What Are Fillers
During the normal ageing process, the face undergoes shifts of subcutaneous fat and diminishing support by the deeper elements of the skin. Modern medicine has focused on this problem and in response, has developed filler materials with enough chemical integrity to correct the early signs of ageing.
The most popular and frequently used fillers are from the group of hyaluronic acids. Hyaluronic acid is a substance that occurs naturally in the human body and can be likened to the glue that holds your cells together. Restylane, Juvederm, Belotero, and Versa are the most common FDA-approved hyaluronic-acid fillers. All of these, are very similar compounds most commonly used in the following areas:
- Lips
- Cheekbones
- Jawline
- Chin
- Tear troughs
- Nasolabial folds (the lines that go from the edges of the nose to the corners of the mouth),
- Marionette lines (the lines that go from the corners of the mouth down to the chin),
Some of Dr. Weintraub’s patients benefit from advanced and specialized applications of injectable fillers. In addition to common treatment areas, fillers can be used to rejuvenate various facial regions, including the forehead, temples, earlobes, nasolabial folds, laugh lines, lipstick lines, marionette lines, and necklace lines. Beyond the face, fillers are also effective in enhancing and restoring volume to body areas such as the hands, décolletage, arms, abdomen, and knees.
Additionally, fillers can address a range of small contour irregularities, including acne scars, pits, divots, asymmetries, depressions, corrugations, irregularities, unevenness, and skin contour deformities. These sophisticated applications allow for precise corrections, achieving smoother, more balanced, and natural-looking results.
Type Of Fillers
Dermal fillers have revolutionized the field of aesthetics by providing a versatile and non-surgical solution to enhance facial contours, restore lost volume, and smooth out fine lines and wrinkles. However, not all fillers are created equal. They vary in composition, hygroscopic properties (ability to retain water), densities, and ideal application areas. Understanding these differences is crucial to achieving natural and optimal results tailored to each individual’s needs.
Fillers with higher hygroscopic properties, such as those containing hyaluronic acid (HA), attract and retain moisture, making them excellent for hydration and achieving a plump, youthful appearance. On the other hand, fillers with lower hygroscopic properties are better suited for areas requiring more structural support, as they provide definition without excessive water absorption.
High-density fillers
High-density fillers are an excellent solution for areas requiring more volume and lift, such as the cheeks and jawline. As we age, our cheeks gradually lose volume, leading to a thinner, flatter appearance that can make the face look gaunt and aged. Additionally, the jawline often loses its definition over time, contributing to a softer and less structured facial contour. These changes accentuate fine lines, wrinkles, and an overall aged look. FDA-approved fillers like Juvederm Voluma, Restylane Lyft, Restylane Contour, Versa, and Belotero Volume are specifically designed to address these concerns. These fillers use hyaluronic acid—a naturally occurring substance in the body—to replenish lost volume, smooth deep creases, and restore youthful contours. They provide superior lift, effectively reducing the appearance of tissue deficiency and wrinkles while enhancing cheekbone and jawline definition. This makes them an ideal choice for achieving a refreshed, natural, and youthful appearance.
Medium-density fillers
Medium-density fillers strike a perfect balance between softness and structure, making them an excellent choice for areas requiring subtle support and flexibility. These fillers are ideal for smoothing nasolabial folds, the lines running from the nose to the corners of the mouth, and marionette lines, which extend from the corners of the mouth down toward the chin. As we age, these lines can deepen due to volume loss and repeated facial movements, creating a tired or downturned appearance. FDA-approved fillers like Juvederm Ultra, Restylane Refyne, Restylane Defyne, and Versa are specially designed to address these concerns. Their unique formulations provide enough lift and structure to reduce the appearance of moderate wrinkles and folds while maintaining a natural, soft look. Medium-density fillers integrate seamlessly into the skin, ensuring smooth, flexible results that move naturally with your facial expressions, restoring balance and rejuvenation to your appearance.
