Dermal Fillers

Deep creases, fine lines, volume loss, and lack of facial definition can, for many, contribute to feelings of self-consciousness. Sun damage, the natural aging process, and repetitive facial expressions can cause these signs of aging to develop over time. In the past, the only solutions available for addressing these skin concerns were skincare products and plastic surgery. Consulting with a cosmetic surgeon isn’t always an option, and, unfortunately, skincare doesn’t always deliver our ideal results. Thanks to the development of injectable dermal fillers, Dr. Michele Green in New York City can restore lost volume, enhance the contour of facial features, and offer pan-facial rejuvenation to her patients without the need for invasive cosmetic surgery or extensive downtime.

In recent years, dermal filler treatment has skyrocketed in popularity. Statistics from the American Society of Plastic Surgeons show that millions of facial filler procedures are performed in the United States annually. Some of the most commonly used cosmetic injectables include hyaluronic acid fillers such as Juvederm® and Restylane®, and injectable neurotoxins such as Botox®, and Sculptra for stimulating collagen production. Using the right combination of injectables, patients can achieve pan-facial rejuvenation that is natural-looking and long-lasting.

To guarantee that you achieve ideal cosmetic results and avoid unwanted side effects, it is important to have dermal filler treatment with a board-certified dermatologist. Dr. Michele Green in NYC is an internationally recognized expert in the field of cosmetic dermatology, with over 25 years of experience providing the best non-surgical rejuvenation treatments available including dermal fillers. Dr. Green’s aesthetic artistry and her “less is more” philosophy are among the reasons why she is consistently voted as one of the best dermatologists in NY by Castle Connolly, The New York Times, Super Doctors, and New York Magazine. When you consult with Dr. Green, she will work with you to create a customized treatment plan that incorporates the best combination of dermal fillers to restore a natural-looking, more youthful appearance that lasts.

Before & After photos: Juvederm Voluma 2 weeks

What are dermal fillers?

Dermal fillers are a type of cosmetic injectable that can be used to create a smoother, more youthful appearance by enhancing contour, diminishing wrinkles, and restoring facial volume. Designed for injection beneath the skin’s surface, facial fillers offer patients a solution for rejuvenation without the need for plastic surgery. There are different types of dermal fillers that are composed of various substances. The most common types of dermal fillers are made of hyaluronic acid, poly-l-lactic acid, and calcium hydroxylapatite. The cosmetic effects of dermal filler treatment are semi-permanent, and most patients choose to engage in regular maintenance treatment sessions to keep up their ideal results.

What can injectable dermal fillers treat?

• Nasolabial folds or smile lines
• Deep wrinkles and fine lines
• Smooth out lines around the mouth and oral commissures, Marionette lines, and Frown lines
• Rejuvenate the lips
• Under eye hollows (tear trough)
• Treat the lines above the lips (“smoker’s lines”)
• Treat lines in the neck
• Increase volume in the cheeks, chin, temples, jawline
• Improve sagging skin, are rejuvenate the jawline and jowls
• Replace lost volume in the hands
• Rejuvenate the décolletage, arms, and knees
• Restore volume and enhance buttocks (BBL)

Do dermal fillers make you look “younger”?

Yes! Dermal fillers are designed to correct age-related volume loss, reduce the appearance of fine lines and wrinkles on the face, and enhance the cheeks, jawlines, and lips. Additionally, the majority of dermal fillers boost collagen production in the skin, which can help to improve skin texture and elasticity. For many patients, this means that dermal fillers can, in fact, create a more youthful appearance. When combined with Botox injections for the treatment of dynamic wrinkles, patients can effectively target multiple aspects of the signs of aging and achieve pan-facial rejuvenation. If you are interested in revitalizing your appearance and restoring a naturally youthful look, schedule a consultation with board-certified cosmetic dermatologist, Dr. Michele Green in NYC. Dr. Green is an expert in the field of cosmetic dermatology with over 25 years of experience providing some of the most discerning men and women from around the globe with their ideal rejuvenation results.

