Botox and Fillers

Botox & Fillers in Smithtown, Long Island


Dr. Landsman is an experienced injector who uses both dermal fillers and neurotoxins to tackle common problems like wrinkles, sagging skin and loss of facial volume. Injectables are an easy way to rejuvenate your skin that avoids the need for surgery or downtime — in fact, you are free to resume your normal activities as soon as you leave your appointment. Patients in New York City who want the best injectable results know to choose Landsman Plastic Surgery for Botox and filler treatments.

Neurotoxins vs. Dermal Fillers

Most injectables fall into one of two main categories: neurotoxins or dermal fillers.

Neurotoxins like Botox, Dysport and Xeomin use botulinum toxin to temporarily freeze muscles in your face. As your skin gets thinner and less elastic with age, the lines that appear on your face when you make facial expressions increasingly linger for longer, perhaps not vanishing at all even when your face is at rest. When you immobilize these facial muscles for a few months, the lines have a chance to soften or fade away.

Dermal fillers like Juvéderm and Restylane usually use hyaluronic acid (HA) to add volume to the face, achieving a softer, plumper look with fewer lines and wrinkles.

Facial Fillers Long IslandIn most cases, neurotoxins are designed for lines at the top of the face like horizontal brow lines, vertical frown lines (between the eyebrows) and crow’s feet. Dermal fillers are most suited for the lower portion of the face like the cheeks, lips, marionette lines and nasolabial folds.

Types of Injectables

Several types of injectable treatments are offered at Landsman Plastic Surgery, including:

  • Botox uses botulinum toxin to freeze facial muscles and therefore diminish lines for about three or four months.
  • Dysport is like Botox except that it often produces results a couple days quicker than Botox.
  • Xeomin is considered the “purest” type of neurotoxin since it only contains one ingredient: botulinum toxin A. It lasts for a similar amount of time as Botox and Dysport.
  • Juvéderm is a hyaluronic acid-based filler for minimizing facial lines. Products in the Juvéderm family include Juvéderm Voluma for adding volume to the cheeks, Juvéderm Volbella for fuller lips and Juvéderm Ultra XC for diminishing moderate to severe lines like the nasolabial folds. It lasts in the skin for six to 12 months.
  • Restylane is a hyaluronic acid filler with a thicker gel than Juvéderm. Restylane Lyft is great for the cheeks, while Restylane Silk is appropriate for the lips. Restylane is effective for about one year.
  • Belotero is another HA filler for wrinkle reduction and volumizing that lasts for half a year to a full year.
  • Radiesse uses calcium hydroxyapatite (CaHA) to diminish lines and add volume to the skin. It also stimulates collagen production, which can further improve the skin’s texture. Radiesse lasts up to one and a half years.
  • Sculptra is another filler that uses poly-L-lactic acid (PLLA) to help the skin retain moisture and boost collagen for improved texture and volume. Results can last for two or three years.

Injectable Costs

Dermal Fillers Long IslandThe cost of your injectable treatment depends on the type and amount of neurotoxin or dermal filler necessary to achieve your requested changes. During a consultation, Dr. Landsman and his team are upfront about the costs and the duration of the results so that you can make an informed decision. Injectables are an elective, cosmetic procedure and therefore not covered by insurance plans. However, multiple cosmetic financing options are available for patients who wish to make payments toward the total cost of treatment.

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