Restylane® / Artefill® / Radiance® / Sculptra Manhattan, Florida, New York City & New Jersey - Cosmetic Fillers - Skin Laser & Surgery Specialists of New York, New Jersey & Florida, a world leader in Cosmetic Laser, Cosmetic Dermatology and Skin Cancer Treatments. Dr. David J. Goldberg has dermatology centers in New Jersey & Manhattan, New York City Sculptura


	BOTOX®
	Cosmetic Fillers
	Sclerotherapy
	Facial Peels
	IPL Photo Facials
	Mesotherapy
	Medical Glycolic Peels
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	Liposuction

What Are Cosmetic Fillers?

Fillers are materials that are placed into deeper lines and wrinkles. Filler agents typically are used for those wrinkles that are too deep to be treated with lasers. Most commonly filler agents are used for smile lines wrinkles, between the eyebrows, sagging cheekbones or to enhance the appearance of upper and lower lips. Acne, chicken pox and other depressed scars can also be improved.

What Are The Available Cosmetic Fillers?

Over the years a variety of filler agents have been successfully used. Each filler is a different material and the duration of filling may vary between the different substances.

Bovine collagen (Zyderm® and Zyplast®) was approved by the FDA 2 decades ago. It was the first filler agent to become very popular in the US. Typically it was used for smile lines and other wrinkles, lip enhancement and scar correction. These fillers are no longer very popular in the US.

Human bioengineered collagen (Cosmoderm® and Cosmoplast®) is used much like bovine collagen. Typically human collagen is used for smile lines and other wrinkles, lip enhancement and scar correction. These materials are among the more popular filler agents for lip enhancement or for the patient who likes collagen, but prefers not to have bovine collagen. In contrast to bovine collagen, human collagen treatment does not require skin tests. Results typically last 2-6 months. Evolence® is a newer porcine collagen used for wrinkles. It is now very popular, in all our offices, because of both its soft natural feel and duration of effect. Evolence® results often last longer than other collagen filler materials.

Another category of filler contain hyaluronic acid. This sugar like material, first highly popular in Europe and Canada, has become extraordinarily popular in our NY, NJ and Florida offices. There are now a variety of popular hyaluronic acids. The more popular materials are Restylane®, Perlane®, Prevelle™ Silk and Juvederm®.. The material is soft and is very popular for the treatment of smile lines, lower eyelids and lips . Results typically last 3-8 months or longer depending on the materials used., Dr. Goldberg has become a national leader in the use of these fillers.

Radiesse® is a filler agent made up of a calcium material called calcium hydroxylapatite. This material is very popular for smile line treatments. It is unique among fillers in that results can last well over a year. This agent is very popular for those patients with deeper smile lines who want longer lasting results. Dr. Goldberg has done some of the pioneering research with this filler and has already published 3 studies using Radiesse®.

Sculptra® is included in the category of fillers, but is better called a skin volume enhancer. The injected substance is poly L-lactic acid. The material is used to treat sunken cheeks, and lower eyelids, that result from the aging process. A series of injections over several months is required and the final improvement will take up to six months. The clinical benefit can last more than 2 years. Dr. Goldberg teaches other physicians how to use Sculptra®.

Finally, Artefill® is the first FDA approved permanent filler. This is ideal for that patient who wishes to have a long lasting filler. Skin tests are given prior to treatment. Although the Artefill® results are permanent, patients will eventually need supplementary filler treatments as their wrinkles, with age, become progressively deeper.

What Kind Of Reactions Can Occur After Cosmetic Filler Injections?

Reactions to filler agents are rare and generally resolve with time. Some common injection-related reactions might occur, such as swelling, redness, pain, itching, discoloration and tenderness at the implant site. They typically resolve spontaneously within several days after injection into the skin. Other types of reactions are very rare, but occasional patients do experience localized reactions thought to be of a hypersensitivity nature. These have usually consisted of swelling at the implant site, sometimes affecting the surrounding tissues. Redness, tenderness and rarely acne-like formations can be seen.

What Can I Do To Optimize Cosmetic Fillers Results?

Filler agents are ideally combined with BOTOX® injections that are used for wrinkles caused by too much muscle tone. Wrinkles such as frown lines, crow's feet, marionette lines and vertical lip lines are better treated with BOTOX® than a filler agent. Ideally anti-aging skin treatments will include not only filler agents and BOTOX®, but also skin collagen improvement lunch time laser procedures and the various non-surgical skin tightening treatments available in our office.

How Do I Find Out If I Am A Candidate For Cosmetic Fillers?

Dr. Goldberg and his staff will be happy to discuss Cosmetic Filler for wrinkle treatments with you. Please feel free to call for a private consultation or Schedule an appointment online @ one of our offices.