What Are They?

Aesthetic surgery is the best option for certain aging changes.  Many other aesthetic issues are best treated with non-surgical options.  Most of these treatments address separate classes of aging changes that are not well addressed by surgery and form a crucial part of the care plan for almost all patients at every stage of aging.  Best of all, most require little to no time away from your busy life. When performed by a seasoned professional, micro invasive corrections can slow signs of aging and address details that aesthetic plastic surgery cannot.

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Neuromodulators

Neuromodulators are injectable medicines that help reduce the appearance of dynamic wrinkles. Neuromodulators are FDA-approved and safe to use. Currently available alternatives include BOTOX, Dysport, Xeomin, Jeuveau and Daxxify. In the hands of a skilled practitioner, neuromodulators yield subtle, natural results for three to six months or longer in some cases. 

Neuromodulators work by temporarily relaxing muscles by blocking the signal from the nerves to the muscles in the area of treatment.  Neuromodulators are designed to correct dynamic wrinkles, which are those caused by repeated motion like the 'elevens,' forehead creases, and laugh lines. Patients can return to their regularly scheduled activities right after a treatment.

Injectable Fillers 

Fillers are FDA-approved materials that are injected into or beneath the skin's surface to correct fixed wrinkles and fine lines, add volume to the face, and aid in chin, lip, cheek, and jawline augmentation. Judicious use of fillers works to address many of the visible manifestations of early facial aging and features which are not corrected by facelifting. Multiple FDA-approved injectable fillers are available, and each has a unique set of physical characteristics.  

An experienced aesthetic physician can best determine which filler is appropriate for each patient's needs.  Results with fillers are highly dependent on the technical skill and artistry of the person injecting.  A seasoned plastic surgeon with decades of filler experience works to your benefit in obtaining gratifying, natural enhancements.  Popular injectable fillers include the Restylane, Juvederm and RHA families of products, Belotero, Radiesse, and Sculptra.

PRP

Platelet Rich Plasma (PRP) improves the quality and texture of the skin by stimulating the body's own cellular healing responses. A small amount of the patient's blood is drawn and then placed into a centrifuge, which separates the plasma from the platelets. Then the platelet-rich plasma is either injected into areas on the face or applied topically after microneedling. 

Tixel treatments are also used to provide the channels necessary to allow entry of the PRP into the skin.  PRP stimulates collagen growth and other skin remodeling changes, which is important since collagen production drops as people age. Low collagen results in skin laxity and fine lines. PRP is also helpful for treating irregular pigmentation, stretch marks, and scars. The volume and tone of facial skin often  improves with PRP treatments as well.

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What Is Recovery Like?

Neuromodulators and injectable fillers have little, if any, recovery time. Though there might be bruising, swelling, or redness, patients typically resume work and social activities right after a treatment. 

Recovery from PRP varies based on the extent of the treatment. In some cases, patients can resume normal activity in twenty-four hours. In others, two to three days are necessary to fully recover. Redness and signs of mild irritation are the most common side effects, and they fade quickly. 

Results After Rejuvenation

Within a few weeks, patients who undergo PRP notice softer, firmer, more luminous skin. Sun spots, age spots, or other hyperpigmented blemishes will fade. Patients who receive neuromodulators or injectable fillers will see a marked reduction in dynamic wrinkles and creases of the face and, in the case of some injectable fillers, will experience a regrowth of collagen.

Bass Is An Expert In The Field

Dr. Bass approaches facial rejuvenation in a comprehensive way. He is one of New York's most experienced plastic surgeons and a well-known innovator of non-surgical rejuvenation methods. His encyclopedic knowledge of the full scope of options available, and his expertise allows him to thoughtfully create a unique plan of rejuvenation and maintenance for your individual needs. Contact Bass Plastic Surgery to schedule your consultation today.

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Clinical Excellence Meets Academic Leadership: Selected Research Presentations And Publications By Dr. Bass

Bass LS.  Cheek shaping –male aesthetics with implants and fillers.  In Steinbrech D ed. Male Aesthetic Plastic Surgery

Kaufman-Janette JA, Bass LS, Xiang Q, McLane MP, Kirby MT, Vijayan S: Efficacy, safety, and durability of response of collagenase clostridium histolyticum-aaes for treating cellulite. Plast Reconstr Surg Glob Open  

Bass LS, Kaminer MS: Insights into the pathophysiology of cellulite: A review.  Dermatol Surg

Commentary on: Full-field Erbium:YAG laser resurfacing: Complications and suggested safety parameters.  Aesthet Surg J

Graivier MH, Bass LS, Lorenc ZP, Fitzgerald R, Goldberg DJ, Lemperle G: Differentiating nonpermanent injectable fillers: Prevention and treatment of filler complications.  Aesthet Surg

