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One of the universal truths that we all face is that our faces change as we age. For many of us, this can often appear as the development of fine creases, deep wrinkles, skin laxity, and volume loss in the face. Though these changes are entirely natural, we often feel that our fine lines, sagging cheeks, or dynamic wrinkles make us look much older than we feel. These changes to our facial structure typically develop due to a lack of elastin and collagen production. In the past, this volume loss and aging was treated invasively through invasive plastic surgery. However, thanks to the advent of dermal fillers, such as Restylane, Juvederm, Radiesse and Sculptra, Dr. Michele Green is able to rejuvenate and reverse this process through dermal filler injections.

Over the last two decades, cosmetic injectables have soared in popularity around the world. Now, with the advent of a myriad of injectable fillers, cosmetic dermatologists, like Dr. Michele Green in NYC, are able to restore a more youthful appearance, in as little as 30 minutes, without surgery.  In the United States, the use of dermal fillers has grown exponentially. Statistics from the American Society of Plastic Surgeons show a continued  increase in millions of facial filler procedures performed in the United States annually. Thanks to dermal fillers, patients can now restore lost volume, enhance facial contour, and rejuvenate their appearance- giving patients a refreshed, renewed sense of self.

Hyaluronic acid fillers, such as Juvederm® and Restylane®, combined with injectables such as Botox®, Dysport®, and Xeomin®, have transformed cosmetic procedures forever. There are many different type of fillers, also called soft tissue fillers, which are currently utilized by cosmetic surgeons and cosmetic dermatologists, such as Dr. Green. Depending on the size and chemical makeup of the injectable filler, each dermal filler is best used in different parts of the face or body. During your consultation, Dr. Green will help choose the best combination of dermal fillers to restore a natural-looking, more youthful appearance, without any recovery time.

If you’re frustrated by fine lines, wrinkles, or age-related facial volume loss, board-certified dermatologist, Dr. Michele Green, is here to help. Dr. Green is an expert in Botox, Juvederm, Restylane, Sculptra, Bellafill, Voluma, Radiesse and all types of dermal fillers. In her discreet, private, NYC office, Dr. Green is able to replace lost volume to cheeks, chin, jawlines, temples, nasolabial folds, smooth lines and wrinkles, plump lips, and restore and rejuvenate the entire face. With over 25 years of experience in cosmetic dermatology, Dr. Green’s aesthetic artistry and her “less is more” philosophy makes her consistently voted as one of the best dermatologists in NY by Castle Connolly, The New York Times, Super Doctors, and New York Magazine.

Juvederm Voluma 2 weeks

Before & After photos: Juvederm Voluma 2 weeks

What do 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, jaw line
  • Improve sagging skin, are rejuvenate the jaw line 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.

What kind of fillers make you look younger?

To determine which filler will give you the results you’re looking for, Dr. Green will carefully examine your current skin condition, as well as your medical history and aesthetic goals. Dr. Green uses her expertise and artistic skill to design your dermal filler procedures for optimal facial rejuvenation.

Before & After Photo: Aquagold, Dermal fillers and VBeam

What are the different types of dermal fillers used?

Collagen injectables

Collagen injectables were the first, original injectable filler used in the United States. Collagen was derived from bovine collagen, and as such carried with it 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. These types of collagen injections, however, faded quickly after 3 months and constant maintenance was required.  Due to increased risk of allergic reactions and lack of longevity, Collagen injections were quickly replaced as a wrinkle filler when hyaluronic acid fillers were discovered.

Hyaluronic acid dermal fillers

Hyaluronic acid is a naturally occurring substance that is already present naturally in the body. Hyaluronic acid fillers are gel-like substances, which are soft, and are used to replace lost volume and treat lines and deep wrinkles. Hyaluronic acid binds to water when injected, and softens and hydrates the skin. After 2010, the FDA approved hyaluronic acid fillers compounded with lidocaine to make these dermal injections more comfortable for patients. Hyaluronic acid has the unique ability to plump and hydrate the skin. Hyaluronic acid injectable treatments are believed to have long-lasting effects. There have been recent studies which show that repeated injections of hyaluronic acid fillers stimulate the body to produces its own collagen. Over time, with the new collagen that is produced, there may be less dermal filler needed to achieve the same cosmetic effect.

Juvederm dermal fillers

Dr. Green was one of the first doctors in New York to incorporate JUVÉDERM treatments into her practice. This advanced formulation of hyaluronic acid (HA) can be used for deep lines and wrinkles, and results can last up to 12 months. There are many different types of Juvederm injections as some are designed strictly for the smile lines and some are distend for the fine lines around the mouth. The Juvederm family of dermal fillers are currently the number one injectable filler in the United States.

