Teeth Grinders, It’s Time To Make Your Lower Face Happy With Botox Injections

Dr. Anna Avaliani’s office is a state-of-the-art laser facility that creates the best bespoke treatments for each patient using the latest, the absolute best gold-standard technology for her patients. The office has over 3 million of laser technology for full face and full body rejuvenation all carefully planned, crafted, and performed by Dr. Avaliani.

Are you starting to experience the wrath of grinding your teeth? Whether that be a stagnant headache or increased sensitivity in your worn-down teeth, the symptoms of teeth grinding are no fun. To look softer, slimmer, and be pain-free, Haute Beauty expert Dr. Anna Avaliani offers injection treatments that are ideal for teeth grinders like yourself.

Injections for Teeth Grinding

There are many remedies to treat teeth grinding. Typically, you hear of mouth guards, which are simple solutions to create a barrier to stopping teeth from rubbing one on top of each other and damaging the enamel. Though mouth guards are a practical option, Dr. Avaliani, amongst other experts, uses Botox injections, deemed a “life-changing” treatment that relaxes the muscle involved in biting and grinding movements.

Botox makes the muscles smaller and weaker and prevents the teeth from actually grinding. People that grind their teeth often don’t realize that they compensate by using other muscles of the lower face like the chin and the neck. This leads to increased frown lines and wide neck appearances, as shown in the image below.

A recent study showed that people who grind their teeth usually have widened necks and develop pronounced horizontal necklines or bands. If you ever received Botox into masseters, then you should be evaluated to receive depressor anguli oris (DAO) injections, which can depress the lateral corners of the mouth.

When going in for a consultation, Dr. Avaliani can also evaluate your vertical neck bands to see how she can use injections to slim the face and back of the neck while reducing the pain in the jawlines that can sometimes trigger migraines.

It’s essential to have a proper consultation and assessment with Dr. Avaliani so she can design a customized treatment plan that will include the areas to be treated and the suggested dosage of injectables. Remember, Botox is not just for those fine lines and wrinkles. With Dr. Avaliani’s expertise and an artistic eye, your teeth grinding symptoms will begin to diminish, and your lower face will be symmetrical to your upper face.


Ear Lobe Rejuvenation: The Trending Five Minute Non-Surgical Procedure

Dr. Anna Avaliani’s office is a state-of-the-art laser facility that creates the best bespoke treatments for each patient using the latest, the absolute best gold-standard technology for her patients. The office has over 3 million of laser technology for full face and full body rejuvenation all carefully planned, crafted, and performed by Dr. Avaliani.

In a world where every detail matters, the same rule applies to the face. A concept that people are finally grasping is that the face, neck, and ears must be treated together or in a sense, match. To get your ears to look plump and young, Haute Beauty expert Dr. Anna Avaliani offers ear lob rejuvenation.

Usually, we look at the face and body individually but when we morph them into a whole, we can look at it in its entirety. That is when an artist like Dr. Avaliani can help make you look impeccable, natural, and symmetrical. Here Haute Beauty sat down with expert Dr. Avaliani to learn more on the now trending ear lobe rejuvenation.

Who is a candidate for ear lobe rejuvenation?

An ideal candidate is someone who believes that their earrings look “sunken in” or “falling out” of the ear lobe. The youngest patient Dr. Avaliani treated was in her 30’s and the oldest was in her 80’s. And by the way, facelifts don’t plump ear lobes.

How long does the ear lobe rejuvenation take?

In the expert hands of Dr. Avaliani, the entire process is about five minutes.

How is non-surgical earlobe rejuvenation done?

Non-surgical ear lobe rejuvenation is performed with the use of hyaluronic acid dermal fillers (Juvederm and Restylane family) to help restore the volume and plumpness, and reduce the lines or wrinkles in the ear lobes and immediately in front of them.

Does a non-surgical earlobe rejuvenation procedure hurt?

Dr. Avaliani is an expert and performs this procedure without the need for topical anesthesia or numbing cream and it usually involves a few tiny injections into the earlobe.

Can one wear earrings after non-surgical earlobe rejuvenation?

