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Injectables and Fillers offered by the plastic surgeons at our practice include:

  • Juvederm
  • Juvederm Ultra
  • Juvederm Ultra Plus
  • Juvederm Voluma
  • Juvederm Volbella
  • Juvederm Vollure
  • Restylane
  • Restylane Silk
  • Restylane Lyft
  • Restylane Refyne
  • Restylane Defyne
  • Restylane Kysse
  • Belotero
  • Revanesse Versa
  • Sculptra
  • Radiesse
  • Kybella

Over the past several years, options for injectable fillers have become significantly refined. The majority of fillers used today are forms of hyaluronic acid (HA). Hyaluronic acid is a substance that occurs naturally in all mammals and has been successfully and safely cloned in the laboratory.

Because pure hyaluronic acid would be broken down by the body in about 24 hours, HA injectables have been modified to increase their stability over time by a process called cross-linking. The different HA products differ in molecule size as well as amount of cross-linking. These variations cause changes in characteristics such as “thickness” of the product and how long it remains in the body. The average treatment results last around six months, although the length the product remains can vary based on individual factors, the product chosen, and the area being treated.

There is a very small number of patients who are very nervous about any kind of procedure that involves needles or even minimal discomfort. For these individuals we offer a range of options to offer complete comfort, including sedation by our expert anesthesiologist. Read More >>

At the time of an individual consultation, Dr. Rapaport will advise which type of filler is best for a given area.

Injectable Filler NYC | Injectable Fillers New York City

Products such as Voluma and Restylane Lyft are more “robust,” and therefore they are commonly injected deeper, especially near the bones of the midface. This creates a very natural enhancement of the area and restoration of volume which is naturally lost as part of the aging process.

Restylane and Juvederm are “thinner” products, which are used more superficially, as appropriate. Restylane Silk is a newer formulation of Restylane, specifically designed for the lip area. Dr. Rapaport was one of the first physicians in the United States to use Restylane Silk.

Belotero is yet another HA product which is often favored in the lower eyelid, “tear trough” area. In addition, we were one of the first practices in NYC to offer Volbella, a new HA that is very low viscosity and offers excellent results for lip enhancement and the improvement of fine lines.

The newest fillers to reach the market are Restylane Refyne (a thinner product, designed for more superficial applications) and Restylane Defyne (a thicker product, designed for deeper applications). These products are more flexible, allowing for an increasingly organic appearance during movement of the face.

Dr. Rapaport uses these types of injectable fillers for:

  • Lip augmentation
  • Restoration of lost volume in the cheeks/midface and other areas of the face
  • Making the jowls appear less pronounced
  • Smoothing wrinkles and folds
  • Adjusting droopy mouth corners
  • Reducing nasolabial folds (folds around the nose)
  • Performing non-surgical rhinoplasty (to make the nose appear more narrow or more straight)
  • Performing non-surgical chin augmentation
  • Performing non-surgical blepharoplasty (reduce hollowness under the eyes)

In recent years, injectables have become increasingly popular among both men and women. We have seen a dramatic rise in the use of injectable products for facial refinement and facial rejuvenation.

Injectable neurotoxins (BOTOX, Dysport, Xeomin, Jeuveau)

Unlike fillers such as Restylane and Juvederm, which restore lost volume, Botox, Dysport, Xeomin, and Jeuveau are neurotoxins, which cause muscles to relax for a period of several months.

Botox, Dysport, Xeomin, and Jeuveau are each slightly different formulations of Botulinum toxin type A, a naturally occurring toxin which when injected next to muscle, causes the muscle to relax. This relaxation can be partial or complete, depending on the amount of product used and the strength of the muscle being treated. The 3 different brand names listed above are in reality much more similar than different. Over recent years, Dysport has become our preferred preparation in most cases, because its onset of action seems to be quicker, with noticeable improvement usually beginning after 2 to 3 days, versus 6 or 7 days with Botox or Xeomin.

The FDA has approved the use of Botox for treatment of glabellar lines, which are vertical wrinkles between the eyes These typically occur with frowning. Botox is also approved for treatment of crows feet, which are wrinkles occurring on the sides of the eyes and in the lower lids, typically with smiling or squinting.

There are many off-label uses of botulinum products which have become quite popular in recent years. These include the forehead for reduction of its horizontal lines, bunny lines on the sides of the nose, vertical lines of the lips, and vertical neck bands, also called platysmal bands, muscles which can cause a gummy smile, muscles which pull the corners of the mouth downward, and chewing muscles which when overgrown can cause excessive widening of the lower face and/or TMJ pain. Finally, Botulinum toxin can also be used to stop sweating, particularly in the underarms. For almost all uses, Botox typically lasts for 3to 5 months, depending on how much is used, while when used to reduce sweating it typically lasts from 6 to 9 months, and sometimes more.

Just like with fillers, the key to getting good results with botulinum toxin injections is to have the proper artistic approach to the face as a whole, and to truly understand the desires of each patient. To aid in achieving optimal results, we keep a photographic record of precisely how much neurotoxin is used and where it is injected. This allows for duplication is results are ideal, or fine adjustments if one is seeking a bit more or less muscle relaxation.

