THE FILLER EFFECT | Richard Swift MD
Richard Swift MD Richard Swift MD, New York's Premier Plastic Surgeon. Brazilian Butt Lift, Liposuction, Tummy Tuck. Breast Implants, Labiaplasty and Fat Transfer.
110E. 87th St., New York, NY 10128
NEW YORK, 110E. 87th St 10128 New York
Richard Swift MD
Richard Swift MD, New York's Premier Plastic Surgeon. Brazilian Butt Lift, Liposuction, Tummy Tuck. Breast Implants, Labiaplasty and Fat Transfer. Dr. Swift is just amazing!! His office is beautiful, welcoming and has a very relaxing feel. His office manager Stefanie is enthusiastic, helpful, knowledgeable, friendly and kind. Dr. Swift educated me on my different options to produce the desired outcome I was looking for. He took his time to explain to me what he would be doing for my fine lines and wrinkles and what I can expect. He had a wonderful demeanor, he was thorough and I felt comfortable. Most importantly, I look fabulous!! I highly recommend Dr. Swift for your botox, your fillers and any/all of your anti-aging needs!! I recently called to make an appointment with Dr. Swift to discuss Botox. I spoke with his lovely office manager Stefanie, who happens to be the most warm welcoming person I ever met. I should start by saying this was the first time getting Botox so I must add how nervous I was. Upon arriving at my appointment Stefanie greeted me and we had the nicest conversation which helped me feel super comfortable. After a few short minutes Dr. Swift greeted me with such a nice hello. We discussed what brought me in and what I was looking for. Dr. Swift gave some recommendations and the rest is history. He is amazing at what he does and I am so happy with the results. He is a genius and makes you feel so great about wanting to enhance your beauty. So thank you Stefanie and Dr.Swift I had a wonderful experience! Looking forward to seeing you both in 3 months! I went to Dr Swift to try Juviderm as I am looking for a new dr in the city. He was patient, took time to answer questions, go over options and to educate me on my options. This is important to me as I am in medical sales and I like to learn. He did the best job of anyone who has given me fillers. I will absolutely be back as he was the best I have had. Great staff- clean office- nice bedside manner. 2 months ago, I had a breast lift done. For years, I kept dreaming of getting the procedure but kept putting it off. My daughter had a breast augmentation with Dr. Swift 1 year ago. I was surprised and shock as to how natural they look, with no scars after the healing process! Wow, I remembered thinking that this was amazing. I had to write this review and share the wonderful, amazing and great experience I had with Dr. Swift and his team. By far, this really was the best decision I made. Dr. Swift is a person that listens, sympathizes and very caring of how you feel and what you want done. I can’t thank him enough, I feel and look great! Stephanie, is wonderful and an important part of the process, she was the first person I met, a pleasure to deal with, I felt like I’m part of the family. The follow up visits have been from every 2 weeks, to 6 weeks each time Dr. Swift notice the great improvements and the great job he’s done. Thank you, Dr. Swift, I’m a lifetime supporter and 100% satisfied with your hard work and diligent desire for perfection! You’ll not regret your experience. I am a woman of some years – it was time to do my lower lids – they call it a lower blepharoplasty. The experience from the first consult has been top draw- Stephanie was a gem and he answered all of my questions- my recover time was amazing – I had interviewed 6 plastic surgeons and chose him because his energy was gentle – I brought along a friend to my second consult because I had more questions and she booked him for her upper lids- All around a great experience and i look amazing – I highly suggest Dr. Swift for any procedure that you might need- He is the top. As a thirty eight year old woman, I have been treated by a handful of plastic surgeons and have had consultations with numerous doctors over the years. I can enthusiastically recommend Dr. Richard Swift as the very best I have encountered. I discovered him using Google (Yelp), and it didn’t take me long to understand what all the praise was for. For me, there are three crucial factors when evaluating a doctor: talent, personality and professionalism. Dr. Richard Swift is outstanding in all of these domains. From the moment I stepped into his office and was greeted by his welcoming and cheerful assistant, I knew I found my fit. The office space is quiet, peaceful and beautifully decorated. Dr. Swift and his staff are incredibly nice and take the time to listen to your concerns. He will never push a specific method or procedure if it’s not best for you. Lastly, but arguably most importantly of all, his work is technically excellent. I was both nervous and embarrassed to undergo my cosmetic procedure as it was a defect I’ve disliked since I was a teenager. With the help and encouragement of Dr. Swift, I finally underwent surgery in October 2014. The surgery room is conveniently located in his office. The assisting nurse was kind and caring. The results of my procedure are flawless. I don’t have any scars and the healing process was rapid. I also began Botox treatments shortly after my October procedure. I feared that I would look different, but I look as natural, youthful and beautiful as ever. I strongly recommend Dr. Swift. Thank you! I just had my last follow up appointment with Dr. Swift for my Breast Augmentation and I couldn’t be happier with the results! I greatly appreciate Dr. Swift’s professionalism and dedication to helping me achieve the best results. I met with him for about 4 months prior to having the surgery to address ALL my questions and concerns to ensure that when it came time for my operation I felt comfortable. His staff from the receptionist, to the operating room nurse, and anesthesiologist were very caring and helpful. One thing that stood out to me was the day after my procedure, I received a phone call from the anesthesiologist to check on how I was feeling. I highly recommend Dr. Swift to all my friends because of his superior service and compassionate team! I went to Dr. Swift for Sculptra treatments. He serves as a trainer for the company to train other physicians so I knew he had great experience. I had several vials of sculptra injected to my whole face. The procedure was relatively painless and there was very little downtime. The result was amazing. I know that placement of this product is very operator dependent and I am glad that I found Dr. Swift who I could trust, that came through, and gave me the excellent result I was seeking. I will be going back for further treatments in the future. I have been to Dr. Swift twice, following a recommendation from three friends who received surgery from him. Once for liposuction on my abdomen and again for an upper and lower blepharoplasty (aka making my eyelid larger and taking away my under-eye “puffies”). The results look amazing and natural; I could not be any happier with the results! Recovery time and pain was minimal, significantly better than I thought it would be. I was extremely nervous before my first procedure, and Dr. Swift and his team were patient and understanding. If you are interested in having plastic surgery, I strongly recommend Dr. Swift. I went to Dr. Swift to have my deviated septum and my nose reshaped. Being 29 years old not being able to breath very well and very self-conscious of my nose I needed someone who I could trust. A good friend of mine had recommended Dr. Swift, being very skeptical and nervous I made an appointment to see him. After my speaking to him for 20 minutes and him explaining the process he made feel so comfortable and and at ease. Never having had any surgery I was afraid of the end result. Now I can breathe for the first time in my life, my nose is perfect all thanks to Dr. Swift! Even after the surgery his dedication, patience, and his way making you feel at ease has really helped me. I am very happy with the results and very thankful to Dr. Swift for the amazing job, his work is amazing he really cares the results and your satisfaction. I will be going back to him again for other procedures. I would recommend to anyone who is thinking of getting something done.
Rating: 4 / 5 stars

