety and efficacy. Therefore, there is no need for allergy testing before dermal filler treatment (other than collagen) and most patients are excellent candidates for this cosmetic solution to aging and other facial concerns.
Before and After Dermal Filler Injections
The patient underwent Juvederm Voluma XC to the angle of her mandible (jawline) and Juvederm Ultra Plus XC to her central mandible (chin) and marionette lines. The patient is pictured here before injectable fillers and immediately after the non-surgical procedure.
How Do Dermal Fillers Compare to Botox?
Botox and dermal fillers are all categorized as wrinkle-reducers. However, their action in dermal tissue is completely different. Botox is the wrinkle-reducer that is commonly used in the uppermost areas of the face, those that develop wrinkles as a result of facial movement. Botox is ideal for these dynamic wrinkles because its action is to bind to nerve receptors in muscle tissue to prevent the uptake of specific chemicals that cause contraction. Dermal fillers, on the other hand, adhere to water molecules in the subcutaneous tissue beneath the epidermis to plump superficial layers of the skin.
Which Dermal Filler Do I Need?
Several dermal fillers are available in our NYC office:
- Belotero is a soft, cohesive hyaluronic acid gel that integrates into superficial lines and creases. The delicate characteristics of this product make it a nice solution for lip lines and other subtle wrinkles. Results can last up to one year but are specific to each patient, the amount of product used, and the area treated.
- Restylane Refyne and Defyne (Emervel) is the brand name given to Restylane hyaluronic acid products in Europe. The broad scope of this line treats mild to moderate lines and wrinkles with results lasting from nine months to two years depending on the product and area of treatment.
- Juvederm Ultra and Ultra Plus are hyaluronic acid fillers that are commonly used around the mouth and lips. Juvederm ultra plus has larger particles of HA for better structural hold. Each product may last up to one year.
- Juvederm Voluma is a hyaluronic acid product with a dense consistency that adds volume and structure to the cheek area. The mid-sized HA particles in Voluma are suitable for lifting deep lines and creases around the nose and mouth. Results from treatment can last up to two years.
- Radiesse is a filler and collagen-stimulator that is made from calcium hydroxyapatite in a water-based gel. This naturally-occurring chemical plumps the dermis and also encourages the body to make more collagen, so after the filler has been absorbed, a new foundation of collagen supports youthful-looking skin. Results from treatment can last one year or more.
- Restylane hyaluronic acid filler family provides a range of solutions for the individual who wants to look and feel their best. Restylane is commonly used to smooth lines and creases around the nose and mouth. Results last approximately one year.
- Restylane Lyft has been developed with a dense consistency that is ideal for restoring volume and contour to the midface. The larger particle sizes integrate well into deeper layers of tissue for results that last approximately one year.
- Restylane Silk is a common lip filler that has a smooth, soft consistency that adds volume to the lips. This hyaluronic acid product may also decrease the fine lines that develop around the lips. Results from treatment can last six months or longer.
- Sculptra is a collagen stimulator made of poly-L-lactic acid, the same chemical that has been used for several years to make dissolvable stitches. When introduced into the tissue, this filler provokes collagen proliferation that gradually corrects the signs of aging such as fine lines, wrinkles, and volume loss. A short series of treatments may be needed to obtain optimal results that last up to two years.
- Volbella is the Juvéderm hyaluronic acid product that has been developed specifically for lip augmentation. The small particle size and cohesive consistency of this gel-based filler make it ideal for long-lasting softness and fullness. Results can last up to one year.
- Vollure/Volift, also in the Juvederm family, is a highly cross-linked hyaluronic acid filler that smooths lines and creases for up to 15 months.
- Versa is a hyaluronic acid filler that is very “versatile” and is used on several parts of the face and body.
Are Dermal Fillers Permanent?
Dermal fillers are long-lasting, renewing the skin for up to two years. However, they do degrade over time. Treatment may be repeated every few months to years to soften the signs of aging.
Can Dermal Fillers Be Dissolved If I Don’t Like the Results?
If you receive filler treatment with a hyaluronic acid product, such as Juvéderm, Restylane, or Belotero, you may have some or all of your filler dissolved if you are not completely satisfied with your results. Treatment to dissolve hyaluronic acid dermal fillers involves injections of an enzyme called hyaluronidase.
Can I Receive Dermal Filler Injections and Botox Injections at the Same Time?
Dermal fillers and Botox treatment can and often are administered during the same office visit. Because each product works differently in the skin, the two can be a powerful combination to achieve beautiful, natural-looking rejuvenation.
Are There Any Side Effects to Dermal Filler Injections?
The side effects of dermal filler treatment are typically limited to mild, transient redness and swelling at injection sites. Minor bruising may also be noticed, but this is less common. Some people may notice prolonged swelling or the formation of lumps or bumps beneath their skin after a treatment. If these side effects occur, contact our office. We will schedule a visit or instruct you on what to do to handle your particular situation.
Are There Any Risks to Dermal Filler Injections?
Dermal fillers are generally safe but as with any treatment, there are potential side effects. The risks include (but are not limited to): swelling, firmness, lumps, pain, redness, bruising, itching, and vascular compromise. This occurs in less than 1% of patients in our practice. Talk to your doctor about any medications you are taking as these can increase the risk of bleeding or infection. Fillers are especially safe when you choose a trained professional like Dr. Shridharani to treat you.
Schedule a Consultation
Ready to learn more about Dermal Fillers and Botox injections and find out if you are a good candidate? Contact us at (212) 508-0000 to schedule an appointment with board-certified NYC Plastic Surgeon, Dr. Shridharani.