It is advisable to avoid wearing jewelry for 24 hours post-procedure when there might be some swelling and can have minor discomfort.

What is the downtime after non-surgical earlobe rejuvenation?

Usually none. Just some minor swelling and or tenderness but absolutely no physical restrictions are needed to be taken.

To see Dr. Avaliani for your expert in-person and/or virtual consultation please call/text 212-673-8888 or email the office. You deserve the bespoke treatment for your unique beauty personality and Dr. Avaliani and her impeccable team order just that.


25 uses of Botox

25 Expert uses of Neuromodulators like Botox and Dysport in the hands of an artist.

 Dr Avaliani is a national GAIN trainer for Galderma and is amongst top injectors of neuromodulators in the United States. Here she shares some information about of the most loved treatmentsin the aesthetic field and how one“tool” can be used for multiple “conditions” when placed in the hand of an artist and an expert.

  1. Wrinkle reduction, the 5 minute non downtime procedure designed to help control muscle expressions and prevent wrinkles from developing in the first place or at least getting deeper. Think forehead lines, lines between eyebrows and lines around eyes.
  2. Gummy smile treatment is a life saver procedure which helps men and women regain full confidence when smiling without affecting their smile or ability to speak.
  1. Non surgical Nose lift if you are bothered by “droopy nose” in every smiling profile photo, then this is a procedure for you. Keep your nose elevated and your profile perfect without any downtime.
  2. Non Surgical Brow lift is a great way to open the eyes and elevate the arch if the eyebrows with 1 minute treatment.
  3. Rosacea treatment is an off label treatment with injection of “micro-botos” to help reduce inflammation in the cheek area where rosacea is often exists. It’s an alternative cost effective and even complimentary treatment for people not willing to deal with daily cream application and or expensive lasers which can have downtime.
  4. Lip lines aka smoker’s lines treatment is a quick non surgical solution to help minimize those unflattening lip wrinkles above the lips when drinking, speaking, or applying lipstick.
  5. Non surgical Lip flip/lip lift – 5 minute procedure designed to open the lip area giving lips taller and fuller look without injecting any dermal filler
  6. Facial pore size reduction – “micro-botox or dysport” injections to help reduce oil production in the forehead, hairline or nose areas.
  7. Chin dimples softening for people who can’t control their tension in the face and who don’t like to see chin dimples/wrinkles on their photos because they can’t control it.
  8. Sad or frown face aka resting B*itch face fix– the best way to look happy and to lift the corners of the mouth and prevent deep creases from developing along the corners of the mouth leading to the chin area.
  9. Teeth grinding– if you wake up in the morning with tenderness and soreness in the jawline, if the dentist told you that you are grinding your teeth or even if you are biting through the mouthguard, then this is the best way to prevent yourself from damaging your teeth in your sleep
  10. Wide or bulky lower face can be as a result of an overactive or overused chewing muscles of the jaw, called masseter. Treating this muscle can instantly and non surgically slim the face with long lasting result of up to 6 months.
  1. Facial palsy correction– the non surgical solution for patients suffering from Bell’s palsy or facial nerve spasms and/or post Stroke to help them balance their facial features.
  2. Neck lines treatments aka tech neck treatment is injection of botox/dysport into the horizonal lines of the neck preventing the lines from getting deep or noticablesimilarto the lines on the forehead treatment but for the neck.
  3. Neck cords treatment for the vertical lines from the jawline to the collar bone which can give an appearance of an aged turkey neck
  4. Nefertiti neck liftAppropriately placed botoxalong the jawline to lift the sagginess and droopy mouth corners leading to a lifted and defined jawline without the need for bulky filler injections.
  5. Neck slimming and elongation is possible with the appropriately placed injections of botox and dysport in the upper and lower neck region.
  1. Migraine treatment for people suffering from very bad migraines requiring he use of daily maintenance and preventative medication the injection of appropriately placed botox and/or dysport can offer a targeted and localized solution and alleviate the symptoms for up to 3-4 months without the need for daily medication.
  2. Shoulder and neck pain treatment – looking down on your phone or computer and not stretching enough can definitely put some strain on the muscles of the upper back leading to neck pain and shoulder pain and even headaches. This can be treated and minimized with appropriately placed botox and/or dysport.
  3. Underarm sweating – the best no downtime treatment to give you confidence in the summer to wear dark clothes and to lift your arms in the air and not having to worry about sweat stains or odor with huge bonus perk of savings on dry cleaners. A must try treatment which is life changing for so many people.
  4. Hands and feet sweating – for people with social anxiety, performance anxiety, or just medical condition causing excessive sweat to be produced in the palms and or feet leading to social isolation of individuals and even career isolation. This treatment offers a chance to function normally in the office and public setting reducing the anxiety and enhancing self-esteem in a personal and professional sector of life.
  5. Frozen shoulder treatment is a way for people undergoing painful acupuncture, trigger pints and physical therapy sessions a chance to regain their function so much faster. Dr.Avaliani helped her patient restore full mobility in 2 treatment sessions which took 1 month when “traditional’ methods promise return in about 12 months.
  6. Lower back spasmscan cause pain and discomfort and physical limitation. Back muscle strengthening and relaxation is important. Occasionally turning the wrong way or lifting something can pull a muscle causing it to “spasm” and turn into a hard rock which causes pain. Botox and dysport have long established their reputation as a safe and effective muscle relaxant treatment to effectively and non invasivelyelleviate the pain and physical limitation/immobility within 1-3 days of the procedure.
  7. Muscle twitching (facial and or body) appropriately placed botox and/or dysport where there are signs of uncontrolled twitching help to alleviate discomfort and social anxiety associated with them.
  8. Calves slimming is a unique and creative procedure offering a way to feminize bulky legs or bulky calve muscles of the lower legs helping restore confidence to wear skirts or dresses and maybe even fit into a pair of favorite boots which were too tight before or the zipper didn’t go all the way up.