THE FILLER EFFECT

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When patients land in a dermatologist’s office, frustrated with a line or fold, they often want to plump the offending crease with filler. See a wrinkle, fill a wrinkle.

In his Upper East Side practice, Dr. Richard Swift, a plastic surgeon, sees more than 100 people for fillers every month. For many of those patients, his filler technique is surprising.

“One woman came to me with jowls,” Dr. Swift said. “I explained I’d start injecting the cheek area to correct the sagging in the lower face. She stopped me: ‘Whoa, why are you injecting up there when the problem’s down at my jawline?’ I asked, ‘How did you look when the last surgeon injected you with five syringes of product in your lower face?’ She answered, ‘Like a bulldog.’”

He filled the cheeks. She left happy.

Dr. Swift’s approach is sometimes called anatomic filling: replacing volume (with injectables like Juvéderm, Radiesse and Restylane) where it has been lost to restore the overall youthfulness of the face. Doctors have stopped looking at wrinkles and sagging skin in isolation and are considering how volume loss in one area affects others.

A young face has the “triangle of youth,” meaning it is broadest at the cheeks just under the eyes and narrower at the chin. But over time, tissue and bone is lost midface. With a deflated support system, skin starts to sag, and the face slowly transforms from triangle to trapezoid. Jowls form.

