Dr. Bill Aydin, our double board-certified plastic and reconstructive surgeon in Paramus, NJ and White Plains, NY, uses more than just fillers (like Juvéderm® and Voluma®) to change to look of your face. At Aydin Plastic Surgery, our aesthetic team uses liquid substances (purified fat, collagen, PMMA, and more) to fill a facial pocket that has lost volume due to aging or weight loss. Our powerful fillers can help soften the appearance of fine lines, wrinkles, and hollow areas of the cheeks, chin, lips, under the eyes, in the nasolabial folds and other areas that require a "liquid lift." Dr. Aydin may also combine our different fillers with other nonsurgical skin rejuvenation treatments to give you the best results. Every patient will have his or her own skin rejuvenation treatment plan.
Types of Dermal Fillers
Technological advances have made it possible to manufacture a variety of fillers. Most fillers are derived from natural substances (such as collagen) while others are artificially produced. The patient’s skin condition and aesthetic goals will decide which type of filler will be best to use.
Fat transfer is the harvesting of excess fat from a donor site on the patient’s body. The fat is extracted using liposuction. These fat tissues are then purified and reinjected gradually into an area of skin with layering precision. The doctor will massage the skin and ensure that the intended contour is achieved. The body naturally absorbs fat and the results often last up to 6 months.
Collagen is a naturally occurring protein in human and animals. Skin, bone, cartilage and teeth are rich in collagen. These are harvested and converted into a sterilized liquid form and used as a derma filler. It is a popular filler for lip augmentation procedures. Some collage is derived from animals. Patients using a derma filler of this nature will require allergy testing ahead of the procedure to ensure that they will not have any complications.
Usually found in the bones and teeth of humans, calcium hydroxyapatite is also harvested and processed to use as a liquid filler. It is considered as one of the heavier substances and ideal in adding volume to deep creases. This particular filler product usually lasts longer than some of the others on the market.
Hyaluronic Acid (HA)
Hyaluronic acid is another substance that is sourced from humans. Rich deposits of this substance are commonly found in ligaments and connective tissues. As with other natural substances, when used as a derma filler, the results are natural and effective, but they are not long lasting as the body reabsorbs the solution over time.
Polylactic acid is an artificial substance. When injected, it doesn’t just add volume underneath the skin, but it also triggers the production of collagen, which helps in skin renewal. The contours will be visible immediately and the skin quality will be evident after several months. This filler can last up to a year or longer for most patients.
This is a popular dermal filler as it lasts longer compared to fillers that are made only from natural substances. PMMA is a hybrid of microspheres mixed with a collagen solution. The result is a more solid, heavy filler that works well for deep creases and for reconstructive purposes when a good amount of tissue is absent. This filler is considered semi-permanent, meaning it has the potential to last for several years or longer.
"Best Decision I Ever Made in my Life, I Have Never Looked Better! - Paramus, NJ - Dr Aydin is the best Plastic Surgeon and I will NEVER use anyone but him if I ever need any work done again. I had a full tummy tuck, lipo sculpting for fat transfer and I am so grateful for Dr Aydin! I look better now, then most 18yr olds and I just turned 40 with 3 kids! You know a Doctor is good when 2 of your friends go to him after they see your results. He has also done my botox, my friends botox, he removed a Callus on my finger, he cut it out and the scar looks like the natural line on my finger, he is REMARKABLE! I trust him with my life, I know he knows exactly what a woman wants and he makes that a realty. Dr Aydin and his team, are unlike any other, they took care of me, he called to check on me all the time, he took his time when he was doing my surgery (most doctors rush), he made sure his work was perfect (he is a perfectionist), he even made a house call, there is no Doctor like Dr Aydin and I am so grateful for all he did to help me look amazing! ?? "- J. / RealSelf / Jan 09, 2016
"Thank you Dr. Aydin & Staff!!! - I was beyond impressed with my experience with Dr. Aydin and his amazing staff! He is extremely intelligent, a compassionate and caring person, and a truly outstanding experienced plastic surgeon. From entering the office, to the cleanliness and order of the procedure, all the way to the follow up after my surgery - professionalism is second to none! I was completely blown away by how helpful..."- L. / RealSelf / Jun 01, 2017