Lower-density fillers
Lower-density fillers, known for their softness and malleability, are designed to restore smoothness while maintaining the skin’s natural flexibility. These fillers integrate seamlessly into facial tissue, making them ideal for delicate areas such as the lips and under-eye hollows. As we age and face the effects of sun damage, prominent wrinkles begin to emerge—particularly around the eyes, nose, and mouth. Common concerns include “lipstick lines,” also called “smoker’s lines,” as well as fine lines caused by frequent facial movements like smiling and frowning. These superficial lines can etch themselves into the skin, contributing to an older appearance. FDA-approved fillers such as Restylane Classic, Restylane Kysse, Juvederm Volbella, Belotero Balance, and Versa are expertly formulated to address these fine lines and wrinkles with remarkable precision. Their composition allows them to be injected closer to the skin’s surface or in areas with thin skin, like the under-eyes, without causing the “Tyndall effect”—a bluish discoloration that can occur with other fillers when injected superficially. These advanced fillers provide natural, refined results that rejuvenate the face while preserving its youthful flexibility and appearance.
The Art And Science Of Filler Placement
Top NYC plastic surgeon Dr. Barry Weintraub and his team offers filler injections in the comfort of his NYC office. Fillers are administered through precise injections into the targeted areas of the face or body. Using a fine needle or cannula, the injector expertly places the filler at different depths, such as subdermal (just beneath the skin) or supra-periosteal (directly above the bone) to enhance volume, smooth wrinkles, or refine contours.
The procedure is minimally invasive and generally requires no anesthesia; however, a numbing cream or nerve block can be used to maximize comfort during treatment. Dr. Weintraub elevates the patient experience by offering a custom-formulated numbing cream, containing a unique blend of three compounds for superior efficacy. This personalized approach ensures a more comfortable and seamless procedure, setting his practice apart from those relying on standard products like Emla found in most offices.
In addition, ProNox, often referred to as “laughing gas,” is also a safe and effective option for managing discomfort during mild procedures. This patient-controlled system delivers a blend of oxygen and nitrous oxide, which helps ease anxiety and reduce pain within minutes. One of the key benefits of ProNox is that its effects wear off quickly, allowing you to resume normal activities shortly after your procedure. It’s a great choice for those looking to feel more relaxed and comfortable while still staying alert and in control during their treatment.
Depending on the area being treated and the type of filler used, the injection process is quick and can often be completed within 30 minutes to an hour. There can be a small bruise or some swelling, but in general, there is virtually no downtime after your procedure, and you can go back to work or your personal responsibilities immediately after the treatment.
One simple office procedure is all that is necessary to begin seeing optimal results and achieve your aesthetic goals. Results from this non-invasive treatment are immediate and can last 6-12 months or even more. Over the following days, you may notice continued enhancement as the product works to stimulate the production of elastin and collagen, laying down a stronger structural framework for healthier, more resilient skin.
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FAQs (Frequently Asked Questions)
What is a Filler?
Fillers are FDA-approved gel-like substances carefully injected beneath the skin to restore lost volume, smooth wrinkles, and enhance facial contours. Made from hyaluronic acid, a natural substance found in your body, fillers work to hydrate and plump the skin for a more youthful appearance. This quick, non-surgical treatment delivers immediate results with minimal downtime, helping you achieve a refreshed and rejuvenated look.
I am a good candidate for Filler?
The best candidates for filler beautification are those in good general and mental health, and possess realistic expectations. If you’re unsure whether Filler is right for you, a consultation with an experienced injector can help assess your skin concerns and goals.
When should I start getting Filler?
There’s no specific age when you should start getting fillers, as the decision depends on your individual goals and concerns. Many people begin using fillers in their mid-to-late 20s or 30s to enhance facial features or prevent early signs of aging. Others may seek fillers later in life to restore volume lost over time.
Ultimately, the right time to start depends on your personal aesthetic goals, the condition of your skin, and what you’d like to achieve. A consultation with a qualified injector can help determine the best approach for you.
How old do I have to be to receive Filler?
There is no set age that dictates when you should start rejuvenative treatments, but Filler is only recommended for individuals 18 years and older. If you meet this criteria and find yourself looking in the mirror at something that genuinely bothers you, it may be the right time to book a consultation.
How do I know which Filler brand is right for me?
There are several filler brands available, such as Restylane, Juvederm, Versa, and Belotero. All of them are FDA-approved and the best way to determine which brand is right for you is through a consultation. During this session, Dr Weintraub and his team will review your medical history, address your skin concerns, explain the available options, and outline their benefits. They will work closely with you to understand your skin goals and develop a customized treatment plan. While you may have already noticed areas you’d like to enhance, a consultation provides valuable insights into your skin’s unique needs and helps map out the steps to achieve your desired results.