Before & After Photo: Aquagold, Dermal fillers and VBeam

Types of dermal fillers

Collagen injectables

Collagen injectables were the first type of injectable filler used in the United States. The collagen for these fillers was derived from bovine collagen, and as such was associated with a higher incidence of allergic reactions. Collagen injections were manufactured in two forms, Zyderm and Zyplast. Cosmoderm and Cosmoplast were also very popular collagen-based dermal fillers. The effects provided by these types of collagen injections, however, tended to fade relatively quickly, after 3 months, and constant maintenance was required. Due to the increased risk of allergic reactions and lack of longevity, Collagen injections were quickly replaced when hyaluronic acid fillers were developed for facial rejuvenation.

Hyaluronic acid dermal fillers

Hyaluronic acid injectable fillers are an incredibly common type of dermal filler for enhancing contour, replenishing lost volume, and reducing the appearance of fine lines and deep wrinkles. Hyaluronic acid is a substance that naturally occurs in the skin and supplies it with essential hydration and youthful suppleness. Hyaluronic acid fillers are gel-like substances that, when injected, bind with the water that is present in the skin. The result is a lifting and plumping effect as well as an overall smoother skin texture. After 2010, the FDA approved hyaluronic acid fillers compounded with lidocaine to make these dermal injections more comfortable for patients.

In addition, recent studies have demonstrated that, over time, treatments with hyaluronic acid filler injections stimulate the production of new collagen in the skin. Collagen is a protein in the skin that supports the underlying structure of skin to provide it with a firm foundation, and also contributes to a youthful appearance. Patients that choose to engage in regular maintenance sessions for their hyaluronic acid filler injections may find that they need a smaller amount of dermal filler product in subsequent sessions to achieve their ideal cosmetic effects.

Juvederm dermal fillers

Dr. Green was one of the first dermatologists in New York City to incorporate Juvederm dermal filler treatments into her practice. Juvederm’s advanced formulation of hyaluronic acid (HA) can be used for deep lines and wrinkles, and the cosmetic results can last for up to 12 months. There are several types of hyaluronic acid dermal filler products within the Juvederm family. Each Juvederm dermal filler product has a unique composition that makes it best suited for treating a different area of the face. An expert injector, such as board-certified dermatologist Dr. Michele Green in NYC, understands the properties of each dermal filler product and can recommend the appropriate combination of injectables for addressing your specific needs and achieving your goals. Juvederm dermal fillers are among the most popular hyaluronic acid fillers in the United States, and are described in detail below.

1 treatment of Botox to Masseter area

Juvederm Ultra Plus XC & Juvederm Ultra Plus

Juvederm Ultra Plus and Juvederm Ultra Plus XC are ideal for injection into the mid and lower face. The formulas are relatively thick in comparison to other hyaluronic acid fillers, which is beneficial when it comes to treating deep wrinkles, such as the nasolabial folds and marionette lines. Juvederm Ultra Plus XC is also an excellent injectable for lip augmentation. Juvederm Ultra Plus XC is compounded with lidocaine, a local anesthetic that helps reduce discomfort associated with injections.

Juvederm Voluma

Juvederm Voluma is one of the most popular injectables used for dermal filler treatments. Juvederm Voluma was designed to enhance contour and replace lost volume in the cheekbones and malar area. Voluma is designed to help restore youthful contours by plumping up the cheeks and chin where the aging process has caused volume loss. This advanced formulation of hyaluronic acid can produce natural-looking cosmetic results that last up to 12 months.

Juvederm Volbella

Juvederm Volbella is designed to treat fine lines, in particular those lines around the lips and for “smoker’s lines.” Juvederm Volbella lasts approximately 12 months in duration, depending both on the amount of product and the area injected.

Juvederm Vollure

Juvederm Vollure was designed to treat the smile lines or nasolabial folds. Juvederm Vollure has a longevity of 18 months which is very appealing due to the decreased need for constant re-injection.

