Best Botox and Filler Experts in Miami

Juvederm, Restylane, Botox, & more!

In this article

Who Are Dermal Fillers For? | Recovery Time After Fillers | How to Prepare | Juvederm XC | Voluma | Botox | Restylane® | Perlane®

What Are Cosmetic Injectable Fillers?

Injectable filler procedures involve the injection of an artificial substance into the face in order to fill out the skin for aesthetic enhancement. Here at Aventura Plastic Surgery, a top-rated Miami cosmetic surgery office, we offer many different products for such procedures, each with different indications and durations for the improvement they create. Some of the more common fillers today include hyaluronic acid-based fillers like Juvederm, Restylane, Perlane, and the new long-lasting filler Voluma.

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Injectable fillers can restore a more youthful appearance by filling in a variety of lines and wrinkles such as laugh lines, frown lines, smile lines, crow’s feet, and other facial creases. They may also be used to add fullness to the lips, cheeks, and other facial features, and to improve acne scars and other skin imperfections.

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Who Are Dermal Fillers For?

Injectable fillers like Botox are appropriate for anyone seeking improvement for depressions, wrinkles, asymmetries, acne, and other imperfections. Miami plastic surgeon Dr. Galitz performs injectable treatments in his office at Aventura Plastic Surgery of Aventura, Florida. The treatment takes just ten minutes to complete and involves the administration of a topical anesthetic followed by a precise injection of the filler.

The Recovery After Treatment

The recovery after injectable filler treatment like Juvederm is immediate. Some minor discomfort, swelling, bruising, or redness may result, but these side effects fade quickly. Patients are generally able to return to work the very same day and resume exercise and other strenuous activities the following day. With most injectables, the results are temporary, thus repeat treatments are needed to maintain the improvement. Complications are generally rare but may include the risk of poor placement. Because of this, it is important to have an experienced plastic surgeon near you, like Dr. Galitz, perform your injectable filler treatment.

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How To Prepare For Botox

Although Botox and other filler injections are not considered surgery and so do not require the same amount of preparation there are some steps you can take before having botox which can help the procedure go better and provide better results.

Avoid Drinking Wine – The week before your botox injection appointment in Miami it is best to abstain from drinking wine. Wine, red wine in particular, can increase your risk of bruising after the injections.

Avoid Anti-Inflammatory Medications – Again the week prior to your botox appointment it is best to avoid taking these medications if possible to lessen the risk of bruising. If they are prescribed, speak with your doctor beforehand about their recommendation.

Avoid Garlic – Garlic along with wine and certain medications can increase the risk of bruising if consumed within a week of the botox procedure.

Avoid Waxing and Bleaching – Or treating the area of the skin you plan to have botoxed in any other way to lessen the chances of skin irritation at the injection site. And likewise if you do have skin irritation in that area like a rash, blemish, or cold sore, you will need to reschedule your appointment. 

Avoid Sun Exposure – Botox doesn’t work as well on sunburned skin so stay out of the sun for the days leading up to your procedure, or make sure you wear sunscreen.   

Use Arnica – Arnica is a natural herb with medicinal properties that can help alleviate swelling and bruising. Applying it to the skin before the botox procedure can lessen the risk of bruising. 

Clean Your Skin – Before coming in make sure your face is washed, clean, and free of makeup or other creams. 

Eat Before You Come – It is best to have a little something in your stomach before you come in for a botox procedure at our Miami plastic surgery office. This will keep you from feeling lightheaded during the procedure.

How Often Should You Get Botox

Botox and other fillers are a fantastic way to deal with fine lines and wrinkles, smoothing out your facial lines and giving you the appearance of youthful skin once again. The effects of botox can be quite dramatic but they are temporary. Eventually, your muscles will begin to contract again and wrinkles will reappear although after repeated treatments they can look less pronounced. 

The results of botox will typically last about three to four months before they wear off. Once wrinkles begin to reappear, you can make another appointment for a treatment in Aventura. The amount of botox used in the injection will also play a part in how long the results will last. If a smaller dose is used you may notice wrinkles returning faster than three months. That is why it is important to go to a board-certified plastic surgeon near you for botox treatments so that they can determine the correct dosage for you. Over time through multiple treatments, your facial muscles do have the ability to retrain themselves to contract less and so the time between treatments can be stretched to five or even six months eventually. 

When Can I Start Getting Botox?

Botox is available to people 18 years of age or older. Although wrinkles will typically start to appear in our later 30s some people choose to begin using botox in their twenties and early thirties as a preventative measure. The procedure is the same no matter when age you begin using botox and the results should last about the same amount of time. If a person does begin using botox at an earlier age they may be able to prolong the period of time between maintenance visits later on in life.


