Dermal Fillers Specialist

Vitality MedAesthetics

Medical Aesthetics located in New York, NY

As one of the most common nonsurgical cosmetic procedures performed in the United States, dermal filler injections help create a youthful, rested look in aging skin. Internist Bisher Akil, MD, provides expert application of a variety of dermal filler products at Vitality MedAesthetics to men and women in New York City. Call the office or book online to find out how you can fill out hollowed contours and reduce the appearance of wrinkles and lines.

Dermal Fillers Q & A

What are dermal fillers?

Dermal fillers are injectable substances that restore facial contours and plump the skin to fill in fine lines and moderate wrinkling.

JuvédermⓇ is a line of dermal fillers containing hyaluronic acid, a natural substance your body produces to hydrate and firm up the skin tissue. As you age, your production of hyaluronic acid decreases, leaving your skin drier, thinner, and less plump.

Radiesse® is a filler composed of calcium hydroxylapatite microspheres that are injected into treatment areas to add immediate volume. In time, this filler stimulates your body to produce more skin-strengthening collagen. Eventually, the microspheres are absorbed, but your results persist due to your body’s reaction to the dermal filler.

Sculptra® is an FDA-approved injectable that replaces lost collagen, a compound that strengthens and smoothes skin to promote a more youthful look. As a collagen stimulator, Sculptra restores the deep, underlying structure of your skin. It involves the injection of microparticles into treatment areas, and as these microparticles are absorbed, your body produces more collagen.

Where are dermal fillers effective?

Dermal fillers come in a variety of formulations to address specific aging concerns. The options in the Juvéderm line of fillers include:

  • Juvéderm VollureXC, which adds volume and helps soften parentheses lines and wrinkles around the nose and mouth
  • Juvéderm Voluma® XC, which adds volume to the cheek area
  • Juvéderm® XC, which softens moderate lines and wrinkles around the nose and mouth
  • Juvéderm Ultra® XC, which adds fullness and boosts lip volume as well as corrects lines
  • Juvéderm Volbella® XC, which plumps lips and softens vertical lip lines


Radiesse is particularly effective in these areas:

  • Smile lines
  • Marionette lines
  • Folds that contribute to jowls
  • Corners of the mouth
  • Chin wrinkles

Sculptra can be effective in boosting volume and plumpness in areas such as your cheeks, and around your eyes to relieve a gaunt look and reduce the appearance of wrinkles.

The doctors at Vitality MedAesthetics can help you determine which formulas are best for you. They will customize a treatment plan to maximize the effects of the fillers, while helping you maintain a natural look.

Do injections of dermal fillers hurt?

Dermal fillers do require a needle to penetrate your skin, which causes a pinch. Juvéderm XC products contain lidocaine, a pain reliever, which helps ease discomfort during treatment.

If you’re concerned about pain, talk to the doctors about using ice or a topical numbing agent prior to your injections to reduce sensation. Treatment sessions are short but may involve multiple injections.

How long do dermal filler results last?

Your more youthful look can last between one and two years, depending on how your body responds, the formula used, and the area treated. Radiesse offers benefits for about one year, while Sculptra products can last longer than two years. Additional treatments are recommended to keep you looking your best.

When will I see results?

Results of Juvéderm and Radlesse injections are evident immediately. Sculptra results are more gradual. You usually undergo three injection appointments over a period of a few months.

To learn how you can look your best with dermal fillers, call the office or schedule an appointment online.