Andrew J. Miller, M.D.  Shain A. Cuber, M.D.  Elliot M. Heller, M.D.  Julie Miller, M.D.

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Cosmetic Surgery &
Plastic Surgery Specialists
New Jersey - New York
Wrinkle Removal

 

 

 

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1150 Amboy Avenue
Edison, New Jersey
(732) 548-3200
   
203 Route 9 South
Marlboro, New Jersey
(732) 617-1800
  
5 Mountain Blvd.
Warren, New Jersey
(908) 222-8440

345 E. 37th St., Suite 209
New York, NY 10016
(212) 661-2563

1424 Richmond Ave.
Staten Island, NY
(718) 477-2020

Plastic Surgery New Jersey, New York, Staten Island: Wrinkle Removal Video
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Wrinkle Removal
  
BOTOX® | Wrinkle Fillers | Laser Wrinkle Removal, Chemical Peels, & Power Peels

Botox®

       Botox® works great for lines caused by muscle movement.  These lines include the frown lines, the forehead lines, and the crow’s feet around the eyes and nose.  It is a quick and simple injection that can be done anytime in one of our convenient New Jersey or New York offices.  Side effects are extremely uncommon, and it is simply repeated every four months on average for a wonderful, natural result.

 

       There are many different types of injectable fillers that can be used for wrinkles, folds in the face, and the lips as evidenced by the large array of advertising campaigns in magazines and on television.  At Associates in Plastic Surgery, you can be assured that we only use materials that are well tested and shown scientifically to work.  We do not use any gimmick procedures to just get patients in the door.

       Injectable fillers are most commonly used for the folds between the nose and lips (nasolabial or NL folds or laugh lines) and between the lips and chin (labiomandibular or LM folds or drool lines) as a way of replenishing lost volume.  As we age, two things typically happen to the midface – 1. The cheeks fall as a result of gravity, and 2. You lose fat volume in the areas of the NL and LM folds.  The different materials used to replenish the lost volume are:

1.

Restylane® or Juvederm are both hyaluronic acid products.  Hyaluronic acid is a natural component of the skin, so no skin allergy test is needed.  These products are typically used to fill the NL and LM folds as well as other wrinkles on the face.  They can also be used to enhance the lips and to fill the crease that sometimes forms under the eye (the tear trough).  Since this is a very natural substance, there is no worry about side effects and can last anywhere from 4-8 months.
  

2.

Radiesse® is a formulation of calcium hydroxyapitite, which is also a common substance in the body that is nonreactive.  It is usually utilized  to fill in the NL and LM folds as well as the cheeks.  It produces a fuller result than Restylane® and may last up to a year. 
   

3.
Sculptra® is Poly-L-lactic acid which works within the deep dermis to replace lost collagen.  It can be used in the nasolabial folds as well as other areas on the face such as hollow cheeks or temporal regions.  The average number of injections is three and the results can last up to 2 years.
 
4.

Collagen is still used for the very fine, superficial lines in the skin that cannot be filled with Restylane®, Juvederm, or Radiesse® because those fillers have to be placed a little deeper.  With genetically engineered human collagen, no skin testing is needed and a nice result is achieved immediately. 
   

5.

Silicone may be used in small quantities at a time for the lips, NL folds and LM folds.  A microinjection technique allows the enlargement to proceed slowly, giving the patient the opportunity to enhance the area until happy with the result.
   

6.

Fat can be harvested through thin canulas from the outer hips or lovehandles.  It is then processed and can be injected into the NL and LM folds as well as the cheeks, lips, or under the eyes.  Some fat is stored in the freezer and the patient returns a few times during the year to build up a nice long lasting result. 
   

7. Threadlift  – Thin threads are placed under the skin using local anesthesia to lift up the cheeks and jowls with a natural appearance. 

PROCEDURE
       Our physicians will discuss all of the options with you.  Most procedures such as Restylane®, Juvederm, Radiesse®, Collagen, or Silicone can be done on the day of consultation.  A numbing injection is performed to minimize any pain, and then the injection is carried out.

       Usually some swelling will occur for less than a day.  Occasionally, you will get some minor bruising which can be covered up with makeup.  The injectable should look smooth and natural, but rarely a small bump may be present that will resolve with massage of the area.

       The wide variety of injectable fillers can be confusing but the physicians at Associates in Plastic Surgery will take the time to determine what is best for you.

     

Laser Wrinkle Removal, Chemical Peels, & Power Peels 

         Scientific advances in the field of laser surgery and chemical peels have made younger and smoother looking skin a reality.  The different procedures are offered in a gradual fashion to accomplish the best result with the smallest recovery possible.  The different procedures are discussed below:

Laser resurfacing The ultra pulse laser can smooth facial wrinkle irregularities and blotchiness.  It is especially effective for frown lines around the mouth and lips and the “crow’s feet” around the eyes.  The procedure can be done under IV sedation for your comfort and recovery is about 10 days, after which make-up can be applied.  This is the heaviest procedure which can produce excellent results (as seen in the pictures below), but with a little longer recovery time.

Mini Facelift     Mini Facelift     Mini Facelift
Click on photos to see larger version in Photo Gallery.

Medium depth chemical peels include TCA and/or Jessner’s peels.  These procedures involve placing a chemical on the face using Q-tips.  The outer layer of old skin is removed, leaving a clean refreshed layer to heal in about 5 days.  This procedure in done in an office setting with no anesthesia and be very effective for light wrinkles and spots.

Light peels can be performed with either a glycolic acid formulation or with Power Peel (microdermabrasion) which utilizes tiny crystals to gently smooth the skin.  These peels require no downtime and provide a cumulative effect, so a nice improvement in the skin tone and pores should be seen after 8-10 treatments.  Then a light peel can be performed on an as-needed basis to maintain the result. 

The plastic surgeons at Associates in Plastic Surgery will determine the best procedure for your needs and give you a nice, natural improvement.  

BEFORE & AFTER PHOTOS

laser resurfacing before & after     wrinkle removal before & after     wrinkle removal     wrinkle removal
 
Click on photos to see larger version in Photo Gallery.

Wrinkle removal procedures are performed in our New Jersey or New York offices.
   

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