Introduction
In the bustling metropolis of New York City, the demand for cosmetic injections to achieve a smoother, more youthful appearance is on the rise. With numerous hospitals and clinics offering a wide range of injection therapies, patients are often spoilt for choice. This article aims to provide a comprehensive overview of the various injections available for smoothing improvement in New York City, along with insights into the features of different providers.
Types of Cosmetic Injections
Dermal Fillers
Dermal fillers are a popular choice for addressing volume loss and wrinkles. As we age, our body's production of collagen declines, leading to sagging skin and the formation of wrinkles and creases. Dermal fillers work by restoring volume to the face and smoothing out these imperfections.
- Hyaluronic Acid Fillers: Hyaluronic acid is a naturally occurring substance in the body that helps keep the skin plump and hydrated. Fillers such as Juvederm, Restylane, and Belotero are made of hyaluronic acid. They are gel - like substances that, when injected, bind with water in the skin, resulting in a lifting and plumping effect. Different formulations are designed for specific areas of the face. For example, Juvederm Volbella is meant for lip volume and vertical lip lines, while Juvederm Ultra Plus is ideal for deep wrinkles like nasolabial folds and marionette lines. These fillers typically last 6 to 18 months, with some formulations lasting up to a year or more.
- Calcium Hydroxylapatite Fillers: Radiesse is an example of a calcium hydroxylapatite filler. It is a thicker filler compared to hyaluronic acid fillers and is often used for deeper lines and wrinkles. It also stimulates the production of natural collagen. Results can last up to 12 months.
- Poly - L - Lactic Acid Fillers: Sculptra is a poly - L - lactic acid filler. Once injected, it stimulates the production of new collagen in the skin. It is used to treat deeper facial wrinkles and can provide results that last more than 2 years. It is also suitable for pan - facial rejuvenation and can be used on other areas of the body like the neck and décolletage.
- Polymethylmethacrylate Fillers: Bellafill is a filler made of polymethylmethacrylate microspheres and bovine collagen. It is the only FDA - approved dermal filler that does not get absorbed by the body. It was originally approved for reducing the appearance of smile lines and can also diminish acne scars. It has been reported to last for more than five years, but skin tests are required due to the presence of bovine collagen.
- Autologous Fat Injections: This involves harvesting a patient's own fat from one area of the body, purifying it, and then injecting it into the face. It is a more invasive option compared to other dermal fillers as it requires liposuction. The cosmetic effects are supposed to be permanent, but some of the injected fat may not survive. It is mainly used for generalized volume loss.
Neuromodulators
Neuromodulators work on “dynamic” wrinkles, which are caused by muscle contractions. They are made from the botulinum toxin type A.
- Botox: It is the most well - known neuromodulator. It is used to reduce the appearance of fine lines and smooth out crow’s feet, frown lines, lines under the eyes, neck lines, drooping noses, and lines around the lips. It works by blocking the nerve messages from the muscles to the brain, preventing muscle contractions that cause wrinkles. The effects usually last about four months.
- Dysport: Derived from the same substance as Botox, Dysport is often used for clients who wish to see quick results. The positive effects of Botox are often seen after 7 days, while Dysport can smooth out wrinkles in 3 to 4 days.
- Xeomin: Sometimes called the “naked” neuromodulator because it consists of only botulinum toxin, while Botox and Dysport also have some additional proteins in their formulations. It modifies muscle contractions by inhibiting a body chemical called acetylcholine from signaling all of the nerves within the muscle to contract.
- Daxxify: A newly approved neurotoxin. It is similar to Botox but has a formulation that offers a longer duration of action, lasting up to 6 months. It can be used to treat various areas such as forehead lines, crow’s feet, and between the eyebrows. It has a unique peptide formulation that does not require human or animal - derived components.
Popular Providers in New York City
Laser & Mohs Dermatology
This clinic offers a wide range of injectable treatment options for both male and female patients. They provide various dermal fillers like Juvederm, Restylane (including different subtypes such as Restylane Lyft for cheek volume and Restylane Silk for lips), Sculptra, and Radiesse. For neuromodulators, they offer Botox, Dysport, and Xeomin. Patients have reported positive experiences, with reviews highlighting the short wait times, the professionalism of the doctors, and the quality of service.
Steven Wallach MD, FACS
Dr. Steven Wallach is a Manhattan board - certified plastic surgeon. He offers non - invasive procedures for facial rejuvenation, including Botox, Dysport, Radiesse, Restylane, Perlane, and Juvederm. Botox treatments have increased in popularity under his practice, and he also uses Radiesse for soft tissue enhancement and filling facial lines.
