Non-Laser Facial Rejuvenation in NYC
Dr. Ron Shelton’s Lattice Technique with Evolysse™ Fillers
At Dr. Ron Shelton’s dermatology practice, patients are often looking for smoother, younger-looking skin—but without the recovery time associated with aggressive laser resurfacing. Some of Dr. Shelton’s patients with severe sun damage and wrinkling received remarkable smoothening comparable to laser treatments but without that downtime, less risk, and an immediate effect. Fillers used by Dr. Shelton for this, had been Juvederm® Ultra and Redensity™ (Crown Aesthetics) but more recently, Evolysse Smooth™ by Evolus – Dr. Shelton’s signature lattice technique. Dr. Shelton is regarded as one of the best doctors in NYC for fillers, known for his expertise and precision in achieving natural, refined, and long-lasting results through his signature lattice technique.
Beyond Wrinkle Filling – A Smarter Way to Rejuvenate Skin
Rather than targeting individual wrinkles, Dr. Shelton focuses on fortifying the entire dermis. Using Evolysse™ hyaluronic acid filler, he performs a smooth, even injection pattern—what he calls the lattice approach—to strengthen the skin’s foundation.
This technique helps “turn the raisin back into the grape,” restoring volume and hydration throughout the dermal layer for a naturally refreshed appearance.
For fine, thin wrinkles and areas of sun-damaged skin, Dr. Shelton often used a diluted hyaluronic acid mixture combined with lidocaine, allowing for subtle but significant dermal plumping without surface irregularities as an off-label procedure. For the last year Dr. Shelton now uses Evolysse Smooth™ and doesn’t need to mix it as it is a perfect consistency to do what the skin needs with his lattice approach.
The results are soft, smooth, and rejuvenated skin texture—without the harshness of overfilling individual lines. It is a combination of the filler and the delivery through a very thin needle that lays down tiny beads of hyaluronic acid and at the same time, the subcision of the needle, or its pathway creating microscopic tunnels horizontally in a checkerboard fashion, in the dermis, that promote the dermal fibroblasts (cells in the skin) to produce more collagen.
Before and After Results
In our featured cases, patients saw a visible improvement in fine lines and skin smoothness immediately after treatment.
- The first patient, treated with Juvederm®, showed softening of smile lines and improved mid-face contours.
- The second patient, treated with Evolysse™, experienced a more hydrated, supple texture with a youthful glow.
Dr. Shelton’s patients often note that their skin looks rejuvenated right away—comparable to the results of laser resurfacing, but achieved in a single session and with minimal downtime and no wound care is needed. There is the expected swelling and bruising that can occur, some more than in others, so one should never schedule such a treatment within a week or two of an important social function.
Results That Last – Naturally
While hyaluronic acid fillers are not as long-lasting as laser resurfacing, many patients experience benefits far beyond the typical one-year duration.
Dr. Shelton has observed that some patients maintain smoother skin for two to three years, as the gentle stimulation from the needle placement promotes natural collagen formation over time. Others need more frequent treatment such as every 6-9 months.
For those who wish to avoid the recovery period and potential risks associated with lasers, this technique offers an ideal balance—immediate rejuvenation with gradual, natural skin strengthening.
In Dr. Shelton’s words:
“We’re not just filling lines—we’re rebuilding support within the skin. The goal is to refresh, not distort, and to give patients the confidence of youthful skin without downtime.”
Disclaimer: These patients demonstrate results unique to their case and no patient can be guaranteed excellent results.
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Page updated: November 2025
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