Dr. Avaliani will carefully consider what is best for you. Above are only some of the options from which she can choose for your bespoke consultation and treatment.  Dr. Avaliani’s medical knowledge, expertise, eye for symmetry, integrity, and devotion to being up to date in her training and equipment ensure excellent, natural-looking results.

To see Dr.Avaliani for your expert in person and/or virtual consultation please call/text 212-673-8888 or email the office. You deserve the bespoke treatment for your unique beauty personality.


NEO EDGE Applicators: The Newest BTL Addition To The EMSculpt NEO Family

Dr. Anna Avaliani’s office is a state-of-the-art laser facility that creates the best bespoke treatments for each patient using the latest, the absolute best gold-standard technology for her patients. The office has over 3 million of laser technology for full face and full body rejuvenation all carefully planned, crafted, and performed by Dr. Avaliani.

Photo Credit: Shutterstock

Haute Beauty expert Dr. Anna Avaliani is excited to add a 5th set of applicators for her EMSculpt and EMSculpt Neo devices.  As a state-of-the-art laser center, Dr. Avaliani prides on being able to offer her patients a “FULL Package” when it comes to noninvasive body contouring technology. Adding EmSculpt NEO EDGE applicators wasn’t even a difficult decision because she must and always does have IT ALL!

How are EMSculpt NEO EDGE applicators different from NEO small applicators?

The new sleek design allows for a better contour of the curvy areas of the body such as the love handles and back and possibly inner thighs.

What areas can EMSculpt NEO EDGE applicators treat?

The new applicator design fits perfectly around curvy areas such as the back, sides (love handles), and inner and outer thighs.

How long is the treatment with EMSculpt NEO EDGE applicators?

The treatment is the same for 30 minutes.

How many treatments do I need with EMSculpt NEO EDGE?

It typically consists of four, 30-minute sessions scheduled one week apart.

Do EMSCULPT NEO EDGE applicators hurt?

Absolutely not. There is never any paid simply slight tightness or even warmth feeling, but that’s it.

Photo Credit: Shutterstock

How much is the EMSculpt NEO EDGE treatment?

The cost is the same as with EMSculpt, which starts at $600 per session.

