Interview With Dermatologist Dr. Neil Niren, M.D

Dr. Neil Niren head of Neil Niren MD dermatology practice explains the advantages of dermal fillers treatments. With an expert aesthetic eye, Dr. Neil is very experienced in non-surgical treatments, fillers, botox, dermaroller, and skin revitalisation treatments.


Dermal fillers effectively slow down the aging process, and are used for softening the facial creases, removing wrinkles, plumping and lifting cheeks and filling out lips. The results are immediate. See the video at doctor Niren's video channel at Dailymotion.

It is a artistic treatment, because the combination of botox and fillers can shape the facial contours and can restore your youthful appearance.



What dermal filer to choose?

Restylane, Perlane, Restylane Lipp Restylane Sub Q, Restylane Vital Restylane Vital Light and Restylane Touch are all modern dermal fillers.

Juvederm Ultra is a filler produced by Allergan, the maker of Botox. It is also a type of modern, Biotechnology synthesized filler based on stabilized hyaluronic acid of non-animal origin.



What are dermal fillers used for?

• Correction of wrinkles and creases 
• Nasolabial folds (lines from the nose to the corners of the mouth)
• Marionette lines (lines from the mouth to the chin)
• Laughter lines
• Under-eyes bags & lines
• Frown lines
• Smoking wrinkles (wrinkles around the lips)
• Acne scares
• Shaping facial contours and correcting flaws
• Lip augmentation
• Lifting the corners of the mouth
• Shaping facial lift 
• Chin lift
• Nose correction
• Eyebrow shaping
• Rejuvenating dry/mature skin:
• Cleavage area
• Face
• Neck
• Dry skin under the eyes

Is it safe?

Restylane is a biocompatible product that is biodegradable in the body in a natural and safe way, and disappears from the body when it is fully absorbed. Allergic reactions or long-term side effects such as granuloma formation or infection are very rare with our patients at dermatology practice Neil Niren MD.

Fillers of hyaluronic acid are produced by biotechnological procedure in the laboratory, in the form of a sterile transparent gel. The advantage of modern filler is that they are not permanent, as opposed to the older silicone rubber fillers, and are longer lasting as compared to outdated collagen fillers. An additional advantage of hyaluronic fillers is that they don’t need to be tested for allergies because they are not of animal origin, unlike collagen fillers that come from animal collagen.


How dermal filers work

As we age the skin begins to lose hyaluronic acid, collagen, subcutaneous fat redistribution and elasticity. As a result and due to gravitational forces and constantly use of the muscles, wrinkles appear, the face loses volume and the skin stretches. The main ingredient that used in dermal fillers is hyaluronic acid, which actually replaces hyaluronic acid which the body was previously lost. Fillers are injected in the form of a gel through a very small needle, followed by a mild massage in order to ensure a smooth surface, and the results are immediate. Hyaluronic acid binds to water and integrates with surrounding collagen restoring the youthful appearance. Latest medical researches have shown that the body naturally reacts to the injections of hyaluronic acid, forming large amounts of collagen, which improves and extends the results of such treatment.


Is the treatment painful?

The latest generation of dermal fillers (Restylane Lidocaine, Lidocaine and Perlane Juvederm Ultra) already contains a local anesthetic. Local anesthesia eases pain and enables painless and relaxing treatment. The treatment takes 15-30 minutes.


How long do the results last?

The duration of the results depends from patient to patient, but the result of the treatment ranges within 12 to 18 months, although our experience shows that the results last longer if the treatments are repeated regularly.

It is not unusual that after several years of regular treatments, the patient doesn't need new treatment for more than two years. In this case, only a minor correction is needed.


Does it look natural?

After treatment the patient looks natural, because the skin returns an element that is lost over the years. The face remains the same only with a regained volume, the skin looks younger and the lips look more sensual. To get a better picture from the satisfied clients, people can visit doctor's dermatology practice and get a feedback from the reviews left by Neil Niren MD patients.