Specialized injectables such as Sculptra, Radiesse and Kybella are also available. Please click on each link for more details.

How can I prepare for an injectable filler treatment?

Even though no allergy testing is needed, before having any HA filler injections, patients should avoid using aspirin products, Vitamin E supplements and other medications that can thin the blood and may increase bruising.

Before & After

Injectables and Fillers

Injectables

In recent years, injectables have become extraordinarily popular among both men and women. We have seen a dramatic rise in the use of injectable products for facial refinement and facial rejuvenation. Unlike fillers such as Restylane and Juvederm, which restore volume, Botox and Dysport involve neurotoxins, which help to relax tense muscles.

People are clearly more conscious of their appearance in these days of social media and “selfies.” While people are increasingly interested in doing things to improve their appearance, many remain reluctant to have surgery. Injectable treatments performed by New York plastic surgeon Dr. David Rapaport uniformly involve little to no downtime, with patients commonly coming in before work, during a lunch break, or after work to get their Botox and/or fillers.

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COVID-19 UPDATE: WE ARE FULLY OPEN

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RETURNING TO PATIENT CARE AS USUAL, ONLY BETTER!

We are excited to announce that as of June 8th, 2020, our office will be open for ALL appointment types including Surgery, Cosmetic Injectables, Earlobe Repairs, Mole Removals, CoolSculpting, CoolTone, Morpheus8, miraDry, Skincare services, and more!

During this time, we are still encouraging virtual consultations & follows up as an initial step prior to an in-person appointment. We are requesting that established patients virtually consult/review their treatment plans with Dr. Rapaport or a medical aesthetician in advance of their scheduled treatments/procedures. We will be providing you with specific procedure-related instructions prior upon scheduling. If you left a deposit for a treatment and have not yet been contacted by our staff, please call, or e-mail our office so that we may get you scheduled.

Dr. Rapaport & his team have been working diligently to get our office prepared for our re-opening. Our main priority is the health and safety of our patients and staff. Thank you for following our guidelines and being so patient. See below for our re-opening guidelines:

  1. Please take the time to thoroughly read and complete our updated Appointment Policies, COVID-19 Patient Protocols, ASAPS COVID-19 Consent, and COVID-19 Patient Screening Questions. These forms will be sent via email and must be completed prior to your appointment. This will help to screen patients and ensure social distancing in the office.
  2. When we contact you, please let us know if you are or have been sick in the last 3 weeks, have been in close or prolonged contact with anyone who has been sick during that time, or have travelled outside the United States, or have returned from the following states within the last 14 days that have been added to the high covid risk government list including Alabama, Arizona, Arkansas, Florida, North Carolina, South Carolina, Texas, and Utah. Specific symptoms of COVID-19 may include fever, cough, loss of sense of smell and taste, chest pressure, or shortness of breath
  3. Alert us if you have any other health problems that make you more susceptible to developing COVID-19 or are at increased risk. Although our office has implemented additional measures to keep you safe during this time, we encourage you to consult your primary care physician for further instructions on how to remain safe. Typically, patients over age 65 who also have respiratory ailments, heart disease, hypertension, diabetes, or are immunocompromised are at greater risk.
  4. Medication refill and product requests: Routine requests for medication refills must be requested electronically through your pharmacy. Should you need to purchase skin or haircare products and would like them mailed to you, please e-mail office@DrRapaport.com or phone us at 212-249-9955.
  5. We ask that you come alone to office visits, if possible. To limit exposure and practice social distancing, we are doing our best to minimize the number of people in the office at one time. If you require someone to accompany you to your visit, he/she will need to be with you at all times throughout the duration of your appointment or they will be asked to wait outside.
  6. Please make sure to bring a mask with you to your office visit. If you do not have a mask, we will provide one for you. 
  7. Please abstain from handshake greetings and keep a “social distance” of 6 feet or more from other individuals when in the office whenever possible. 
  8. As soon as you enter the office you will be asked to use hand sanitizer provided to you upon arrival and departure from the practice. Coat both the front and back of your hands and wrists and let them air dry. Wash your hands often with soap and water for at least 20 seconds and avoid touching your face.  
  9. Please reply to all email and texts that we send you. We are working with limited personnel and resources, so responding to these messages will enable us to keep in touch with you safely. 
  10. We will provide ongoing care remotely using telemedicine. Our telemedicine system will allow us to speak with you, evaluate your face/body/breasts, prescribe treatment, and/or give you advice. We will be contacting you about your existing appointment to determine whether a virtual or in-person appointment is best. 
  11. You can obtain good and reliable information about local conditions regarding the pandemic at https://coronavirus.health.ny.gov/home

For any questions and/or concerns, please call our office at 212-249-9955 or email us at office@DrRapaport.com. We know each of you are eager to get back to your treatment regimens, so we will be extending our hours to accommodate everyone as best we can while maintaining health & safety protocols!

We thank you for your continued support & confidence in Dr. Rapaport and our staff the past few months. We look forward to welcoming you back to our office!

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