Minimally Invasive Facial Rejuvenation in NYC

Minimally invasive or non-surgical treatments of varying degrees of complexity are being done earlier to achieve a desired appearance, to maintain a youthful look, and to avoid the more drastic changes of cosmetic surgery after significant aging changes have already progressed. In this manner we can maintain a consistently rejuvenated face for longer. The goal of cosmetic procedures should be to achieve a natural looking, aesthetically appealing appearance without the telltale signs of intervention.

BOTOX® Cosmetic is an excellent choice in areas of the face where muscle contraction can be modified to achieve the desired effect of smoothing of the overlying wrinkled skin with maintenance of normal facial expression. There is an increasing realization that the changes we perceive as aging are due to an inadequate volume of facial soft tissue or displacement of existing soft tissue volume especially in the cheeks and in areas around the eyes, mouth, and jawline. These changes occur due to migration of the facial tissues as a result of gravity and the loss of skin elasticity. Diminished projection of facial contours produces an aged appearance. Non-surgical volume expansion with tissue fillers has been utilized to augment, to camouflage, to conceal, and thus to rejuvenate in a minimally invasive manner. In many cases, a youthful appearance can be achieved by lifting with volume replacement, rather than with surgery.

Dr. Forley is a leading injector of BOTOX® Cosmetic and dermal fillers, which are often used together to achieve the desired result.

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Botox® Cosmetic

Botox® Cosmetic injections provide a non-surgical way of reversing some of the visible signs of aging. Crow's feet, laugh lines, and frown lines are caused by the repetitive contraction of underlying facial muscles. Dynamic lines occur with every smile, laugh, or frown. These can lead to wrinkles that are present when you are not expressing emotion. Botox® Cosmetic works by blocking the nerve impulses to the wrinkle producing muscles so they do not contract. The overlying skin will be smooth and unwrinkled. The untreated muscles will allow for normal facial expression to remain unaffected.

The treatment is simple with minimal discomfort, requires only a few minutes, and you can immediately resume normal activities. Very precise injections are made into the areas selected for treatment. The results will be apparent in a few days with continued smoothing of the skin occurring for a few weeks after the first treatment. Side effects are extremely rare.

BOTOX® is extremely safe and has over 15 years of success in treating a variety of medical conditions. You will still be able to laugh, smile, or frown, but without the wrinkles. The duration of effect is between four and six months, and long-term maintenance of smooth skin can be achieved by repeated treatments.

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The facelift is a procedure that, although common, is inaccessible to many patients, either because of budget constraints or because it is surgical risk too risky to take. Regardless, Dr. Forley is dedicated to providing quality treatments to any and all patients, and accommodates his practice and technologies to reflect that fact. When a facelift is unfeasible or impractical, there are effective alternatives to addressing problematic creases and wrinkles. The most predominant development with age is the nasolabial fold, which encircles the lower portion of the face from the nose to the mouth. To reduce the look of aging, dermal fillers can be used to stimulate collagen production and provide additional volume to the skin. This will raise deep grooves and reduce the appearance of hard shadows given off by fine lines. To accompany this approach, Dr. Forley also chooses to address the cheeks to provide a more comprehensive aesthetic treatment. Perfectly safe for patients both older and younger, this non-surgical procedure is relatively painless, non-surgical, and can be completed in under an hour's time.


Dr. Forley only uses FDA approved dermal fillers in his practice. Juvederm™, Restylane®, and Perlane® are FDA-approved dermal fillers that are fashioned from hyaluronic acid. Hyaluronic acid is found naturally in the body and provides volume and fullness to the skin. Injectable hyaluronic acid has been modified to allow for a greater longevity than that found in the skin. It is a safe compound that is degraded gradually by the body over time. In addition, these products contain no animal proteins; therefore no skin testing prior to treatment is required. The duration of effect from the hyaluronic acid fillers ranges from 6 to 12 months in most cases. Dr. Forley will select the best filler treatment for each patient based on your specific needs and the extent of correction or improvement required. Following the use of a local anesthetic agent, a tiny needle is introduced into the skin. The volume enhancing effect is created by layering the filler in a series of fine tunnels within the undersurface of the skin.


Radiesse® is an FDA-approved dermal filler that consists of calcium-based microspheres suspended in a water-based gel that will restore facial volume when injected into the skin. It has a collagen stimulating effect and may produce results of up to one year duration. Over time, the microspheres degrade naturally into calcium and phosphate ions that are safely metabolized by the body. Radiesse® may be used to augment the nasolabial folds, corners of the mouth, as well as cheek, chin and jawline contouring.

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The FDA opened a new chapter in injectable anti-aging treatments with its July 2009 approval of the use of Sculptra®Aesthetic “for the correction of shallow to deep nasolabial fold contour deficiencies and other facial wrinkles.” Sculptra®Aesthetic is composed of an injectable biocompatible material, poly-L-lactic acid, that stimulates the production of the skin’s own collagen resulting in a gradual and very natural appearing restoration of facial volume.  Dr. Forley brings a plastic surgeon’s aesthetic judgment and understanding of anatomy and aging to the use of Sculptra®Aesthetic in the face.  Dr. Forley performs all injectable procedures himself and has developed an expertise, based on five years of experience, in the use of Sculptra®, the predecessor to Sculptra®Aesthetic, for facial volume restoration.  The gradual replacement of collagen in the area of treatment over a three month period enables the natural appearing restoration of youthful facial contours.  A dramatic lifting effect on the sagging tissues of the face can be achieved.  Generally, a series of 2-3 treatments at 6-week intervals are necessary to achieve the desired effect.  The youthful appearance that results from the treatment can last up to 3 years at which time maintenance treatments will be necessary.

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Fat Grafting

The long term success that has been achieved in recent years with fine tunneling methods of introducing fat grafts has ignited renewed interest in using the body's own tissue to augment the face. Fat grafting is a minor surgical procedure that uses the patient's own tissue to achieve the desired result. Dr. Forley's safe and effective fat grafting technique allows for great flexibility in its application, and provides a soft, natural feel. Utilizing local anesthesia, the fat is obtained from an area such as the abdomen or hip with liposuction techniques and then centrifuged to concentrate the fat cells for injection. Longevity of fat grafts has been maximized by placing small amounts of fat in a very precise fashion, until the desired result has been achieved. If some absorption does occur, additional treatments may be performed at any time, but the final result of fat grafting can last for several years.

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Before & After Photos Botox Cosmetic
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