SC Before and after 1 treatment botox masseter MGWatermark

1 treatment of Botox to Masseter area

Juvederm Ultra Plus XC & Juvederm Ultra Plus

Juvederm Ultra Plus XC & Juvederm Ultra Plus are composed of a hyaluronic acid gel, which has the same exact formula, accept the XC form contains lidocaine (an anesthetic). Juvederm is injected into the skin and acts like a sponge to fill in winkles and fine lines and areas of volume depletion. It has a bit thicker consistency than Juvederm Volbella, and is used commonly as a filler treatment for smile lines.  Juvederm Ultra Plus is a very popular dermal filler for lip augmentation.

Juvederm Voluma

Juvederm Voluma is one of the most popular filler treatments.  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 last up to 18 months. Juvederm Voluma was designed to replace the lost volume in the cheekbones and malar area.

Juvederm Volbella

Juvederm Volbella was designed to treat fine lines, in particular the lines around the mouth 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 family of dermal fillers

Restylane is specially formulated to re-populate the loss of hyaluronic acid that is partially responsible for the appearance of aging and the development of wrinkles. Restylane and Restylane-L contain the same dermal filler, but Restylane-L is compounded with lidocaine to minimize the pain of injections. Restylane was originally FDA approved in 2003 for the treatment of nasolabial folds, and Restylane-L in 2010. Restylane injections can last approximately six to nine months. Restylane is used for a natural soft look on lips, smile lines and other areas of the face.  In addition, Restylane is injected into hands frequently to replace lost volume for hand rejuvenation.

RL 30yo female before after Botox lip flip and 1 syringe of Restylane li...

Botox & 1 syringe of Restylane to lips

Restylane Lyft injectable

Restylane Lyft was originally marketed under the name Perlane, and is similar to Restylane, except the particles are larger in size and can be used for the treatment of deeper smile lines, winkles, and volume loss correction. Restylane Lyft has been recently FDA approved for augmenting cheekbones and volume lost in that area of the face. Restylane Lyft is also used commonly in the oral commissures as it has the highest G prime of any dermal filler. Restylane Lyft typically lasts 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 brand new hyaluronic acid lip filler that is perfect for pillowy, luscious lip enhancement. Restylane Kysse is FDA-approved for patients 21 years and older, and also 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. Its 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 nonresorbable polymethylmethacrylate (PMMA) microspheres suspended in a water-based gels compounded with bovine collagen and lidocaine. This synthetic injectable was originally approved for smile lines.  It has now gained in popularity to treat acne scars. Since this product contains bovine collage, 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 injections

Sculptra is a safe, effective cosmetic injection that is made from Poly-l-lactic acid.  Sculptra is a liquid injection and can be injected at the same time as other dermal fillers.  Sculptra is technically called a “collagen simulator” since it helps your skin rebuild its own natural collagen. By injecting Sculptra into the deeper areas of the face, you are boosting the skin’s natural collagen production to have even longer lasting results. Due to Sculptra’s ability to be used in multiple anatomic locations in the face, it is an ideal product for pan-facial rejuvenation. The results of Sculptra injections last up to two years.

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. There is also no simple way to reverse fat grafting if you are unhappy with the cosmetic 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. 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.

Another common side effect of dermal filler injections is bruising. After the bruising starts to improve, the area can appear discolored for a period of time. This is a temporary side effect and Dr. Green recommends using a good cover-up or makeup, along with your skin care products, to conceal the area until it resolves. It is important to use sunscreens daily after dermal fillers to help protect against this hyperpigmentation and to avoid increased sun damage and wrinkle formation. To minimize bruising or prevent its occurrence, Dr. Green always recommends taking Arnica Forte for several days before your injectable procedure and avoiding any blood thinners or wine for at least one week before your dermal filler treatment. Swelling and Redness are common side effects at the site of injection.  Icing the treated area immediately after your injections, minimizes this reaction. Finally, the Tyndall effect is another potential side effect from hyaluronic acid filler injections. If the hyaluronic acid filler is injected too superficially, the injection site can appear blue. This color change can last several months in the treated area but can be reversed with hyaluronidase to dissolve the dermal filler.

How to 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 dermal fillers 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 encourages patients to do their research and feel confident in the aesthetic that they are looking for and embraces a “less is more” philosophy when it comes to cosmetic injections to ensure that all of her dermal filler treatments are artfully performed with naturally looking results.

botox dermal shutterstock v2

Can you bruise after dermal fillers?

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. Dr. Green can advise further during your consultation with dermal fillers. 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 be allergic to dermal fillers?

An allergic reaction is a rare, yet serious potential concern with any injectable. Patients may develop small bumps or nodules at the site of injection. These bumps can usually be dissolved with hyaluronidase 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?

Black Market dermal fillers have become a problem in the past few years. Make sure you are receiving FDA approved cosmetic fillers which are make according to authorized guidelines to avoid any potential side effects.  Don’t purchase injectable fillers outside a medical office, since you do not know the quality or material which the product is made from. It is so important to consult a reputable board certified dermatologist, like Dr. Michele Green, for your cosmetic injections, to have the least risks of adverse reactions and the best 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.

