beautiful woman getting a filler injected into her lips
CHAPTER 1

Surgical Alternatives That Turn Back the Clock

Dermal fillers and injectables have skyrocketed in popularity throughout the past several decades. According to the American Society of Plastic Surgeon’s “2020 Plastic Surgery Statistics Report,” Botulinum toxin type A injectable procedures have increased a whopping 459 percent. More than 3 million people are treated with soft tissue fillers such as Radiesse, Juvederm, Restylane, Sculptra, and more.  

In 2019, fillers were dubbed “The Go-To Beauty Hack for Millennials” by BuzzFeed News, as scores of young women flocked to surgeons across the country in search of the “Instagram Face,” or a generally younger look. At a cost less than surgery—and without the weeks to months of recovery time associated with surgery—men and women are obtaining the latest beauty standards with non-surgical procedures. From smoother and younger-looking hands to plump lips, fillers and injectables have the power to enhance your natural beauty or transform your appearance, whichever you desire. They can truly turn back the clock, leaving a more youthful you behind. 

Although you may be ready to run to a plastic surgeon for fillers and injectables, it’s important to understand how each type works, their benefits, and which is best for your goals. That’s why Buglino Plastic & Reconstructive Surgery, one of the finest plastic surgery practices on Long Island, developed this introductory guide to filler and injectables. 

View Dr. Anthony Buglino’s filler and injectable work on his Instagram page!

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CHAPTER 2

Botulinum Toxin A Injectables: Botox, Dysport, Xeomin & Juveau

Botulinum toxin A injectables are created using a neurotoxin produced by the bacterium Clostridium botulinum. Once injected into the skin, this toxin temporarily weakens or paralyzes underlying muscles, leading to the smoothing of wrinkles, fine lines, and folds. 

There are four major brands of Botulinum toxin A injectables available: Botox Cosmetic, Dysport, Xeomin, and Juveau. All options are virtually the same, with slight differences in the target areas and amount needed to achieve desired results. For instance, all four are approved for glabellar line (forehead) treatment, but Botox can also be used to treat a variety of other conditions such as frown lines, crow’s feet, and medical conditions including excessive sweating. 

To be a good candidate for botulinum toxin A injectables, patients should be interested in smoothing out wrinkles and fine lines, be in relatively good health, and have realistic expectations for the procedure. If you meet the criteria for the treatment, there is little preparation and recovery necessary. The procedure takes 15 minutes to an hour, and results last up to four months. 

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woman getting a hyaluronic acid filler injection under her eyes.
CHAPTER 3

Hyaluronic Acid Fillers: Juvederm, Belotero Balance, Restylane & Perlane

Hyaluronic acid (HA) fillers are made of hyaluronic acid—a “naturally occurring substance that is already found in your skin. It helps keep skin plump and hydrated,” according to the American Board of Cosmetic Surgery. In addition to reducing wrinkles, hyaluronic acid fillers provide several other advantages including hydration, increased skin resilience, tightening effects, skin cell regeneration, and discoloration repair. 

There are four major brands distributing hyaluronic-acid-based dermal fillers: Juvederm, Belotero Balance, Restylane, and Perlane. Although they are all soft and gel-like substances, each product offers unique benefits. The Juvederm brand, for example, has five offerings, each devised to treat a specific area: lips, cheeks, or facial fine lines. Belotero Balance is typically used as a finishing filler or injected under the eyes using a blunt cannula for precise wrinkle reduction. Restylane and Perlane are extremely similar, especially since Perlane was rebranded as Restylane Lyft. The Restylane brand provides a variety of products to volumize the lips, smooth laugh lines, or define cheeks.

Similar to all other fillers, hyaluronic acid options require little to no prep or downtime. Preparation typically consists of a consultation with your plastic surgeon. They will provide you with prep instructions, which likely ask you to avoid smoking, using topical products, waxing, bleaching, or tweezing the area in the days following. As for recovery, patients can typically return to normal activity within an hour of treatment. Hyaluronic acid-based injectable results can be seen for up to six months.

Learn More About Hyaluronic Acid Fillers

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CHAPTER 4

Calcium Hydroxylapatite Filler: Radiesse

Calcium hydroxylapatite naturally occurs within the bones. This compound is used to create Radiesse fillers, which suspend calcium particles in a smooth, gel-like substance. One of the major benefits of Radiesse? Because this product is biosynthetically developed, it lowers the risk of an allergic reaction. Plus, Radiesse has proven to be a collagen stimulator, encouraging the body to produce collagen—a major component of skin, bones, hair, muscles, tendons, and ligaments. 

