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