Injection Therapies in New York City

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Injectable Options

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Dermal Fillers in NYC

One of the more annoying aspects of aging, particularly on the face, is volume loss. Volume loss occurs primarily due to a decline in the body’s production of collagen that is a part of aging. Every year after we turn 20 our body produces one additional percentage point less collagen. That means by the age of 50 your body is producing 30 percent less collagen. And since collagen provides the skin’s underlying structural support, it’s no wonder our skin starts to sag and develop wrinkles and creases.

Dermal fillers were created to return volume to the face. At Laser & Mohs Dermatology of New York we offer a variety of dermal fillers to return volume to different areas of the face.

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What Are Dermal Fillers?

As you would expect from their name, dermal fillers are injected beneath a wrinkle, crease, or area with volume loss and they “fill” in the space. Unlike BOTOX, which works by relaxing muscles that form wrinkles on the upper third of the face and can take 3-4 days to take effect, dermal fillers provide instant results.

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How Do Dermal Fillers Work?

Dermal fillers are used to return volume to areas of the face that have lost volume and are sagging or have allowed the formation of creases and lines. Various fillers are injected at different depths beneath an area with volume, such as the cheeks. The filler then simply fills in space, reducing sagging and removing the lines or creases. Different fillers are designed to address different areas of the face. For instance, Juvéderm® is meant for smile lines, marionette lines, and parentheses lines. Juvéderm® Volbella is meant to add subtle volume to the lips and remove vertical lip lines.

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Issues Dermal Fillers Can Address

People confuse dermal fillers such as Restylane® with neuromodulators such as BOTOX. Dermal fillers only work on “static wrinkles.” Static wrinkles don’t have anything to do with muscle contractions; they are due to sun damage, declining collagen production, environmental factors, and personal habits such as smoking. Static wrinkles form on the mid to lower portions of the face.

Dermal fillers work on these lines and areas of volume loss:

• Smile lines (from the nose to the corners of the mouth)
• Parentheses lines (framing each side of the mouth)
• Marionette lines (running from the corners of the mouth downward)
• Barcode lines (vertical lines on the lips)
• Volume loss in the cheeks
• Volume loss in the lips
• Undereye lines and hollows
• Backs of the hands

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What Dermal Fillers Are Right For Me?

This is completely unique depending on your areas of skin damage and volume loss. Restylane® Lyft is great for returning volume to sunken cheeks. Restylane® Silk is FDA-approved for adding volume to the lips. At Laser & Mohs Dermatology of New York, we’ll match our wide assortment of dermal fillers to your particular needs.

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Types Of Dermal Filler We Offer

• Juvéderm® (smile lines, marionette lines, parentheses lines)
• Juvéderm® Volbella (lip volume and barcode lip lines)
• Restylane® (smile lines, marionette lines, parentheses lines
• Restylane® Lyft (cheek volume, smile lines)
• Restylane® Refyne (mild to moderate smile lines and marionette lines)
• Restylane® Defyne (moderate to severe smile lines and marionette lines)
• Restylane® Silk (lip volume, barcode lines)
• Sculptra® (all lines around the mouth area)
• Radiesse® (volume loss across lower face, backs of the hands)

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Juvéderm® in NYC

Juvéderm is a safe option for softening wrinkles and plumping lips. Using hyaluronic acid, Juvéderm adds volume to the area, smooths out wrinkles, lines and folds when injected into the face. Juvéderm® is the only hyaluronic filler to last up to one year.

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Volbella®

At Laser & Mohs Dermatology of New York, we offer Juvederm Volbella® XC. This dermal filler is proven to increase lip fullness and soften the appearance of vertical lip lines for up to 1 year.

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Restylane®

At our practice, we offer several Restylane products to improve the signs of wrinkles. These dermal fillers are a great option for those looking for skin rejuvenation. The Restylane products we offer include Restylane, Restylane Silk, Restylane Lyft, Restylane Refyne & Defyne. These Restylane products have different benefits including adding volume to cheeks, creating fuller lips, and filling in lines and wrinkles.

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Sculptra®

Sculptra is PLLA, or poly-L-lactic acid. This is the same chemical that our muscles make after we exercise. This acid creates a temporary scaffolding to support superficial tissue and stimulates the production of new collagen. In contrast to standard dermal fillers that diminish after a few months, Sculptra continues to work beneath the surface, leading to younger-looking skin.

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Radiesse®

Radiesse is a safe biocompatible substance that adds volume and shape to your face, defying wrinkles, and producing collagen at the injection site. At Laser & Mohs Dermatology Of New York, we use Radiesse to help you with a wide range of wrinkle correction and facial cosmetic enhancements including nasal defect correction, bridge augmentation, and hand rejuvenation.

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What Are Neuromodulators?

Neuromodulators (BOTOX®, Dysport®, Xeomin®) are all made from the botulinum toxin type A, the same bacteria that cause botulism. That sounds scary, but it’s not. Way back in the early 1950s scientists discovered that when a miniscule amount of the botulinum toxin is injected into a muscle it temporarily stops the muscle from contracting. BOTOX® grew directly out of that research.

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How Do Neuromodulators Work?

Neuromodulators, work completely different from dermal fillers. Neuromodulators work on “dynamic” wrinkles. These are wrinkles that form due to muscle contractions under the skin. Dynamic wrinkles occur mainly on the expressive upper third of the face when you make certain expressions such as frowning and squinting.Neuromodulators work by blocking the nerve messages from the muscles to the brain. When injected into the muscle below a wrinkle, the neuromodulator blocks the nerve signal, so the brain never receives the command to contract the muscle. Without the contraction, the wrinkle on the surface doesn’t form. This paralysis lasts from four to six months before the body absorbs the now-inert botulinum toxin and the muscle will start contracting again and the wrinkle will return. At that point, another session receiving BOTOX®, Dysport®, or Xeomin® will be necessary to maintain your results.