In addition to the fillers which produce an instant result, Dr Neil Niren MD is also an enthusiastic researcher and member at the researchgate community where actively publishes his latest scientific researches. This works in a very different way. Again, it is injected into the skin, but instead of just sitting in the lines and wrinkles and filling them out, it actually stimulates your skin cells to produce new collagen. Over time ( 6 months to I year ) you will see a real difference in the springiness, texture and volume of your face with smoothing of wrinkles. Look at some of the thumbnails below to see the remarkable results that can be achieved.

Before all aesthetic treatments Neil Niren MD checks the patient’s medical history, and clearly explains all benefits, risks and side effects associated with the procedure. After that the patient is asked to sign a consent form.

Dr. Niren on Psoriasis

Psoriasis is a chronic skin condition caused by an overactive immune system. Some of the symptoms include flaking, inflammation, and white, silvery, or red patches on the skin. Psoriasis is usually treated with the help of treatments such as steroid creams, occlusion, light therapy and oral medications, as well as biologics. Unpredictable and irritating, Dr Neil Niren describes psoriasis as one of the most baffling and persistent of skin disorders.


This skin condition is characterized by skin cells that multiply up to 10 times faster than normal. Once the underlying cells reach the skin's surface they die, and their sheer volume causes raised, red plaques covered with white scales. As a certified dermatologist with over 35 years of experience, Dr. Neil Niren MD has a thorough understanding of psoriasis. Typically it manifests on the knees, elbows, and scalp, although it can also affect the torso, palms, and soles of the feet.


There are several types of psoriasis and the symptoms depend of the type you have. The most common variety of the condition includes plaques of red skin covered with loose, silver-colored scales. These lesions can be itchy and painful, and they sometimes crack and bleed. In some severe cases, the plaques of irritated skin can grow and merge into one another, covering large areas.

In terms of what triggers psoriasis, Dr Neil Niren believes it is a combination of genes. In people with psoriasis, the genes that control the immune system signals get mixed up. So, instead of protecting the body from invaders as it's designed to do, it triggers inflammation and turns skin cells on overdrive.


As Neil Niren MD explains, psoriasis is quite often associated with psoriatic arthritis, which leads to pain and swelling in the joints. Those who suffer from this condition know just how difficult and frustrating it can be to treat it. It comes and goes in cycles of remissions and flare-ups over the course of a patient’s lifetime. There is no cure for this condition yet, although there are some medications and therapies that can help clear up the patches of red, thickened skin.

Protect your skin in the winter

As winter approaches the temperatures drop, and with that begins the battle for healthy skin. For many people, the cold winter days bring more than dry runny nose and red cheeks. Dry air takes away the moisture in the skin, and if that moisture isn’t replaced the skin will start cracking, says Neil Niren MD a specialist in dermatology.

Those little cracks on the skin can cause inflammatory response, which can leave the skin more susceptible to flare-ups. But as Dr Niren explains, for some people the problem is worse than a tight, dry feeling. Their skin gets so dry it starts flaking, cracking, and can even lead to psoriasis and eczema.

What Dr Neil Niren recommends for the fast approaching winter days is moisturizing both body and face more often and with richer creams that in other seasons. During the winter months, doctors also suggests using cleanser or soap that is less drying and has no fragrance.

For people with more problematic skin, or those affected by eczema or psoriasis, this is quite a dangerous period. As dermatologist explains adding the loss of moisture from lack of humidity is a double whammy. Patients with eczema also need to avoid all fragrance, even in shampoo, conditioner, fabric softener, as well as in moisturizers and soaps.

According to Dr Niren, the most common conditions associated with winter are winter itch, nummular dermatitis and ichthyosis. Winter itch occurs because the skin is dry and wearing heavy clothes causes sweat to accumulate and irritate the pores. Nummular dermatitis manifests with round scaly itchy patches usually appearing on the legs. Neil Niren MD points out that both of these conditions can be partially prevented with daily moisturizing, avoidance of irritants and harsh soaps. Avoiding polyester and wool can also be helpful. When it comes to Ichthyosis, a condition in which diamond shaped scaly patches appear on the legs, at his blog at SCALAR, the dermatologist discovered that moisturizing, proper medications and sometimes an antihistamine can be helpful.