Who cannot receive treatment with EMSculpt NEO EDGE?

The contraindications of receiving this treatment over the desired areas are either presence of a scar, a tattoo, or close proximity to an insulin pump, pain pump, nerve stimulator, or having spinal fusion surgery. One must be carefully examined during a physical exam to determine in you are a candidate for this treatment. If you had EMSculpt treatment done before, it does not automatically guarantee your qualification for EMSculpt NEO EDGE.

Who is a great candidate for EMSculpt NEO EDGE treatment?

This can only be accurately determined at the time of your in-person consultation with Dr. Avaliani.

Can EMSculpt NEO EDGE help with back pain?

Absolutely, by tightening the lower back muscles when treating love handles, many patients should experience as significant improvement in their posture and definitely their core and back pain.  EMSculpt NEO EDGE can definitely offer the best nonsurgical solution to tighten the core without any downtime or pain.

Dr. Avaliani’s state-of-the-art office offers all and everything for her patients to achieve only the best results using lasers as tools. All treatments are always accompanied by an expert in-person consultation in order to ensure the safety and efficacy of each patient.


Introducing the newest BTL addition to the EMsculpt Neo Family: NEO EDGE Applicators. Best place in NYC for all things EMSculpt

EMSculpt NEO new EDGE applicators are designed to contour the love handles and for posterior back fat and bra fat.

Dr.Avaliani is excited to add a 5th set of applicators for her EMSculpt and EMSculpt Neo devices.  As a state of the art laser center, Dr.Avaliani prides on being able to offer her patients “FULL Package” when it comes to non invasive body contouring technology. Adding EmSculpt NEO EDGE applicators wasn’t even a difficult decision because she must and always does have IT ALL!

How are EMSculpt NEO EDGE applicators different from NEO small applicators?

The new sleek design allows for a better contour of the curvy areas of the body such as love handles and back and possibly inner thighs.

What areas can EMSculpt NEO EDGE applicators treat?

The new applicator design fits perfectly around curvy areas such as back, sides (love handles) and inner and outer thighs.

How long is the treatment with EMSculpt NEO EDGE applicators?

The treatment is the same 30 minutes

How many treatments do I need with EMSculpt NEO EDGE?

It typically consists of 4, 30 minute sessions scheduled one week apart.

Do EMSCULPT NEO EDGE applicators hurt?

Absolutely not. There is never any paid simply slight tightness or even warmth feeling, but that’s it.

How much is the EMSculpt NEO EDGE treatment?

The cost is the same as with EMSculpt ,which starts at $600 per session.

Who cannot receive treatment with EMSculpt NEO EDGE?

The contraindications of receiving this treatment over the desired areas is either presence of a scar, a tattoo or close proximity to an insulin pump, pain pump or nerve stimulator or having a spinal fusion surgery. One must be carefully examined during a physical exam to determine in you are a candidate for this treatment. If you had EMSculpt treatment done before, it does not automatically guarantee your qualification for EMSculpt NEO EDGE. 

Who is a great candidate for EMSculpt NEO EDGE treatment?

This can only be accurately determined at the time of your in person consultation with Dr.Avaliani.

Can EMSculpt NEO EDGE help with back pain?

Absolutely, by tightening the lower back muscles when treating love handles, many patients should experience as significant improvement in their posture and definitely  their core and back pain.  EMSculpt NEO EDGE can definitely offer the best non surgical solution to tighten the core without any downtime or pain.

Dr.Avaliani’s state of the art office offers all and everything for her patients to achieve only the best results using lasers as tools. All treatments are always accompanied by an expert in person consultation in order to ensure safety and efficacy of each patient.


How To Accomplish A Bridal Glow With These Pre-Wedding Skin Treatments

Dr. Anna Avaliani’s office is a state of the art laser facility that creates the best bespoke treatments for each patient using the latest, the absolute best gold standard technology for her patients. The office has over 3 million of laser technology for the full face and full body rejuvenation all carefully planned, crafted and performed by Dr. Avaliani.


