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  International Acclaim in Non-Surgical Rejuvenation 
  Liquid Facelift Treatment
        So if loss of fullness is primarily responsible for aging of our faces, then why is a face lift the go-to for some looking to reclaim a younger appearance? 
More and more doctors and patients  are seeking  to improve the appearance of the aging face not stretching the skin tighter, but filling it from the inside by fillers.
Enter the age of the liquid face lift. A Non-Surgical Facelift is the lifting, plumping, filling, smoothing, and/or re-contouring of the face through the use of injectable dermal fillers, such as Restylane, Perlane, Radiesse, Juvederm, Voluma, Bellafill, and Sculptra.
The use of Botox in addition to dermal fillers can make for better, longer-lasting results. The final result is a facelift which addresses the lower two-thirds of the face. It lifts the cheeks, jowls and neck to smooth wrinkles and provide a more youthful appearance.

  Volume Face Lift results are usually gradual and can range from     subtle to astonishing.  Can usually return to work the same day.

The best candidates for a non-surgical facelift include someone with minimal to moderate signs of aging. Younger patients often begin non-surgical facelift procedures as a way to prevent or to delay the  signs of aging as they are beginning to appear.       
It is common for patients who have had Liquid Face Lift procedures to say that they receive compliments on their appearance without others knowing that they have done anything.

In Some instances, the results can be so uplifting that they change an individual’s life. Liquid Face Lift procedures generally take around half an hour to one hour and the patient can return to most normal routines the same day.

The aim, says Dr. Gary is to restore the skin’s firmness and contours by restoring volume, which results in a healthy appearance. My approach is always conservative, gradual and natural. The end result is a revived, fresh and firm appearance, not an inflated or deformed one.

Botox can be especially useful when dermal fillers have been used to fill in expression lines, such as the creases that form when you smile, as repeated overuse of the surrounding muscles will cause the filler to break down more quickly. 

Specifically, you should be aware that silicone in liquid or gel form is not approved in the U.S. for injection into the face or body, and its use in this type of procedure has been associated with many unpleasant, disfiguring, and even fatal complications. Do not get a dermal filler procedure in the presence of any active skin sore, herpes outbreak, pimple, rash, cyst or infection near the intended injection site.

Also, bear in mind that getting laser treatments, microdermabrasion, chemical peels or other similar skin treatments at the same time as your dermal filler procedure is not recommended. Finding a well-qualified cosmetic dermatologist who uses only FDA-approved dermal fillers (in other words, no silicone liquid or gel) is a start.

Park Avenue Dermatology and Non-Surgical Rejuvenation Center headed by  Board Certified  Dermatologist Dr. Gary Rothfeld with a  office in New York, NY  providing expert skin care, dermatology, and cosmetic dermatology services.  A Park Avenue practice with an international reputation in general, cosmetic, and surgical dermatology.

A board certified dermatologist in New York, NY specializing in dermatology and dermatologic surgery including state-of-the-art cosmetic surgical procedures, Dr. Gary Rothfeld having worked alongside several of the world's renowned dermatologists and cosmetic surgeons has shaped a uniquely innovative approach in treating any skin or cosmetic problem you may have, is known for his attention to facial and body symmetry and his dedication to meeting patients’ personal goals. 

Dating back to ancient Greek sculptors and later Renaissance artists, the concepts of proportional balance have been a focus of interest to those who work with the human form.  Since that time, we continue to recognize that facial attractiveness is determined partially by the dimensional balance of facial components.

Leonardo DaVinci  presented  Vitruvian Man  and Male Head in Profile with Proportions to  outline his observations of this phenomenon.

Among this work and others, the observation is similar:  when the dimensions of one facial element  are mathematically harmonious (based on measured length,width, etc.) with the dimensions of other features, we usually find that face attractive. The profile head contains notes on proportion Leonardo not only produced studies of the proportions of the human head, but also a table in which he recorded all possible types of noses. In addition, he combined various forms of foreheads and chins as well as different types of noses and mouths. 

This ratio is referred to as the Golden Ratio,  the Divine Proportion, or Phi.  It actually measures out to be 1.618 : 1.  Interestingly, this same ratio appeals to the human eye in all forms.  For this reason, corporate logos ( Apple, etc.) are actually designed following this same ratio.


These faces above are absolutely identical with the exception of the dimension and shape of the jaw.