"34 Year Old Male, Tumescent Liposuction of Lower and Upper Abdomen, Flanks, and Upper Back - Personable, easy to talk to, patient, attentive to detail, exceptional at his practice."- E. / RealSelf / May 30, 2017
"Where should I even begin? What a spectacular doctor! Not to mention his office is top notch with such friendly staff. Everything about them is exceptional. I decided to have a breast reduction and lypo on my waist areas. This was the first time I've gotten cosmetic work done. I was feeling a little apprehensive about the whole process. I had my first consultation in addition to follow up appointments before the surgery telling me everything I needed to prepare. They guided m...e through all the steps. I felt very comfortable with Dr. Aydin. He knew exactly the size he was reducing me to in proportion to my body figure. He gives you the honest truth of what he will do but in the end it's your decision. He describes what he will do during surgery and how many hours it will take. He even calmed me down before going under noticing I was nervous as they took me in. Dr. Aydin really cares about his patients and caters specifically to each individual. During surgery, the staff would call my husband letting him know how I was doing and the time to pick me up. They even offer a car service to take you to and from surgery if there isn’t anyone available to pick you up. Post-surgery, he would text my husband for updates about my recovery. He continued to do so for the next couple of days until my first appointment. The follow up appointments would be once a week. Once I healed I would come in every month or so to check how the scars were healing. Overall, this was an amazing experience, especially for my first time doing any sort of cosmetic procedure. I have become friendly with his staff. They are more than happy to help with anything you need. I would recommend anyone to this plastic surgeon. Not only did he reduce the size of my breasts, he added a lift to make them perky being that I opted out of the implants. My waist is a nice size compared to the size of my chest now. His work is impeccable. He made me see myself the way I’ve always envisioned. Sawsan Soukieh"- L.S. / Facebook / May 16, 2017
"Amazing experience - Once I stepped into the center, l felt at ease and all "surgery" fear, went away.Immaculately clean center. Very well kept. You are promptly greeted by Miray and Victoria, beautiful, sweet, smiling and very respectful girls. Less than 5 minutes, you are called in. You pass by more smiling faces and very clean rooms. Two minutes and the doctor is in greeting you.Dr Aydin is very nice,..."- A. / RealSelf / May 16, 2017
Injectable fillers are performed in the doctor’s office with the use of local anesthetic creams if necessary. Almost pain-free, the patient will only feel a prick from the injection. The substance will be injected gradually in even layers to make sure a natural looking result and contour is achieved. Sometimes, it may take more than one full syringe depending on how much volume is needed. There may be slight swelling, bruising and redness on the treated area but this usually subsides after a few days. Patients will be able to return to a normal routine a few hours after treatment.
Plan Your Procedure
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Injectable Filler FAQs
How Safe Is It?
All derma fillers are FDA approved, meaning they have passed comprehensive testing to prove that the product is safe and effective to use. The majority of fillers are made with a natural substance so if the result is not as the patient desired, the good advantage is that the filler, at some point, will be reabsorbed by the body, and the results are temporary.
Do I Need Reinjection?
Most likely. Natural fillers are absorbed by the body in an average of 6 months to 12 months. When this happens, there will be a loss of volume similar to the condition prior to treatment. Reinjection is recommended to maintain the desired results. Some patients find this high maintenance but feel its worth the natural feel of their cosmetic treatment.
Is BOTOX® Better?
The benefit between a BOTOX injection and a derma filler is weighed with the patient’s skin condition. BOTOX is a muscle relaxant that temporarily paralyzes muscles underneath the skin preventing them from contracting, which causes wrinkles. This results in smoother skin and significant decrease with wrinkles. However, if the patient also has loose skin and/or hollow contours, volume may also be an issue and this is when a derma fillers works best. Today, a large majority of patients intermix the use of BOTOX with an injectable filler. Some include other treatments such as chemical peels and laser treatments, which essentially provides the patient with a “liquid facelift.”