Designer Fillers and Neuromodulators

Designer fillers have become the rage, allowing an ever-expansive palette to rejuvenate and re-contour the face without surgery. Each of these new choices have benefits that make a difference in looking and feeling natural when chosen and placed by a highly experienced expert in cosmetic surgery.

Following Juvederm Voluma's lead as the first filler targeted for the cheek area. Newcomer Restylane Lyft adds volume to the midface, while Juvederm Volbella and Restylane Silk take aim at the lips. Juvederm Vollure offers subtle differences in refining nasaolabial folds along the sides of the nose from the Juvederm Ultra Plus that has been most popular over the last decade. Restylane’s Refyne and Defyne (for smile and laugh lines), and Belotero Balance add yet more options.

Speaking of injectables, there are three approved neuromodulators on the market:

Botox Cosmetic, Dysport and Xeomin-all work beneath the skin's surface by relaxing the muscles that cause wrinkles, frown lines and crow’s feet. While there are subtle differences between these three choices, they all work the same way. Understanding the difference between these three can help you choose the right one FOR YOU. Take care not to put too much faith in online generalizations about these treatments. The "best" shoe brand doesn't fit well on all people.

All of these treatments can be done on a lunch break, so you can get back to your day in a matter of minutes.


Who Should Inject YOU?

Lunchtime quick fixes without surgery (injectables) are the most common cosmetic procedures done today.

Looking better without surgery actually works, but there is a big difference between having your injectables done by an experienced plastic surgeon or someone less experienced with the procedure and the anatomy.

If you're located in the Long Island and NYC areas call us for an appointment and see what a difference a few minutes can make!

Fillers vs. Toxins

Fillers fill wrinkles and depressions to smooth them out. These include Juvederm, Restylane, Perlane, Radiesse and Artefill. Toxins work completely differently. They relax the muscles that wrinkle the skin. These include Botox and Dysport.


Juvederm Ultra, Juvederm Ultra Plus, Restylane and Perlane

Juvederm Ultra, Juvederm Ultra Plus, Restylane and Perlane are all made from a substance that occurs naturally in our skin, Hyaluronic Acid (HA) in a gel form. When this gel is injected, it refills the volume lost with aging and sun damage. The wrinkles and folds are greatly improved instantly. Juvederm Ultra and Restylane are a bit thinner and best for lips and very fine lines. Juvederm Ultra Plus and Perlane are a bit thicker and best for thicker skin areas like nasolabial folds and the marionette lines around the chin and extending down from the edge of the mouth.


Radiesse is a filler made of Calcium Hydroxylapatite microspheres. Injected like the other fillers, it is somewhat thicker, lasts a bit longer, but can be a little more traumatic. The slight increased chance of bruising is weighed against the increased length of duration. In my opinion, there is no wrong answer deciding between this type of filler or HA fillers. Slight increase in cost and bruising against slight increase in duration.


Artefill is a filler that is much longer lasting than the fillers above. It is made of microsphere enhanced collagen. While some like it, many physicians in my experience do not recommend it because while any lumps or irregularities that may occur with the products above will almost always massage out and go away pretty quickly, with Artefill, these can be long lasting.


Voluma XC™

JUVÉDERM VOLUMA™ XC injectable gel is FDA-approved to instantly add volume to the cheek area. It gives you a subtle lift, helping to restore contour and a more youthful profile, for up to 2 years, in patients over the age of 21. It's different than JUVÉDERM® XC and works on a different area of the face. JUVÉDERM® XC smoothes out moderate to severe wrinkles and folds around the nose and mouth, like parentheses. JUVÉDERM VOLUMA™ XC, however, adds volume to the cheek area.

Sculptra Aesthetic

Sculptra Aesthetic works to replace lost collagen in a series of treatments. On average, three injection sessions are needed over a period of a few months. Usually done in the cheeks around the area of the nasolabial folds, it is designed to fill areas that have lost volume with aging. This is not really a filler. It encourages a slow rebuild of your own collagen.


Botox Cosmetic and Dysport

Botox Cosmetic and Dysport are the two products most commonly used in this category. They work by relaxing the muscles that make the wrinkles. There is very little difference between these products as they are both variations of Botulinum. In Dr. Studin's experience Dysport starts to work a bit sooner and Botox Cosmetic is a bit more forgiving in terms of controlling distribution, and they last the same amount of time. Some patients are sure they like one or the other better, but most see little difference between Botox Cosmetic and Dysport.

This treatment is perfect for forehead wrinkles, frown lines, crow's feet, the downturned mouth corners and many neck bands. Like fillers, they are done in a quick office visit and you can return to work and other activities without any telltale signs.

Who Should Inject You?

In our office Dr. Studin does ALL injectables personally. He has been performing injectable treatments since 1985 and believes that experience counts.

Injectable FAQs

Fillers Vs Toxins

  • Fillers like Juvederm and Restylane fill the wrinkles and folds immediately. Toxins like Botox Cosmetic and Dysport relax the muscles that make the wrinkles.

How long do fillers last?

  • Juvederm and Restylane last about a year but they are absorbing slowly along the way. Most patients will refill the correction every six to nine months. Radiesse lasts about 18 months, but also is decreasing along the way.

Do I need allergy testing?

  • No allergy testing is done for fillers or toxins. Allergic reactions, which were a problem with the old collagen products, are not a common problem with the modern treatments.

Which filler or toxin should I pick?

  • See the section on each area to correct.