Dr. Michele Green Explains The Ins And Outs Of Facial Fillers

Cosmetic Treatments, Doctor's Talk March 31, 2022 By Brooke Klaiman

Michele S. Green M.D., FAAD., is a Board-Certified Cosmetic Dermatologist, Fellow of the American Academy of Dermatology, and has been an international leader in cosmetic dermatology for over 25 years. Upper East Side patients and those around the globe flock to her practice for cosmetic dermatology treatment. A graduate from Yale University, with an MD and Chief residency from The Mount Sinai School of Medicine in NYC, Dr. Green treats some of the most discerning, demanding women and men in the world, with issues ranging from premature skin aging to hyperpigmentation, rosacea, wrinkles, acne, skin laxity, hair loss, and sun damage.

Photo Credit: Shutterstock

Haute Beauty Expert Dr. Michele S. Green skillfully performs the latest non-invasive cosmetic treatments, that will rejuvenate your skin, without the need for plastic surgery. Facial fillers are an excellent example of such treatments and Dr. Green was one of the first dermatologists in New York to incorporate Restylane and Juvederm into her private, boutique, New York City dermatology office.

What are Facial Fillers?

A Facial Filler is a term used to describe a facial cosmetic procedure that relies on dermal fillers. While there are several kinds of dermal fillers, they are commonly administered as an injectable, and each of which varies by way of benefits and formulation. Facial fillers have become a popular method to treat a variety of issues. They have been popularized by celebrities who rely on hyaluronic acid filler for lip augmentation, and are often a go-to for women who are interested in reducing the appearance of facial wrinkles. Dermal fillers are designed to boost volume in the treatment area, such as in the mid-face, cheeks, chin, and jowl area. Cosmetic facial fillers also help eliminate fine lines and wrinkles, including smile lines (nasolabial folds), marionette lines, and vertical lip lines.

Facial fillers have also been proven to reduce the appearance of depressed scars, like acne scars, by restoring volume to the depressed area. In summary, facial fillers are an excellent option for patients looking to restore volume, whether it is volume that has been lost in the midface during the natural aging process, or simple lip, cheek or chin augmentation to enhance the contouring of the face.

What You Need to Know About Dermal Fillers

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, such as Restylane, Juvederm, Radiesse and Sculptra, patients can now restore lost volume, enhance facial contour, and rejuvenate their appearance- giving patients a refreshed, renewed sense of self.

Botox NYC & Botox Injections

Dr. Michele Green is an Allergan platinum injector of Botox in NYC and a leader in cosmetic injectables and non-invasive facial treatments. Dr. Green has been described as providing the “best Botox in New York” with over two decades of experience in Botox injections. Her “less is more” philosophy and artistic natural looking results will leave you the best version of yourself. “The goal is to look rejuvenated and not ‘frozen’ when it comes to Botox and dermal fillers,” says Dr. Green. By combining “baby Botox” injections and “Botox sprinkles,” Dr. Green’s unique technique for Botox treatments will leave you younger looking after a single visit to her boutique private New York office.

Since the approval from the Federal Drug Administration (FDA) for the treatment of glabella wrinkles, Botox NYC treatment has been one of the most popular cosmetic treatments in the USA. Dr. Green has been described as one of the best Botox injectors in NYC.

Before Botox and other cosmetic injectables were invented, patients were forced to have invasive cosmetic procedures, such as facelifts and other plastic surgery for facial rejuvenation. Botox was the first drug to use botulinum toxin.

Botox and other cosmetic injections allow for facial rejuvenation to be accomplished in a single treatment.

After one syringe of Juvederm

Photo Credit: Dr. Michele S. Green

Juvederm Injectable Filler

Juvederm injectable filler is one of the most popular dermal fillers in the United States. Juvederm is a technologically advanced formulation of hyaluronic acid which can be used on all patients who have fine lines and deep wrinkles, regardless of skin type. Juvederm injectables are derived from hyaluronic acid, which is a naturally occurring sugar complex found in the skin.

The Juvederm family of fillers was developed by Allergan, the maker of Botox Cosmetics. Juvederm is a smooth injectable gel that is injected into the mid to deep dermal layer of the skin. Each of the five different Juvederm dermal fillers have their own unique properties and are targeted to treat different areas of the body to provide various treatment options.

  1. Juvederm Ultra: Juvederm Ultra XC restores lost facial volume to smooth mild to moderate nasolabial folds, smile lines, and marionette lines. It is also used for lip augmentation.

  2. Juvederm Ultra Plus XC: Juvederm Ultra Plus XC treats moderate to severe nasolabial folds, smile lines, and marionette lines.  It is also used for lip enhancement. Juvederm Ultra Plus XC is compounded with lidocaine to minimize discomfort from injection.

  3. Juvederm Voluma XC: Juvederm Voluma is the ideal product to add volume to cheeks, chin, and restore lost facial volume. Voluma is designed for facial contouring, lifting the cheeks, improving facial sagging and the appearance of jowls and facial hollows.

  4. Juvederm Vollure: Juvederm Vollure was created for the nasolabial folds with an 18 month longevity for this dermal filler.

  5. Juvederm Volbella: Juvederm Volbella was created for a subtle enhancement of the lips, fine wrinkles, and under eye hollows (tear troughs), for under eye rejuvenation.

Restylane Fillers

The Restylane family of products, manufactured by Galderma, have become a favorite hyaluronic acid dermal fillers, since the original Restylane injection was FDA approved in 2003. Restylane is a non-animal dermal filler, which is biodegradable and fully biocompatible with the hyaluronic acid present in your skin.