For example, a nose with a specific shape and dimension, when placed on a face with a weak chin can often look too large.  Thereby,  the face  is felt to be unattractive. 

 By contrast, the exact same nose balanced against a strong jaw can look appropriate and prove the entire face to be attractive.

Renowned Italian artist and Renaissance master Leonardo Da Vinci was born in Vinci, Italy in 1452. He passed away at age 67 in 1519. His genius among others included painting, engineering, mathematics, philosophy, and inventing.

Historically one of the greatest painters, Da Vinci's famous sketch portraying the male human body and face documented the relative proportions of the perfect example of the work of Dr. Rothfeld's undetectable non-surgical facial rejuvenation portraying the implementation of Da Vinci's ideology regarding the male and female face.

Dr. Gary Rothfeld’s inspiration from the great Italian master continually integrates his ongoing scientific research. His innate artistic sensibilities deliver the highest standards in modern facial  rejuvenation which aims to restore a youthful appearance to the human face with balance, proportion and harmony.

Another example to illustrate proportional balance and youthfulness can be found in the relative size of the nose and eyes. Relatively large eyes with a relatively small nose is considered “infantile” in nature as this proportional feature is typically found in youth. 

Studies have shown that both sexes perceive this proportional feature to be more attractive than a relatively larger nose and smaller eyes.  A similar phenomenon is found in the peri oral region (area around the mouth).  Here, we typically measure the vertical height of the upper lip complex in a young person to be approximately one-half or smaller than that of the lower lip complex. 

 This can be appreciated both at rest and with facial animation.  As a youthful person speaks, the upper teeth are visible and are showcased with movement of the lips.  Similarly, with smiling, the entire upper teeth and upper gum line are also typically visible in a younger face. 

 With aging, however, the upper lip lengthens and we find with measurement, that the the vertical height of the upper lip complex becomes comparable in height to the lower lip complex. 

 In this process, the upper lip begins to obscure the upper teeth.  As an older person speaks,  the lower teeth are now visible, rather than the upper teeth.  Likewise, when the aging face smiles, the upper segment of the upper teeth and the gum line are  typically hidden, as well.  This relatively subtle change in proportion of the peri oral components can yield the unconscious perception of an aging face.

This concept of proportional balance of features is very important in approaching the treatment of the face.   By addressing an imbalance and bringing the facial elements more into harmony, Dr. Gary renders the face more attractive and/or more youthful.  This may be accomplished by reducing the size of a structure that is too large or too long,  by enlarging the surrounding elements that may be too small, or sometimes by doing both.

I personally see every new patient who visits our office. I am not just a physician, I am a Board Certified Dermatologist. My goal is, quite simply, to provide the type of dermatologic care which I  would seek for my own family. This is a very important point, since physicians often use the phrase "Doctor's Doctor" to refer to those individuals who typically are selected by physicians themselves for personal care. I am confident that my practice fully meets that definition. This is the type of 5-star care and service that our patients expect, deserve and receive. I treat every patient the way I would want to be treated: with courtesy, dignity and respect. I carefully listen to their hair and skin-care concerns and offer a variety of options including a treatment plan that I believe will give them the best results 

Dr Gary sees every patient himself and  believes in personalized care. The Doctor does not employ any physician assistants, nurse practitioners, or other physician substitutes to do his treatment. He sees every patient himself at every visit.

During my career I have used the golden ratio as the renowned artists and architects in the past and present have done  to create their works of art.
I have used these calculations over the years to explain why some people are considered more beautiful than others. We have calculated beauty on a scale of 1 to 10.

A. First we measure the length and width of the face. Then we divide the lenght by the width.The ideal result as defined by the golden ration is around 1.6 which tells you an attractive face is about 1 1/2 times longer than its width.

B. Next we measure the 3 segments of the face - from the forehead hairline to a spot between the eyes  to the bottom of the nose, and from the bottom of the nose to the bottom of the chin. If the numbers are the same a person is considered more beautiful. 

C. Finally we measure facial features to determine symmetry and proportion. On a perfect face the length of the ear is the same as the length of of the nose and the width of the eye is equal to the distance between the eyes. Over the years I have noticed my work on my patients has scored between a 3 and 7 and I believe that no one in the world has a perfect 10. 
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Park Avenue Dermatology & the Non-Surgical Rejuvenation Center

Board Certified Dermatologist