Photo Credit: Shutterstock

Did someone put a ring on it? Are you experiencing pre-wedding stress resulting in hormonal acne? No worries, Dr. Avaliani is here to ease all your skin worries and more. The key is to start early! How early, well, the ideal time is around 6 months before the big day. The treatments you need all depend on your dress type as some reveal more skin and hugging and others are looser and show less skin. Regardless, it is important to know your options. Here is a menu of all treatments you can choose from by skin concern:

Skin Texture

For perfect and smooth skin the best and only laser is PicoSure Focus. It takes 15 minutes, no downtime and it considered the “Rolls Royce of skin rejuvenation” and to add, Dr.Avaliani is a Pico Queen!

For a little more downtime, Dr Avaliani offer a 1540 Icon Fractional laser, which will give 2-3 days of redness, dry and flaky skin and reveal smoother and more even complexion after about a series of 3-4 sessions, which are performed 1 month apart.

Skin Discoloration

The best treatment can only be determined at the time of an expert in person consultation. All lasers are not created equal and not all lasers can be safely performed on all skin types. Skin Types of Asian, Hispanic and African American patients must be treated with exceptional care not to have the skin burned by a wrong laser or wrong settings. Always trust an expert.


Photo Credit: Shutterstock

Brown Spots & Sun Spots

IPL/Photofacial: This is a quick 10-15 minutes session with minimal to no downtime ideal for patients with skin types I-III. It can’t be performed too close to the eyes if you have sun spots there. It’s a great treatment to target spots and only spots.

PicoSure Focus: The total face rejuvenation treatment with almost no downtime and the best laser for skin texture improvement as well as discoloration. It can safely be performed on darker skin types and even around eyes.

Redness & Capillaries

Photofacial: A quick 15 minute treatment to make your skin look photo ready as it targets sun spots and redness. Great for people suffering from rosacea. Minimal to no downtime, just a little redness post treatment.

Nd:YAG: A totally painless laser facial designed to target diffuse redness of the face with absolutely no downtime.

Skin Tightening

Tempsure Envi: Designed for your fat. This is the world’s first full body skin tightening system designed for your face and body to combat wrinkles, rhytids, cellulite and even vaginal rejuvenation. There is no downtime.

Tempsure Firm: The gold standard skin firming treatment. It is to tighten, improve and reduce appearance of cellulite, stretch marks and sagginess or creepiness. FDA cleared, this device is super quick, effective, painless and has no downtime!

PDO (Sugar Threads)The facelift without the knife! In about 30 minutes, your face will look instantly better. For a few days you’ll feel soreness and see swelling, after that – it’s all a breeze. 

UltherapyA non invasive ultrasound based device that delivers precise heat energy to deeper layers of the skin where new collagen is formed. No downtime. 

RF Microneedling (Genius RF): Genius RF is a newer, better, safer, more comfortable upgrade to its predecessor of the best RF microneedling device called Infini. It is FDA cleared for treatment of deep facial wrinkles and rhytids. You will experience 3 days of redness and a little peeling of the skin following the treatment.


Photo Credit: Shutterstock

Appearance Boosters

The miracles of Botox/Dysport treatments include:

  • Beautiful brow lift for bigger eyes
  • elimination of crows feet when smiling
  • treating bunny lines aka lines on the nose
  • treating gummy smile
  • botox lip flip or slimming the face by injection of botox/dysport into the jawline
  • Another extra bonus is Botox for underarm sweating is a must!

A little filler contouring. The options are infinite and in person consultation is always recommended.

  • Under eyes filler to remove the tired look and to look refreshed
  • Cheek filers to look contoured and rested always and without a ton of make up. No alien look ever!
  • Lip plumpers will add a little plumping for more kissable and fuller lips.
  • Non-surgical Nose job to hide a little bump or to lift the tip of the nose when smiling
  • Non-surgical Chin/Jawline filler can contour the face and make the face look slimmer/longer more defined instantly.

Dr. Avaliani is a national GAIN trainer and a master injector and is deamed an artist by her patients and her peer colleagues for her aesthetic vision and injection expertise. She doesn’t believe is an overdone look and is known to make people look refreshed and no one would ever guess why.