Juvederm XC

Just like Botox, Juvederm is fast becoming a popular cosmetic choice amongst individuals that wish to either change their appearance or achieve a more natural-looking appearance. However, unlike Botox, not many people know what exactly Juvederm is or what it is typically used to treat. There are many rumors surrounding Juvederm, stating that it is toxic to the body, or has serious side effects. In reality, Juvederm’s main ingredient is commonly found within the human body, making it much safer than the toxin-based Botox. 

What is Juvederm?

Juvederm XC and Juvederm Ultra Plus XC are excellent fillers to restore volume in the deep and mid-dermal layers of the skin. They can last from 9 to 12 months and are extremely well-tolerated in all patients.  The difference between Juvederm XC and Juvederm Ultra Plus XC lies in the thickness and depth of application. As a result, at Aventura Plastic Surgery your top choice for Juvederm treatments in Miami, we keep both on hand to administer as indicated by the patient’s particular needs and aesthetic goals.  To determine which is appropriate, Dr. Galitz will give a close evaluation of your skin and listen closely to your aesthetic. Both of these fillers contain Xylocaine (Novacaine) to lessen the discomfort of the injection.

Juvederm is produced by the same manufacturer as Botox but doesn’t necessarily work the same as Botox. Juvederm can be used to treat wrinkle lines, but it’s mainly used as a dermal filler to treat sagging skin or add volume to facial features. Throughout the years, this injectable cosmetic treatment has become increasingly popular, especially for individuals who do not want to use a product containing a toxin, like Botox. 

Juvederm was originally approved by the FDA in 2006, and the main ingredient is hyaluronic acid. Research conducted throughout the 90s determined that hyaluronic acid is one of the most ideal substances to repair soft tissue and conceal wrinkles and scars through minimally invasive cosmetic procedures. Hyaluronic acid is widely known as the best and most used compound for a majority of Botox-free and minimally invasive fillers. This is mainly due to the fact that hyaluronic acid is naturally occurring and acts as a moisture-binding product that is used to help add volume and hydrate skin. 

The Juvederm treatment line has produced a number of products since it was originally approved in 2006. Some of the products that Juvederm produces are:

  • Juvederm Voluma XC
  • Juvederm XC
  • Juvederm Vollure XC
  • Juvederm Ultra XC
  • Juvederm Volbella XC
  • Juvederm Ultra Plus XC

What Is Juvederm Used For?

Juvederm is most commonly known for its use in lip injections and to relieve wrinkle lines. However, it has many different cosmetic and medical benefits. Juvederm is slowly becoming more sought after than Botox due to the fact that hyaluronic acid already naturally occurs within the body. Additionally, it does work for other aspects that Botox cannot. 

Rhinoplasty

Juvederm is quickly becoming a highly sought-after minimally invasive procedure for rhinoplasties. Many who want to change the appearance of their nose or even lines do not want an invasive procedure that requires a lengthy recovery process. Therefore, Juvederm injections have been shown to successfully provide the effects that a surgical rhinoplasty would. 

This process is typically performed in an office rather than in an operating room and takes less than an hour. Safety is a huge aspect of using Juvederm fillers in place of surgical rhinoplasty. A major component of Juvederm’s facial filler gel is hyaluronic acid, which is naturally occurring throughout the body. Therefore, this product is not likely to cause allergic reactions. Juvederm is manufactured as a super smooth gel, compared to its competitor’s gels which tend to be more granular in nature. Therefore, Juvederm provides smooth, natural, and youthful-looking results. Several Juvederm injections are made on and around the nose to create the new desired shape. Many individuals with crooked or abnormal noses opt for Juvederm treatment to achieve their desired look

Cheek Definition

The cheeks and cheekbones greatly influence face appearance. Before Juvederm was approved, many were seeking surgical procedures to achieve a more youthful or smooth appearance.  It is believed that well-defined cheekbones and naturally softer cheeks create a youthful aesthetic. Juvederm is used as a cheek filler to restore the appearance of the cheeks when aging takes its toll. The cheekbones can be defined and cheek hollows can be filled out with Juvederm to enhance a smooth and youthful appearance. Juvederm is more affordable and less painful than cheek implants.

Dark Under Eye Circles

Many patients choose to use Juvederm treatments to correct dark circles or bags under their eyes. Many times dark circles and bags under the eyes are caused by loss of volume in those areas. Typically, this loss of volume is due to the natural aging process. There are a myriad of eye creams and topical treatments on the market, but none of them are a substitute for the amazing transformation that Juvederm fillers can create. Our trained team of Juvederm experts can fill the areas underneath the eyes to restore lost volume, which will efficiently create a more youthful and alert look with just one appointment. 

