Dermal Filler New York City

While surgical options like facelifts can produce excellent results for treating facial aging, not everyone is a candidate for surgery. Some also feel that their facial aging isn’t advanced enough to warrant a surgical procedure. Dermal fillers provide an ideal solution for men and women seeking non-surgical facial rejuvenation.

These convenient and effective injectables deliver long-lasting results without the need for surgery, heavy anesthetics, or a lengthy recovery period. They can be used for a variety of cosmetic purposes, including smoothing away fine lines and wrinkles, enhancing the lips, augmenting facial features, and restoring fullness to areas of the face that have lost volume. Board-certified plastic surgeon Dr. David Cangello administers all injectables himself, allowing patients to achieve results that blend seamlessly with their features.

Contact Us today at (212) 644-4416 to schedule your consultation for dermal fillers in NYC.

 

How Dermal Fillers Work

Subcutaneous facial fat atrophies with age, which leads to a loss of volume. Collagen and skin elasticity also decline over time, contributing to fine lines and wrinkles. Together, these age-related changes can make the face appear gaunt and cause the skin to lose its youthful texture. As the name suggests, dermal fillers counteract this by filling in wrinkles and replenishing volume in areas of the face that have lost fullness.

Most fillers are made from hyaluronic acid (“HA”), which is a naturally occurring substance found in the body that helps the skin retain moisture. These types are essentially “space occupying” fillers that fill up space that was once filled with fat. Other fillers work by stimulating collagen production, which in turn increases volume.

Dermal fillers serve a variety of cosmetic purposes, including:

  • Smoothing out fine lines and wrinkles
  • Restoring volume to areas such as the temples, cheeks, and under the eyes
  • Providing subtle lift to areas of the face that are starting to droop
  • Filling in surface depressions, including marionette lines, nasolabial folds, and acne scars
  • Augmenting the lips and facial features

Dr. Cangello’s Approach to Injectables  

As a board-certified plastic surgeon, Dr. Cangello has a thorough understanding of facial anatomy, from the surface of the skin to the underlying structures. He combines this knowledge with an artistic approach when performing facial fillers, allowing a more nuanced and customized application. This is absolutely key for producing natural-looking results.

The value of having a board-certified plastic surgeon administer your injectables is immense. Dr. Cangello has extensive experience with all facial injectables, and he helps patients explore which particular filler (or combination of products) would best meet their cosmetic goals. Although injectables such as dermal fillers and Botox are minimally invasive and take only minutes to perform, they still require a great deal of skill and experience to administer. This is why Dr. Cangello performs all injectables himself, allowing patients to have the highest quality of cosmetic care.

Your Options for Dermal Fillers in NYC

Cangello Plastic Surgery offers a comprehensive selection of dermal fillers to suit patients’ individual needs. Some of the most popular options include the following:

Restylane

Restylane is an HA filler, so it is a “space occupying” filler and does not stimulate collagen production. In general, its effects last around 6 months. In certain areas (such as the under-eye hollows) it can last up to 9 months or a year. It is a highly versatile filler and can be used in the lips, temples, nasolabial folds, marionette lines, cheeks, and more.

The Restylane line of fillers also includes Restylane Lyft (formerly known as Perlane) and Restylane Silk. Restylane Lyft is frequently used by Dr. Cangello in the cheeks and nasolabial folds. At this time, Dr. Cangello minimally uses Restylane Silk.

Juvéderm

Juvéderm is also an HA filler and does not stimulate collagen production. Most of its properties are very similar to Restylane, and it lasts around 6-9 months. It can be used in exactly the same areas as Restylane with the one exception of the lower eyelids, where Dr. Cangello prefers to use Restylane.

Voluma

Voluma is an HA filler made by Allergan, the same manufacturer as Juvéderm, and it is a more highly crosslinked version of it. Because of this, it lasts longer than Juvéderm (around 12 to 18 months). It is FDA approved for the cheek bone area, and this is primarily where Dr. Cangello uses it. He may also use it to create skeletal augmentation for areas such as the jaw or chin.

Belotero

Belotero is a very fine HA filler with much less viscosity as compared to the above-mentioned fillers. It is best used for filling stubborn wrinkles that are not effectively treated with Botox. It also works well in the under-eye area.

Radiesse

Radiesse is not an HA filler; it is made from Calcium Hydroxyapatite. It dissolves in the first few weeks following injection. However, it has a volumizing effect through the localized stimulation of collagen production. This is a very versatile filler and is used throughout the face by Dr. Cangello, as well as for rejuvenation of the back of the hands. In fact, Dr. Cangello is one of a few physicians in the country who participated in the study conducted by Merz Aesthetics (the manufacturer of Radiesse) to gain FDA approval for its use in hand rejuvenation. In the face, it often lasts around 9 months and in the back of the hands it can last around one year.

Sculptra

Sculptra is made from poly-L-lactic acid, which is the same material found in absorbable sutures (stitches). Like Radiesse, it increases volume by stimulating collagen production. For best results, usually 2 – 3 treatments are required about 4 weeks apart. Dr. Cangello most frequently uses Sculptra in the cheek area. It cannot be reversed or dissolved.

Fat Grafting

For patients who are seeking a more permanent solution, fat grafting (“fat transfer”) is an excellent option. During this procedure, fat is taken from a donor area (such as the abdomen or inner thighs) and is transferred or grafted to areas of the face where filler would be used. It is extremely versatile and can be used in almost any area of the face. And because it uses the patient’s own fat, there is very little risk of adverse reaction.

Facial fat transfer is permanent because the fat is actually “grafted,” which means the fat cells establish a new blood supply and indefinitely live in the area they are transferred to. Dr. Cangello was trained by and worked extensively with Dr. Sydney Coleman, one of the pioneers of the fat grafting method. This invaluable experience allowed him to develop techniques that produce long-lasting and natural-looking results.

Contact Us today at (212) 644-4416 to schedule your consultation for dermal fillers in NYC.

 

FAQs About Dermal Fillers

Is There Downtime After Dermal Fillers?

Dermal fillers require minimal downtime. It’s common for patients to experience mild bruising, swelling, or redness after their treatment, but these temporary symptoms quickly subside. Patients can immediately resume their regular activities after treatment.

Can I Have Botox At the Same Time as My Fillers?

Yes, absolutely. Botox is a versatile injectable that is excellent at treating movement-related wrinkles, such as crow’s feet and furrows between the eyebrows. For optimal rejuvenation, many patients choose to have both Botox and dermal fillers performed at the same time.

Can Filler Be Used for a Non-Surgical Nose Job?

Yes. While filler cannot replace the effects of surgical rhinoplasty, Dr. Cangello frequently uses filler to treat minor cosmetic irregularities of the nose. It can be used to reduce the appearance of a dorsal bump, and it can also be injected into a drooping nasal tip to provide subtle lift.

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