Dr. Avaliani and her team always care and stive to deliver the most comfortable and easy procedure experience and offers relaxing nitrous oxide Pronox aka (laughing gas) for injectable and laser treatments when requested or needed for the procedure comfort and to lessen any anxiety.


EMFACE™ Near me in NYC. It’s the Neo of the Face to Tone and Tighten the face without surgery and downtime.

New Revolutionary Facial Toning treatment is arriving in 2022.

What is EMFACE™?

It’s a proven and pattented technology of HIFEM (High Intensity Focused Electomagnetic muscle building technology ) and RF ( radio frequency)

It is the Neo of the Face. It will do the same to the face what EmSculpt Neo does to the body.

Where can I get EMFACE™in NYC?

The exact release date of EMFACE™ is not available yet but it is to arrive in 2022. Dr.Avaliani is very excited to add EMFACE™ to her family of lasers by BTL

Emsculpt NeoEmsculptEMsella, EMtone

What is the difference between EMFACE™ and Emsculpt Neo™?

They both combine the power of radiofrequency and HIFEM technology to melt fat and tone and tighten.

EMFACE™ is for the face and Emsculpt Neo™ is for the body.

What is the difference between EMFACE™ and EmSculpt™ ?

 The difference is in the typeof energy used. EMFACE is combimation of RF and HIFEM designed for the face and EmSculpt is simply an original, stand out HIFEM technology 

Does EMFACE™ treatment really work?

This is the first of it’s kind technology to be utilized for facial aesthetics. The company applied proven and tested technology which revolutionalized the body contouring market and designed a device to assist the facial aging as well.  What is not to love when you can melt fat to slim the face and tone the skin. The excitement is very real.

Dr. Avaliani is excited to offer EMFACE™ treatment in NYC and will be one of the first laser centers in NYC to offer this treatment to her patients because she is “The laser Queen of Park Avenue” and only works with the best and the latest groundbreaking technology.


How To Achieve The Model Nipple Effect In Minutes

Dr. Anna Avaliani is a leading female expert on Upper East Side in New York City specializing in cosmetic and laser surgery. She is a Member of the American Academy of Cosmetic Surgery, ASLMS (American Society of Laser Medicine and Surgery), and a Diplomate of the American Board of Medical Specialties. Dr. Avaliani’s unique approach is very much appreciated and recognized locally and internationally by her loyal patient following. Her high-end clientele includes many celebrity models, actors, TV hosts, celebrity makeup artists, hairstylists, fashion designers, and many billionaires and influential people.


Photo Credit: Shutterstock

It’s time to talk about the “nipple game” that has been circulating the web. From Lauren Sanchez, the girlfriend of Jeff Bezos, to Kendall Jenner and Bell Hadid, these celebrities are embracing their model nipples in full force. In fact, the latest trend amongst models is nonsurgical nipple enhancement. Haute Beauty Expert Dr. Anna Avaliani sat down with Haute Beauty to discuss how her patients are able to achieve ‘model nipples,’ in the span of minutes.

How is nipple injection done?

The procedure takes 5 minutes to do and is done via an injection of a hyaluronic acid dermal filler to keep the nipples and areola looking erect and plump.

Does breast nipple filler injection hurt?

The procedure can be very comfortable when done by an expert and proper anesthesia. Dr.Avaliani offers a wide array of comfort measures from cryo cooling to injection numbing to nitrous oxide. Some may need just one and others may need all it depends on pain tolerance.

How long do fillers injections for nipples last?

With any dermal filler, the duration depends on the type of filer and the amount used as well as the metabolism of the person receiving it.

It is good to assume the duration of this procedure to be good for 1-2 years or longer.

What kind of dermal filler is used for nipple enhancement procedures?

It has to be a soft and flexible filler to give the most natural result as well as a feeling, Dr.Avaliani prefers to use natural expression technology of Restylane family fillers like Restylane Kysse and Restylane Refyne for a nipple enhancement procedure.

Will dermal filler injection make my nipples bigger and stretched?