How many syringes of Filler do I need?
The number of syringes needed is highly personalized and depends on several factors, including the areas being treated, the bone structure, skin laxity, amount of subcutaneous tissue, and your desired results. During your consultation, we’ll work together to find your ideal dose that aligns with your goals. If you’d like to explore what’s right for you, we invite you to book a consultation with us.
What to expect during my Filler treatment?
During your Filler treatment, our expert will start by reviewing your medical history and discussing your skin concerns, goals, and the benefits of the treatment. A private photo may be taken to help track your progress and skin journey over time. Cold packs will be applied to the treatment area briefly to enhance your comfort. Once your session is complete, you’ll be able to resume your normal activities immediately, as there is no downtime required.
How do I prepare for my Filler treatment?
Before your filler injections avoid dental procedures, including cleanings, and vaccinations two weeks prior. Also, it’s recommended to avoid aspirin, aspirin-containing medications, blood thinners, and gingko biloba or fish oil supplements for one week prior to your treatment. Additionally, steer clear of strenuous exercise, ibuprofen, aspirin, and alcohol for 24-48 hours before your appointment, as these may increase the likelihood of bruising.
What are the aftercare instructions following Filler?
- Avoid strenuous exercise, massaging the treated area, ibuprofen, aspirin, or alcohol for 24-48 hours, as these may increase the risk of bruising.
- For mild soreness or tenderness, Tylenol is safe to take.
- Avoid wearing makeup or applying skincare, and touching your face for 12 hours after treatment.
- Be aware that bruising or swelling is possible, typically peaking at 48 hours and fully resolving within 1-2 weeks. Applying arnica can help alleviate any bruising.
- Avoid facial massage including at-home devices for two weeks.
- If you experience pain or changes to your skin (paleness, blisters, bruising extended beyond the injection sites, please contact us immediately Call 212 -737-7500.
Following these aftercare instructions will help ensure the best results and a smooth recovery.
How often should I do Filler?
Our specialists will design a personalized treatment plan and recommend the ideal frequency of visits to help you achieve your unique skin goals. We recommend a follow-up appointment 2 weeks after your initial treatment to allow the product to fully settle. One treatment may lasts 6-12 months or even more, depending on area and type of filler. Other factors may affect metabolism of dermal fillers.
Is Filler placement painful?
Any discomfort experienced is typically mild and can be easily managed. We use a custom-formulated numbing cream, containing a unique blend of three compounds for superior efficacy. This personalized approach ensures a more comfortable and seamless procedure, setting his practice apart from those relying on standard products like Emla found in most offices. In addition, nerve blocks and Pronox can be used to minimize any discomfort, ensuring that you feel as comfortable as possible throughout the process.
How much does Filler cost?
Our goal is to deliver the highest level of care and results.
Each patient is individual in their anatomical configuration. Therefore, in order to give an accurate quote, it is best to schedule a consultation that will allow Dr. Weintraub and his team to appropriately judge what is involved. For those patients who live overseas or outside the New York metropolitan area, photographs can be emailed or sent to the office, and a phone consultation can then take place.
What other treatments can I pair with Filler?
Fillers are highly versatile and can be combined with other treatments to enhance your overall results.
- Hydrafacial: Prepares the skin by deep cleaning and hydrating, ensuring the skin is in its best condition for the procedure.
- Liquid Facelift: Pair Botox with dermal fillers to create a liquid facelift, lifting and contouring the face without surgery. While Botox smooths fine lines and softens wrinkles, fillers add volume to areas like the cheeks, lips, and under-eye hollows for a refreshed and youthful look.
- Laser Treatments: Lasers, such as skin resurfacing or IPL, work beautifully alongside fillers, creating a smooth and radiant complexion.
Combining these treatments allows for a more comprehensive approach to facial rejuvenation, helping you achieve glowing, youthful skin with minimal downtime. Always consult your practitioner to design a treatment plan tailored to your unique goals.
What is social downtime?
Social downtime refers to the period of recovery after a procedure where you may not be able to fully engage in social activities, but your regular daily routine is generally unaffected. You can return to your routine immediately after your appointment, however, it’s recommended to schedule your treatment well in advance of any major events.
