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What Are My Choices for Facial Fillers?

A young woman with long red hair and freckles looks directly at the camera, standing outdoors in warm sunlight next to a concrete wall.

Facial volume loss is one of the most noticeable signs of aging. As the skin thins and fat pads shift, the cheeks deflate, lips lose fullness, and under-eye hollows deepen. If you’re exploring facial rejuvenation, one of the most effective and minimally invasive options available in New York City is facial fillers.

At the practice of Maurice M. Khosh, MD, FACS, a double board-certified facial plastic surgeon in NYC, we specialize in advanced filler techniques that restore youthful contours with natural-looking results. Today, patients have more choices than ever when it comes to volume enhancement, and choosing the right option is key to achieving optimal results.

Hyaluronic Acid (HA) Fillers

Hyaluronic acid (HA) is the most commonly used filler substance. It’s a naturally occurring sugar molecule found in the skin, joints, and connective tissue, known for holding moisture and adding softness and plumpness.

Popular HA fillers include:

  • Juvederm®
  • Restylane®
  • Belotero®

HA fillers are often preferred for:

  • Lips
  • Nasolabial folds
  • Tear troughs (under-eye hollows)
  • Cheeks

Advantages:

  • Immediate results
  • Reversible with hyaluronidase
  • Typically lasts 6 to 18 months

HA fillers are an ideal first choice for patients new to injectables. In NYC, many patients choose HA-based treatments for their safety, predictability, and flexibility.

Calcium Hydroxylapatite (CaHA)

CaHA is another volumizing option that’s denser than HA and better suited for deeper facial lines and structural support. It contains tiny calcium particles suspended in a gel, stimulating natural collagen production over time.

The most popular brand option is Radiesse®, which is used for:

  • Deep nasolabial folds
  • Jawline contouring
  • Cheekbone definition

Advantages:

  • Longer-lasting (12–18 months)
  • Promotes collagen production
  • Better for facial sculpting

CaHA fillers are not reversible, so they’re typically recommended for experienced filler patients who want longer-lasting contouring.

Poly-L-lactic Acid (PLLA)

PLLA is a biostimulatory filler that doesn’t provide immediate volume but instead triggers the body to produce its own collagen. It’s commonly used for gradual facial rejuvenation and volume restoration.

Brand options include Sculptra®, which is ideal for:

  • Overall facial hollowing
  • Sunken temples
  • Midface volume loss

Advantages:

  • Gradual, natural-looking improvement
  • Can last 2+ years
  • Boosts your own collagen production

Sculptra requires multiple sessions but offers one of the longest-lasting effects among dermal fillers. In New York, patients who want subtle, progressive changes often prefer PLLA-based treatments.

Fat Transfer (Autologous Fat Grafting)

Fat grafting involves harvesting fat from one area of your body (often the abdomen or thighs), processing it, and injecting it into the face. This technique adds volume using your body’s own tissue, making it a more permanent alternative to synthetic fillers.

Used for:

  • Cheeks
  • Under-eye areas
  • Jawline and chin
  • Deep wrinkles

Advantages:

  • Long-term or permanent results
  • No risk of allergic reaction
  • Dual benefit (body contouring + facial rejuvenation)

Fat transfer typically involves minimal liposuction and is often performed in conjunction with other procedures. It’s popular among NYC patients seeking a natural and lasting alternative to dermal fillers.

Which Filler Is Right for You?

Choosing the right filler depends on several factors:

  • Your facial anatomy
  • Degree of volume loss
  • Desired longevity
  • Comfort with procedure type
  • Budget and downtime expectations

Dr. Khosh offers comprehensive facial assessments at his Upper West Side Manhattan practice to create customized treatment plans. As a leading expert in facial rejuvenation, he uses an artistic eye and surgical precision to ensure every result enhances your natural features.

Why NYC Patients Trust Dr. Maurice Khosh

In a city as image-conscious and fast-paced as New York, facial aesthetics matter. Dr. Khosh is known for delivering results that are refined, balanced, and never overdone. Whether you’re interested in subtle lip enhancement, non-surgical cheek contouring, or long-term correction of facial hollows, he offers solutions tailored to your goals and lifestyle.

Ready to restore volume and renew your look? Schedule your consultation with Dr. Maurice Khosh in New York City to explore your facial filler options today.

Posted on behalf of Maurice M. Khosh, MD, FACS

Maurice M. Khosh, MD, FACS
580 Park Avenue Suite 1BE,
New York, NY 10065
(212) 339-9988

What Dr. Khosh's Patients Say

5.0

Based on 174 reviews

Meredith G.
Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!
Jackie C.
Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results
Kaitlin M.
Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.
Diana G.
Dr. Khosh & his staff Susan & Christine are absolutely amazing! They were so supportive & helpful from beginning to end & they are just wonderful people. Thank you guys I truly appreciate everything you guys have done for me. I would recommend them to anyone & everyone!
Joann M.
After visiting and being evaluated by several doctors, I kept going back to Dr. Khosh. His tranquil spirit and professionalism were captivating. Thank you for a job well done and keeping me calm throughout the entire process. A special thanks to your staff Susan and Christine for all of their support as well. Hi highly recommend Dr. Khosh.
Leah G.
Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!
Courtney G.
AMAZING!!!!!! I had Dr Khosh perform lipo on my chin/neck and my result is unbelievable! Better than I could have expected! I met with a couple of surgeons and the second I met with Dr Khosh I knew he was the one I was going with. He was compassionate and explained every detail of what would take place during the surgery and what to expect during recovery. I even emailed a few times during recovery with various questions and he got right back to me asap which was really comforting! I honestly fully recommend Dr Khosh, he did an amazing job and is an amazing person.
Frieda S.
i can finally breathe!! Dr. Khosh made the entire experience a breeze, it was truly a pleasure to be under his care. I am forever thankful and highly recommend him. Not only does his work speak for himself, but he has excellent bedside manner. His kindness and patience is above and beyond. He takes the time to answer to every question you have to help you understand the process while at the same time making you feel so comfortable. From the first consultation i knew i was in good hands. I am so pleased with the result and forever thankful.