The Download on FILLERS & FAT Injections

“Dermal Fillers” as more commonly known, are substances designed to rejuvenate the face and restore a more “youthful” appearance.  They “fill” the fine lines and wrinkles of common areas such as the “nasolabial” or “marionette” lines.  Fillers can also add volume to parts of the face, like the “lip” area, the “jawline” and the “cheek” areas.  



I anesthetize the patient’s areas with a numbing cream first, this takes anywhere from ten to twenty minutes.  Then, depending on the area I will be injecting, I choose different “depths” the injection will be going into the skin and into the soft tissue.  



I use Restylane and Juvederm the most, favoring Juvederm over Restylane.  Juvederm has proven to be softer, and less painful when injected to the patient.  There are many different types of fillers in the market available today.  Both Restylane and Juvederm are long-lasting fillers, they typically will last anywhere from five to up to eight or nine months, depending on the patient.  I also use Sculptra which is a longer lasting derma filler, however: I do not recommend permanent fillers (like silicone which is banned in the United States)

Juvederm is a Hyaluronic acid type of filler.  What this means is that the “hyaluronic acid” is a naturally occurring substance between the skin cells that binds moisture and provides fullness.  So “hyaluronic acid” type of fillers will be with time, broken up naturally by our body.  I use Juvederm to give lips a fuller appearance, to erase the fine lines just above the upper lip or the “smokers” lines, to erase the “marionette” lines, and also to get rid of any deep indentations in the face.



In good hands, like those certified to apply filler injections (best would be Board Certified Plastic Surgeons), the benefits are amazing.  In just minutes, fillers provide the face with a more youthful, radiant appearance. The down time is minimal, non-existent.  The only outcome might be bruising in the injecting site, and this might happen if the doctor who is injecting has little or no experience.  Personally I have been injecting patients for over 15 years,

Sculptra, is another filler I use as well.  Sculptra is designed to go deeper and to add volume and improve shape of the jaw, cheeck area, and chin.  

All these three fillers I use are FDA approved, and Im in the process of acquiring  Belotero, the newest filler in the market that has JUST been approved for use in the United States by the FDA.


I also perform fat injections.  Fat Injections use fat from one area of your body (that is usually undesired) to enhance another area, like your facial area.  Fat injections are the most natural, near-permanent means of augmenting or enhancing your face.  I usually take fat from the abdomen, thighs, hips or buttocks using liposuction techniques.  It is then processed, and re-injected to enhance your facial area.

I usually combine a Liposuction treatment with a Facial enhancement treatment, in this way I provide the patient with a complete Make-over!

Patients end up with amazing results from this procedure!  

Right after the procedure, the patient will immediately see the results in their facial area, although they will be exaggerated by the amount of swelling and fluid retention they will experience.  There might be a minor discomfort in the area where the fat was injected.  The patient will be swollen and bruised.  Cold compresses may be used to alleviate the discomfort.  Depending on the extent of the procedure, the downtime might range anywhere from several days to weeks of “down time.” 

The results of the fat injections are generally permanent, even though some of the fat will naturally be reabsorbed by the own body, within the first year after the treatment was performed.  This is why I usually over inject during the Fat Injections procedure, to give the patient a permanent look of youthful rejuvenation.

I commonly inject fat in the following areas:

The lips

Facial Creases and depressions 


Back of the hands to erase the “bony” appearance

Upper portion of the buttocks, to give it a “rounder” more natural, youthful look

Divets, defects and imperfections in the soft tissue, such as the breast area



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It was a pleasure writing this for you, my readers!  I will be injecting Botox this week for photos and video that will be updated in the Botox section!Image


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