Can I receive Filler while pregnant or nursing?
Filler is not recommended during pregnancy or while breastfeeding, as there is limited research on its safety in these situations. It is always best to consult with your healthcare provider before undergoing any cosmetic treatments if you are pregnant or nursing to ensure the safety of both you and your baby.
Why choose a plastic surgeon office for Filler?
Choosing a plastic surgeon offers several key advantages:
- Expertise in Facial Anatomy.
- Customized Treatment Plans.
- Access to Advanced Techniques.
- High Standards of Care.
When looking for a plastic surgeon, you should:
- Check for board certification by the American Board of Plastic Surgery (there are many other boards, some legitimate, some not, but there is only one American Board of Plastic Surgery, established in 1931)
- Ensure that the physician attends a major hospital in your community, and is in good standing with that hospital
- Confirm that he or she has a fine reputation amongst other medical professionals in your community
- Speak to the surgeon’s patients who have undergone similar procedures
Remember, this is your treatment, and you are interviewing the doctor as much as he’s interviewing you. Do not hesitate to bring a list of questions with you on your consultation. And remember: a good surgeon is someone who not only has the skill to perform the treatment, but is someone who understands what your specific needs and desires are. A good surgeon should listen, listen, and listen!
Have no fear during your consultation. This is a time to speak, to be heard, and to develop a trusting relationship. Questions can be answered, and fears allayed. And while Dr. Weintraub is at the forefront of his field in terms of his techniques and medical developments, you will find his office environment to be warm, personable, and inviting. He and his staff truly care about each and every patient, and take great pride in making themselves available to help with every step of the process.
What sets Dr Weintraub apart?
Dr. Weintraub has always been blessed with a strong aesthetic sense. He possesses a unique blend of medical science and artwork, as it truly is artwork that he performs on the human form. His attention to detail ensures that he gets the best results possible, and he is meticulous about everything he does, from pre-op to post-op care and beyond.
He studied medicine at Cornell during a time when core values were emphasized, and it is on these values that he bases his practice. He believes that physicians should be humble and respectful, and should never lose sight that the person they are operating on is exactly that: a person possessing real-life issues and concerns. The chairmen of the department of general surgery at Cornell at the time, Dr. Tom Shires, along with another luminary, Dr. Leon Morgenstern of Cedars-Sinai, taught Dr. Weintraub that “The operating room is a sacred place. It’s a very serious place.Never be cavalier about surgery.”
During his surgical residency training, Dr. Weintraub regularly visited Mexico to donate his time operating on deformed children and adults who couldn’t afford proper healthcare. In less-than-optimal conditions, he learned how to perform surgery with the basics, and received great satisfaction in making profound differences in people’s lives by restoring their faces and bodies. Similarly, when he was Chief Resident at the New York Hospital – Cornell Medical Center, and later when he was Chief Resident at the Reconstructive Unit at Memorial Sloan-Kettering, he found that his compassion for patients, along with his skill and precision as a surgeon, could change lives and bring people joy they never thought possible.
Dr. Weintraub believes that surgery is never a race. The patient is always number one. He keeps in his wallet a piece of paper that is his motto in the operating room: “Always demand what is right, and never accept second best.” He likes to consider himself a “thinking surgeon,” and does not enter the operating room with a mechanical series of steps to execute robotically, but likes to remain alert and ready for whatever intraoperative challenges might spontaneously arise. Although many notable surgeons openly listen to music while performing surgery, Dr. Weintraub does not, preferring the mood of the operating room to remain serious and focused.
Over 60% of Dr. Weintraub’s practice is comprised of complex redos of surgeries performed by other offices. Such procedures always involve difficult issues, since there exist not only the limitations of a patient’s own anatomy, but also the limitations of another surgeon’s aesthetic, and the scar tissue that has developed as a result. Patients seek Dr. Weintraub from all over the world to correct their aesthetic problems. He takes great pride in getting the best results, and always enjoys the challenges of such procedures.
Last, Dr. Weintraub will not hesitate to turn patients away if he feels they are not good candidates for surgery. If a surgery is not in someone’s best interest, he will be the first to say so. However, when a patient is a good candidate, the results produced by Dr. Weintraub can be magical, and he feels that it is an honor to give patients a gift they can enjoy for the rest of their lives.