Dr. Keith S. Berman has served for 20 years as an independent plastic surgeon in Staten Island, New York. Keith Berman, MD, offers a variety of surgical procedures as well as non-surgical dermal fillers for patients seeking facial rejuvenation.
2. Introduction
■ Dr. Keith S. Berman has served for 20 years as an independent plastic surgeon in Staten
Island, NewYork. Keith Berman, MD, offers a variety of surgical procedures as well as non-
surgical dermal fillers for patients seeking facial rejuvenation.
When injected into the skin, a dermal filler can help to reduce the look of lines and create a
fuller appearance. One of the most common such fillers is hyaluronic acid, a substance
found naturally in some connective tissues and fluids of the joints and eyes. Injections of
hyaluronic acid for cosmetic purposes can fill in expression lines and some scars, thus
improving the contours and smoothness of the skin.
Deeper wrinkles and scars may require a different chemical substance, such as
polyalkylimide. A semi-permanent filler, it can also restore volume to the face or lips.
Calcium hydroxylapatite may also add volume and fullness, either to creases of at least
moderate depth or to the face as a whole. Its biosynthetic production process means that
it poses a lower risk of allergic reaction than some other fillers and rarely produces side
effects.
3. Dermal Fillers
■ Polylactic acid, meanwhile, is fully synthetic and used to
stimulate the body’s production of collagen. It typically involves
three monthly treatments, after which the patient waits four to
six weeks before results become fully apparent.This type of
filler produces semi-permanent results, although a patient may
need periodic touch-ups.
Polymethyl-methacrylate microspheres, or PMMA, also
provide semi-permanent correction of medium to severe
wrinkles, folds, and scars. Like polylactic acid, it involves
several treatments and takes some time to show results. Like
any type of filler, it requires a surgeon with strong technical
expertise.