Zuckerman Plastic Surgery
They are proud to offer Daxxify injections. Under the expert guidance of Dr. Joshua D. Zuckerman, patients can experience the benefits of this long - lasting neurotoxin. The clinic provides a comprehensive service, from consultation to after - care. They evaluate patients' facial structure, skin condition, and aesthetic goals to determine if Daxxify is the right choice. After treatment, they provide detailed aftercare instructions to ensure the best outcome.
Dr. Michele Green M.D.
An internationally renowned board - certified cosmetic dermatologist. She takes a holistic approach to facial rejuvenation, customizing each patient's treatment plan. Her office offers popular dermal fillers such as Sculptra, Juvederm, Restylane, and Belotero. She also provides information on combining facial fillers with other non - invasive procedures like Botox and thermage to achieve a more youthful appearance.
What to Expect During Treatment
Consultation
Before any injection treatment, a consultation is crucial. During this phase, the doctor will evaluate your facial structure, skin condition, and aesthetic goals. They will also review your medical history to ensure that there are no contraindications to the treatment. For example, if you have been taking NSAIDs or blood thinners, you may need to stop them prior to the injection to reduce the risk of bruising. The doctor will then recommend the most suitable injection or combination of injections for you.
Treatment Process
Dermal filler injections are usually non - surgical and completed during an office visit. The area to be treated will be cleaned, and a topical anesthetic may be applied to numb the area. Many filler products also contain lidocaine to minimize discomfort. The doctor will then inject the filler strategically beneath the skin. For neuromodulators, the injection is also relatively quick, using very tiny needles.
Recovery and Aftercare
There is usually little to no recovery or downtime for most injection treatments. You may experience some slight redness, swelling, or bruising at the injection sites, which typically resolves within a few hours to a few days. For neuromodulators, you must not rub the injection sites for at least 24 hours to prevent the toxin from migrating to unintended muscles. The doctor will provide aftercare instructions, and some may recommend avoiding strenuous activity for a short period.
Cost and Considerations
Cost
The cost of cosmetic injections in New York City can vary widely depending on the type of injection, the amount used, and the provider. Dermal fillers can range from $540 - $1,680 per treatment session according to ABCS national survey. Neuromodulators like Botox and Dysport are typically priced per unit, and the total cost depends on the number of units used.
Choosing a Provider
It is essential to choose a qualified and experienced provider. Look for a board - certified cosmetic surgeon, dermatologist, or a medical professional with extensive training in injection therapies. Ask to see before - and - after photos of their patients, read patient reviews, and ensure that they use FDA - approved products. If an RN or physician's assistant will be performing the injections, they should be working under the supervision of a qualified physician.
Best Practices for Injections
To ensure the safety and effectiveness of injections, several best practices should be followed:
General Safety Practices
- Hand Hygiene: Health workers should perform hand hygiene before starting an injection session, coming into direct contact with patients, and putting on gloves. After the injection session, contact with patients, or removing gloves, hand hygiene should also be carried out. If hands are visibly soiled, use soap and running water; if they appear clean, an alcohol rub can be used.
- Gloves: Non - sterile, well - fitting latex or latex - free gloves should be worn when coming into contact with blood or blood products.
- Other Single - Use Personal Protective Equipment: Masks, eye protection, and other protective clothing are not typically necessary for injection procedures unless exposure to blood splashes is expected.
- Skin Preparation and Disinfection: To disinfect the skin, use a 60 - 70% alcohol - based solution (isopropyl alcohol or ethanol) on a single - use swab or cotton - wool ball. Wipe the area from the centre of the injection site working outwards, and allow it to dry completely. Do not use methanol or methyl - alcohol, and do not pre - soak cotton wool in a container.
Injection Devices and Medications
- Injection Devices: Use a new sterile single - use device (syringe and needle) for each procedure. Inspect the packaging to ensure it has not been breached, and discard if damaged or expired.
- Medication: Do not use a single loaded syringe to administer medication to several patients. Use single - dose vials whenever possible to reduce cross - contamination. If using multidose vials, follow strict storage and usage guidelines, such as opening only one vial at a time in each patient - care area and discarding if sterility is compromised or the expiry date has passed.
Conclusion
In New York City, there is a wide range of cosmetic injections available for smoothing improvement, each with its own unique features and benefits. Dermal fillers can address volume loss and static wrinkles, while neuromodulators are effective against dynamic wrinkles. With numerous providers offering these treatments, patients have the opportunity to choose a professional who can meet their specific aesthetic goals. By following best practices during the treatment process and choosing a qualified provider, patients can achieve a smoother, more youthful appearance with minimal downtime. If you are considering cosmetic injections, we encourage you to schedule a consultation with a reputable provider in New York City to explore your options further and take the first step towards enhancing your natural beauty.