Absolutely not! The area is simply enhanced not changed.

Who is a great candidate for nipple injections using dermal fillers?

Literally, anyone is a good candidate as long as nipples are present, but the patients who can benefit from this confidence-boosting procedure are girls with small nipples, inverted nipples, previously pursed nipples that may look deflated, etc. Expert consultation is a must to determine whether this procedure is right for you.

Can fillers be injected into nipples if there is nipple piercing present?

It depends on the size of the nipple the type of piercing, as well as the desired result wanted. This can only be accurately assessed and discussed during an in-person consultation.


Beauty from every angle

HAUTE BEAUTY EXPERT ANNA AVALIANI, MD, IS A PLASTIC surgeon on the Upper East Side of New York City specializing in cosmetic and laser surgery. She is a member of the American Academy of Cosmetic Surgery and the American Society of Laser Medicine and Surgery, and she is a diplomat of the American Board of Medical Specialties. Dr. Avaliani’s unique approach is recognized locally and internationally by her loyal patient following. Her high-end clientele includes many models, actors, TV hosts, celebrity makeup artists, hairstylists, fashion designers, billionaires, and other influential people. Dr. Avaliani is a GAIN national injection trainer for Galderma and is proud to be part of a team of leaders in new innovations for facial harmonization techniques. Chin definition has long been a key area in her practice, and now the FDA has approved chin injections as well. Dr. Avaliani has been offering her patients nonsurgical chin augmentation procedures for the last five years.

Facial harmonization and facial balancing are now gaining more attention than overfilled and overcorrected cheeks. The recent approval of Restylane Defyne for chin augmentation in February has generated excitement in the aesthetic industry. Here, Dr. Avaliani explains how a nonsurgical chin augmentation is performed to achieve a defined jawline and slimmer face, and to make a double chin disappear.

Haute Beauty: What is nonsurgical chin augmentation?

Anna Avaliani: It’s also known as a chin filler injection or chin filler augmentation, which is done with an injection of a dermal filler. HB: Who is an ideal candidate for nonsurgical chin augmentation?
AA: Any person who feels like their side pr ofile is undefined, or maybe they feel like they have a double chin or their nose looks too big in proportion to their face, or they feel like they have a lot of sad lines around their mouth. Chin definition is something that can easily balance and frame someone’s face.

Some of the amazing, life-changing benefits of nonsur gical chin augmentation include:
• It can make the face look slimmer and longer
• It creates semipermanent contouring
• It can make the face look more masculine, if that is what a patient desires
• It can give more definition and support
• It can make the face look younger and creates less saggy skin in the neck area
• It improves the profile
• It improves the appearance of a double chin

HB: Why has Restylane Defyne been chosen as the best filler for nonsurgical chin augmentation?
AA: Having a very stiff chin may make one feel slightly awkward, and it may look obvious that something was done to the chin. Restylane Defyne has a natural expression technology that moves with you as you speak and maintains facial balance and harmonization without being obvious. This product is simply a great hidden secret in the hands of injection artists. HB: How long do the results last? AA: The exact duration varies from person to person and is dependent on a few factors, including:

• The type of filler (HA or other products, or even the type of HA)
• The injected volume
• The metabolism of the patient
• Location, though the chin is a pretty solid structure that doesn’t move as much as the lips, for example
• The average duration is about one year. If you need two to four syringes to achieve the desired result, then in 12 months you may need just 1 or 2 ml to maintain the results.

HB: How much does it cost?

AA: The cost varies depending on the practice, the experience of the provider, the injection technique used, and the amount of product used. An in-person consultation is the best way to get a cost estimate.

HB: How many syringes are needed?

AA: That’s dependent on the individual’s anatomy. The average amount injected during clinical trials was between 4-6 ml of product; 5 ml or 5 cc of a product is only a tiny teaspoon, not a lot.

Some people will only need one or two syringes if they already have good chin support, but people who need more support will need more product. It may take more than one visit to achieve a “happy spot,” which is the recommended approach for safety and good patient outcomes.

HB: How long is the recovery?

