Real Doctor, Beautiful Results

Facial Sculpting - Filler

Dr. Friedman has been injecting dermal fillers for close to twenty five years. During this time, he has been an international lecturer on facial beauty enhancement with soft tissue augmentation. Doctors from Israel, United States and Europe have visited Dr. Friedman to learn his newest filler techniques.

Dr. Friedman aims for natural facial beauty enhancement. He does not want your friends to know what you did but rather just comment on how great you look. Our goal is not to just restore youth but rather to establish the phi proportion to optimize beauty.

WHY SHOULD I BE INTERESTED IN FILLERS?

Take a moment to think of a baby’s full face. All we notice are the eyes and mouth as all the surrounding skin blends into one continuous sea of the face. As we age, we deflate, creating pockets of facial hills and valleys. This makes us look old, tired and not well. Dermal fillers can address these issues by creating youthful facial contour and fullness. Fillers can also lift the skin resulting in the “liquid face-lift”.

WHAT ARE DERMAL FILLERS?

There are primarily two types of fillers-permanent and non-permanent. Silicone is a permanent filler which Dr. Friedman and many other doctors will not use, as permanent fillers have the potential for permanent problems. The overwhelming number of doctors work exclusively with the non –permanent hyaluronic acid filler material, which is natural and reversible.

HOW DO HYLAURONIC ACID FILLERS WORK?

Hyaluronic acid fillers work by adding hyaluronic acid volume to the hyaluronic acid in your skin’s dermal layer. Depending on the hyaluronic acid brand, the duration of this effect will range from 6 -24 months.
In addition, hyaluronic acid will influence skin fibroblasts to produce collagen which will last for up to 15 years. Thus even though the hyaluronic acid is temporary, some of the positive effects will last a long time.

ARE FILLERS DANGEROUS?

High quality hyaluronic acid fillers are safe if they are injected in the appropriate manner.

DO FILLERS TREAT WRINKLES?

Today we understand that in order to create beauty we have to shape the forehead, temple, cheeks, jawline, chin and lips. We can eliminate unsightly wrinkles, but in order to enhance beauty, we must create gentle curves that flow without interruption across the face.

WHICH IS BETTER: FILLERS OR BOTOX?

To shape, mold and augment facial contours, fillers are recommended.
For wrinkles, the treatment choice will depend on the cause of the wrinkle. If the wrinkle is caused by muscular activity, it is usually best to start your treatment with Botox. This is because usually, Botox will usually suffice to relax the muscle that creates the wrinkle and thus you will probably have sufficient improvement with Botox alone. If your wrinkle is very deep, Botox will give you only partial improvement and you still may need filler placement to obtain even better results. It is still better to place Botox first so that you will need less filler and that your filler will last longer.

Wrinkles that are not related to muscular activity are best addressed by fillers.

WHEN SHOULD I START WITH FILLERS?

The ancient Greeks maintained that all beauty resides in mathematical relationships.

Is there a mathematical code, formula, relationship or even a number that can describe facial beauty?

Only one mathematical relationship has been consistently and repeatedly reported to be present in beautiful things. It is called the Golden Ratio which is a mathematical ratio of 1.618:1 and the number 1.618 is called phi. This mathematical ratio can be applied to the face. The evidence shows that our perception of physical beauty is hard wired into our being and based on how closely one’s features reflect phi in their proportions.

We can use the golden ratio to guide us to improve facial features even in younger patients to create a more beautiful face.

Therefore, it is not necessary to wait to for the obvious signs of aging of deflation and descent in order to commence dermal augmentation. We have young ladies in their 20 and 30’s who present for facial beautification with fillers. So while you may be too young for extensive filling, you are not too young to tweak your cheek projection as well as nose and and lip shape.

HOW CAN I PREVENT DERMAL FILLING MAKING ME A PILLOW FACE?

We just have to stroll down any expensive mall to see poor souls who have been made pillow faced by the placement of too much filler in the wrong places. We utilize the golden ratio to determine the ideal phi proportion over the entire beautiful face: the forehead, midface, lower face, lips and brow.

HOW DO I KNOW WHERE I NEED FILLERS?

At your consultation, Dr. Friedman will perform a facial evaluation by dividing the face into thirds:

In the upper third, he will address:
Forehead contour
Temple fullness
Brow shape

In the middle third, he will address:
Cheek-both the lateral and medial
Under eye tear troughs
Nose contour

In the lower face, he will address:
Jawline
Chin
Lips
Marionette lines
Submalar cheek hollow

For the best results we must apply a global approach to beautify the face. We must treat the whole face and extend our treatment beyond just lines and wrinkles.

WHAT ARE THE ADVERSE EFFECTS OF DERMAL FILLERS?

Common side effects of treatment include redness and swelling, which usually resolve within 24 hours. The less common “black & blue” marks usually resolve within a week, but if you come to the office within 24 hours of the injection, you will be treated at no charge with a laser that dramatically reduces the duration of these marks.

Rare side effects include infections and allergies which almost always respond to appropriate treatment.

HOW MUCH DOES A SYRINGE OF HYLAURONIC ACID COST?

To best answer the question, you must know WHICH hyaluronic acid we offer and HOW it is injected.
There are many levels of quality of hyaluronic acids. The best hyaluronic acid may costs more but it will give:

Longer lasting results
Less swelling
Less redness
Smoother texture

Dr. Friedman insists on the highest level hyaluronic acid filler material.

The second issue is how you want to be injected.  Dr. Friedman works carefully and slowly, analyzing your response to the filler before proceeding with injections. Slow filling results in fewer side effects and a more beautiful result.

HOW LONG DOES THE FILLER LAST?

Generally, the first time you are treated you will need the most amount of material. After one year, you will usually require only 1/3-1/2 of the original amount in order to maintain your results.

How Do I Get Started?
Dr. Friedman and his staff will be happy to discuss our treatments for all concerns regarding your skin. Please feel free to call for a private consultation at one of our offices in Jerusalem or Tel Aviv. Dr. Friedman and his staff provide personalized care to residents of the Jerusalem and Tel Aviv areas with state-of-the-art technology for optimal health, aesthetics and patient satisfaction. To receive more information or schedule a consultation, please feel free to call 02 563 5673 or 03 612 2322 to speak with our friendly staff.