Bruce P.Robinson, MD
Dr. Robinson, a board-certified dermatologist based in New York City & a member of The American Academy of Dermatology, he is known for his expertise in cosmetic dermatology. He has been performing "lip flips" & "lip fillers" around the mouth for many years. The key differences between these two popular procedures for enhancing the appearance of the lips are the "lip flip" primarily alters the shape and position of the lips while "lip fillers" add volume and fullness.
While they may sound similar, "lip flips" and "lip fillers" are totally different. While "lip flips" use a neuromodulator such as Botox, lip fillers use natural dermal volumisers, containing hyaluronic acid to restore lost volume and fullness to deflated lips to help turn up the corners of your mouth & undo the impression of unhappiness and re-establish a more youthful appearance to thinning lips.
A "Lip Flip" is a non-surgical, non-invasive, cosmetic procedure that gently creates a fuller looking lip without increasing the actual volume. "Lip flip" patients are often categorized as having a "gummy-smile", whose upper lip may curl inward due to a thinning upper lip that disappears when smiling. The "lip flip" injects neuromodulators, such as Botox, to relax a muscle in the upper lip border, causing it to "flip" outward and achieve a more natural appearance of a fuller upper lip, showing little gum..
Lip Fillers or lip augmentation, is also a non-surgical, non-invasive, cosmetic procedure involving the use of hyaluronic acid-based dermal fillers, such as Juvederm or Restylane, to add volume, shape & definition to the lips. The filler is injected directly into the lips to increase their size, enhance symmetry, and improve overall lip contour. Lip fillers can achieve more dramatic results compared to the lip flip and are often preferred by individuals seeking significant lip augmentation.
While they may sound similar, both are non-invasive procedures with no-downtime, lip flips and lip fillers are totally different. While lip flips use a neuromodulator such as Botox, lip fillers use natural dermal volumisers, containing hyaluronic acid which is injected directly into the lips to restore lost volume and fullness to deflated lips to help turn up the corners of your mouth & undo the impression of unhappiness and re-establish a more youthful appearance to thinning lips.
Lip Filler results usually last longer (6-8 months) compared to the Lip Flip (3-4 months).
Both procedures are minimally invasive, but patients may experience some swelling, bruising, or temporary numbness at the injection sites.
Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
What should you know about the procedure before finalizing your decision? We consider these the five most important distinctions.
While a facelift lasts anywhere from 5 to 10 years, a liquid facelift typically lasts up to 4 - 6 months, for the best possible and longest-lasting results. This makes the procedure a good choice for patients who want apparent improvement, but aren’t quite ready for a surgical facelift or mini facelift—whether due to inhibitions about the surgery or because one’s signs of facial aging aren’t yet very dramatic.
Results of a liquid facelift are evident almost immediately. But since the procedure has so much potential, it’s possible that more than one treatment session would be needed for the best results. This allows improvements to be made incrementally. Some patients appreciate the fact this allows their results to come in more gradually and thus look more natural.
A liquid facelift has excellent potential, but it should be understood from the outset that since no incisions are made and no actual surgery is performed, its results will naturally fall shy of what a complete surgical facelift can accomplish. But let’s look at what a liquid facelift can achieve:
A liquid facelift is cheaper and more affordable than a facelift or mini facelift, with the exact cost depending upon how much of what types of fillers are needed to help you reach your goals for the procedure. Health insurance does not cover the cost of a facelift or a liquid facelift.
A liquid facelift is done with a combination of dermal fillers and neuromodulators. That means fillers like Radiesse®, Juvéderm®, Belotero®, Restylane® will be used to plump and add volume to the skin in deprived areas, while neuromodulators like Botox will be used to reduce the appearance of fine lines and facial wrinkles.
The art of a liquid facelift lies in how it’s done precisely. How much of what fillers are applied in what portions of the face? Dr. Bruce Robinson has mastered this art and looks forward to helping you achieve your facial beauty goals—without surgery, without incisions, and with minimal downtime.
Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
After years of sun, squinting, laughing, frowning, smoking, and worrying, the skin around the eyes and on the forehead will often develop deep lines and wrinkles called “expression lines.” A frequent concern is that they often make you look older, tired, or stressed. Until recently, these advanced furrows have been difficult to treat. Now, by utilizing this FDA approved temporary muscle-relaxing agent, you can reduce "permanent expression lines". Botox®, Xeomin®, Jeuveau®, & Dysport® are “neuromodulators,” an extremely popular agent used to treat the lines of motion that are accentuated with facial movement and expression. It is one of our favorite procedures to perform because of the extremely high patient satisfaction rate, and a great place to start if you are considering a cosmetic procedure for the first time.