Restylane dermal fillers

The Restylane family of dermal fillers, manufactured by Galderma, are composed of hyaluronic acid and very popular option for reducing fine lines and wrinkles and enhancing contour. Dr. Green is consistently voted as one of New York City’s best dermatologists, and has been offering Restylane injections to her patients in Manhattan’s Upper East Side since it was first introduced as a dermal filler. The complete Restylane line of dermal filler products includes Restylane-L, Restylane Silk, Restylane Lyft, Restylane Defyne, Restylane Refyne, Restylane Kysse, Restylane Contour, Restylane SkinBoosters, and Dysport. Each Restylane injectable has its own unique particle size, designed to treat various areas of the face, from fine lines to severe wrinkles. These dermal fillers correct deep and fine wrinkles and add volume to restore fullness to your face to produce overall skin rejuvenation and a more youthful appearance, and are described further below.

Restylane-L

Restylane-L® is a hyaluronic acid filler designed for correcting moderate facial wrinkles around the corners of the mouth, marionette lines, laugh lines, and the tear trough area (under eye area). Restylane-L is also a favorite dermal filler product for providing natural, soft, lip augmentation. The cosmetic effects of injection with Restylane-L last for approximately 6 to 9 months. Restylane-L is compounded with lidocaine to minimize any potential discomfort associated with injections.

Restylane Lyft

Restylane Lyft, originally marketed under the name Perlane, is a hyaluronic acid filler with a relatively large particle size and the highest G prime of any dermal filler. Restylane Lyft is an ideal injectable for the treatment of deep wrinkles and volume loss correction in the face and hands. Restylane Lyft is also FDA approved for cheek augmentation, and is commonly injected into the oral commissures. The cosmetic effects of injections with Restylane Lyft typically last 9 to 12 months in duration.

Restylane Silk 

Restylane Silk is a dermal filler which was FDA approved for use in 2014 for fine lines in the perioral area, and lips, due to its smaller size molecule.

Restylane Refyne & Restylane Defyne

Restylane Refyne and Restylane Defyne are the newest Restylane products which are designed with XpresHAn Technology™  which allows easy movement of the face in the areas it has been injected. Restylane Refyne treats moderate lines and wrinkles, whereas Restylane Defyne treats moderate to deep winkles.

Restylane Kysse

Restylane Kysse is a hyaluronic acid filler designed for lip augmentation, perfect for providing pillowy, luscious lip enhancement. Restylane Kysse is FDA-approved for patients 21 years and older, and relies on innovative XpresHAn Technology™ to provide volume and hydration to the lips while  maintaining a natural look. Additionally, the ability of Restylane Kysse’s formulation to mold to your natural tissues means that less product is required for optimal results. Results are incredibly long-lasting, with volumizing and rejuvenating effects for up to twelve months.

Belotero Balance 

Belotero is a thin hyaluronic acid filler designed to treat fine lines and wrinkles.  Belotero replaces lost hyaluronic acid caused by the natural aging process, filling in fine lines. Its unique properties offer a soft, even correction to those delicate areas of the face such as lip lines, and the tear trough area under the eyes. One of the benefits of Belotero is that it is much less likely than other hyaluronic dermal fillers to cause the Tyndall effect.

Bellafill injectable

Bellafill was originally FDA approved in 2007 as Artefill. Bellafill is composed of non-resorbable polymethylmethacrylate (PMMA) microspheres suspended in a water-based gels compounded with bovine collagen and lidocaine. This synthetic injectable was originally approved for reducing the appearance of smile lines. It can also be used to diminish the appearance of acne scars. Since this product contains bovine collagen, skin tests are required to make sure that the patient is not allergic to this filler. Bellafill has been reported to last for more than five years in duration.

Radiesse

Radiesse is an injectable filler made of calcium hydroxylapatite, which replenishes the lost collagen under your skin and promotes an increase in your natural collagen production. Radiesse can last up to a year in duration and can be for for pan-facial rejuvenation.

Sculptra

Sculptra is a cosmetic injectable that is composed of a substance called poly-L-lactic acid. Once injected, Sculptra stimulates the production of new collagen in the skin. Collagen is a protein in the skin that provides structural support and a firm skin texture. As part of the natural aging process, collagen in the skin is broken down over time, leading to the signs of aging. By restoring collagen to the treatment area, Sculptra injections can replenish lost volume and create a more youthful appearance. The cosmetic effects are long-lasting, with results remaining for up to two years after the completion of an initial short series of injections with Sculptra. Due to Sculptra’s ability to be used in multiple anatomic locations in the face, it is an ideal product for pan-facial rejuvenation. Sculptra can also be used to treat other areas of the body, including the neck, décolletage, and buttocks.