Graivier MH, Lorenc ZP, Bass LS, Fitzgerald R, Goldberg DJ: Calcium hydroxyapatite (CaHA) indication for hand rejuvenation.  Aesthet Surg J

Lorenc ZP, Bass LS, Fitzgerald R, Goldberg DJ, Graivier MH: Composite facial volumization with calcium hydroxylapatite (CaHA) for the treatment of aging.  Aesthet Surg

Fitzgerald R, Bass LS, Goldberg DJ, Graivier MH, Lorenc ZP: Physiochemical characteristics of poly-L-lactic acid (PLLA).  Aesthet Surg J

Lorenc ZP, Bass LS, Fitzgerald R, Goldberg DJ, Graivier MH: Physiochemical characteristics of calcium hydroxylapatite (CaHA).  Aesthet Surg J

Goldberg DJ, Bass LS, Fitzgerald R, Graivier MH, Lorenc ZP: Expanding treatment options for injectable agents.  Aesthet Surg J

Bass LS, Smith S, Busso M, McClaren M: Calcium hydrolapaptite (Radiesse) for treatment of nasolabial folds: Long-term safety and efficacy results.  Aesthetic Surgery Journal

Smith S, Busso M, McClaren M, Bass LS: A randomized bilateral, prospective comparison of calcium hydroxylapatite microspheres versus human-based collagen for the correction of nasolabial folds.  Dermatol Surg

Gravier MH, Bass LS, Busso M, Jasin ME, Narins RS, Tzikas TL: Calcium hydroxylapatite (Radiesse) for correction of the mid- and lower face: Consensus recommendations.  Plast Reconstr Surg

Live Injection Session: Fillers and Neurotoxins.  The Cutting Edge Aesthetic Surgery Symposium

“Deoxycholic acid for submental and jawline contouring.” The Cutting Edge Aesthetic Surgery Symposium

“Deciding which fillers to use and for what purpose: Location, longevity, and complications.” The Cutting Edge Aesthetic Surgery Symposium

Panel Discussion: Fat and Fillers, Limitations, Longevity, and Complications.  The Cutting Edge Aesthetic Surgery Symposium 

“Ultrasound and deoxycholic acid neck treatments.”  The Cutting Edge Aesthetic Surgery Symposium

“The Role of Volumizing Filler in Facial Rejuvenation.” The Cutting Edge Aesthetic Surgery Symposium

Panel Discussion: Fat and Filler Longevity and Complications.  The Cutting Edge Aesthetic Surgery Symposium

“The Role of Volumizing Filler in Facial Rejuvenation.”  Summit in Aesthetic Medicine

“Pharmacological Solutions to Excess Fat: Deoxycholic acid (Kybella) and More.”  Summit in Aesthetic Medicine

“Muscle Relaxers: The Next Generation of Botulinum Toxin Technology.”  Summit in Aesthetic Medicine

“Injectable Fillers: Preventing, Recognizing and Treating Complications.”  Summit in Aesthetic Medicine

“Deoxycholic Acid Injection.”  American Society of Plastic Surgeons

 “Facial Rejuvenation: Management of Complications-Injectable Fillers .”  American Society of Plastic Surgeons

“Submental Injection for Fat Removal.”  The Cutting Edge Aesthetic Surgery Symposium

 “Non-surgical Hand Rejuvenation: A Multi-Modality Approach.”  5 Continents Congress Lasers and Aesthetic Medicine

“Rejuvenation of Aging Facial Shape with Injectable Fillers.” Summit in Aesthetic Medicine

“Injectable Rejuvenation of the Periorbital Area.” Skin Aging, Facial Plastic & Aesthetic Surgery, California Society of Facial Plastic Surgery

“Non-surgical therapies: Needles and hand-pieces.” Dueling Perspectives in Aesthetic Plastic Surgery Symposium.  American Society of Plastic Surgeons

“Shaping the face surgically and non-surgically.” Instructional Course.  11th International Symposium of Facial Plastic Surgery, American Academy for Facial Plastic and Reconstructive Surgery

“Volumizing the face.” Instructional Course.  11th International Symposium of Facial Plastic Surgery, American Academy for Facial Plastic and Reconstructive Surgery

“Facial volumizing with autogenous fat: Planning and injection technique.”  11th International Symposium of Facial Plastic Surgery, American Academy for Facial Plastic and Reconstructive Surgery
“Facial volumizing with fillers: Anatomy and technique.” 5 Continent Congress Lasers and Aesthetic Medicine

“Comprehensive hand rejuvenation: Fillers, fat, resurfacing, and veins.”  Cutting Edge Aesthetic Surgery Symposium: Advanced Body Sculpting Head to Foot.  Manhattan Eye, Ear and Throat Hospital