Lip Filler

As an individual ages, their lips may lose volume and begin to appear thinner and less defined. Additionally, smoker lines may begin to appear. Juvederm is an efficient way to help fill lines around the lips, plump the lips, and redefine the borders of the lips. All of these are meant to accentuate the shape of the individual’s lips. Many individuals believe that using Juvederm as a lip filler will cause the lips to become bumpy and uneven. In reality, once Juvederm is injected into the lips it is almost impossible to distinguish the Juvederm filler from the natural texture of the lips. In the end, using Juvederm as a lip filler will leave any individual feeling confident. 

Nasolabial Folds

Nasolabial Folds are considered one of the hardest signs of aging to correct due to the location. Nasolabial folds typically form between the nose and the mouth in the areas where the skin is much thicker than the rest of the face. The folds that develop in this area tend to be more difficult to treat due to the skin being so thick. Additionally, it is extremely difficult to conceal nasolabial folds once they have started to develop. Juvederm is used to treat nasolabial folds by filling in the surrounding skin. Instantly, the area that is injected looks plump and more youthful. 

Marionette Lines

Marionette lines are typically described as vertical lines that extend from the corners of the mouth down to the chin. Usually, these lines tend to start presenting themselves after the age of 30. However, they are easily corrected with Juvederm injections. Juvederm helps erase fine lines, including marionette lines, and helps enhance the natural shape of the chin. Once the Juvederm injections are complete, they will give any individual a younger more attractive profile. 

Do Different Types Of Juvederm Have Different Uses?

In lamens terms, yes. Each type of Juvederm product has a specific use, and is not a one size fits all solution to every aspect of facial fillers. Over time, the creators of Juvederm have created different types of Juvederm injections that target and treat different aspects of the face. We know how confusing it can be to understand which type of Juvederm works best for different areas of the face, so we have broken them down to be clear and concise. 

Juvederm Voluma

Juvederm Voluma is a type of Juvederm injection that is perfect for adding volume to the mid-face region. Volume loss in the cheeks and face are typically what Juvederm Voluma is used to treat. Cheeks naturally lose their plumpness over time, and the skin will begin to sag. Juvederm Voluma is an excellent choice to contour the face and regain the lost volume in the cheeks and face. 

Juvederm Volbella

Juvederm Volbella is typically used as a lip filler. It is a great option to make the lips appear naturally fuller. Juvederm Volbella is created from hyaluronic acid, which is a common component of the human body. Therefore there is little chance that there will be a reaction to using Juvederm Volbella. This light and subtle formula is the best way to obtain a more natural-looking plumper pout in just a few minutes.

Juvederm Vollure

Juvederm Vollure is a softer version of Juvederm Voluma, but also more robust than Juvederm Volbella. Typically, Juvederm Vollure is used to treat and smooth fine lines, folds, and wrinkles. This type of Juvederm injection is more versatile, meaning it can be used to treat several different aspects of the face. It also lasts significantly longer than other dermal fillers, as it can last up to 18 months. 

How Much Does Juvederm Cost?

Juvederm injections are considered to be noninvasive procedures. Therefore they are much more affordable than other various forms of cosmetic surgery such as facelifts, neck lifts, and rhinoplasties. The risk of complications is also significantly lower. 

When it comes to insurance, most medical insurance providers consider Juvederm injections to be elective procedures. This means that they are not medically necessary, and they won’t cover the cost. On average, Juvederm costs between $500 to $600 a syringe or more. Depending upon what the client wants to achieve, they may need multiple syringes or multiple sessions. In some cases, providers will suggest doing two syringes in one treatment to help mitigate the cost. 

It is important to know that the cost of Juvederm injections can vary widely. Due to Juvederm coming in different formulas based on the desired treatment area, the cost can fluctuate. Each type of Juvederm has varying levels of hyaluronic acid, and the syringe sizes may d

Juvederm Side Effects

The most commonly reported side effects for Juvederm were temporary injection-site redness, swelling, pain/tenderness, firmness, lumps/bumps, bruising, discoloration, and itching. All were reported as mild or moderate in severity and lasted just seven days.


Voluma

This relatively new and exciting filler is excellent for augmentation and enhancement of the midface and cheek areas.  It is a thicker filler than Juvederm and can last up to two years.  Voluma is placed directly against the cheekbone (malar) structures for the best results.  It is also an excellent enhancement to facelift surgery and we are happy to offer it to our patients here at Aventura Plastic Surgery.

The most common side effect for Voluma was temporary injection-site redness, swelling, firmness, lumps/bumps, bruising, pain, redness, discoloration, and itching. All were reported predominantly of moderate severity and had a duration of two to four weeks.