Botox, Juvederm Voluma and Vollure – 2 weeks before / after

Autologous Wrinkle Fillers

Platelet-Rich Plasma Injections (PRP) is a type of autologous wrinkle filler which is extremely popular due to its holistic approach. Blood is drawn from your arm, centrifuged in a special machine, and the platelet rich plasma removed and injected into your face. Some patients choose to have microneedling with PRP at the same time to help with fine lines, texture, and tone.  The effects of Platelet-Rich Plasma (PRP) injections can last more than a year. Since the blood is taken from your own body, this is a very natural and holistic approach to cosmetic injections and skin rejuvenation.

Another form of autologous wrinkle injections are using your own fat. Fat Grafts are a procedure where your fat is surgically removed from an area of your body, such as your stomach or buttocks, and injected into your face. Since fat grafts require liposuction to harvest the fat, and costly purification processes, it has lost a great deal of popularity in the recent years. Unfortunately, there is not a simple technique for correcting or reversing the effects of fat grafting if treatment has produced unsatisfactory results.

How long do dermal fillers take to settle?

One of the greatest benefits associated with dermal fillers is how quickly the results are apparent. As a matter of fact, many patients indicate that they see significant improvement immediately following their treatment with cosmetic injectables. Though the amount of time it takes for dermal fillers to settle will vary from filler to filler, the majority of dermal filler products produce excellent results that are observable within the first week of treatment. In general, you can expect that your final treatment results will be apparent approximately two weeks after your procedure.

What are the side effects of filler injections?

• Bruising
• Swelling
• Lumps
• Uneven results
• Discoloration
• Redness
• Pruritus
• Tyndall Effect

One common side effect of dermal fillers are lumps or an uneven distribution or injection of dermal fillers. However, if you are unhappy with your results, hyaluronic acid dermal fillers like Juvederm and Restylane can easily be reversed with hyaluronidase injections. Hyaluronidase is an enzyme that has the ability to dissolve unwanted hyaluronic acid fillers. Some facial fillers, such as Juvederm Voluma, are thicker than other types of fillers and may require repeated injections of hyaluronidase to fully dissolve. Dr. Green has treated a number of patients who have had cosmetic injections with inexperienced injectors in medical spas and are unhappy with their cosmetic results. It is essential to carefully select an expert injector, like Dr. Michele Green, when having cosmetic injections in order to avoid poor cosmetic results. This is especially true for some dermal fillers, like Sculptra, that are not dissolvable with hyaluronidase.

Bruising at or near the injection site is another potential adverse event that can occur with any kind of cosmetic injection. In order to avoid the side effect of bruising and prevent unwanted downtime, Dr. Green always recommends to her patients that they discontinue the use of any blood thinners 1-2 weeks in advance of their appointment. This includes Aspirin, Aleve, Motrin, Multivitamins, Fish oil, and several other herbal supplements. Additionally, an herbal supplement called Arnika Forte can be taken for 1-2 days before your cosmetic injections as well as in the time following your appointment to further protect against bruising.

Can you tell if someone has fillers?

The best dermal filler treatments should be virtually undetectable to someone passing by on a busy New York street. The goal of cosmetic treatment with dermal filler injections is to enhance the natural beauty of each individual patient, while reducing the appearance of facial wrinkles and helping to correct age-related volume loss. Dr. Green embraces a “less is more” philosophy when it comes to facial rejuvenation treatment with cosmetic injections to ensure that all of her dermal filler treatments are artfully performed with long-lasting, natural-looking results.

Can you be allergic to dermal fillers?

