Dr. Anna Avalianiis 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 Avalianisat 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.
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.
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.
Lip augmentation is the number one requested injection procedure following right after Botox®. Many women who think about getting their lips done for the first time are very afraid to do so because they fear of walking around with “deformed” lips for life. It’s a myth and I will try to explain it.
One important thing to consider is that not all fillers are the same and the price you pay for your lip injections really determines the quality of the product and expertise of the person injecting you. Expert physicians like myself have been performing lip augmentation for some time now and in my practice, I do lip augmentation every single day. I also only use FDA approved products.
In this blog I will try to answer the 12 most common myths about lip augmentation.
Myth #1: Fillers are irreversible
Dr. Avaliani only uses FDA approved fillers from Juvederm® (Juvederm Ultra®, Juvederm Ultra Plus®, Juvederm Volbella®) and Restylane® (Restylane Silk®) family line of products. These fillers are made out of Hyaluronic acid, are very safe, and are completely reversible!
Myth #2: Fillers stretch your lips and make them deflated
It is absolutely not true as lips anatomically have a very small space to accommodate extra volume. That space is between the lip muscle and the skin overlaying it. Fillers never cause any stretching of the lip muscle or lip skin. What happens is that people who get their lips done on regular basis forget what their original lips looked like before they started injecting them, making them think that their lips became flat. Your body is always able to hold it’s natural and true shape.
Myth #3: Fillers cause permanent bumps
One of the common side effects of lip filler injections is the development of tiny bumps. These bumps can be felt inside the lips or actually be visible outside. They happen because your body is protecting itself and not allowing the filler to incorporate, or because the filler moved from its original space where it was injected, or rarely, due to filler being injected superficially. Even, an expert like myself, I occasionally can cause a tiny bump, but mine are always invisible and always go away in 1-2 days.
Myth #4: Fillers cause scars
The fillers used by me are 100% authentic Hyaluronic acid fillers from the manufacturer directly. All come with serial numbers and tracking information. There has never been a case reported of scarring after getting lip injection in any of the clinical studies performed around the world using authentic real products. Fillers that would cause scarring or deformity are usually cheap quality, black market injections sold at spa’s or other places for a very cheap price and luring naïve customers. You really get what you pay for and sometimes the price certain people pay is not worth the couple of hundred-dollar savings.
Myth #5: Fillers cause cold sores
Fillers do not cause cold sores. They are packaged sterile and come with a single use sterile needle. The only time one might develop a cord sore after a lip injection would be a person who already has a history of cold sores and because lip injection can cause stress on the lips, the cold sores can potentially be reactivated. You must inform your doctor if you are prone to getting cold sores and she or he will prescribe prophylactic medication in case you develop one.
Myth #6: All fillers cause “duck lips”
Fillers do not cause duck lips, it’s rather a desired outcome of the patient or simply an inexperienced or improper technique utilized by an injector. A true expert will always respect natural lip anatomy and proportions in order to avoid an awful “duck lip” look. I always ask my patients to bring in the photos of the lips they desire and we carefully discuss pro/cons of each picture in order to achieve the most desirable look for them.
Myth #7: Filler injections hurt
If you go to a cheap salon, you will have an awful experience. This is a very comfortable procedure and most of my patients rate it as 1-2 out of 10 on a discomfort scale. I always use a specially formulated topical numbing cream which I apply for 15-20 minutes and it will decrease any bruising and will also numb the lips very well.
Myth #8: Fillers change natural anatomy of lips
Too much filler will make your lips appear distorted or deformed, but once the filler is gone, your lips always go back to their original anatomical way.
Myth #9: Big lips are achieved in one single visit
We will use the most common example in today’s lip world: Kylie Jenner. To go from her original lip size to her current lip size it took 3 full syringes (3ml) of product, 3 visits and 3 months!!! It’s always good to be safe and add a little at a time. I never inject more than one syringe to anyone’s lips at a single visit. EVER.
Myth #10: Once you start doing lip fillers, you have to continue for life
It’s absolutely false as once the filler effect gradually weans over time, your lips will be back to their original size. People who choose to continue getting lip injections are doing so at their own will because they like their lips fuller, not because they have to do it.
Myth #11: All lip fillers are the same
Absolutely not. The best and the safest fillers for lip augmentation are made from hyaluronic acid. They differ from each other in the amount of HA acid in them and also their thickness. Every expert physician will determine the best possible filler for their patient in order to achieve their desired look. Not all fillers are the same and not all people can get the same fillers either.
Myth #12: Fillers come in quarter and half sizes
This one is even annoying to write about. Authentic product from manufacturer of Juvederm only come in 2 sizes: 0.4cc and 1cc syringes. Restylane family only comes in 1cc syringes. Places that offer or sell quarter, third or even half a syringes use black market, fake and diluted product which might be contaminated and will lead to infection, scarring or even death. Syringe splitting is considered a violation of health code and carries a high risk of infection.
If you choose to have less than a full syringe injected into your lips, it’s a personal choice that needs to be communicated with your physician, but depending on the product used, you either have 0.4 cc or 1cc size to choose from. Please be very careful!!!!!