“Biophysical filler selection.”  Emerging Technologies & Techniques in Plastic Surgery. NYU Medical Center

“Restylane, Juvederm, Perlane, Radiesse, Sculptra and Others: Selection, Volume, Technique, Longevity and Complications. The Ideal Fillers?  Will Fillers Become Obsolete?”  The Cutting Edge Symposium: Facial Rejuvenation

“Panel Discussion: Advantages and Disadvantages of Fillers versus Fat, Fillers versus Surgery:  Cost, Benefit and Longevity.”  The Cutting Edge Symposium: Facial Rejuvenation

Live Injection Demonstration.  The Cutting Edge Symposium: Facial Rejuvenation

“Hyperhidrosis.”  Aesthetic Extenders Symposium

“The next generation of botulinum toxins.”  Aesthetic Extenders Symposium

Panelist.  Fat Transfer Workshop, 6th Annual Facial Cosmetic Surgery Symposium

“Tips and pearls on current use of fillers and neurotoxins”.  6th Annual Facial Cosmetic Surgery Symposium

“Use of injectable fillers and toxins in my practice”.  Masters Seminar, 6th Annual Facial Cosmetic Surgery Symposium

“Radiesse –Latest Indications”.  Aesthetic Plastic Surgery: The Next Generation.  The New York Academy of Medicine

“History of Fillers”.  Aesthetic Extenders Symposium

“Biology of Fillers”.  Aesthetic Extenders Symposium

 “Sculptra  and Radiesse vs. hyaluronic acid”.  Advances in Aesthetic Plastic Surgery: The Cutting Edge VII.  Manhattan Eye, Ear & Throat Hospital

“Fillers” Emerging Technologies & Techniques in Plastic Surgery.  NYU Medical Center

“Botulinum toxin”.  Emerging Technologies & Techniques in Plastic Surgery.  NYU Medical Center

"The use of Radiesse for facial enhancement". Advances in Aesthetic Plastic Surgery: The Cutting Edge VI.  Manhattan Eye, Ear and Throat Hospital

“Injectable fillers: options and techniques”.  Emerging Technologies & Techniques in Plastic Surgery.  NYU Medical Center

"The use of Radiesse for facial enhancement". Advances in Aesthetic Plastic Surgery: The Cutting Edge VI

“New injectables and implantables: A direct attack on the nasolabial fold”. Advances in Aesthetic Plastic Surgery: The Cutting Edge II.  Manhattan Eye, Ear & Throat Hospital

“Fractional photothermolysis: Laser resurfacing in the 21st century”.  Emerging Technologies & Techniques in Plastic Surgery

  “Nonsurgical facial rejuvenation with hydroxylapatite fillers”.  Emerging Technologies & Techniques in Plastic Surgery

“The use of Radiesse (injectable calcium hydroxylapatite) for facial enhancement”.  Fillers, Injectables and Lasers for Facial Rejuvenation.  Manhattan Eye, Ear & Throat Hospital

“Radiesse –Bioform Medical (calcium hydroxyapatite) –technique and durability”.  American Society for Aesthetic Plastic Surgery

“Hydroxyapatite injectable filler –technique and durability”.  Advances in Aesthetic Plastic Surgery: The Cutting Edge V

Course Director, Cosmetic Laser Surgery Update.  American Society of Plastic Surgeons

Radiance (calcium hydroxyapatite) – Technique and Durability”. American Society of Plastic Surgeons

“Botulinum toxin use in the upper face”.  American Academy of Facial Plastic Surgery

“Radiance: Technique and durability”.   Emerging Technologies and Techniques in Plastic Surgery.  NYU Medical Center

“Botox: How it fits with browlift.” Emerging Technologies and Techniques in Plastic Surgery: Innovations in Facial Surgery, Breast Surgery, Body Contouring and Laser and Skin Care.  NYU Medical Center

“Botulinum toxin “feathers: An alternative injection technique”.  Emerging Technologies in Plastic Surgery.  NYU Medical Center

“Acellular dermal grafts for lips and nasolabial folds”. Emerging Technologies in Plastic Surgery: The Next Millennium.  NYU Medical Center

“New injectables and implantables for the nasolabial fold”.  Giants in Aesthetic Plastic Surgery.  Manhattan Eye, Ear & Throat Hospital
“Facial soft tissue augmentation: The latest innovations”. Emerging Technologies in Plastic Surgery: Innovations in Endoscopy, Lasers, Liposuction and Tissue Replacements.  NYU Medical Center

“Soft tissue augmentation: Dermis and allograft”.  Emerging Technologies in Plastic Surgery: Innovations in Endoscopy, Lasers, Liposuction and Tissue Replacements.  NYU Medical Center

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