An allergic reaction is a rare, yet serious potential concern with any injectable. An allergic reaction to a filler may be characterized by the development of small bumps or nodules at or near the sites of injection. A patient who has been treated with hyaluronic acid dermal fillers and has developed nodules as a result of an allergic reaction can, typically, have the bumps dissolved with injections of Hyaluronidase. Hylenex and Vitrase are the brand names for the injectable enzyme called hyaluronidase which dissolves the nodule and reverses the effects of hylauronic acid filler injections. Should you notice the formation of any such nodules, it is important to alert your injector immediately so that it can be properly treated and reported to the dermal filler manufacturer.

Can I buy dermal fillers online?

No one should purchase dermal filler products online or have dermal filler treatment with an unqualified injector or in a non-medical setting. Dermal fillers, although used for cosmetic purposes, are classified by the FDA as medical products. Injectable fillers should only be used by board certified dermatologists who have experience with them and knowledge of their unique properties.

Dermal filler products that are available for purchase online are not guaranteed to be safe and effective for injection and should not be used. It is so important to consult a reputable board certified dermatologist, like Dr. Michele Green, for your cosmetic injections. Working with a dermatologist guarantees that you encounter the least amount of risk and achieve the best possible cosmetic results. Dermal fillers are classified by the FDA as medical devices and the use of such injectable fillers should only be used by board certified dermatologists and plastic surgeons who have experience with these procedures.

Who can inject dermal fillers?

Only certified medical professionals, such as a board-certified dermatologist, who is trained to safely administer dermal filler injections, should inject dermal fillers. Beauticians should not be relied upon for dermal fillers or other injectable treatments. Additionally, medical spas often schedule dermal filler treatment appointments without the required presence of a medical expert, which can lead to greater risks during treatment, such as a dermal filler being injected directly into a blood vessel. Dr. Green is a master of dermal injections, and the safety and satisfaction of her patients is her top priority.

Currently in the United States, dental practices are allowed to administer Botox or other dermal fillers provided that the injectable treatment is directly tied to a dental treatment. However, cosmetic injectable treatment is outside of the purview of dental professionals. In order to avoid unwanted side effects, unnecessary downtime, and to produce the best cosmetic results, dermal fillers and other cosmetic injectables should only ever be administered by a board-certified dermatologist. Dr. Green has over two decades of experience providing the best in cosmetic injectables and has the aesthetic expertise to provide a superior patient experience.

Before and after Restylane filler

How much do dermal fillers cost?

The cost of your dermal filler treatment is ultimately dependent on several factors, including the geographic location of the office in which you are treated, the experience level of your injector, the type of dermal filler product used, and the total number of syringes of dermal filler used. During your consultation with Dr. Green, an expert injector, you will have the opportunity to discuss your specific concerns and create a tailored treatment plan that caters to your cosmetic needs and goals. At this time, the precise cost of your dermal filler treatment will be determined.

The cost of dermal fillers varies from injector and location. A board certified dermatologist or board-certified plastic surgeon will generally be more expensive than a clinic or spa, who has nurses or ancillary specialists performing these cosmetic injections. It is important to do your research and Google the injector and make sure that they are using FDA-approved dermal fillers to avoid potential side effects. Board-certified dermatologists, like Dr. Green, have special advanced training in dermal fillers, and have been injecting soft tissue fillers for over 25 years.

Never let price alone determine who should be injecting your dermal fillers. Dermal fillers are considered a medical tool by the FDA because it is a serious treatment that requires extensive knowledge of anatomy. If the price is far less than standard cost, it is likely the you are receiving a different quality product or the experience of the injector is an issue. All wrinkle fillers should be performed under sterile conditions, in a medical office, and not at a “party”, private home, or an unlicensed spa. Dr. Michele Green is a member of the American Society of Dermatology and they closely regulate the best practices and safety of dermal fillers.

What is the process of having dermal filler treatment?

The first step in having dermal filler treatment is a consultation with expert injector, board-certified cosmetic dermatologist Dr. Michele Green. At her private dermatology office, located in the Upper East Side neighborhood of Manhattan, you will have the opportunity to discuss with Dr. Green regarding your specific skin concerns and aesthetic goals. First, photographs are taken of the treatment area for your private medical record. A thorough medical and cosmetic history will be collected, including current medications, allergies, and details of any cosmetic procedures you’ve had in the past.

