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Understanding Facial Aging: From the Triangle of Youth to the Pyramid of Age

Youthful skin is characterized by its plump and radiant appearance. Collagen and elastin work together to create firmness around your nose and mouth, while subcutaneous fat fills out your cheeks and lips. A youthful facial appearance is characterized by three key attributes: prominent high cheekbones, full and vibrant cheeks and a well-defined jawline. This unique combination is commonly known as the "triangle of youth." You can visualize this by thinking of the chin as the point of the triangle and the cheeks as its broad base.

As we age, several changes occur. Facial bones undergo transformations, soft tissues, such as muscles, succumb to the pull of gravity, and the skin loses its firmness, leading to sagging. Additionally, the fat-pads in the face can shift, while the ones beneath the chin may become more pronounced, resulting in the appearance of fullness between the neck and chin—often referred to as a "double chin." The face can take on a more oblong shape, cheeks may lose their fullness and the emergence of jowls can alter the overall appearance. This new configuration is commonly referred to as the "pyramid of age." With the help of dermal fillers and lip fillers in Buffalo, NY, one can reverse this pyramid.

Cosmetic Dermal Fillers Elevate Your Skin Care Program

Dermal fillers are among the most popular cosmetic treatments for addressing these concerns and for good reason. They lift and fill and provide almost instantaneous results. Many patients share their worries about not resembling their true selves after having fillers injected. However, we'd like to emphasize that our approach is simply to restore lost volume and maintain your natural contours. Our physicians are dedicated to helping patients achieve a natural and authentic appearance that aligns with their age and maintains their facial harmony.

Our Board Certified Dermatologists, Dr. Buscaglia and Dr. Brauer have been injecting cosmetic dermal fillers in Buffalo, NY and Williamsville for over 40 years combined.  They are experts in the art of injectables and have developed a specialized approach to restore volume in a way that is natural and authentic to each patients’ features. 

We are not a one-size-fits-all practice.  The doctors develop a treatment plan for each patient after thoughtful consultation and consideration; taking each patients’ goals into account and layering many different treatments specific to the patient’s anatomy and cosmetic objectives.  

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Dermal Filler Questions

How do dermal fillers work?

Dermal fillers are formulated with hyaluronic acid, a substance that provides the skin with increased levels of moisture. These injectable treatments also increase levels of collagen, a vital protein in the skin that deteriorates as we age. When injected into the skin, dermal fillers achieve comprehensive rejuvenation, as various aging factors are addressed at once. 

What to expect during a dermal filler procedure

As with any cosmetic treatment, a dermal filler procedure begins with a consultation. During this meeting, we will carry out a thorough assessment of your current skin condition as well as your medical history. This information helps us come up with a treatment plan that enables you to achieve your ideal results. 

What is the recovery time?

As with most non-invasive treatments, the recovery time following a dermal filler procedure is usually mild and brief. Patients are typically fully healed after just three to seven days. That said, they must take certain precautions during the healing process, such as limiting sun exposure and refraining from touching the treated areas. 

Are dermal fillers right for me?

Dermal fillers in Buffalo, NY and Williamsville are considered to be the ideal treatment for patients who are looking to address signs of aging in the face but want to avoid surgery. Whether the individual is struggling with folds, wrinkles, or loss of volume, dermal fillers can be incredibly effective at addressing the issue and restoring youthfulness to the face. Ultimately, patients will only be certain of their candidacy after consulting with our team. Our medical spa has many other treatments that could be right for you. 

The team at the Cosmetic Vein and Laser Center is here to help you get started on your journey. Reach out to us for a consultation today. 

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Types of Dermal Fillers


Belotero is a versatile hyaluronic acid-based filler that effectively addresses fine lines, superficial wrinkles, and delicate areas. This dermal filler and lip filler in Buffalo NY is commonly used to treat vertical lip lines, periorbital lines (crow's feet), and marionette lines. Belotero integrates smoothly into the skin, providing subtle and natural-looking results. Benefits of Belotero include the following:

  • Precise treatment: Belotero's smooth and flexible gel consistency allows precise placement, ensuring optimal results in delicate areas.
  • Natural-looking results: Belotero blends seamlessly with your skin, enhancing your facial features while maintaining a natural appearance.
  • Quick and comfortable: The treatment typically takes about 30 minutes, and most patients can resume their daily activities immediately.
  • Long-lasting effects: The effects of Belotero can last six to twelve months, depending on the individual.


Juvederm is a popular collection of hyaluronic acid-based dermal and lip fillers, that addresses many concerns, including nasolabial folds, marionette lines, and volume loss in the cheeks and lips.

