TREATMENTS

Everyday facial expressions—like frowning, smiling, and laughing—are a natural part of life. However, over time, these repeated movements contribute to the formation of fine lines and wrinkles, particularly around the eyes, forehead, and mouth. These signs of aging can sometimes make you appear more tired or older than you feel.

Botox® and Dysport® offer a non-invasive, effective solution to smooth these lines and restore a more youthful, refreshed appearance.

Botox/Dysport are derived from botulinum toxin and used to treat dynamic wrinkles resulting from the repeated facial movements while smiling, frowning, or squinting.

Some of the most common dynamic (moving) wrinkles for which patients seek treatment include:

• Frown lines and the “number 11” lines between the eyebrows
• Crow’s feet around the eyes
• Horizontal “worry lines” across the forehead
• Sagging brow areas
• Smile lines
• Vertical lip lines
• Bunny lines
• Downturned corners of the mouth
• Droopy jawlines
• Gummy Smile where the upper lip rests high on the gums
• Facial asymmetry
• Wrinkling on the neck

You are considered a good candidate for Botox/Dysport treatment if you:

• Are generally in good health
• Are at least 18 years old
• Are free of any known allergies to Neuromodulators
• Are not pregnant or nursing at the time of your treatment
• Have fine lines and dynamic wrinkles around your eyes, mouth, or the forehead
• Are experiencing moderately sagging skin on the face or neck
• Have a gummy smile
• Can avoid anti-inflammatory or blood-thinning medications for 2-weeks before treatment

 During your initial consultation, Dr. Padron will perform a comprehensive facial examination. In the process, he will thoroughly evaluate the shape of your face, as well as the presence of wrinkles and lines. Using a mirror, he will discuss your facial evaluation and the role of Botox, Dysport or dermal fillers in your treatment. 

Your treatment has the following three phases: 

In preparation for your Botox/Dysport treatment, you’ll need to avoid all blood thinners, including supplements, fish oil, Vitamin E for 3-6 days, as well as drugs such as aspirin, ibuprofen, Aleve, and Advil. Dr. Padron will provide more detail about this during your initial consultation.

Dr. Padron will be highly precise with your injections to give you the best and most natural-looking results possible with the least amount of product. More Botox/Dysport can be administered after two weeks if you feel it’s needed. 

Treatment usually takes 10—30 minutes, where you’ll receive several injections in each area being treated. There will be minimal discomfort — some patients experience mild pressure in the targeted area, although this quickly subsides.

Minimal downtime or recovery is necessary after your Botox/Dysport injections. You should be able to get back to your regular routine immediately after leaving our office, including exercising and returning to work. However, it is best to refrain from vigorous activity for the first 24 hours after surgery, as this could lead to bruising and swelling. 

There may be some swelling or redness in the treated areas in the days following treatment, but this usually goes away within days of the treatment.

You probably won’t notice the results for the first 24—48 hours after treatment. After about a week, you’ll see noticeably visible results that will continue to improve for up to a month.

Although Botox/Dysport treatments may be slightly uncomfortable, they typically are completed in 20 minutes or less. Once treatment is complete, patients can return to their regular routine with no downtime and no post-procedure care.

Like any cosmetic treatment, patients can experience mild side effects after treatment. These include:

• Rash or itching
• Neck or back pain
• Muscle stiffness
• Swelling or bruising

Since the results of Botox/Dysport treatment typically last for no more than six months, repeated injections are necessary to maintain any changes.

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As time passes, the skin naturally develops wrinkles, deep lines, sagging, and a loss of facial volume. Factors such as prolonged sun exposure, environmental pollutants, and the gradual decline of collagen—a key structural protein—contribute to these visible signs of aging.

Dermal fillers, also known as injectable fillers, offer a non-surgical solution to restore lost volume, smooth wrinkles, enhance lip fullness, and rejuvenate facial contours. Available in a range of formulations, these versatile treatments provide a convenient and effective way to achieve a more youthful, refreshed appearance.

Dermal fillers are gel-like substances injected beneath the skin to restore lost volume, smooth lines, soften creases, or enhance facial contours. Men and women choose this popular facial rejuvenation treatment, often referred to as a “liquid facelift”, which can be cost-effective for looking younger without surgery or downtime.

Fillers are injected into the skin using fine, medical-grade needles and are used to contour and plump facial features such as the lips, cheeks, and midfacial region. They can do much more than smooth out wrinkles, and here are a few of the common issues dermal fillers can help address:

• Smooth out lines around nose and mouth
• Enhance and restore volume to the cheeks or temples
• Diminish vertical lip lines
• Plump and enhance the lips
• Smooth out a chin crease
• Improve symmetry among facial features

Because every patient’s body is different and can respond differently to the fillers, Dr. Padron recommends scheduling follow-up treatments to maintain the results. He also recommends that all patients maintain an at-home skincare regimen to preserve their results. For this regimen, a combination of antioxidants, sunscreen, moisturizers, and retinol is recommended, all of which are available from our skincare range of products.