If you are taking blood thinning medications or vitamins, you will be asked to discontinue them for at least one week before your filler procedure. Dr. Green will examine your facial structure with you and make recommendations for the best approach to cosmetic injections. Your treatment can be performed on the day of the consultation or scheduled for a later date, depending on preference and time allowance.

On the day of your treatment, a topical numbing cream should be applied to the treatment area one hour in advance of the injections in order to maximize comfort throughout the duration of the procedure. After one hour, the numbing cream is removed and the treatment area is cleaned with alcohol. Dr. Green then injects the best dermal fillers to provide you with a beautiful, youthful, natural-looking appearance. Ice compresses are applied immediately after the procedure to minimize any bruising or swelling. Dr. Green will ask you to return in two weeks to fully assess the cosmetic result of the filler injections and evaluate to see if any touch-up is needed.

Combining dermal filler treatment with other non-surgical procedures

Dermal fillers work beautifully to smooth out fine lines and wrinkles, provide facial contour, and restore lost facial volume. When it comes to diminishing dynamic wrinkles, however, an alternative cosmetic treatment is preferred. Dynamic wrinkles are those which are caused by repeated movement, such as making facial expressions. The most commonly affected areas of the face are the forehead, the glabella (furrow between the eyebrows), and the lines around the eyes (crow’s feet). Botox, Dysport, and Xeomin are injectable forms of botulinum toxin, a neruomodulator that relaxes the muscles responsible for facial expression. This ultimately results in softening the appearance of fine lines and preventing the formation of new dynamic wrinkles in the treatment area. Dr. Green treats many of her patients with Botox injections and cosmetic dermal fillers during the same appointment in order to provide total facial rejuvenation and a refreshed, youthful, natural appearance.

Many patients benefit from combing their hyaluronic acid filler treatment with Sculptra for a “liquid facelift”. Sculptra stimulates new collagen production in the treatment area. Collagen is a protein that is naturally found in the skin and provides it with a firm foundation. By inducing the generation of new collagen, Sculptra helps replenish lost facial volume and strengthen the underlying skin structure. Combining different types of cosmetic injectables enables an expert injector, such as Dr. Green, to target different areas of the face in a single treatment session. Whether a patient is looking to address the appearance of marionette lines, smile lines, temples, chin, or replace volume in the cheeks, lips, or under the eyes, cosmetic injectables can provide ideal results that are natural-looking and long-lasting.

How long do dermal fillers last? Are dermal fillers permanent?

Dermal fillers are semi permanent and, on average, last anywhere between 6 months to 2 years. The amount of time that your treatment lasts is ultimately dependent on the type of filler used, your metabolism, the amount of dermal filler product used, and the area of the face or body that the filler is injected into. During your consultation, Dr. Green will have a discussion with you regarding expectations for the longevity of your treatment, depending on the types of dermal fillers utilized and the number of syringes needed to produce your desired results.

Are dermal fillers safe?

Yes! Dermal fillers are completely safe, provided that your treatment is done with an experienced and knowledgeable health care professional in a medical setting. Although it is often more expensive to have dermal filler treatment with a board-certified dermatologist, like Dr. Green, it is imperative that you are selective when choosing your provider in order to avoid unnecessary complications and unwanted side effects. When you choose to work with Dr. Green, you can feel confident that you have an injector with both the expertise and experience to deliver dermal filler treatment in a safe, effective, and satisfactory manner.

One contraindication for treatment with dermal filler products is a history of an allergic reaction to cosmetic injectables. If you have had an adverse reaction to fillers in the past, discuss this with Dr. Green during your consultation.

How far does 1 ml of dermal filler go?

It may be hard to imagine how much just 1 ml of dermal filler can do. For many patients, 1 ml of dermal filler is enough product to produce subtle and natural, yet beautiful cosmetic results. Patients who are younger typically only need 1-2 ml of product to achieve their desired results. Patients with more evidence of fine lines and wrinkles, facial folds, volume loss, and skin laxity can have several ml’s of product injected in one treatment session without risking looking “overdone”. Dr. Green is an artful injector and prefers to embrace a “less is more” philosophy when it comes to cosmetic injections. There are many patients who are satisfied with the phenomenal results that Dr. Green can provide them with just a single syringe of dermal filler.

