DR. FICHMAN | FACIAL PLASTIC SURGERY

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Aesthetic Treatments

The field of aesthetic treatments continues to evolve, with a focus not only on immediate results but also on enhancing natural beauty over time and slowing the aging process. More than ever, we want to feel comfortable in our own skin, maintain vitality, and preserve natural expression—without compromising our authentic self with an artificial or exaggerated appearance.

Aesthetic care is meant to serve us, restoring a sense of harmony, presence, and self-confidence, which radiates outward. At our clinic, we offer a wide range of advanced aesthetic treatments, using only the highest-quality, FDA-approved products, in accordance with the highest medical standards. We always emphasize smart combinations with minimal yet precise dosing to maintain a natural, refreshed, and youthful appearance over time.

Botox

Botox is one of the safest and most well-studied substances in aesthetic medicine. If our clinic had to select one treatment for long-term impact, Botox would be the choice. With decades of clinical experience, a very high safety profile, and predictable results when administered correctly, it remains a cornerstone of aesthetic practice.

Botox works by selectively weakening muscle activity, addressing expression lines caused by repeated muscle movement over the years. In the upper third of the face, it treats forehead lines, frown lines, and crow’s feet, and in precise dosing can also provide subtle brow lifting and eye-opening effects. In the lower third, Botox can gently lift the corners of the mouth, open the upper lip, smooth fine chin lines, improve jawline contour, and refine the neck—without creating bulk, puffiness, or an artificial look.

Treatment frequency generally ranges 2–4 times per year, depending on the area, muscle strength, and treatment goals. A personalized treatment plan is established following a comprehensive aesthetic and functional assessment.

Hyaluronic Acid

Hyaluronic acid (HA) is a natural molecule in the body, essential for hydration, elasticity, and tissue support. In aesthetic medicine, it is a versatile tool—but one that requires careful planning and precision.

At our clinic, HA is primarily used for careful volume restoration and structural support, rather than aggressive wrinkle filling. The approach focuses on lifting, restoring proper facial proportions, and supporting the natural contours. Overuse of HA can lead to swelling, heaviness, or migration of the product over time.

Lip augmentation is performed with delicate products and precise dosing, aiming for a soft, natural, and harmonious appearance integrated with the overall facial structure.

Another key tool is the Skin Booster, a very fine HA injection designed not to add volume but to improve skin quality. Administered into the superficial layers of the skin, it provides deep hydration, reduces fine lines, and improves skin texture, creating a subtle “soft Photoshop” effect. Treatments are usually performed as a series to achieve cumulative results, tailored individually based on facial structure, skin quality, and treatment history.

Biostimulators

Biostimulators encourage the skin to regenerate its natural components—collagen, elastin, and structural fat—enhancing both skin quality and facial structure from within. They act as a biological trigger for rebuilding and repair, which naturally declines with age.

Treatments such as Sculptra and Radiesse gradually stimulate supportive tissue production, so results develop over time according to the skin’s biological response. These treatments improve skin firmness, elasticity, and resilience without directly adding volume, reducing the risk of swelling or heaviness. Treatments are usually performed in a series, with a personalized plan based on both the chronological and biological age of the skin.

Polynucleotide (Salmon DNA) Injections

Polynucleotides (PDRN) are biologically active compounds derived from salmon DNA extracts and have been studied for years in regenerative medicine. They work at the cellular level, promoting tissue repair and renewal while improving skin quality from the inside.

These treatments are not intended to add volume or alter facial structure; their primary purpose is to enhance skin texture, elasticity, hydration, and overall vitality. Polynucleotides stimulate fibroblasts, collagen, and elastin production, improving the skin’s biological environment and leading to a healthier, more uniform complexion over time. Treatments are usually administered in series and can be incorporated into a comprehensive aesthetic plan.

FAQs

Who are aesthetic treatments suitable for?

Aesthetic treatments suit two main groups:

  1. Anti-Aging: Patients seeking facial rejuvenation, a refreshed appearance, and slowing signs of aging.
  2. Beautification: Patients aiming to enhance, refine, and create a more attractive aesthetic appearance, such as lip filling, cheek augmentation, brow lifting, and more.

Treatment type is tailored to age, skin quality, tissue structure, previous treatments, and personal preferences.

Available treatments include Botox, hyaluronic acid injections, biostimulators, and skin boosters. Some treatments stimulate collagen production, others provide deep hydration, and technologies like Lixer or CO₂ laser offer targeted resurfacing. Smart combination protocols ensure natural, personalized results.

Botox relaxes muscles in a controlled manner, preventing dynamic wrinkles and providing a natural, refreshed appearance. It is used in the upper third of the face (forehead, between brows, around eyes) and the lower third (mouth corners, jawline, platysma bands). Botox does not restore volume.

HA restores volume, lifts strategic facial areas, smooths wrinkles, and nourishes the skin. Precision, minimal dosing, and careful area selection ensure natural results without an artificial look. Combining HA with other treatments according to structured protocols achieves delicate, superior outcomes.

Biostimulators stimulate the production of collagen and elastin, restoring the skin’s natural ability to maintain structure and texture. Results appear gradually, according to a planned treatment series and ongoing maintenance.

Tixel is an advanced fractional thermal skin resurfacing treatment. It creates microthermal injuries less than 1mm in diameter, triggering wound healing processes that improve skin texture and quality, similar to CO₂ laser or chemical peels like TCA. Tixel can be combined with biostimulators, HA, and Botox to enhance results.

Results vary by treatment, patient age, skin quality, and maintenance. Typically:

  • Botox: 3–4 months
  • Hyaluronic acid: 6–9 months
  • Biostimulators/Tixel: require a series and ongoing maintenance to sustain results

Procedures are performed in-clinic under topical anesthesia, significantly reducing discomfort. Most patients report mild pain or slight discomfort. Recovery is minimal, with a return to daily activities usually immediate or within 1–2 days.

Yes. Our clinic specializes in combining surgical and aesthetic protocols. Pairing procedures like facelift, eyelid surgery, or rhinoplasty with aesthetic treatments creates harmonious, natural, and long-lasting results. Postoperative aesthetic treatments enhance skin quality and surgical outcomes.

Treatment selection is based on personal assessment: facial structure, skin quality, medical history, patient expectations, and alignment with treatment protocols. Always consult a skilled physician to understand goals, maintenance, and options for combination therapies.