Botox

Botox injections are the most common treatment for wrinkles at our Miami Plastic Surgery office. Over the years we have become Botox and filler experts in Miami. Botox is a medicine that is strategically injected into the muscles of the face and used to temporarily improve lines and wrinkles (particularly crow’s feet and frown lines). Botox acts quickly, and you should see results almost immediately. However, this product can have serious side effects that can be life-threatening. Therefore, it must be administered by an experienced plastic surgeon in your area.

Potential side effects could include:

  • Problems with swallowing or speaking
  • Difficulty breathing
  • Toxin spread to other areas near the injection site leading to facial muscle weakness, double or blurred vision, drooping eyelids, hoarseness or change/loss of voice
  • Toxin spread causing loss of bladder control

For that reason, it is wise not to operate a motor vehicle or other dangerous machinery if you believe you are suffering any side effects.

botox injections eye wrinkles before and after aventura plastic surgery miami

On rare occasions, serious allergic reactions have been reported. Symptoms of an allergy to Botox include itching, rash, welts, asthma symptoms, dizziness, or feeling faint. If you experience any of these conditions, contact the doctor at once. You should not use Botox if you know you are allergic to any of its ingredients, have had an allergic reaction to other botulinum toxin products, or have a skin infection or compromised immune system.


Restylane®

Restylane® restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). After your treatment, you might have some swelling, redness, pain, bruising, and tenderness. This will normally last less than seven days. Although rare, red, or swollen small bumps may occur. If you have had facial cold sores before, an injection can cause another outbreak. In rare circumstances, the doctor may inject into a blood vessel, which can damage the skin. To avoid bruising and bleeding, you should not use Restylane® if you have recently used drugs that thin your blood or prevent clotting. If you are pregnant, breastfeeding, or under 18 years, you should not use Restylane®.

Restylane® should not be used by people with previous bad allergies, particularly to certain microorganisms known as gram-positive bacteria; by people with previous bad allergies to drugs that have required in-hospital treatment; or by people with bleeding disorders. Restylane® should not be injected anywhere except the skin or just under the skin.

Patients should not be limited to 6.0 mL per treatment. The safety or effectiveness of Restylane® for the treatment of anatomic regions other than nasolabial folds has not been established in controlled clinical studies.

The use of Restylane® at the site of skin sores, pimples, rashes, hives, cysts or infection should be postponed until healing is complete. The use of Restylane® in these instances could delay healing or make your skin problems worse.

Restylane® is available only through a licensed practitioner near you. Complete product and safety information is available at www.RestylaneUSA.com.


Perlane®

Perlane®  restores volume and fullness to the skin to correct moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). After your treatment, you might have some swelling, redness, pain, bruising, and tenderness. This will normally last less than seven days. Although rare, red, or swollen small bumps may occur. If you have had facial cold sores before, an injection can cause another outbreak. In rare circumstances, the doctor may inject into a blood vessel, which can damage the skin. To avoid bruising and bleeding, you should not use Perlane® if you have recently used drugs that thin your blood or prevent clotting. If you are pregnant, breastfeeding, or under 18 years, you should not use Perlane®.

Perlane® should not be used by people with previous bad allergies, particularly to certain microorganisms known as gram-positive bacteria; by people with previous bad allergies to drugs that have required in-hospital treatment; or by people with bleeding disorders. Perlane® should not be injected anywhere except the skin or just under the skin.

Patients should be limited to 6.0mL per treatment. The safety or effectiveness of Perlane® for the treatment of anatomic regions other than nasolabial folds has not been established in controlled clinical studies.

The use of Perlane® at the site of skin sores, pimples, rashes, hives, cysts or infection should be postponed until healing is complete. Use of Perlane® in these instances could delay healing or make your skin problems worse.

Book Your Botox or Juvederm Treatment At Our Miami Plastic Surgery Clinic Today!

If you are looking to turn back the clock and deal with those pesky lines and wrinkles don’t hesitate to contact our office to set up your initial consultation for a Restylane, Perlane, Voluma, Juvederm, or Botox injection treatment. We are happy to answer any questions you might have regarding treatment or expected cost.  

When you are looking to enhance your facial features and reduce lines and wrinkles you want a plastic surgeon you can trust. Dr. Galitz has been performing Botox injections and other wrinkle removal treatments for many years at the same Aventura Florida location just north of Miami. He is double board-certified, a Fellow of the American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Otolaryngology-Head and Neck Surgery, and the prestigious American College of Surgeons. As well as an assistant professor at the University of Miami School of Medicine.  

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    Miami Non-Surgical Botox and Juvederm Review

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