If you want to prevent the earliest fine lines from becoming full-blown wrinkles, preventative use of neuromodulator's can be the solution. They are approved for patients who are 18 years and older and most experts agree that patients in their mid to late 20s and early 30s are at a good age for preventative treatment.
With a very fine needle, BOTOX, Xeomin®, Jeuveau®, Dysport® are painlessly injected into the specific muscle that is contracting and causing the lines and wrinkles on the face. No anesthetic is required. Treatment is effective, safe, and takes approximately 10 minutes. Immediately following treatment you may resume regular activities.
The effects usually last 3 to 4 months, and fade away gradually. Following several treatments, the results may last 4 to 8 months or longer. Neuromodulator's offer extended relief over the course of long-term treatment.
Side effects of neuromodulator's, if any, are usually mild and temporary. Botulinum toxins contain proteins, which in some circumstances may be naturally safeguarded against by the body's ability to produce antibodies. If antibodies are formed, the therapy will generate a lesser response. Temporary bruising, mild pain and swelling are sometimes experienced, though these symptoms resolve on their own within 3 to 5 days. In rare cases, there can be a slight drooping of an eyelid or asymmetry of expression. If this should happen please notify our office.
The do’s:
The don’ts :
Typically, the effect of a neuromodulator is visible within 5 -7 days. Maximum benefits are reached between 10 to 14 days. Once the muscle becomes dormant and the skin softens, you will have a more relaxed and youthful appearance. Neuromodulator treatments are not a substitute for the results achieved with a facelift. The optimum appearance may be achieved with neuromodulator therapy in conjunction with a facelift, dermal fillers, laser resurfacing, and skin rejuvenation.
BOTOX® is a therapeutic muscle-relaxing agent derived from the bacterium, Clostridium Botulinum. For over a decade ophthalmologists have applied BOTOX® for it's original intention, the treatment of blepharospasm. Physicians have utilized BOTOX® for years as a cosmetic treatment to correct visible signs of stress and aging.
The contractions and movements of the facial muscles are controlled by signals from the brain. BOTOX simple prevents the muscle from allowing responses to these messages. As a result, the muscle relaxes and the overlying skin remains unwrinkled and smooth.
Botox injections have been FDA approved to treat excessive sweating. In the skin, Botox selectively turns off the sweat glands resulting in a normal appearance without wetness. Treatment is performed during an outpatient visit and no recuperative time or special care is needed afterward.
Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
Wrinkles are caused by the natural aging process, expressions made by muscles and sun damage. Using Sunscreen daily is the Holy Grail Anti-Aging product. Today there are many treatments available to help reduce fine lines and wrinkles on the skin. For deeper creases, a person may require more aggressive technique. With the latest treatments such as Botox, Fillers, Ultherapy, TempSure, and Fraxel laser skin resurfacing, wrinkles can appear less noticeable and even be prevented. These treatments are easy in office procedures that require little to no social downtime. The results can be immediate or seen in just a few weeks. Say "Good-bye" to wrinkles and fine lines and hello to beautiful, younger, smoother looking skin.
Cosmetic Consultation Reimbursement policy offered to all patients. Come discuss your needs and goals with Dr. Robinson and the office visit cost will be applied to future costs for the discussed procedure. Procedure must be completed within 30 days of your consult visit.
XEOMIN is a botulinum toxin that has been used internationally since 2005 and was introduced to the US market in 2010 by Merz Pharmaceuticals, LLC. The FDA recently approved Xeomin for the treatment of severe frown lines.
Xeomin is similar to other treatments such as Botox, but has it's own advantages, beginning with the fact that it contains no additives, just botulinum toxin type A. This may mean that there is less risk of developing antibodies against Xeomin than other available neurotoxins. The body develops antibodies in response to a foreign invader and attacks. In theory, antibodies could prevent a neurotoxin from having its desired effects.
The full effects of Xeomin occur within one week, and the results last from three to six months, making it comparable to Botox in terms of both onset and duration of action. Xeomin prices are also quite competitive to existing botulinum toxin therapies.
Dr Robinson offers Xeomin treatments, and would be happy to discuss with you whether Xeomin is the right approach to help you to look more youthful. Dr. Robinson's training and expertise will enable you to make the best possible decisions regarding your health and appearance during a cosmetic consultation.
