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is that they are not permanent, as opposed to the older silicone rubber fillers, and are longer lasting as compared to outdated collagen fillers.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.

Aging and Wrinkles

As we grow older skin changes its naturally occur. How your skin ages mainly depends on a variety of factors such as your lifestyle, nutrition, heredity, and other personal habits. Some crucial factors when taking about taking care of the skin, the dermatologist Neil Niren provides at his website. However, eventually everyone gets wrinkles. Dr Niren is a specialist in the field of dermatology, and has been analyzing this skin condition more thoroughly. Wrinkles and skin lines are the most common facial skin problems for women and men as they age. They appear on spots where the skin naturally folds and creases. Wrinkles form as the skin ages and its underlying structure begins to break down.

Environmental factors such as sun exposure and personal habits such as smoking and extreme dieting contribute to the formation of premature wrinkles, making the skin look older than it is. Smoking can negatively affect skin health, leading to damage and infection. When a person smokes, the blood vessels constrict, and that actually restricts blood flow to the extremities as well as the skin. And because the blood carries oxygen along with other nutrients to the skin, it deprives the skin of those chemical compounds. Neil Niren MD further points to the articles at his blog where this dermatology expert explains that environmental pollutants such as automobile emissions have a similar effect. Wrinkles can also be caused by exposure to sun, wind, and other environmental conditions. Some habitual facial expressions can also contribute to appearance of wrinkles and deeper lines such as smile and frown lines.

In Neil Niren advice, the best way to prevent premature wrinkles is to maintain your skin health. This means eating healthy, keeping the skin clean and moisturized, and avoiding harmful things that can damage the skin, such as excessive sun exposure and smoking. According to Neil Niren, proper nutrition is an essential factor in keeping the skin healthy. A well-balanced diet includes plenty of fresh fruits and vegetables rich in antioxidants, which are essential for good healthy skin. Daily sunscreen application, and appropriate clothing choices can make a big difference in dealing with such risks.

Staying hydrated and maintaining hygiene is also important for preserving the skin healthy and youthful looking. Keeping the skin clean and well moisturized can help in preventing wrinkles. Excessive use of cosmetics and similar products can permanently damage the skin and cause skin conditions such as rashes, infections, and acne. Effective solutions for wrinkle treatment and removal provided by dermatology specialist Neil Niren include: chemical peels, injectables and fillers, and facial plastic surgery. Some treatments include implementation of the latest products like Rejiva and CardioSleeve, and their usage has shown to be very effective with various dermatology treatments.

Advice from dermatologist Neil Niren

How to protect ourselves from the sun

During the whole year our planet orbits the sun and it draws life energy for all living things on earth. We enjoy the benefits of solar energy, which, depending on the time of year is stronger or weaker. Without a doubt there is no man who does not enjoy the first spring sun which we all look forward to after the cold and hazy winter. Normally we like to sit and enjoy the outdoors, while the gentle sunrays are caressing our skin. Sun improves our mood, improves blood circulation, metabolism of the body, the production of vitamin D, but encourages and defense mechanisms of our skin to the UV rays. All this is positive for our body, but for some people at some point in life UV rays can produce brown colored skin areas, so called hyper pigmentation. There are different types of hyper pigmentation - freckles, melasma, age spots, and sun spots as a result of inflammation of the skin.

How such conditions occur?

Skin color depends on the melanin pigment, which is produced in the skin by pigment cells called melanocytes. The role of melanin is to protect the cellular DNA from the effects of UV rays. Dermatologists have discovered that Intensive production of this pigment results in creating brown staining of certain parts of the skin. This may be caused by excessive sun exposure, hormonal changes (pregnancy, menopause), inflammation and skin trauma, some drugs, the skin aging. So if some changes with the skin are noticed, visiting a dermatologist is mandatory, wrote Neil Niren MD in his research book available at Scholar Google section

How to deal with hyper pigmentation?

The effect of treatment depends on the depth of segmentation of pigment in the skin, if it is only in the upper layer, the effect will be better. Recommendations from Dr Niren are to always start with the safest treatment for the skin, which are products for skin that stabilize the increased creation of pigment in the skin. The effect of this therapy is usually seen after 1-3 months, and the duration of therapy can last for months and years. If after 3 months of treatment there is no reduction in the intensity of hyper pigmentation, dermatological treatments such as chemical peels, microdermabrasion and laser treatments are next to include. After each treatment we should bear in mind that the skin must not be left without adequate care because the pigment is still excessive created in the skin. Therefore in the next months Neil Niren MD advices patients to continue using skin care products that provide better treatment of skin, regulating the synthesis of melanin and provide adequate sun protection. It is important to keep in mind that hyper pigmentation is initiated even from a minimal amount of sunlight, so it is required to have a continuous use of medical cosmetics with high SPF sun throughout the year. And that's why most people notice the appearance of hyper pigmentation during spring when are exposing unprotected skin to the first spring sunshine.


Neil Niren MD is specialized in dermatology practice, and his working portfolio at RISD it is noted that this mohs surgeon facilitates removal of pigmented skin changes with by offering treatments that include regeneration, protection and rejuvenation of the skin. Thanks to the treatments that use active ingredient B-resorcinol, products stabilize excessive melanin synthesis and prolonged decrease pigment spots, which ensure balanced and glowing complexion. Glyceric acid helps the regeneration of damaged cells under the influence of UV rays and they protect the skin from premature aging. It implements applying a daily moisturizer with a high SPF, night cream with an active concentrate that increases the effectiveness of creams and proofreader for the topical treatment of pigment spots.

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.