Injectables for facial rejuvenation (Botox and Fillers)

Injectable fillers and toxins are a popular, non-invasive approach to reverse the signs of aging and enhance someone’s natural features and beauty.


Dermal fillers are gel-like substances injected to fill in the grooves where wrinkles occur to restore a smoother appearance or to enhance facial features.

Most fillers are hyaluronic acid-based, a molecule naturally produced by the human body. These products are temporary, as they are eventually reabsorbed by the body, and generally last between six to eighteen months depending on the patient and area treated. Dermal fillers can be used for filling in wrinkles, fine lines and deep creases; improving imperfections including certain scars; filling out thin or wrinkled lips; plumping up cheeks and for contouring the jawline and other areas of the face. Fillers can also be used for filling aged hands.


Neuromodulators (often referred to as Botox) are muscle-relaxing agents that work by immobilizing the muscle that causes a contraction in a specific area, thus relaxing the overlying skin. They are made from botulin toxin A, offering a solution to fine lines and wrinkles. Our goal is to help our patients look and feel their best, while always maintaining a healthy, natural appearance.

Smoothing of wrinkles is usually visible three days after treatment and is maximally visible two weeks following injection. The treated muscles gradually regain function and generally return to their former appearance three to four months after treatment. Areas can be treated repeatedly to maintain their smoothed appearance.

Neuromodulators have been on the market for many years and have undergone extensive testing for use on frown lines between the brows, around the eyes, lips and décolleté. They can also be used to reduce excessive sweating of skin and address migraines.

Dr. Gilardino and our nurse Annie Lorefice can advise you on the best placement of a neuromodulator depending on your target area and the look you are hoping to achieve. We always aim at maintaining natural looking features and facial expressions while offering a youthful rejuvenation.


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