If you are considering lip augmentation, treating fine lines and facial wrinkles, marionette lines, smile lines, laugh lines, jowls, the chin, or restoring lost volume, the Restylane family of dermal fillers may be the best treatment for you.

Sculptra Treatments

Sculptra, a liquid filler created by the company Galderma, has long been acknowledged as an unparalleled volumizer for the face, with longevity beyond typical hyaluronic acid dermal fillers. However, the benefits of Sculptra are now recognized to go far beyond just the face. Sculptra has shown to be able to rejuvenate the décolletage, hands, upper arms, sagging knees, and of course the buttocks, with the extremely popular Brazilian butt lift. Today’s Hollywood celebrities have made the Sculptra Butt lift an incredibly popular procedure from Los Angeles to Manhattan, to restore youthful contours and volume in the buttocks and hip dips. This new body incorporation of Sculptra injections for body contouring has revolutionized body rejuvenation with amazing, without the need for invasive plastic surgery or liposuction.

Cheek Augmentation with Dermal Fillers

As we get older, the vibrant shape along the cheekbone naturally begins to sink, which can increase the severity of fine lines and wrinkles around the eyes, mouth and nose. The natural loss of volume that develops as we age can create sagging on the skin. This change can often make us feel as though we’ve somehow aged overnight, but Juvederm Voluma is designed to reverse that age-related midface volume loss.

Juvederm® Voluma, designed to counteract the collagen loss and sagging that comes with age, is one of the most popular dermal fillers. The Juvederm family of dermal fillers was formulated with hyaluronic acid (HA), which is a natural sugar found in the body that helps to promote elastin and collagen production in the skin. Juvederm Voluma, FDA approved in 2013, is a smooth hyaluronic acid gel specifically tailored for the cheek area. Juvederm Voluma was specifically designed for midface augmentation, to rejuvenate the skin and replace volume loss, without the need for plastic surgery. As the procedure for Juvederm Voluma and Juvederm XC is non-invasive, there is no downtime required post-treatment. You can return to normal activities immediately following treatment, though it’s best to avoid any intense exercise or heat immediately following your procedure.

Restylane for lips – 2 weeks before and after

Photo Credit: Dr. Michele S. Green

Lip Fillers

Lip augmentation refers to a procedure where a lip filler is injected into the lips to add extra volume into the lip area. However, lip augmentation treatments cover a wide spectrum of different procedures and can help improve several aspects of the lips, from the size and shape of your lips, increasing the shape of your Cupid’s bow, to treating fine lines and the signs of premature aging skin around the lips. Lip augmentation with lip fillers is a process whereby the lips are increased in size to give the overall impression of fuller, plumper, more luscious lips. Anyone looking for a more dramatic pout, who has thin lips, or is noticing volume reduction associated with aging, can benefit from lip augmentation.

The most common lip augmentation procedure involves injecting dermal fillers into the lips to add extra volume. Dr. Michele Green is an expert in lip injections and during a consultation with Dr. Green in her New York City Upper East Side office, she can discuss the best ways to treat this area. Whether you want just a “lip flip” with Botox for subtle lip enhancement, or more luscious lips like Kylie Jenner, or the Russian lip technique, Dr. Green will help you decide what is the best aesthetic choice for you based on your facial features and desired cosmetic results.

Tear Trough Fillers

Sometimes having a solid skincare routine just isn’t enough to keep us looking as refreshed and rejuvenated as we feel. Dark circles, puffiness, and under eye bags might develop for a number of reasons. Whether they are genetic or appear as a result of sun damage, eye bags or wrinkles around the eyes can make us appear tired or prematurely aged. The tear trough is characterized by a deep crease that sits between the upper cheek and the lower eyelid, casting a shadow beneath the eyes. Unfortunately, there is no miracle serum or eye cream that can be counted on to improve the appearance of tear troughs. However, a quick and painless treatment with cosmetic dermal fillers in the tear trough area can provide the volume needed to erase the shadow underneath the eyes and result in a revitalized, rejuvenated, more youthful appearance.

The goal of treatment with tear trough fillers is to provide volume to the crease in the under eye area that casts a shadow and leads to the appearance of dark circles and under eye bags. Tear troughs can be genetic, but they may also present as a result of the natural loss of collagen that occurs as we age. The loss of collagen in the under eye area leads to thin and transparent skin, which allows for increased visibility of underlying blood vessels, in turn creating the appearance of a darkened under eye area. Tear trough fillers, with various hyaluronic dermal fillers, such as Belotero, Restylane-L, and Juvederm Volbella, will help correct this tear trough deformity.

How do I get started with Facial Fillers Today?

If you are looking to enhance your facial features, such as your lips and cheeks, or if you would like to reverse the appearance of aging, fine lines and deeper wrinkles, facial fillers may be the best treatment for you. Dr. Michele Green is an internationally recognized cosmetic board certified dermatologist in NYC, who has been on the forefront of cosmetic facial fillers for over 25 years. Dr. Green was one of the first dermatologists in New York to incorporate Restylane and Juvederm into her private, boutique, New York City dermatology office. If you are considering Botox injections, dermal fillers, cosmetic laser treatments,  lip enhancement, or pan-facial rejuvenation, Dr. Green is here to help.To schedule a consultation, please contact the office of the Dr. Michele Green today or call 212-535-3088 today.

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