Fillers counteract that aging process by adding fullness to the cheeks, which restores skin to its original position, softening nasolabial folds (smile lines), marionette lines (creases running from the corner of the mouth to the chin) and jowls.

“I photograph patients from every angle,” said Dr. Jeannette Graf, a dermatologist in Great Neck, N.Y., and Manhattan. “I show them the pictures and say: ‘When you inject on top of the outer cheekbone, it has a lifting effect that tightens up the droopiness in the lower face. That’s how we do things now.’”

Doctors will note that in some patients, nasolabial folds still require direct injections. “But I start in the midface,” Dr. Swift said. “That’s where most of the work happens.”

The cost of fillers is substantial.One syringe of Juvéderm Voluma, a product now commonly used on the cheeks, runs $700 to $1,200 in New York, with price variations depending on neighborhood and the doctor’s experience. A mild case of laugh lines can be corrected with one or two syringes. Severe volume loss could require four or more.

And there are limits to what fillers can do. Think of the neck as a litmus test. If it’s very loose or banded, fillers won’t help. Also prohibitive: inelastic skin. For fillers to work, they must have some structure to push against. Skin lacking collagen and elasticity, like severely sun-damaged skin, won’t lift.

“In my experience, using filler to correct drooping skin in somebody who already has prominent cheekbones is reasonable for about a year and a half or two years,” said Dr. Michelle Yagoda, a plastic surgeon in Manhattan. “After that, the pocket where the filler was placed stretches. Then to achieve the same look, doctors will inject more product. You start seeing cheeks that are very prominent compared to the lower face.”

Dr. Yagoda suggested deciding on an aging-intervention plan for 10 to 20 years out. “You might have to consult a facial plastic surgeon and a dermatologist to get the best mix of noninvasive and surgical options,” she said.

Doctors often credit Botox, the muscle-relaxing neurotoxin, as the facial aesthetics game-changer. “For the first time, doctors from different disciplines — plastic surgeons, dermatologists, ophthalmologists — were working together,” Dr. Graf said. “We learned from each other how the facial muscles work and how the face changes with aging.”

Dr. David E. Bank, a dermatologist in Mount Kisco, N.Y., uses thinner hyaluronic acid fillers, like Restylane Silk and Belotero, to improve skin texture and boost radiance.

“Most injections are done below the level of the skin, oftentimes sitting on top of the bone, but these thinner fillers can be injected superficially into the dermis,” Dr. Bank said. “There’s an immediate hydrating effect because hyaluronic acid is so good at grabbing water to itself. But there’s also a delayed effect, a slight inflammation that stimulates your collagen-producing cells, so that perhaps after a couple treatments, you don’t need filler anymore.”

Doctors also use fillers off-label to add volume to the temples. To lift drooping eyelids, Dr. Bank injects Restylane into the forehead. “There isn’t much fat there to begin with, but when it thins, the eyebrows and the eyelids fall a bit,” he said. “Filling the forehead recreates convexity to support the eyebrows.” Plastic surgeons also inject fillers to reshape the bridge of the nose and simulate the effect of a chin implant.

In her New York cosmetic dentistry practice, Dr. Pia Lieb offers a niche lip-plumping procedure. “People were paying all this money to get veneers but getting bad lip filler, so I decided to start doing it myself,” Dr. Lieb said. She injects filler inside the mouth, where the interior smooth skin meets the outer skin of the lips. She says the technique “rolls out” the lips for natural-looking fullness.

“Dentists are trained to inject inside the mouth, and with filler that yields better results than filling the outside of the mouth, which is what most doctors do,” Dr. Lieb said.

People lose collagen all over the body, not just in the face. But fillers currently available in the United States lack the density needed for body work. Macrolane, a viscous hyaluronic filler in the Restylane family, has been popular in Europe for body enhancement for several years. The future of such fillers here is directly tied to the trickle of approvals by the Food and Drug Administraion. As new formulas become available, doctors find ways to use them.

“Think about the skin of the upper arms that hangs like bat wings,” Dr. Bank said. “To restore that, you could use Macrolane to coat the muscle all the way around, like blowing up a tire.”

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