The Radiesse brand has two products—Radiesse and Radiesse(+). Both smooth moderate to severe facial wrinkles and folds, especially nasolabial folds, pre-jowl folds, marionette and smile lines, corners of the mouth, and chin wrinkles. This dermal filler is also a great option for patients noticing the effects of aging on their hands: wrinkles, increased vein visibility, and volume loss. Radiesse has the power to correct volume loss and reduce the appearance of tendons, veins, and wrinkles. 

Similar to other fillers and injectables, Radiesse causes minimal side effects such as swelling, tenderness, and bruising at the injection site for several days. These are well worth the six months to one year of lasting results. 

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woman getting injection to reduce laugh lines
CHAPTER 5

Poly-L-Lactic Acid Injectable: Sculptra Aesthetic

Poly-L-lactic acid injectables are semi-permanent, absorbable injections proven to restore volume and stimulate collagen production. The one major brand offering this type of injectable is Sculptra Aesthetic. Originally U.S. Food and Drug Administration (FDA)-approved in 2004 for correction of facial volume loss in patients with the human immunodeficiency virus, Sculptra Aesthetic is now approved to treat nasolabial folds (smile lines), deep marionette (laugh) lines, and chin wrinkles, too. 

Here’s how it works, according to the brand: “Sculptra Aesthetic is made with biocompatible, biodegradable, synthetic material called poly-L-lactic acid, which is gradually and naturally absorbed by the body and helps to rebuild lost collagen through a series of treatments administered by a trained specialist.”

Sculptra Aesthetic is the longest-lasting injectable or filler on the market, boasting results for one to two years. Plus, patients immediately see results after a single treatment. On average, patients need three injection appointments to obtain the long-lasting results. 

Schedule a Sculptra Aesthetic Appointment

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CHAPTER 6

Deoxycholic Acid Injectable: Kybella

Kybella, a deoxycholic acid injectable known for its ability to redefine the chin and neck, is FDA approved to destroy fat cells under the chin—eliminating the so-called “double chin” or “turkey wattle.” It’s an alternative to liposuction or a neck lift for those interested in a non-surgical option. 

According to the brand: “Deoxycholic acid is a naturally occurring molecule in the body that aids in the breakdown and absorption of dietary fat. When injected into the fat beneath the chin, Kybella destroys fat cells, resulting in a noticeable reduction in fullness under the chin. Once destroyed, these cells can no longer store or accumulate fat, so further treatment is not expected once you reach your desired aesthetic goal.”

It’s recommended patients undergo six treatment sessions one month apart for optimal, long-lasting results. The visible effects of the treatment should last for several years, as the fat cells are destroyed. However, you may need to schedule maintenance sessions every few years if you notice changes. 

Find Out if Kybella Is Right for You

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older woman with wrinkled eyes closed getting injection in forehead
CHAPTER 7

Fillers & Injectables At a Glance

Buglino Plastic & Reconstructive Surgery created this useful, high-level table about the dermal fillers and injectables we offer in our Long Island office. This chart includes a quick overview of each option available.

Filler/Injectable Name Type Areas Treated Length of Time Results Last
Botox Botulinum Toxin A Frown Lines Crow’s Feet Forehead Lines 3-4 Months
Dysport Botulinum Toxin A Frown Lines (Glabellar Lines) 3-4 Months
Xeomin Botulinum Toxin A Frown Lines (Glabellar Lines) 3-4 Months
Juveau Botulinum Toxin A Frown Lines (Glabellar Lines) 3-4 Months
Juvederm Hyaluronic Acid Cheeks Chin Lips Fine Lines & Wrinkles 4-6 Months
Belotero Balance Hyaluronic Acid Fine Lines Under the Eyes 4-6 Months
Restylane Hyaluronic Acid Lips Facial Lines Hands 4-6 Months
Perlane/Restylane Lyft Hyaluronic Acid Cheeks Midface Hands 4-6 Months
Radiesse Calcium Hydroxylapatite Lower Face Hands 6 Months-1 Year
Sculptra Aesthetic Poly-L-Lactic Acid Smile Lines Marionette Lines Chin Wrinkles 1-2 Years
Kybella Deoxycholic Acid Under Chin Neck Several Years

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CHAPTER 8

Filler & Injectables at Buglino Plastic & Reconstructive Surgery

Long Island, New York-based plastic surgery practice Buglino Plastic & Reconstructive Surgery specializes in dermal fillers and injectables. Whether you’re looking for natural enhancements or a complete transformation, Dr. Anthony Buglino can help you achieve your desired results with fillers and injectables. 

Buglino Plastic Surgery provides the following options:

If you’re interested in plumping your lips, nonsurgically reshaping your nose, getting rid of a double chin, adding volume to your cheeks, or creating facial definition, contact our Woodbury, New York office today! Schedule a consultation with Dr. Buglino to discuss which filler or injectable is right for you and your goals.

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