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Sculptra is not actually a filler, but rather a catalyst that causes the growth of your own tissue (collagen). Because it is only a catalyst for something you already have in your skin, the amount of collagen production and longevity of results will vary from one patient to another. The results from Sculptra®, however, have been noted to last up to two years.

The benefits of Sculptra® include an increase in face volume and thickness of the skin, which can produce a healthier, youthful appearance. This is why the term “liquid facelift” has been used to describe the relatively dramatic results of Sculptra. The polylactic acid in Sculptra® is inert, biologically, so the risk of allergic reactions is eliminated.

Oculoplastic surgeon Dr. Amiya Prasad is prepared to discuss the various injectible options best suited for you, along with the benefits of each procedure.

What type of doctor is best for filler treatment?

Injectable filler placement for a wide range of cosmetic issues is very popular it has resulted in a wide

range of practitioners offering these types of procedures question which is

often heard is who do I go to for the best results of filler treatment I’ll

discuss the principles of safety and after treatment management which I

believe are important to understand when you’re looking for the right doctor to

perform your injectable filler treatment I’m Dr. Amiya Prasad I’m a

Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic

and reconstructive surgeon I’ve been in practice in Manhattan and Long Island

for over 20 years I’m well known for cosmetic surgery such as upper eyelid

surgery under eye bags surgery eyebrow lifts face lifts and other surgeries to

treat the effects of facial aging I’m also known for my work with cosmetic

filler placement for the eyes and face related to the genetic and aging issues

wherever there is volume deficiency a common belief is that results are

dependent on the brand of the filler although the choice of filler is

important it’s the doctors technique that is critical to a desirable result

boils down to experience expertise knowledge and the aesthetic style of the

practitioner safety is the highest priority injectable fillers have become

so popular that most people don’t view them as invasive particularly in

contrast to surgery once you enter the skin the procedure is

invasive with this principle in mind I treat placement of injectable fillers

with the same level of care as I do with surgery as with surgery you begin first

with the plan you should have a clear understanding about what you should

expect after the procedure in terms of results and longevity there are common

issues after filler placement such as swelling and lumpiness which are

generally resolved with conservative therapy since these are common and more

severe complications are less common both patients and practitioners can be

inattentive to the risks of more serious complications these complications

include different types of infections such as biofilm a biofilm typically

occurs when bacteria from the skin surface is carried past the skin and the

bacteria attaches to the surface of the filler material since the filler

material does not have a blood supply infection can occur which can be very

difficult to treat another potential complication is when the filler material

is injected into a vessel specifically an artery this can result in severe loss

of large areas of skin and soft tissue and even blindness just like our

approach to surgery where we perform every procedure prepared for an

emergency it’s important to have the necessary

equipment training supplies and it always be prepared for any filler

related emergency as a surgeon I’m available to my patients 24 hours a day

including my patients who I perform injectable fillers for when it comes to

filler placement I believe that the knowledge derived from surgical exposure

is unparalleled since you cannot see through the skin

the placement of filler is dependent on how the different levels of tissue feel

I often see patients who are dissatisfied with filler placement

around the eyes consistently the practitioner who performed this

procedure is not someone who is a surgeon who operates in the eye area the

eye area is a very small and very delicate area a surgeon like myself who

specializes in eyelid surgery and performs filler placement in this area

routinely is less likely to have issues no doctor is above having complications

or dissatisfied patients but I would argue that higher level of expertise and

experience is always to a person’s advantage I’ve also observed that the

scope of a doctors specialty very often biases the doctors recommendations for

example in the case of under eye bags slight eye bags can be blended and

camouflaged effectively with filler however if I bags are too prominent then

filler can actually make the eye bags look worse in such cases I would

recommend to the patient to have surgery instead of filler even if the patient

states that they are not interested in surgery I’d rather not treat the person

than treat them incorrectly I’ve seen many non surgeons use fillers

resulting in a way to make the under eye bags look significantly worse I see

patients in this type of situation and dissolve the fillers to reveal the true

underlying Anatomy filler placement under the eyes is often associated with

bruising because of the eyelid area being very vascular as a cosmetic eyelid

surgery I apply my knowledge and experience to place fillers with minimal

trauma using blunt cannula this approach results in less recovery

time and more immediate results the same principle applies to treating hollowness

in the upper eyelids as an oculofacial plastic surgeon I place fillers in a way

which creates a natural and stable appearance with avoidance of common

problems such as the filler getting lost in the eye socket a frequently requested

facial filler treatment is to restore volume or to enhance the cheeks most

doctors place filler in the soft tissue space which is just below the skin

placing cheek filler in this area may look good at first but the filler will

shift making this added volume in your face look soft and doughy instead of

being defined the skin can’t hold too much filler material before it weighs

down the cheeks contributing to a rounded or pillowy unnatural appearance

as a facial cosmetic surgeon who performs procedures like facelifts and

facial implants I know the anatomy of the face in the cheeks this knowledge

and experience has aided my ability to place filler at a deeper level of the

face between the bone structure and the overlying muscle this is called

structural volumizing placing filler at this structural level gives a more

defined natural-looking contour to create a more youthful appearance

nothing inspires more concern about an unnatural look than the subject of lip

fillers I have this discussion every day with patients who are considering lip

enhancement it always begins with the phrase I don’t want duck lips or I don’t

want lips like place the celebrity name there although this discussion is

light-hearted complications from lip filler placement can be quite serious

lip injections have resulted in vascular compromise and resultant tissue loss as

a surgeon before the introduction of modern hyaluronic acid fillers I book

augmented the lips with fat that’s mass tissue during the facelift surgery and

alloderm the principles applied to these procedures are also applied when I place

filler for volume enhancement with blunt cannulas lip enhancement involves

several areas which can be enhanced to create natural and attractive looking

lips the ease of finding a practitioner for cosmetic filler placement makes it

seem like an easy non-surgical procedure without risk filler placement is not to

be taken lightly and it should be seen as invasive as surgery proper analysis

planning adherence to standards for sterility and preparation for

complications are critically important this means the practitioner you choose

should be held to the same high standard you would apply if you were to undergo


I hope you found this information helpful thank you for your question

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