What are dermal fillers made of?

The majority of the dermal filler products used by Dr. Green are composed of hyaluronic acid. Hyaluronic acid is a naturally occurring substance within the connective tissue and an essential component of the skin’s foundation. By utilizing hyaluronic acid dermal fillers, Dr.
Green can replenish and add necessary volume, induce new collagen production, and provide youthful plumpness and firmness to the skin. This, in turn, results in a refreshed, smooth, and natural-looking complexion.

Dr. Green also frequently utilizes Sculptra, a dermal filler that’s composed of poly-L-lactic acid. Poly-L-lactic acid is a synthetic substance that is biodegradable and works by stimulating new collagen production. Sculptra is designed to correct a sunken, hollow appearance and restore facial volume. After a short series of Sculptra injections, the cosmetic effects from treatment last for up to two years. For her patients, Dr. Green takes a holistic approach to dermal filler treatment, customizing each treatment plan according to the facial anatomy of the patient, their skin concerns, and their desired cosmetic results. During your consultation with Dr. Green, you will have the time to discuss your particular cosmetic goals and determine with her an appropriate treatment plan and timeline that will provide you with the best results.

What can I expect after dermal fillers?

The most common side effect that patients experience after having treatment with dermal fillers is a mild amount of swelling. Some bruising may also occur, and patients with a high propensity for bruising are advised by Dr. Green to take an oral herbal supplement called Arnika Forte. Arnika can be taken for the two days leading up to your filler treatment as well as after your injections in order to prevent and heal any bruising. Dr. Green always recommends discontinuing any potential blood thinners, such as Aspirin, Aleve, Motrin, Multivitamins, Fish oil, or other herbal supplements, for two weeks in advance of your treatment session in order to best prevent bruising.

Do dermal fillers hurt?

No! Dermal filler injections are not usually painful. For patients who are sensitive, however, a topical anesthetic can be applied to the treatment area in advance of the procedure to reduce any discomfort. Numbing cream should be applied to clean skin, an hour prior to the scheduled treatment session. Before the injections, the numbing cream will be cleaned off and the skin sterilized. Additionally, most dermal filler products are compounded with lidocaine, further minimizing any potential discomfort.

Does exercise dissolve dermal fillers?

No! Currently, there is no evidence that indicates exercise influences the longevity of dermal filler treatment. It is recommended, however, to refrain from strenuous exercise for at least 48 hours following dermal filler injections in order to prevent excessive swelling or bruising. On average, the cosmetic effects of most dermal fillers last 6-12 months. The absorption rate of your dermal filler will ultimately depend on the speed of your metabolism, the area of the face that was injected, and the type and amount of dermal filler used. In your consultation with Dr. Green, you will have the opportunity to learn more about the ideal timeline for treatment with dermal fillers and how to achieve and maintain your desired results.

What are dermal fillers used for?

Dermal fillers are used for restoring lost facial volume, enhancing facial contour, and smoothing out fine lines and wrinkles. Part of the aging process involves the loss of subcutaneous fat from the face, which provides us with a youthful, supple appearance. Injections with dermal fillers can replenish some of this lost volume and create a rejuvenated, refreshed appearance. Dermal fillers can also be used to reduce the appearance of darkened, hollow under eyes that are caused by tear troughs, improve the look of acne scars, and naturally enhance facial features such as the jawline or the lips. No matter what your concern may be, Dr. Green can customize your dermal filler treatment to provide you with optimal cosmetic results.

How long do fillers last in the smile lines?

Depending on the type of dermal filler used for your treatment, the results of your injections can last anywhere from 6-12 months, on average. Patients enjoy that their dermal filler treatment allows them to rejuvenate their appearance and achieve a smoother complexion without the need for an invasive surgical procedure that is often accompanied by a significant amount of downtime.

Do dermal fillers cause cancer?

