What they are:
Dermal fillers and injectables are an appealing option for patients with early to moderate signs of aging who are not quite ready for surgery. They also serve as adjuvant procedures in some cosmetic surgeries, particularly facelift and eyelid procedures.
Voluma: Voluma was designed to add cheek volume. A hyaluronic acid-based injectable, it has a thicker consistency, the perfect filler to create a more sculpted look, or restore lost volume.
Vollure: Vollure is an ideal filler to smooth lines around the nose and mouth. A soft, flexible hyaluronic acid filler, it has results that last up to 18 months.
Radiesse: Radiesse not only fills lines and wrinkles but triggers natural collagen production with tiny calcium hydroxylapatite (CaHA) microspheres to produce both immediate and long-lasting results.
Juvéderm: The Juvéderm collection of hyaluronic acid-based dermal fillers are custom-designed to restore or enhance various facial areas, and include Vollure, Voluma, Volbella, and Juvéderm XC.
Botox® and Dysport®
Botox® and Dysport® are best suited for patients who do not want surgery, but desire reduction or elimination of fine lines and wrinkles in certain areas.
Injectable fillers such as Restylane®, Juvederm®, Perlane®, Radiesse®, Belotero® and Sculptra® are best suited for patients who do not want surgery, but desire reduction or flattening of wrinkles or replacement of lost volume in certain areas.
Where it helps:
Botox® and Dysport®
We use Botox® and Dysport® to treat the forehead, the area between the eyebrows, the lateral eyes (“crow’s feet”), the upper lip, and the top of the nose (“bunny lines”). Botox® and Dysport® can also be used to slightly raise the eyebrows and the corners of the mouth. In addition, Dr. Wise utilizes Botox® and Dysport® to help smooth out wrinkles and creases in the banding of the neck.
Injectable Dermal Fillers
Injectable Dermal fillers such as Restylane®, Juvederm®, Perlane®, Radiesse®, Belotero® and Sculptra® work well in softening wrinkles, smile lines, the nasolabial folds, and filling in lip lines. Dr. Wise also uses dermal fillers to help restore volume in the jaw line, to fill in the hollows or circles under the lower eyelids, and to help improve sunken cheeks.
Some patients with complaints about their nasal appearance may also benefit from dermal fillers and injectables.
What it entails:
Dr. Wise will consult with you to find the dermal filler and injectables treatment that is right for you.
Wrinkles that are created by muscle movement are improved with Botox® and Dysport®. These wrinkles are referred to as “dynamic” and are usually not prominent when the muscles are relaxed. In contrast, a “static” wrinkle is present even when the face is completely relaxed. This type of wrinkle is usually not improved with Botox® and Dysport®, and will likely respond to an injectable filler.
What to expect from dermal fillers and injectables:
Botox® and Dysport® and injectable fillers are extremely safe. If otherwise medically permissible, Dr. Wise recommends patients should avoid blood-thinning medications around the time of the injection to reduce potential bruising and swelling. In the event a patient does experience bruising or swelling, it should resolve quickly.
A procedure involving Botox®, Dysport® and injectable fillers involves very little pain with proper injection technique. Dr. Wise uses a customized topical anesthetic allowing minimal discomfort. In addition, Dr. Wise utilizes DermaSculpt® Microcannula, a technology that has revolutionized the way fillers are administered. This “no needles” approach minimizes pain and bruising for the patient.
For Botox® and Dysport® the results may be seen anywhere from 24 hours to 2 weeks after treatment. However, the effects of injectable fillers are seen immediately, so the process can be stopped when you are happy with the result.* The effects of Botox®, Dysport® and injectable fillers are temporary, and the duration of each treatment varies from patient to patient. For Botox® and Dysport® a single session every 3 to 4 months will accomplish optimal results.
For injectable fillers such as Restylane®, Juvederm®, Perlane®, Radiesse®, a single session spaced 6 months to 1 year apart, depending on the area injected and particular filler injected, will produce excellent results. For Sculptra®, a series of 3 treatments spaced 4-6 weeks apart will accomplish optimal results.
Since the effects of Botox®, Dysport® and injectable fillers are temporary, patients may eventually want to consider surgical procedures that can have a longer effect on wrinkle reduction and soft tissue enhancement.
Also, surgical lifting of soft tissue(through face and neck lifting and brow lifting) is often the best way to restore a more youthful position of the face, as injectable fillers are not capable of lifting tissue.
Please read on to see how some of Dr. Wise’s patients felt about their experience and results...*
I have been a patient of Dr. Wises’ for the past 5 years and have always had an amazing experience, so much so that I have referred multiple friends and even trusted my daughter’s face to him prior to her wedding. The office staff is welcoming, friendly, discreet, and professional. The offices themselves are state of the art. I have had procedures from Botox, filler, to a lift, to rhinoplasty, and each time receive exemplary care from the consults to the post op follow up. Dr. Wise and his staff listen to me and have always given me the results that I have asked for—natural, refreshed, and real—me, just better! Patient from Cornwall on Hudson, NY
Today for the first time I saw my before pictures in Dr. Wise’s office. I cried. I knew he was good – I didn’t know he was a wizard. When I went to see him for a consult, he suggested I do my neck and chin line. We also decided on a laser treatment for my skin. The results are just not to be believed. I will be 65 this January. I look 50….maybe. So we know he’s a great surgeon – now for the really good part – he’s a great and compassionate man with an equally amazing and compassionate staff. To say the least, I am high-maintenance.
He and his staff held my hand every step of the way before, during and after the procedure. Two people I especially have to mention are Betty and Maggie. I was able to text and phone them any time day or night. They never acted like I was a bother. They both were supportive, understanding and encouraging. Dr. Wise himself allowed me to text him whenever I was feeling unsure or worried. I’m sure I texted him more than any other patient he’s ever had. I was nervous about the procedure, he was there for me. During and after the surgery I had a million questions and concerns. He never complained, just responded as quickly as possible.
There is someone on staff to help you every step of the way, including after your procedure to show you what steps to take to protect your investment. Dr. Wise was willing to see me as often as I wanted to come in, encouraging me and letting me know everything was just as it should be. He has a million tricks up his sleeve for every concern. One reason I chose Dr. Wise was that he concentrates on the face. His expertise is from the neck up, which is exactly what I wanted. I have since had filler and Botox expertly done by Dr. Wise. I’m so grateful that he is younger than I, because I plan on living a long life. With his help, it will be a long BEAUTIFUL life! Patient from Denville, NJ
I think Dr. Wise is a compassionate, kind man. He was extremely attentive and offered suggestions that were sincere and helpful. I am 55 years old. I had Restylane injected around my mouth and Botox and Restylane on my forehead. He was very gentle. By the time I left his office I looked 10 years younger and felt great. I WOULD NOT HESITATE RECOMMENDING HIM! Patient from Morristown, New Jersey
Dr. Wise is not only “wise” beyond his years, but can put a smile on your face while taking away the wrinkles! Patient and understanding, Dr. Wise relates to his patients with a personal touch. I intend to visit him frequently. Patient from Perrineville, New Jersey