Dr. Frankel was an investigator for the FDA clinical trials of Restylane and Juvederm and thus is one of the most experienced and knowledgeable injectors in the field. He commonly injects fillers to refine his surgical results and occasionally in lieu of surgery when appropriate. Other uses for aesthetic injections include lifting the corners of the mouth, rejuvenating the earlobes, eliminating dimples in the chin, and treating some types of scars.
Dermal fillers are FDA approved gels that may be injected into the face. They are used to treat fine lines and wrinkles and add volume to various parts of the face. Many people choose injectable fillers as an alternative to surgery, or in combination with other procedures to enhance their rejuvenation results. In fact, the term ‘dermal’ fillers is inaccurate as these gels are injected at all levels of the tissues beneath the skin surface. Dr. Frankel can use fillers in an artful way to improve the shape of the jaw line, nose, cheeks, mouth, lips and eyes.
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A topical anesthetic may be used to numb the area if necessary, though often times the procedure causes little pain. Dr. Frankel prefers to inject patients when they are awake and seated upright and interacting with him. Patients are prepped before and ice compresses are applied immediately after the treatments.
Which filler is best for me?
When it comes to these injectables Dr. Frankel wants to emphasize that the patient should merely articulate what bothers you and what you are hoping to achieve, and leave the decisions of exactly what needs to be utilized up to him. Once he has decided on a plan of action, Dr. Frankel will discuss it with you.
DR. FRANKEL’S NOTES
“I was fortunate to be in on the ground level with both Restylane and Juvederm and participated as a clinical investigator for the FDA trials; giving me a very early and insightful experience from which to draw on.
Over the years the applications of fillers and the number of them has increased substantially. Now it seems as though everyone under the sun knows someone who calls themselves an ‘injector’. However, many of these people have very little training or experience! I must emphasize how important it is to find a suitably qualified and skilled practitioner as the effectiveness of the treatments has much more to do with the injector than the product, and injectables can cause serious complications.
When I inject I am thinking as a sculptor and trying my best to deliver the desired outcome with as little product as possible, thus minimizing chances for complications and cost.
I can eliminate dimples in the chin or even increase chin projection with Botox or Dysport and often times provide for a stronger jaw line with Juvederm or Restylane. Often I can use fillers to stave off the need for surgery for several years and sometimes fillers and neurotoxins are necessary to enhance the results of an extensive surgery. There are times when some filler is helpful in the nose or when Dysport can help to shrink a large salivary gland that’s causing a bulge.
The main point here is that there are many things that can be creatively used for all types of purposes and that every individual requires careful analysis to determine what and how to go about reaching the established goal.”
– Andrew Frankel, M.D.
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Preparation & Expectations
Our office will provide a comprehensive list of vitamins, herbs or medications to avoid in before your injections to minimize bruising. You should not undergo filler injections if you have an infection in the area where the injections will be administered. It is advisable to plan to wait for a few days after the injections before attending any important meetings or social functions.
Length of treatment
Aesthetic injections are a very quick procedure, taking mere minutes after the prep-work has been done. The number of injections will dictate the total time the procedure takes, though it is generally about 15 minutes.
Right after the injections there might be some needle marks, bruising and swelling. Iced compresses will be helpful in reducing these and should be performed intermittently for the first 24 hours. If need be, make up may be applied after 30 minutes.
Aesthetic injections are not permanent and will need to be “touched-up” at regular intervals. Each person metabolizes injectable fillers at a different rate but it is typical to expect six to nine months to elapse before considering a touch up. When injections have been repeated in an area the results tend to last longer.
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