Introduction
Hyaluronic acid facial filling has become an increasingly popular cosmetic procedure in New York City. With its ability to reduce wrinkles, add volume, and enhance facial contours, it offers a non - surgical alternative for those seeking a more youthful appearance. However, the success of this procedure greatly depends on the skill and expertise of the doctor performing it. In this article, we will explore the top - ranked doctors in New York City in terms of hyaluronic acid facial filling technology, along with detailed information about the procedure, products used, and related FAQs.
Importance of Choosing the Right Doctor for Hyaluronic Acid Facial Filling
Selecting a highly - skilled doctor for hyaluronic acid facial filling is crucial. A well - trained doctor can accurately assess your facial structure, understand your aesthetic goals, and inject the filler in the right amount and at the right locations. This not only ensures natural - looking results but also minimizes the risk of complications such as uneven filling, bruising, and allergic reactions. An experienced doctor is also familiar with different brands and types of hyaluronic acid fillers, allowing them to choose the most suitable product for your specific needs.
Top - Ranked Doctors in New York City for Hyaluronic Acid Facial Filling
Dr. Michele S. Green
Dr. Michele S. Green is a world - renowned board - certified dermatologist with over two and a half decades of experience. She was one of the first dermatologists in NYC to incorporate the Restylane® line of fillers. Her approach to facial rejuvenation is holistic, taking into account each patient's unique skin concerns and aesthetic goals. She embraces a “less - is - more” philosophy, customizing treatment plans for natural - looking results. Her patients often travel from around the globe to her private, boutique dermatology office in Manhattan’s upper east side neighborhood. She is consistently recognized as one of New York’s best dermatologists by Castle Connolly, Super Doctors, New York Magazine, and The New York Times.
Dr. Ellen Marmur
Celebrity dermatologic surgeon Dr. Ellen Marmur has pioneered and published more innovative injectable filler techniques than almost any other peer. Her style is “natural glam” for everyone. At Marmur Medical, she and her team offer a wide range of hyaluronic acid fillers, including Belotero®, Juvederm®, Restylane®, and others. They understand the entire picture of facial aging and provide personalized care to each patient. Dr. Marmur was also deemed “New York’s best natural filler” by Allure magazine and has contributed to countless studies, book chapters, and research trials.
Dr. Andrew Jacono
Dr. Andrew Jacono offers Juvederm facial injectable treatments. Juvederm is a well - known hyaluronic acid filler that can effectively reduce the appearance of wrinkles and folds. Dr. Jacono has in - depth knowledge of the different types of Juvederm fillers and their specific applications. He can perform the injection procedure relatively quickly, with no downtime for the patients, and has successfully helped many patients achieve a more youthful appearance.
Dr. Joshua Zimm
Dr. Joshua Zimm is one of the leading experts in facial fillers. His innovative DermaSculpt technique using a microcannula results in less bruising and pain during filler injections. The microcannula has a blunt tip and is flexible, which helps to avoid cutting through veins and blood vessels. He is well - versed in administering Juvederm® and Restylane® products and takes the time to understand his patients' concerns and expectations, ensuring patient satisfaction.
Dr. Joshua Hyman
Dr. Joshua Hyman is a board - certified plastic surgeon and educator at Weill Cornell Medical Center. He has decades of experience and has performed thousands of successful procedures. His in - depth knowledge of the facial structure and skin allows him to achieve stunning, natural - looking results with hyaluronic acid fillers such as Restylane and Juvederm. He has established a state - of - the - art, private clinic where patients can expect outstanding skills and personalized care.
Hyaluronic Acid Fillers: An Overview
What is Hyaluronic Acid?
Hyaluronic acid is a naturally occurring substance in the body's soft connective tissues. It has the remarkable ability to hold up to 1000 times its weight in water, providing essential hydration and giving the skin a plump, youthful appearance. As we age, the body's production of hyaluronic acid declines, leading to the development of wrinkles, fine lines, and loss of volume.
Popular Hyaluronic Acid Filler Brands
| Brand | Features | Applications | Duration of Results |
|---|---|---|---|
| Restylane | Composed of hyaluronic acid, uses innovative technology like NASHA and XpresHan. Different products in the family have unique particle sizes for specific treatments. | Fine lines, deep wrinkles, lip augmentation, cheek augmentation, under - eye hollows, etc. | 6 - 18 months depending on the product and patient metabolism |
| Juvederm | Smoother consistency, contains 35% more hyaluronic acid than Restylane in some cases. Made with different technologies like Vycross. | Wrinkles, folds, lip enhancement, cheek volume replacement | 9 months - 2 years depending on the type |
| Belotero | A newer and finer hyaluronic acid - based gel, can be used for more delicate areas. | Moderate - to - severe facial wrinkles, lip lines, tear troughs, necks | 6 - 12 months |
The Hyaluronic Acid Facial Filling Procedure
Consultation
During the initial consultation, the doctor will have a detailed discussion with you about your aesthetic concerns, medical history, and expectations. They will assess your facial anatomy to determine the best treatment plan, including the type and amount of filler to use. Medical photography may also be taken to track the progress of the treatment.