The non-surgical Liquid FaceLift procedure is one of our most popular cosmetic treatments because they deliver stunning immediate results without surgery or downtime. Dr. Bruce Robinson is proud to offer the best dermal fillers on the market to help you achieve your aesthetic goals. Injectables expert Dr. Bruce Robinson performs the procedure using cosmetic fillers to plump deep creases, minimize fine lines wrinkles & restore volume back in your face. Lifting sagging skin and restoring the natural shape of the face. The Liquid FaceLift treatment sculpts the face back to its original form while maintaining a natural look. Unlike a surgical facelift during Liquid FaceLift, there is no surgical cutting, removal, or repositioning of the tissues, and no stretching of the skin. It's you, only younger.
Did you know that many visible signs of aging can be traced back to volume loss? As facial tissues thin out, lines become etched around the nose, mouth and cheeks. Dermal fillers replace lost volume to help smooth wrinkles, diminish the appearance of dark circles under the eyes, turn up the corners of your mouth, undo the impression of unhappiness and restore a more youthful appearance.
Lip Enhancement fillers can restore volume and fullness in deflated and dehydrated lips turning "up" the corners of your mouth.
The results are immediate and natural; resulting in the WOW effect. Friends and family will comment on how well rested you look or inquire if you have changed your hair, often, without ever knowing what was done, as it truly "looks natural".
Give your skin a lift, without surgery and very little downtime. Schedule a dermal filler consultation today.
As we age, our skin inevitably loses its youthful appearance as the production of natural dermal volumisers such as hyaluronic acid (HA) diminish, leaving lines and wrinkles where our skin once was plump, youthful, and radiant. Today, the signs and symptoms of the natural ageing process can be reduced by replacing lost volume. While dermal fillers are casually known as "wrinkle fillers," they can do so much more!
How Can Dermal fillers Enhance My Appearance?
*Smooth out lines around the nose and mouth (a.k.a. marionette lines, smile lines and parentheses)
*Enhance and restore volume to cheeks, reduce the appearance of dark circles and sunken eyes
*Diminish vertical lip lines
*Plump and enhance lips
*Smooth out chin creases
*Improve symmetry among facial features. (e.g., define chin & jawline, non-surgical rhinoplasty or nose job)
What are Fillers Made With?
There are a variety of FDA approved filler products that cosmetic dermatologists use. A note for your safety, always make sure you are receiving FDA approved, brand name fillers, which are available ONLY through licensed physician's.
Which Filler Do I Need?
With so many dermal filler products on the market, it can be difficult to know which option is best for you without an experienced cosmetic dermatologist's guidance. Each product is uniquely formulated to have a certain texture, density and injection depth which means that certain fillers work better for certain areas of concern. Dr. Robinson will determine what product is best for you, the following diagram illustrates in general where board certified dermatologists tend to apply certain products:
What to Expect During Treatment
Dermal filler injections are non-surgical and typically completed during an office visit. Your initial treatment will begin with a consultation, during which you will discuss your concerns, goals and medical history with Dr. Robinson. While the risks associated with dermal fillers are minimal, you will need to fully disclose your medical history prior to treatment, as certain allergies, skin and neurological conditions or medications can jeopardize your safety or results. For instance, you need to tell you doctor if you have been taking NSAID's (e.g., aspirin, ibuprofen, naproxen) or blood thinner, as these may increase the likelihood of bruising.
You may be given a topical anesthetic to numb the area prior to injection. although many filler products also contain lidocaine, a mild anesthetic, which is intended to help minimize discomfort during and after your treatment. Your doctor will then inject a precise amount of filler strategically beneath the skin.
Depending on the product and the areas treated, you should be able to notice subtle, natural looking results immediately. Some patients experience bruising and swelling, but these are temporary and should subside over the days following treatment. You will be able to go back to your normal activities right after treatment
How Long Do The Results Last?
How long the effects of dermal filler will last depends on the product, the area treated and the individual patient. The results are not permanent making timing of when you receive your treatments essential. To maintain your results, Dr. Robinson will simply repeat treatment as needed, adjusting the amount and techniques as necessary to ensure optimal results.
Combining Botox and Filler - SWEET!
Botox and dermal fillers are very different types of injectables, however they complement each other quite nicely. When used together you can address multiple areas of the face simultaneously. Botox is typically used around the eyes and forehead, whereas dermal fillers are generally used on the middle and lower areas of the face. Using Botox and dermal fillers together can also prolong the results of treatment. In the long run you may even ending up saving money by combining the two treatments.
Schedule an office visit to discuss your concerns and skincare goals with Dr. Robinson and the office visit cost will be applied to the future cost for the "consulted procedure". The "consulted procedure" must be completed within 30 days of your consult visit.