AA: The recovery is pretty uneventful. There might be a feeling of tightness and soreness for one or two days after the procedure. The most common side effects are redness, swelling, soreness and bruising, which usually only last for a few days.

HB: How long does the procedure take?

AA: It can take 5 to 10 minutes, depending on patient comfort and the number of syringes used, as well and the hand and expertise of the provider.

HB: Does it hurt?

AA: There is absolutely no pain or discomfort. The topical numbing and the lidocaine inside the HA filler cause only slight discomfort. It’s probably the easiest and most comfortable area for the patient to receive an injection.

HB: What does nonsurgical chin augmentation do for men?

AA: Strong chins have always been considered attractive and powerful. A strong chin for a male patient is almost as important as having luscious, full lips for a female patient.

HB: What about for women?

AA: It will balance their features, allowing for a longer, slimmer, and more defined look while creating support and removing a double chin and softening or erasing early jowls.

HB: How do I know what product is the best?

AA: The best product for you would be determined by your aesthetic provider at the time of your in-person consultation. Restylane Defyne is likely the best and only product on the market that offers support and flexibility at the same time. The two other

HA fillers that can be used for chin augmentation are Restylane Lyft and Juvederm Voluma.

HB: Do the results look similar to receiving a chin implant?

AA: The answer depends on whether the patient had realistic expectations and whether the provider was skilled in delivering the most amazing results. If the appropriate patient, with realistic expectations, comes to an injection expert, then the result can absolutely look like a chin implant, except the patient has no recovery, no scars, and no potential nerve damage. Surgery and nonsurgery cannot be considered the same, but in the best cases, they can be pretty close.

Learn more by visiting dravaliani.com.


PicoSure: The Dark Spot Removal Treatment For All Skin Types

Dr. Anna Avaliani is a leading female expert on Upper East Side in New York City specializing in cosmetic and laser surgery. She is a Member of the American Academy of Cosmetic Surgery, ASLMS (American Society of Laser Medicine and Surgery), and a Diplomate of the American Board of Medical Specialties. Dr. Avaliani’s unique approach is very much appreciated and recognized locally and internationally by her loyal patient following. Her high-end clientele includes many celebrity models, actors, TV hosts, celebrity makeup artists, hairstylists, fashion designers, and many billionaires and influential people. Haute Beauty Expert Dr. Anna Avaliani explains the top body brightening options to remove dark marks, scars, and bug bites for darker skin types. 

Darker skin tones are more prone to hyperpigmentation and damage when exposed to certain treatments. This fact has caused extreme hesitation to proceed with all treatments. In the case of removing dark spots, experts will suggest using the key body brightening option – laser treatment.

Not all lasers are created equal. There are lasers that are designed specifically for darker skin types and vice versa. Many treatments for skin of color have been associate with limitations due to the fairly high side effect profile. In fact, lasers can cause burns, scars and could potentially make the skin turn darker or lighter. There are super aggressive lasers that are completely contradicted in people with darker skin types because they have the power to permanently destroy melanin in the skin, causing permanent discoloration and skin whitening.

PicoSure laser is FDA approved for skin types IV-VI, and is also cleared for the treatment of pigmentation disorders such as sunspots, dark spots, flat moles, melasma, birthmarks, Nevus of Otto are among just a few to name. PicoSure is also FDA cleared for acne scars, pore reduction, skin texture improvement, fine lines, and wrinkle reduction, and when in the hands of an expert, it can be performed on the entire body and even around the eyes.

Dr. Avaliani is the world-renowned PicoSure laser expert specializing in face and body laser rejuvenation and has developed her own treatment protocols using PicoSure to help her patients achieve the best results possible.

Under a standard laser setup, doctors can not perform any treatment that is around and on the lower eye area, upper eye, and eye-lid. To properly treat the upper eyelid area, the eye needs to be prepared with numbing drops. Intraocular laser shields must be inserted around the eye itself and under the eyelid area, so the eye is fully protected by the eye shield when the laser is operating and treating the area. If you rely on an expert at the time of treatment, your results are bound to be substantially greater than one could ever imagine.