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Steven J. Pearlman, MD, FACS Dual Board Certified in Facial Plastic Surgery

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Do I need fillers, facelift or facial implants?

04Have you ever wished you could enhance certain parts of your face without surgery?

The good news is that you have multiple options.  If you are not quite ready for a facelift or facial implants; a less invasive procedure might be a good start.

Facial Fillers
Fullness in the cheeks is a highly desired feature for women of all ages.  Through our body’s natural aging process, we lose volume from our upper cheeks. Injectable fillers such as Juvederm, Restylane, Perlane, Belotero, Radiesse, and Sculptra are effective in immediately restoring that volume, and are becoming increasingly popular due to their minimal downtime, and immediate results.  These procedures are performed as outpatient procedures, right here in our office, to fill out any area of the face that needs a little lift, or plumping up.

Not to be confused with facial fillers; Botox,  Dysport, and Xeomin are different types of FDA-approved botulinum toxins which are used to relax the muscles responsible for ‘active’ wrinkles.  An example of a common ‘active’ wrinkle is what is known as the ’11’ between your eyebrows.  We call this an ‘active’ line because it is caused by over-activity of the underlying muscles that you use to frown.  In contrast, facial fillers are effective in treating ‘static’ lines which are not due to activity of underlying musculature.  An example of ‘static’ lines are the naso-labial folds, which run from the outsides of your nostrils, to the corners of your mouth.

When you visit our office we can show you examples of amazing results of restoring youthfulness without the need for a facelift or implants.  The combination of toxins and fillers can shave years off of your appearance both quickly, and inexpensively.

The effects of facial fillers varies by the type of filler used.  Some have a duration of just a few months, while other ‘long lasting’ fillers may last up to two years.  Some of these fillers have even been reported to stimulate new collagen growth; such as Radiesse and Sculptra.  This stimulation of collagen rebuilds the face’s natural support structure, and creates longer lasting effects. The wonderful thing about these products that carry what we call a ‘bio-stimulatory effect’ is that they recruit the help of your body’s own natural materials to rejuvenate your face.

Facial fillers are not meant to correct sagging skin along the neck, brow or jaw line. These cosmetic issues may require surgical procedures (although only a visit to see us can help you be sure).

Facial Implants
If you are seeking a more long lasting solution to your facial features, facial implants are a popular option.  In contrast to the injectables that we discussed earlier, which plump up the soft tissues of the face; facial implants go right to the source and give support to what you already have. Facial Plastic Surgeons insert these facial implants at the bone level to enhance your natural bone tissue, supporting the soft tissue above. Because of this, the results of facial implants are much more predictable.

One common method for inserting these implants used by Facial Plastic Surgeons is to make small incisions in discreet areas of the mouth, so the implants can slide into place. Although the procedure is long lasting, it is reversible if results are not optimal for you.

Conclusion
When you make the decision between injectable facial fillers and facial implants, it is important to consider the long-term effects of your choice. If you want a long lasting change, facial implants are probably your best choice. However, you may just want a temporary, or more subtle fix.  In this case, the use of facial fillers; with or without botilunum toxins, can produce amazing results.

If you’re considering a cheek or other facial enhancement, please take a look at our WOW Cheeks procedure in this video and call us for a consultation: (212) 380-1541

Botox, Facial Peels, Facial Fillers and Shoeshines in NYC

Simple Pick-me-ups

This morning as I was sitting getting a shoeshine I thought about simple things that make us happy. I was introduced to shoeshines by my fellowship mentor, Dr. William Friedman. He taught me more than surgery and how to treat patients, he also taught style. Out of the blue when he wanted to take a short walk and get a quick “boost,” he would say “let’s go get a shine.” This actually works! So I continued the same tradition with my former junior partner (when I was with a big group), Dr. Eric Cohen. He still talks about it. 

Since my move to Park Avenue over 10 years ago, I now go to Jim’s on east 59th St. They have 6 chairs and yet always manage to have a short line. 

I figure this is akin to my wife going out to get a mani-pedi, a facial or a new outfit. Amazing what a little thing can do for your spirits. I find that my patients feel the same way after getting a refreshing Probiotic Peel, a little Botox or fillers (Juvederm and Restylane). The peel is performed by Christine Ross, our extraordinary cosmetic surgery nurse; a new peel that doesn’t actually peel but leaves your skin glowing.

 A number of patients come in with friends and some mother-daughter teams for quick Botox, maybe some Juvederm or Restylane for the cheeks or lips and then off to lunch in the city. Steven Pearlman, MD, FACS

So, for a quick pick-me-up try a Probiotic facial peel, Botox or even a shoeshine.

Botox and Fillers Doctor Self Treatment

Physician Heal (or treat) Thyself

70% of physicians who offer Botox in their practices actually get treated with Botox and half have actually injected themselves! I designed and conducted a survey along with my co-authors on physicians in core specialties regarding Botox and Facial Filler treatments. This survey was published last week in the Archives of Facial Plastic Surgery. Over 6500 doctors from the four specialties were polled including: Facial Plastic Surgery, Plastic Surgery, Dermatologic Surgery and Oculoplastic Surgery (these are considered to be the core specialties for facial fillers and neurotoxins by the Physicians Coalition for Injectable Safety, http://www.injectablesafety.org).

These astounding statistics speak for themselves. Doctors trust Botox and fillers so much that not only do a majority who offer them in their practices get them, but half of these physicians actually inject themselves. Nothing speaks louder when it comes to trust than findings like this. I am often asked if I would have such – and –such a treatment done on myself or a family member, well here it is.

The third part of this study looked at who else doctors trust to inject them. Two thirds preferred a physician colleague, 27% a Physician’s Assistant, Registered Nurse or Nurse Practitioner. Additionally, two percent of those surveyed allowed non-medially credentialed individuals to inject them. Why? I have no idea but this is not condoned by any of the above groups. So, if you are wondering about the safety of Botox or Facial Fillers, consider what doctors actually do. Steven J. Pearlman, MD, FACS.

Frequent Filler Miles, Juvederm and Botox in NYC

First it was frequent flier miles, then hotel chains. We even get to use almost any airline with Amex rewards. I drew the line there. It seems everywhere you turn you can get frequent user points: Starbucks, the local car wash, even nail salons. I choose not to save these cards. But now it’s right here in my office. Brilliant Distinctions is for patients who get repeat treatments with Botox and/or Juvederm. You can accumulate points on their website so that rewards can be accumulated towards money off (from Allergan) on Botox, Juvederm or even donate your points to charity.

To me, this is a no-brainer. As we know, Botox lasts an average of 3 to 4 months and Juvederm from 6 months to a year. To maintain the same level of rejuvenation you then need to return a few times a year to stay looking fresh and young. So, why not sign up?

A few years ago my Botox rep suggested that we have patients come in automatically at around 3 ½ to 4 months as their Botox is wearing off for repeat treatments. At first I thought it was a ploy to sell more Botox. However, by keeping muscles at rest and not allowing them to fully recover they undergo atrophy. That means the facial muscles get thinner from disuse.  This will enhance the smoothing action and after a few years may reduce Botox requirement for steady patients. So, when my receptionist offers to schedule your next Botox appointment right after you just had one, it’s to help maintain your wrinkle-less face.

In summary, Botox and fillers help rejuvenate your face. Timely visits will maintain a youthful look and now can even be redeemed for discounts on future treatment.

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