Pre - treatment Preparation
Patients are usually asked to discontinue any blood thinners, such as aspirin, warfarin, NSAIDs, or herbal supplements like fish oil and vitamin E, for at least one week before the injection to minimize bruising. Those prone to bruising may be advised to take arnica herbal supplements.
The Injection Process
On the day of the procedure, a topical numbing cream containing lidocaine is applied to the treatment area for about an hour to reduce discomfort. The area is then cleaned and sterilized. The doctor will inject the hyaluronic acid filler directly into the skin in tiny amounts using an ultrafine needle or a microcannula, depending on the technique. The injection process can take anywhere from 15 minutes to an hour, depending on the complexity of the treatment.
Aftercare
After the injections, it is important to avoid blood thinners for another week. Minimize strenuous exercise and avoid exposure to sun, saunas, steam rooms, heat, or UV light for 48 hours to prevent swelling or redness. Applying ice compresses immediately after the procedure can help reduce swelling. Any bruising can be treated with oral arnica forte supplements or a quick treatment of the V - beam pulsed dye laser. Most patients may be asked to return to the doctor's office two weeks later for an evaluation and possible touch - ups.
Benefits and Risks of Hyaluronic Acid Facial Filling
Benefits
- Non - surgical: It is a non - invasive alternative to plastic surgery, with little to no downtime.
- Immediate results: Patients can see an immediate improvement in the appearance of wrinkles and volume loss.
- Customizable: Different types of fillers can be used to target specific areas and achieve personalized results.
- Reversible: Hyaluronic acid fillers can be dissolved with hyaluronidase if the patient is not satisfied with the results.
Risks
- Common side effects: These include bruising, redness, swelling, discoloration, and tenderness at the injection site. These usually subside within a few days to a week.
- Rare but serious side effects: Infections such as herpes simplex, allergic reactions, keloids, and superficial necrosis at the injection site. Unintentional injection into a blood vessel can also cause serious complications, including blindness.
FAQs about Hyaluronic Acid Facial Filling
How long do the results last?
The duration of the results depends on the type of filler used and the patient's metabolism. Generally, hyaluronic acid fillers last from 6 months to 2 years. For example, some Restylane products last 6 - 18 months, while Juvederm Voluma can last up to 2 years.
Is the procedure painful?
Most hyaluronic acid fillers contain built - in local anesthesia (lidocaine), and a topical lidocaine cream is also applied before the procedure. Some patients may feel a small sting, but it is generally not considered very painful.
Can hyaluronic acid fillers be combined with other cosmetic procedures?
Yes, hyaluronic acid fillers can be combined with other cosmetic procedures such as neuromodulators (e.g., Botox) and laser treatments for more comprehensive facial rejuvenation. The doctor will determine the best combination and the correct order of procedures based on your specific needs.
Are there any contraindications?
Contraindications include a history of severe reactions (anaphylaxis), allergy to lidocaine, bleeding disorders, allergy to gram - positive bacterial proteins used to make hyaluronic acid, pregnancy or breastfeeding, and an infection or outbreak of cysts or pimples at the proposed injection site.
Conclusion
Hyaluronic acid facial filling is a popular and effective cosmetic procedure in New York City, offering a way to reduce the signs of aging and enhance facial appearance. The success of the procedure largely depends on choosing a highly - skilled doctor. Doctors like Dr. Michele S. Green, Dr. Ellen Marmur, Dr. Andrew Jacono, Dr. Joshua Zimm, and Dr. Joshua Hyman are among the top - ranked in the city, known for their expertise, natural - looking results, and patient - centered approach. Understanding the different types of fillers, the procedure process, and the associated benefits and risks is essential for anyone considering hyaluronic acid facial filling.
If you are interested in hyaluronic acid facial filling, we encourage you to do further research, schedule consultations with the doctors mentioned in this article, and make an informed decision. Share this article with your friends and family who may also be interested in learning more about this procedure, and explore related topics on our website for more in - depth information.