General guidelines for filler longevity is as follows:

• Juvederm Ultra, Juvederm UltraPlus – 9-12 months
• Juvederm Voluma – 9-15 months
• Juvederm Volbella – 6-12 months
• Restylane Silk – 4-6 months
• Restylane Refyne, Restylane Defyne – 9-12 months
• Restylane – 9-12 months
• Restylane Lyft – 9-12 months
• Restylane Kysse – Up to 12 months
• Radiesse – 9-12 months
• Sculptra – 24+ months

 A filler may have a longer or shorter duration on different parts of the face. For example, with the lips tending to have more movement, filler injected into the lips tends to break down faster. The areas under the eyes, cheeks, and temples have less movement, and filler injected in these parts of the face usually lasts longer. Also, please note that results will vary between each patient. 

There are several benefits to using fillers for facial rejuvenation, and these include:

• Safety
• Longevity
• Versatility 
• Minimal risk
• Effectiveness
• Confidence boost
• No recovery or downtime
• Immediately visible results

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PRP (Platelet-Rich Plasma)

PRP is a regenerative treatment that uses a concentrated portion of the patient’s own blood, rich in platelets and growth factors, to promote healing and rejuvenation. It is commonly used for skin rejuvenation, hair restoration, wound healing, and post-surgical recovery.

PRF (Platelet-Rich Fibrin)

PRF is an advanced version of PRP that contains a higher concentration of white blood cells, platelets, and fibrin. Unlike PRP, PRF does not use anticoagulants, allowing the formation of a fibrin matrix that gradually releases growth factors over time. PRF is particularly effective for under-eye rejuvenation, collagen stimulation, and deep tissue healing.

1. Blood Collection: A small sample of the patient’s blood is drawn, similar to a routine blood test.
2. Centrifugation:
   • PRP: The blood is spun at a higher speed, which separates the plasma from red blood cells and fibrin.
   • PRF: The blood is spun at a lower speed, which retains more white blood cells, platelets, and fibrin, forming a natural matrix.

1. Extraction: The platelet-rich portion of the plasma (PRP) or the fibrin-rich layer (PRF) is carefully extracted for treatment.

• Topical Application: PRP is often applied after microneedling to enhance collagen production and skin healing.
• Direct Injection: Both PRP and PRF can be injected into targeted areas such as the scalp (for hair growth), under-eyes, nasolabial folds, and joints.
• Layering Technique: PRF, due to its gel-like consistency, is often layered under the skin, especially in delicate areas like the tear troughs, for natural volume and longer-lasting results.

• PRP works faster but dissipates more quickly.
• PRF releases growth factors gradually, leading to longer-lasting effects.

Both PRP (Platelet-Rich Plasma) and PRF (Platelet-Rich Fibrin) are used for regenerative and aesthetic treatments, but they have different applications based on their properties. Here’s a breakdown of their key indications:

• PRP: Commonly used with microneedling to improve skin texture and tone.
• PRF: Also used for skin rejuvenation but provides longer-lasting effects due to its sustained growth factor release.

• PRP: Highly effective for stimulating hair follicles and promoting hair regrowth in androgenic alopecia.
• PRF: Can be used for hair restoration but PRP is generally preferred due to its faster release of growth factors.

• PRP: Less commonly used under the eyes as it absorbs faster.
• PRF: Highly effective for under-eye rejuvenation, as it retains volume longer and provides sustained collagen stimulation.

• PRP: Provides moderate collagen stimulation.
• PRF: Stronger collagen stimulation due to higher fibrin and stem cell content.

• PRP: Helps with post-inflammatory healing and improves overall skin quality.
• PRF: More effective for treating deep acne scars and promoting long-term tissue repair.

• PRP: Minimal effect on volume.
• PRF: Can provide slight volume enhancement due to its fibrin matrix, making it useful for subtle facial contouring.

• PRP works faster and is ideal for hair restoration, microneedling, and general skin rejuvenation.
• PRF provides longer-lasting results and is better for under-eye rejuvenation, collagen stimulation, and wound healing.

✅ 1 Week Before:

• Avoid blood thinners (Aspirin, Advil, Aleve, fish oil) unless prescribed.
• Limit alcohol, caffeine, and smoking to reduce bruising.
• Stay hydrated and eat a healthy, nutrient-rich diet.

✅ 24-48 Hours Before:

• Avoid alcohol and excessive sun exposure.
• Stop using retinoids, exfoliants, or strong skincare products.
• Arrive with a clean face (no makeup, lotions, or SPF).