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Neuromodulators We Offer in NYC

We offer the three neuromodulators approved by the FDA. They are:

• BOTOX®
• Dysport®
• Xeomin®

All three are very similar. Xeomin® is sometimes called the “naked” neuromodulator because it consists of only botulinum toxin, while BOTOX® and Dysport® also have some additional proteins in their formulations. If a patient has a subtle reaction to one neuromodulator, we can try one of the others.

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Botox® in NYC

Dr. Quintana administers Botox Cosmetic to improve the looks of moderate to severe frown lines between the eyebrows. The purified protein in the injection works immediately on the facial muscles that cause wrinkles. You will be able to see the effects of Botox within a few days.

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Xeomin®

At Laser & Mohs Dermatology of New York, Dr. Adelle Quintana injects Xeomin into the muscles in order to reduce their activity. Xeomin does not stop the muscle from moving entirely; instead, it modifies the contractions. This is achieved by inhibiting a body chemical called acetylcholine from signaling all of the nerves within the muscle to contract.

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Dysport®

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Patient Reviews

• “The service is here is the best. Girls at the front are wonderful. Happy, energetic and enthusiastic. Once there I have never had long wait times. Dr. Quintana and Dr. Miller who I have seen there are great!! Highly recommend this place” – D.Q.
• “It was a pleasure to visit this office! As a new patient, I was a bit apprehensive about meeting a new doctor and sharing my concerns. My experience couldn’t have been better. Dr. Quintana put me at ease and listened to all of my issues and answered all of my questions. Thank you!” – D.H.
• “I have been looking for a great dermatologist for some time now, and I’ve finally found what I’m looking for at Laser & Mohs dermatology. They listened to my concerns and walked me through the new routine that I’d be starting (Did not feel rushed as I had with previous dermatologists). Highly recommend!” – I.H.

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Dysport injections are a simple, effective, and non-surgical treatment to relax facial muscles on the forehead. With just one injection into each of the 5 points between and over the eyebrows, Dysport reduces muscle activity and temporarily prevents contraction of the muscles that cause frown lines. Dr. Quintana can even inject Dysport into the neck for wrinkles.

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What Areas Of The Face Do Neuromodulators Treat?

The FDA has approved neuromodulators for use approves on the upper third of the face, the expressive area. When we form expressions such as frowning, we engage all of the muscles around our eyes, around the brows, and on the forehead. These muscle contractions eventually begin to form wrinkles on the skin above the muscle. Neuromodulators are used to erase crow’s feet at the outside of the eyes, the 11s between the brows, and on forehead lines.

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Dermal Fillers vs. Neuromodulators

Sometimes our Laser & Mohs Dermatology patients clump all injectables together, but dermal fillers and neuromodulators are quite different.As described above, dermal fillers “fill” back in areas of volume loss. They are injected and add volume and push the wrinkle or depressed area back up. Dermal fillers are used on the mid to lower face and around the mouth. They also can return volume to the backs of the hands.

Neuromodulators work in a completely different fashion. Neuromodulators work by blocking the nerve messages that are sent from the muscles to the brain. After a muscle is injected with a neuromodulator, the brain doesn’t receive the message to initiate the contraction of the muscle, so the muscle stays relaxed. On the upper third of the face, muscle contractions form crow’s feet, the 11s between the eyebrows, and various forehead lines. BOTOX® and the other neuromodulators erase these wrinkles by stopping the muscle contractions under the skin.

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What To Expect During Injectable Treatment

These sessions take just a few minutes, so they can be done over a lunch hour. BOTOX® and the other neuromodulators are injected with very tiny needles, so patients don’t usually request topical numbing prior to their injections. Plus, these products are not injected at great depth.Some dermal fillers may be injected more deeply, depending upon the area of volume loss. Patients sometimes request topical numbing cream prior to these sessions. The choice is completely up to you.

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Is There Recovery After Cosmetic Injections?

There isn’t any recovery or downtime. You may have some slight redness and swelling for a few hours at the injection sites, but that’s about it. With neuromodulators, you must not rub the injection sites for at least 24 hours so that you don’t cause the botulinum toxin to migrate to an unintended muscle.

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How Long Will My Results Last?

All of these products have various durations. The shortest results come from neuromodulators, usually relaxing the injected muscles for about four months. Various dermal fillers have various durations, with most lasting about one year. Sculptra, however, provides volume for up to two years.

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What If I don’t Like How I Look After Having A Dermal Filler Injected?

If you’ve had any of the Juvéderm® or Restylane® fillers injected, these fillers can be instantly neutralized by the injection of an enzyme called hyaluronidase. This enzyme instantly breaks down the hyaluronic acid in these fillers.

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Kybella®

Kybella is an injection that is used to treat submental fullness or “double-chin”. When injected into the fat beneath your chin, Kybella permanently destroys fat cells. The cells can no longer store or accumulate fat once destroyed. Together, you and Dr. Quintana will tailor a treatment plan based on the amount of fat and your aesthetic goals.

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Schedule a Consultation

To learn more about our injection options, contact Laser & Mohs Dermatology of New York. Call our office at 212.391.8600 to schedule a consultation. Our practice serves NYC, Manhattan, and surrounding areas.