Facial Fillers Conveniently located to serve New Jersey and Howell

What are (facial) fillers?

These are pharmaceutical grade, gel-like substances that are used to add volume to very specific areas of the face. Most of the popular fillers on the market today are made from Hyaluronic Acid, which is actually a sugar that is not only found naturally in the body, but is also the same across all species. This special sugar is known for its ability to hydrate and cushion areas such as skin, and is more plentiful in youth.

How do the fillers differ amongst each other?

The companies that produce these fillers each have their own proprietary ways of binding / arranging the hyaluronic acid into an injectable gel. They also have a different concentration of hyaluronic acid in each gel. So what does that really mean? It means that each gel differs in how much water it holds, how firm it is, how easily it spreads, and how long it last. Generally speaking, the firmer products are better suited for adding shape and lifting, while the softer ones are more for subtle volume changes. However, each situation must be treated individually and physicians must understand these properties in order to achieve the desired outcomes.

“My results are amazing but very natural”

5 5 Star Rating Written on August 27, 2019

Dr.Ruslan Zhuravsky a great surgeon! I had botox, juvederm fillers and neck surgery. My results are amazing but very natural. He cares about his patients, and answers all questions with explaining all aspects of the procedure. It was a wonderful experience.

I would highly recommend Dr Zhuravsky to my family and friends, and am very grateful to him.


by Lortel

How are Facial Fillers Used?

Although there is a wide variety of applications for fillers, they are generally used either to change the shape of specific facial features or even the face itself, to restore volume where it has been lost with age, or to fill in wrinkles / areas of depression. These are the broad descriptions as more specific examples are described in other areas of this website. The fillers are injected either into the deep layer of the skin (dermis), underneath the skin (subcutaneous), deep to the muscles, or directly on top of the bone. Again, this varies by the region being injected, the type of filler used, and the goal we are trying to achieve.

Click Here or on the diagram to learn more about uses of facial fillers

What is the Biggest Misconception about fillers?

The most common misconception that Dr. Z hears on a daily basis is that getting fillers makes you look “fake” or “plastic”. The truth is that when injected by the right person, fillers give a very natural appearance. It is not so much the amount of filler or the type of filler, but rather the injector’s technique and placement of that filler, as well as the understanding of which filler to use for that particular case.

How are Fillers injected?

All fillers can be injected with a needle. This usually requires numbing the skin with a topical ointment. In many cases, a cannula can be used as an alternative to decrease the possibility of bruising, trauma, and other complications.

How long do fillers last?

This depends on the area injected and the type of filler used. Most fillers last between 1 -2 years. Areas of greater activity and muscle movement (ie around the mouth) tend to break down faster than areas with less movement (ie the nose or under eye area).

Can fillers be Reversed?

Hyaluronic acid based fillers can be dissolved by injecting an enzyme, Hyaluronidase, directly into the area of the filler.

I want fillers or I am considering fillers, what’s next?

The consultation is one of the most important parts of the process and can be as simple and easy as 5 minutes, or longer if you have more questions and concerns. Use the physician’s expertise to help you choose the right treatment. Be sure to explain your goals, whether they are as specific as “I want bigger lips” or as broad as “I want to look better”, it is important to discuss these as the physician will help guide you in the right direction.


Filler Products Used by Dr. Z:


Radiesse is unique compared to most of the fillers in that it is NOT hyaluronic acid based. This filler is based on Calcium Hydroxyapetite (CaHa), which is a mineral found in bone and teeth. Radiesse is composed of tiny little spheres of CaHa that are suspended in a gel. These spheres are naturally resorbed by the body as it forms new collagen on its place. Radiesse boasts the highest level of firmness, yet is very pliable when injected. It’s filling effect allows us to get a very good yet defined lift. It can last from over 1 year to 2 years, and sometimes even longer.

This is Dr. Z’s favorite filler for jaw and chin augmentation. It also works well for defining and filling the cheek / malar area and nasolabial folds. Additionally, this was the first filler in the US to be approved for hand rejuvenation.


This is the softest and most fluid of all the hyaluronic acid fillers. It is best used for the under eye area, where it generally lasts 1 year or more. It can also be used to fill in stubborn wrinkles by injecting directly INTO the skin, rather than under the skin. When used for other areas such as the lips, it often gives a very mild, soft appearance that lasts only a few months.


This was the first cosmetic botulinum toxin product in the US and has been in popular use since 2002. It is used to improve wrinkles and facial aesthetics by weakening selective muscles through a process called chemodenervation. The effects are initially noted after approximately 3-5 days and take 7 days for full results. Refer to the main “Chemodenervation” to learn more about botox and its uses.


This botulinum toxin product is produced by Merz Aesthetic. It is used to improve wrinkles and facial aesthetics by weakening selective muscles through a process called chemodenervation. It is known for it’s lack of an attached protein, which has been suggested to decrease tolerance through antibodies. It generally starts to work after 3 – 5 days and takes 7 days for full results. Refer to the main “Chemodenervation” to learn more about Xeomin and its uses.


This is the latest in the line of Botulinum toxin products in the US and was initially referred to as Newtox. It is used to improve wrinkles and facial aesthetics by weakening selective muscles through a process called chemodenervation. While the onset of action has been reported to be similar to other products (3-5 days), Dr. Z has noticed initial results as early as the next day. Refer to the main “Chemodenervation” to learn more about Jeuveau and its uses.

JUVEDERM® Product line: (Voluma®, Ultra Plus®, Plus®, Volbella®, Vollure®)