Juvederm products are formulated with different consistencies to tailor treatments for various facial areas. Benefits of Juvederm include the following:

  • Customized treatment: Juvederm offers a variety of formulations, allowing our practitioners to select the most suitable product for your specific needs.
  • Natural-looking results: Juvederm provides subtle, natural-looking results that enhance your features and restore youthful volume.
  • Long-lasting effects: Depending on the specific Juvederm product used, results can last from six months to two years.


Radiesse is a calcium hydroxylapatite-based dermal and lip fillers that adds volume to specific areas and stimulates collagen production, promoting long-term rejuvenation. It is commonly used to improve the appearance of smile lines, nasolabial folds, and marionette lines. Benefits of Radiesse include the following:

  • Immediate and long-lasting results: Radiesse provides an immediate volumizing effect, and its collagen-stimulating properties contribute to long-lasting rejuvenation.
  • Versatile treatment: Radiesse can address both shallow and deep facial wrinkles and provide volume to areas such as the cheeks and chin.
  • Stimulates collagen production: Radiesse promotes natural collagen production over time, enhancing the skin's elasticity and firmness.
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Restylane is a hyaluronic acid-based dermal and lip fillers that offers a wide range of products to address various aesthetic concerns, including lip enhancement, nasolabial folds, and facial volume loss. Restylane fillers are known for their smooth consistency and natural-looking results. The benefits of Restylane include the following:

  • Tailored treatments: Our practitioners can customize treatments to meet your specific needs and desired outcomes with different Restylane products.
  • Versatile solutions: Restylane can enhance lips, fill in wrinkles, restore lost volume, and improve overall facial contours.
  • Long-lasting effects: Depending on the Restylane product used and individual factors, results can last from six months to over a year.


Sculptra is a unique injectable treatment that stimulates collagen production, resulting in gradual, natural-looking rejuvenation. Its benefits include the following:

Collagen Stimulation

Sculptra stimulates the production of collagen, a vital protein that provides structure and elasticity to the skin. As the body gradually absorbs Sculptra, it triggers its natural collagen production process. This leads to improved skin texture, increased volume, and a youthful appearance.

Long-lasting Results

Unlike many other dermal fillers, Sculptra offers long-lasting results. The collagen produced as a result of Sculptra treatments gradually improves the skin's quality and can last up to two years. This longevity makes Sculptra an excellent choice for individuals seeking a sustainable and long-term solution for facial rejuvenation.

Natural-looking Rejuvenation

Sculptra provides subtle and natural-looking results. The gradual increase in collagen production results in a natural and gradual improvement in the skin's texture, firmness, and volume. This ensures the outcome appears refreshed and rejuvenated without an overfilled or artificial look.

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More on Dermal Fillers

Are dermal fillers safe?

How are dermal fillers different than BOTOX?

What if I want to dissolve my fillers?

What's the best age to start getting injectable fillers?

What is a liquid facelift?

Are dermal fillers safe?

Dermal fillers are considered safe when administered by experienced professionals, and millions of procedures are performed successfully each year with minimal risks; however, it's important to discuss any potential concerns or side effects with your trusted healthcare provider for personalized reassurance.

How are dermal fillers different than BOTOX?

Dermal fillers give a boost by filling in lines and adding volume where needed, while BOTOX works by relaxing muscles to soften and prevent wrinkles caused by facial expressions – think of fillers as adding a little plumpness, and BOTOX as easing muscle movement for a smoother look.

What if I want to dissolve my fillers?

If you decide to dissolve your fillers, an experienced professional can use an enzyme called hyaluronidase to safely break down and reverse the effects of the filler.

What's the best age to start getting injectable fillers?

The ideal age to start getting injectable fillers varies, but many individuals consider them in their late twenties to thirties for preventive measures or when they begin noticing specific concerns like fine lines or volume loss.

What is a liquid facelift?

A liquid facelift is a non-surgical cosmetic procedure that combines injectable dermal fillers and muscle relaxants to rejuvenate and lift the face, providing a more youthful appearance without the need for surgery.

Why Choose The Cosmetic Vein & Laser Center?

CVLC is a results-driven aesthetic team offering a comprehensive approach to cosmetic dermatology and vein care for over 25 years. From the front office to the back and back up to the front again, the entire team is known for their genuine care and charisma.

They have a clinical culture of being WNY’s “Fixers” and this is not by chance. Both leading physicians derive deep gratification in solving problems for patients that no one else can — by utilizing their vast array of options, aligning those options to their expertise and thinking creatively to achieve remarkable results. Come experience this and more through our dermal fillers in Buffalo, NY and Williamsville areas.

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