Injectables & Fillers
Conveniently located to serve the areas of New York, NY
At Plastic Surgery & Dermatology of NYC, we specialize in a variety of cosmetic injectables and dermal fillers designed to help smooth wrinkles, restore lost volume, and reduce the signs of aging in the face, neck, and hands.
Contents
Procedure
As we grow older, the appearance, tone, and texture of our skin are affected by both intrinsic and external factors. Aging skin produces less of the natural proteins and sugars that help to keep the skin looking young and healthy. At the same time, environmental factors and lifestyle choices (such as sun damage and smoking), can hasten the breakdown of key skin components. Over time, once abundant stores of collagen (which provides structural support and firmness), elastin (which provides elasticity), hyaluronic acid (which helps to keep the skin hydrated), and natural fat (which provides youthful fullness) are slowly depleted. As the skin becomes thinner, dryer, and less elastic, it will begin to sag, allowing wrinkles and deep creases to form. Areas of lost volume can make the face appear hollow and gaunt, and once smooth transition zones between the eyes, cheeks, nose, and lips can become more pronounced as soft tissue volume dissipates.
Cosmetic injectables can help temporarily reduce the signs of aging in the skin, leaving you looking younger and more refreshed. There are a wide variety of cosmetic injectables that work in different ways to help smooth lines and wrinkles, while replacing lost structure and volume. These include:
- Neurotoxins (BOTOX® , Dysport®, and XEOMIN®), which relax the muscles that cause dynamic wrinkles
- Hyaluronic acid fillers (Perlane®, Juvéderm®, Restylane®, Belotero®, Voluma™ XC), which help to restore lost volume
- Collagen stimulators (Sculptra®, RADIESSE®), which help to restore the underlying structure of the skin
- Autologous injections (Natural Fat, LAVIV™), which replace natural fat and fibroblasts, respectively, to restore youthful fullness and skin structure
Ideal Candidate
Not only do the various fillers work differently, they may also be best suited for injection in different facial areas, as well as at diverse depths. Understanding when and where to use specific fillers is vital to achieving the best results. As a board-certified dermatologist with expertise in cosmetic dermatology and facial rejuvenation, Dr. Jody Levine understands not only how each filler works individually, but also how they can be used synergistically as part of advanced layering techniques to provide the most youthful and natural-looking results. For example, Dr. Levine may elect to use one filler in the deep dermis to provide structural foundation, another in the mid-dermis to replace lost volume, and a superficial filler to help smooth away surface lines and wrinkles. Dr. Levine will meet with you to discuss your goals and help you determine the filler, or combination of fillers, best suited to your specific needs.
Treatment Areas
Cosmetic injectables can be used in a wide variety of places for effective facial contouring and rejuvenation. Certain fillers may also be used to reduce the signs of aging in the lips and hands. Some common treatment areas include:
- Glabellar lines (vertical lines between the brows)
- Nasolabial folds (“parenthesis lines” between the nose and mouth)
- Peri-orbital lines (around the eyes)
- Temporal hollows (on the temples)
- Tear trough/nasojugal groove
- Nasal defects
- Malar enhancement (upper cheeks)
- Nasal tip
- Full facial filling (to combat lipoatrophy)
- Submalar (lower cheeks)
- Marionette lines
- Lips
- Radial lip lines
- Lip border
- Chin
- Acne or trauma scarring
- Oral commissure (sides of mouth)
- Mental crease (between lips and chin)
- Jaw line contouring
- Hands
- Prominent neck bands
While most cosmetic injectables may be used in many of these areas, the chart below indicates the most common treatment areas for each injectable. Many of the common treatment areas mentioned in the chart describe off-label uses.
At a Glance
| FILLER NAME | COMPOSITION | HOW LONG DOES IT LAST* | WHERE IS IT INJECTED | MOST COMMON TREATMENT AREAS* |
| BOTOX® COSMETIC (onabotulinumtoxinA) and DYSPORT® (abobotulinumtoxinA) and XEOMIN® (incobotulinumtoxinA) | A natural, purified protein | Up to 4 months | Into muscles that cause wrinkles | Frown lines between the brows (glabellar lines); forehead creases; crow’s feet; lines around the mouth, nose, jaw, chin, and neck; excessive sweating in the underarms, hands, and feet. |
| BELOTERO® | Hyaluronic acid | Up to 1 year | Into mid to deep dermis | Facial wrinkles and folds such as smile lines, vertical lip lines, lines in the corner of the mouth, marionette lines, and crow’s feet. |
| JUVÉDERM® ULTRA and RESTYLANE® | Hyaluronic acid | Around 6 months | Into the mid dermis | Nasolabial folds, cheeks (in younger patients), marionette lines, hollows under the eyes, lip enhancement, lip borders, lines around mouth, corners of the mouth, philtrum (vertical groove between upper lip and nose), chin, back of hands, and temples. |
| JUVÉDERM® ULTRA PLUS and PERLANE® | Hyaluronic acid | Around 6 – 9 months | Into the mid to deep dermis | Deeper facial folds and wrinkles, nasolabial folds (smile lines), cheeks (upper and lower), marionette lines, acne scarring, chin augmentation, eyebrow lift, corners of the mouth, facial fat loss, hands, temples, and jowls. |
| VOLUMA™ XC | Hyaluronic acid | Up to 2 years | Into mid to deep dermis | Hollows in the mid-face and cheek area. |
| RADIESSE® | Calcium-based microspheres (calcium hydroxylapatite) | Around 9 -12 months | Into the mid to deep dermis | Nasolabial folds (smile lines), cheeks (upper and lower), chin, jaw line, nose, acne scars, depressed scars, oral commissures, temples, eyebrows, earlobes, and hands. |
| SCULPTRA® | Poly-L-lactic acid | Up to 2 years after an average of 3 treatment sessions over the course of several months | Into deep dermis and areas of depleted tissue volume | Full facial filling, correction of facial fat loss, deep nasolabial folds, marionette lines, hands, and hollowed temples. |
| NATURAL FAT | Natural fat from your own body | Long-lasting/ Permanent* | Into areas of depleted tissue volume | Full facial filling, correction of facial fat loss, deep nasolabial folds, marionette lines, hands, hollowed temples, buttocks, breasts (in select cases), and correction of liposuction defects |
| LAVIV™ | Fibroblast cells from your own body | A full 6 months after final treatment | Into superficial dermis | Nasolabial folds (smile lines), as well as fine lines above the lips, on the forehead, on the cheeks, and elsewhere on the face |
| SILICONE | Pure, medical-grade, liquid silicone | Permanent* | Into the lips | Lip enhancement |
| *NOTE: MANY OF THESE COMMON TREATMENT AREAS ARE OFF-LABEL USES. | ||||
Results
Absolutely. At PSD of NYC, one of qualities that makes our practice so unique is our ability to offer post-procedure treatment options that can enhance the overall quality of results and have you looking and feeling great as soon as possible. LED (Light-Emitting Diode) therapy is ideal following dermal fillers treatment because it can significantly reduce inflammation and hasten healing. Find out more about LED therapy.
Treatments Offered
We offer a full range of injectables, including:
Contact
The Drs. Levine will be happy to meet with you to discuss cosmetic injectables treatment. Please call our office at (212) 988-1800, or make an appointment online for a personal consultation in our New York City offices.