Can beauticians inject dermal fillers?

Only certified medical professionals are trained to safely administer dermal injections and, for this reason, beauticians should not be relied upon for dermal fillers or other injectable treatments. Additionally, medical spas often schedule injectable 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.

Can dental nurses inject dermal Fillers?

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.

ML 28yo Before after restylane lip filler MGWatermark

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 and . 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 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 to Expect During the Consultation?

If you are interested in dermal fillers, your first step would be a consultation with Dr. Michele Green in her private NYC cosmetic dermatology office. Before and after photos are taken for your records, and a complete medical and cosmetic intake is completed, including current medications, allergies, and details of any cosmetic procedures you’ve had in the past. If you are taking blood thinners, you will be asked to refrain from taking 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 fillers with Botox injections and cosmetic laser treatments 

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. You might recognize dynamic wrinkles on the forehead, the glabella (furrow between the eyebrows), and the lines around the eyes (crow’s feet). Botox, Dysport, and Xeomin are injectable neurotoxins that relax the muscles of facial expression, ultimately softening the associated 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 combine hyaluronic acid fillers with longer acting, deeper fillers like Sculptra, since this will add great deeper structure to the face, which may have lost a lot of volume from aging. Multiple dermal fillers can be combined with different kind of fillers to create a “liquid face lift”.  This procedure allows Dr. Green to treat multiple areas during the same visit, such as the marionette lines, smile lines, temples, chin, and replace volume in the cheeks, lips, or under the eyes.  This technique also allows Dr. Green to sculpt and reshape facial contours and provide complete facial rejuvenation. In addition, lasers such as the V-Beam laser for redness and Fraxel for pigmentation are combined with dermal fillers to enhance your facial rejuvenation.

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

Dermal fillers are semi permanent and, on average, last anywhere between 6 months to two 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 location that the filler is injected. 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.

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.

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. 1 ml of dermal filler is enough to produce subtle and natural, yet beautiful cosmetic results. Patients who are younger typically only need 1-2 ml’s 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 a 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 lasts for up to two years after injected. Sculptra is designed to stimulate collagen production within the skin and used to correct a sunken, hollow appearance as well as restore facial volume. 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 too discuss your particular cosmetic goals and determine with her an appropriate treatment plan and timeline to provide you with the best results.

What can I expect after dermal fillers?

The most common side effects 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 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. To prevent bruising and unwanted downtime, Dr. Green always recommends discontinuing any potential blood thinners, such as Aspirin, Aleve, Motrin, Multivitamins, Fish oil, or other herbal supplements.

Do dermal fillers hurt?

No! Dermal filler injections are not typically 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 injections. 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 aerobic exercise for at least 48 hours following dermal filler treatment in order to prevent excessive swelling or bruising. On average, most dermal fillers last six to twelve months on average. The absorption rate of your dermal filler will ultimately be dependent upon your metabolism, the area of the body treated, and the amount of product injected. Patients with a faster metabolism should expect to have regular maintenance treatment sessions every 6 months or so to sustain their ideal cosmetic results. Patients who have augmentation with dermal fillers in the nasolabial area may require more maintenance sessions than patients who only have dermal filler injected into the tear troughs. This is because frequent movement in the treatment area can contribute to a quicker metabolism of the dermal filler product. 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 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, as well as 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.

Am I a candidate for treatment with dermal fillers?

It can feel somewhat intimidating to seek out dermal filler treatment for the first time. Many patients who are interested in cosmetic injectables may initially be concerned with the cosmetic results. Thanks to a myriad of amazing dermal filler products, these rejuvenating injectable treatments are incredibly successful. Patients from their mid-20’s to their late 70’s all are good candidates for the correct dermal fillers. Choosing the “best” dermal filler for you, to have naturally looking, rejuvenated results, is one of the reasons why Dr. Michele Green is consistently voted as one of New York City’s best dermatologists by Castle Connolly, New York Magazine, Super Doctors and The New York Times. Dr. Green will work with you to develop a custom treatment plan that will help you to look and feel like your best self.

If you’re frustrated by the appearance of creases, fine lines, and deep wrinkles that cause you to look older than you feel, dermal filler treatment may be the solution for you. Whether they’re caused by dynamic expression, age-related volume loss, or sun damage, Dr. Green is here to help. Dr. Michele Green has over two decades of experience providing some of the most discerning men and women from around the globe with Botox and dermal filler injections in her discreet, private, NYC dermatology office. Dr. Green’s experience and artistry make her one of the most sought out cosmetic injectors in New York. Please contact us online today or call 212-535-3088 to learn more about why dermal fillers may be the best treatment for you.

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