Facial Fillers | Dr. Forley
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Posts Tagged ‘facial fillers’


Sunday, July 29th, 2018

A common complaint of patients is that they look tired but don’t feel tired. This is often the result of bulging fat pockets in the lower lid combined with a tight attachment of the skin at the junction of the lower lid and the cheek known as the tear trough. It is frequently one of the early signs associated with the aging process. Dr. Forley approaches this concern with both a non-surgical and a surgical option. Camouflage of the bulging fat can be achieved with the use of an injectable hyaluronic filler at the tear trough to aid in blending the transition across the lid-cheek junction. Although this can improve early changes, the fundamental cause of the problem remains unaltered. An advanced surgical technique that Dr. Forley utilizes to treat this issue involves releasing the attachment of the tear trough below the eyelid from the inside so that there is no external scar. At the same time, the fat from the lower lid is repositioned to extend across the lid-cheek junction. This changes the orientation of the fat so that the bulging is reduced in conjunction with filling the depression below the lower lid. This procedure is known as a transconjunctival fat transposition lower blepharoplasty. During your consultation, Dr. Forley will discuss the options that would work best in your individual situation.


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Saturday, December 3rd, 2016

Source: Crisalix

Dr. Forley is pleased to introduce the Crisalix 3D imaging simulator tool to assist you in visualizing the potential outcome of a variety of procedures including breast augmentation, facelift, nose surgery, body contouring, and injectable fillers. The simulation can be done remotely or as part of your in-office consultation with Dr. Forley. This imaging tool is also an excellent way of communicating your desires visually to Dr. Forley.

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Sunday, October 30th, 2016

JUVÉDERM VOLBELLA® XC is the latest U.S. Food and Drug Administration (FDA) approved injectable hyaluronic acid (HA) filler from Allergan that is formulated for subtle enhancement of the lips and to treat the etched wrinkles around the mouth. It was found to be effective for up to 12 months in the clinical trials that were performed and has been widely used in Europe since 2011.




The HA in both JUVÉDERM VOLBELLA® XC and the previously approved filler for cheek enhancement, JUVÉDERM VOLUMA® XC, was developed with advanced Vycross® technology to produce smooth, long lasting results. Vycross® technology enables treatments to be performed with a lower concentration of HA resulting in less swelling. Dr. Forley will evaluate you during your consultation to see if you are a good candidate for JUVÉDERM VOLBELLA® XC.

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Friday, August 14th, 2015

Restylane® Silk is a small particle type of hyaluronic acid filler that provides an additional option to the choices available to patients for lip enhancement. The FDA recently approved Restylane® Silk to define the appearance of the lips as well as to improve fine, etched vertical lines and wrinkles. It is notable for its subtle, natural effect and can be injected progressively until the desired lip volume is achieved. Dr. Forley uses Restylane® Silk not only to enhance the contour of the lips but also for blending of the lid-cheek junction ( the “tear trough”)  to create a more rested, youthful look.

Restylane Silk


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Monday, November 17th, 2014

Neck wrinkles or creases that run horizontally across the neck can appear at any age. The onset of these wrinkles is related to a combination of factors: neck anatomy, skin thickness, collagen deficiency, repetitive movement, and sun exposure. They are difficult to treat and persist even after a neck lift or facelift.

A successful method of treatment takes advantage of the unique properties present in the hyaluronic acid (HA) cross-linking technology utilized in the manufacture of BELOTERO BALANCE®. This FDA-approved filler can be safely injected into the superficial dermis of the skin to achieve a smoothing effect that is immediately visible. Since it is a non-particle type of hyaluronic acid, it can be used close to the skin surface yet remain undetectable.






Dr. Forley performs a series of tiny needle punctures for precise BELOTERO BALANCE® injection. Massage of the injection sites is then performed to achieve a blending of the filler with the surrounding skin. Some bruising may be present for a few days after the treatment but this can be reduced by adhering to the recommended protocol of anti-bruising measures. Results will generally last for 6-9 months.

BELOTERO BALANCE® is injected into the superficial layer of the dermis to smooth out neck wrinkles

BELOTERO BALANCE® is injected into the superficial layer of the dermis to smooth out neck wrinkles

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Saturday, August 30th, 2014

As our understanding of the aging changes that occur in the face has expanded, our approach towards treatment has evolved. We now believe a combination of volume loss from atrophy of facial fat and descent of fat in discrete facial fat compartments produces the stigmata of aging such as cheek hollowing, jowls, and deepening of facial folds. Our improved understanding of the anatomical basis for aging has led to treatment strategies that utilize the addition of volume to the face in order to create a more youthful appearance.

A common desire that patients express with regard to cosmetic procedures is to maintain a natural look. A fear that is often voiced regarding the use of injectable fillers to treat volume loss in the cheeks or the folds that extend from the nose to the lip and the lip to the chin is that of looking overdone. Patients will often cite examples of celebrities to emphasize the outcome that they want to avoid. The concern is one that sometimes causes those who would clearly benefit from treatment with an injectable filler to opt out thinking it is the material itself that is flawed.

The use of injectable fillers is very technique dependent in which judgment is of paramount importance to the result. It is not so much the material that is being injected but the amount used and the proper placement that determines the outcome. It is important to seek out an injector with expertise and a good aesthetic sensibility and not succumb to a misdirected “fear of fillers”. When used appropriately, FDA approved injectable fillers offer a safe, effective, and natural result to those who want to reverse the signs of aging.