⏳ First 24 Hours:
🚫 Avoid touching, rubbing, or applying skincare or makeup.
🚫 No sweating, hot showers, saunas, or heavy exercise.
✅ Stay hydrated and sleep with your head elevated.

💆 Days 2-7:
✅ Use a gentle cleanser and hydrating skincare.
✅ Apply SPF 30+ daily.
🚫 Avoid direct sun, exfoliants, and alcohol.

⏳ Results Timeline:

• PRP: Improvements in 1-2 weeks, full results in 4-6 weeks.
• PRF: Slower release, results appear in 4-8 weeks, lasting longer.

🔄 Follow-up Treatments:
For best results, schedule booster sessions every few months.

✅ For Skin Rejuvenation & Microneedling:

• Initial Series: 3-4 sessions, spaced 4-6 weeks apart.
• Maintenance: Every 4-6 months for long-term collagen stimulation.

✅ For Hair Restoration:

• Initial Series: 4-6 treatments, spaced 4 weeks apart.
• Maintenance: Every 3-6 months, depending on hair growth response.

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These treatments focus on enhancing skin health, texture, and appearance through non-invasive or minimally invasive methods, aligning perfectly with a high-end aesthetic:

• What it is: A non-invasive exfoliation technique using tiny crystals or a diamond-tipped wand to remove dead skin cells.
• Benefits: Smooths skin texture, reduces fine lines, and improves mild scarring or pigmentation.
• Luxury appeal: Offer a "Diamond Glow" version with premium serums for a pampering touch.

• What it is: Application of a chemical solution (e.g., glycolic, salicylic, or lactic acid) to exfoliate and reveal fresh skin.
• Benefits: Brightens complexion, reduces acne scars, and minimizes hyperpigmentation.
• Luxury appeal: Customize with high-end ingredients like caviar extract or gold-infused solutions.

• What it is: A multi-step treatment that cleanses, exfoliates, extracts impurities, and hydrates with a specialized device.
• Benefits: Instant glow, improved hydration, and even skin tone.
• Luxury appeal: Market it as a celebrity-favorite, hydrating "red carpet" facial.

• What it is: Uses specific wavelengths of light (e.g., red for anti-aging, blue for acne) to stimulate skin healing.
• Benefits: Reduces inflammation, boosts collagen, and fights acne-causing bacteria.
• Luxury appeal: Pair it with a relaxing ambiance and premium masks for an upscale experience.

• What it is: Tiny needles create micro-injuries to stimulate collagen and elastin production.
• Benefits: Improves fine lines, acne scars, and overall skin firmness.
• Luxury appeal: Add a gold collagen mask or PRP (platelet-rich plasma, aka "Vampire Facial") for a deluxe twist.

• What it is: Delivers pressurized oxygen infused with vitamins and antioxidants to the skin.
• Benefits: Plumps and hydrates skin, leaving a dewy, radiant finish.
• Luxury appeal: Touted as a favorite among A-listers, it’s perfect for a premium clientele.

• What it is: A hands-on technique to stimulate circulation, reduce puffiness, and contour the face.
• Benefits: Detoxifies, lifts, and enhances natural glow.
• Luxury appeal: Use high-end oils or jade rollers for an indulgent, spa-like feel.

• What it is: A physical exfoliation method using a surgical blade to remove peach fuzz and dead skin.
• Benefits: Leaves skin ultra-smooth and enhances product absorption.
• Luxury appeal: Pair with a silk-finish serum for a velvety, upscale result.

• What it is: Uses laser energy to improve skin texture without removing the top layer (unlike ablative lasers).
• Benefits: Reduces wrinkles, tightens skin, and evens tone.
• Luxury appeal: Highlight cutting-edge technology and minimal downtime for busy, affluent clients.

• What it is: Applies cold temperatures (via liquid nitrogen or tools) to the face.
• Benefits: Reduces puffiness, tightens pores, and boosts radiance.
• Luxury appeal: Market it as a futuristic, elite treatment for a sculpted look.

• What it is: Uses sound waves to lift and tighten skin by stimulating collagen.
• Benefits: Non-surgical facelift effect, improves sagging.
• Luxury appeal: Position it as a high-tech alternative to surgery for exclusive clients.

• What it is: Uses natural enzymes (e.g., from pumpkin or pineapple) to gently exfoliate.
• Benefits: Brightens and softens skin without harsh chemicals.
• Luxury appeal: Infuse with rare botanicals or truffle extracts for a decadent twist.

• 24K Gold Mask: A gold-infused mask for hydration and a radiant finish.
• Caviar Facial: Incorporates caviar extracts for anti-aging and a rich, opulent vibe.
• Aromatherapy Enhancement: Custom essential oil blends to elevate the sensory experience.

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