No, dermal fillers do not cause cancer. There is no evidence that facial fillers are associated with cancer. The safety and efficacy of dermal filler products that are used by medical professionals are demonstrated by their FDA approval. In addition, other cosmetic injectable treatments that are provided in the office of a board-certified dermatologist, including Botox and other neuromodulators, are safe and effective options for rejuvenation that are not connected with any long-term dangerous side effects.

Which dermal fillers last the longest?

There are a number of long-lasting dermal filler products that can be a great alternative to cosmetic surgery and provide patients with low-maintenance facial rejuvenation results. Restylane, Juvederm, and Sculptra are durable dermal filler products that can be used to create natural-looking, long-lasting facial rejuvenation results. These products typically last for 1-2 years, although the precise amount of time that the cosmetic effects of your treatment will last is dependent upon multiple factors. The area of the face that is injected, the type of dermal filler used for treatment, and the metabolism of the patient can all influence the duration of the results. Most patients choose to engage in an annual maintenance treatment session to keep up the best cosmetic results. When you work with Dr. Green in NYC for your dermal filler treatment, she will help you develop a treatment plan and timeline for your dermal filler injections that is best suited to your needs and goals.

How to sleep after dermal filler treatment

Patients enjoy the fact that, with dermal filler treatment, there is very little aftercare and essentially little downtime involved. It is recommended, however, that patients refrain from sleeping on the treatment area for 24-48 hours following injections. Patients who have had a facial filler procedure should sleep on their back in a slightly elevated position in order to keep pressure off the area. When you have your dermal filler treatment with Dr. Michele Green in NYC, she will provide you with all of the pertinent aftercare information for your procedure.

Am I a candidate for treatment with dermal fillers?

Many patients who are interested in cosmetic injectables may initially be concerned with whether or not they are good candidates for the treatment. Thanks to a myriad of amazing dermal filler products, rejuvenating injectable treatments are incredibly successful when it comes to addressing a host of skin concerns including fine lines, wrinkles, facial volume loss, lack of definition or contour, and even acne scars or stretch marks. Overall healthy individuals that are in their mid-20s to their late 70’s all are good candidates for treatment with injectable dermal fillers. When it comes to choosing the “best” dermal filler products for meeting your needs and goals, it takes an experienced and knowledgeable expert. Dr. Green’s artistry and consistently stunning rejuvenation results are among the reasons that she is regularly voted as one of New York’s best dermatologists by Castle Connolly, New York Magazine, Super Doctors, and The New York Times. When you consult with Dr. Green, she will work with you to develop a custom treatment plan that will help you to look and feel like your best self.

How to get started with dermal filler treatment

Facial creases, fine lines, and volume loss develop as a part of the natural aging process, but, for many, may cause feelings of self-consciousness. For those of us who are starting to feel older than we truly are due to various signs of aging, but are not yet ready for the discomfort and downtime associated with cosmetic surgery, there are non-surgical procedures available that can help. If you are interested in enhancing the contour of your facial features, replenishing lost volume, and reducing the appearance of wrinkles, dermal filler treatment may be just the solution for you. Whether caused by dynamic expression, age-related volume loss, or sun damage, Dr. Green is here to help.

Dr. Michele Green is an internationally renowned expert in the field of cosmetic dermatology with over two and a half decades of experience providing the best non-invasive cosmetic solutions available, including dermal fillers and Botox injections. Dr. Green is consistently voted as one of the best physicians in New York City by Castle Connolly, New York Magazine, and Super Doctors for her holistic approach and ‘less is more’ philosophy when it comes to facial rejuvenation treatment. When you consult with Dr. Green at her private, boutique dermatology office located in the Upper East Side neighborhood of Manhattan, you will have the opportunity to discuss with her in-depth regarding your specific skin concerns and unique cosmetic goals. She will then work with you to create a customized rejuvenation treatment plan that is best suited to your needs. Dr. Green’s experience and artistry make her one of the most highly sought cosmetic injectors in New York. To schedule a consultation with Dr. Green and learn more about non-invasive cosmetic rejuvenation, please contact us online today or call 212-535-3088.