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Tuesday, November 26th, 2013

Volume loss in the cheek is a common aspect of aging that can be successfully treated with injectable fillers. Improving the projection and contour of the cheek creates a more youthful appearance that  postpones the need for more invasive surgical techniques.


JUVÉDERM VOLUMA XC was FDA-approved in October 2013 for restoring volume to the cheek. It is an injectable gel and is composed of a smooth yet dense hyaluronic acid (HA) that is suitable for deep injection. Similar to its companion product JUVÉDERM® XC, placement of the filler is performed with a series of injections that are targeted towards producing the desired contour.  HA is a natural component of your skin that diminishes with age resulting in decreased skin structure and volume. The flattened or hollow appearance of aging can be converted to a subtle, uplifted look that can be customized with JUVÉDERM VOLUMA XC to balance the aesthetics of your face. It has been proven in clinical studies to last up to 2 years.

Dr. Forley will be one of the first plastic surgeons in New York to offer JUVÉDERM VOLUMA XC when it becomes clinically available in December.

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Thursday, November 11th, 2010

Everyone wants to know what age is appropriate to have a facelift – but there is no ideal age or time frame.

The best answer is when you feel you are ready. There is no specific age range because each person is unique in so many ways.  Environmental, genetic and hormonal factors influence the aging process and each individual responds differently. A facelift may be right for you when you begin to experience the effects of gravity – as the aging process takes hold of facial tissues causing your neck to loosen up, jawline to slacken and deepening of the nose-to-mouth folds.  Typically women tend to come in for consultations in their mid 40s when the face they see in the mirror every morning seems to be changing. Men tend to wait until their 50s when neck sagging starts to become a concern.

The goal of a facelift is to make you look as good as possible for your age with a natural, unoperated appearance.  It is important to understand what a facelift can and cannot achieve.  A facelift will not stop the hands of time, but it can reset the clock about 5-10 years. By recontouring the neckline, we can create a smooth jawline and restore a youthful cheek position. A short-scar lift discretely camouflages scars within your hairline at the temples, around the curvature of the ear, and in some cases within the edge of the ear.  If you have more excess skin, the incisions may need to be extended behind your ear as part of classic SMAS-facelift technique, but they will be carefully closed to produce fine scars.  In either case, you will be able to wear your hair as you normally do, even in an updo, without feeling self-conscious.

While the facelift will rejuvenate the lower third of your face and neck, but it does not address your eyes or forehead.  Eyelid surgery can be combined with a facelift. The brow area can be lifted with BOTOX® Cosmetic or Dysport, as well as an endoscopic browlift if necessary.

Coupling a facelift with fillers enhances and maintains the results creating a balanced youthful appearance.  Juvederm™ can be used for deeper folds and augmenting the lips, while fat may be used at the time of the facelift to plump areas that need volume restoration, such as the cheeks or hollow lower eyelids.

At your consultation, New York Plastic Surgeon Dr. Bryan Forley will share with you his preferences and techniques in using the new generation of non-surgical, injectable fillers to restore a more youthful appearance in the aging face.

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Monday, April 19th, 2010

If you are in your 40s and have been going for injectable fillers like Juvederm, Radiesse and Perlane, you may feel like you reach a plateau at some point. It may be time to ask about the next steps in facial rejuvenation.  Until recently, the next step after using injectable fillers was a facelift due to limitations of adding volume alone. Injectable fillers mask the signs of aging by adding volume to sagging facial tissues helping to camouflage flattening of the cheeks, deepening of the nasolabial folds, and the loss of a smooth jawline contour.  However, as facial tissues continue to descend, a larger amount of filler is needed to camouflage the appearances of aging.

The Silhouette-Lift is a minimally invasive procedure, which effectively bridges the gap between injectables and surgery by lifting sagging facial tissues away from the mouth and jawline, restoring a youthful fullness to the cheek.  The procedure is an excellent alternative if you are not ready to commit to a facelift, but are seeking aesthetic improvements. The Silhouette Lift utilizes specially modified polypropylene sutures with bioabsorbable cones approved by the FDA.  The sutures are introduced through a small incision within the hair of the temporal scalp.  Four sutures on each side of the face are passed through the superficial tissue under the skin.  The unique threads grasp and elevate sagging facial tissues with multiple fixation points provided by the cones and are secured to the temporal fascia.  The body absorbs the sutures by producing fibrous tissue around the cones, which stabilizes and maintains the lift.  The entire procedure can be preformed in an hour using local anesthetic.

Watch the Silhouette Lift video to gain a greater understanding of how the procedure works.  The Silhouette Lift can last three to four years and can be used in conjunction with other minimally invasive techniques such as injectable fillers, BOTOX® Cosmetic, and Fraxel® restore Dual laser to enhance the results.

Dr. Bryan Forley is one of a select few board certified plastic surgeons who have been trained in the Silhouette Lift technique. This technique is an excellent alternative to patients who wish to rejuvenate their appearance without surgery. For more non-surgical anti-aging treatments, Dr. Forley recommends visiting our friends at Ringpfeil Dermatology in Philadelphia. They offer non-invasive and minimally invasive cosmetic and medical dermatologic services such as injectables, laser treatments, chemical peels and more.

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