Injectables such as Botox and dermal fillers (Juvederm) help to diminish facial lines and restore volume and fullness in the face. As we age, our faces naturally lose subcutaneous fat. The facial muscles are closer to the skin surface, so smile lines and crow’s feet become more apparent. Aging skin also stretches, adding to the loss of volume.  Dermal fillers are very effective for those with the beginning signs of aging.

What can Botox and dermal fillers be used for?

  • Plump thin lips
  • minimize fine lines caused by facial expressions
  • Enhance shallow contours
  • Soften facial creases and wrinkles
  • Improve the appearance of recessed scars
  • Reconstruct contour deformities in the face
  • Decrease or remove the shadow of the lower lids


Limitations of injectables

Dermal fillers and Botox cannot achieve the same results as surgery. However, they may help delay the time when consideration of a facelift becomes appropriate. It is important to remember that dermal fillers are temporary treatments for facial aging and that ongoing treatments will be needed for long-term results.


Are injectables safe?


Injectables like Botox and Juvederm are considered safe.  Although the majority of patients don’t experience any issues, side effects can include redness, swelling and bruising after the injection. The doctor will go over any precautions advised for the first 24 hours after receiving dermal fillers.



W. Scott McDonald, MD | Fillers and Injectables | Miami Plastic Surgeon


Botox® is the most popular cosmetic medical procedure offered by Coral Gables Aesthetic Surgery. It can take years off your face by dramatically reducing the appearance of wrinkles caused by facial expressions.  Botox® is best for “active” or “dynamic” wrinkles – the ones that appear when your face is animated, like the forehead, furrows, and crow’s feet.

Botox® temporarily limits the muscle’s activity that cause facial wrinkles. The result is a smoother, more refreshed face! Botox® treatment is a simple, no downtime procedure that is safe, effective and provides natural looking results.


Dysport® is the first FDA-approved alternative to BOTOX® Cosmetic and is made from the same cosmetic form of botulinum toxin. These simple injections effectively correct wrinkles caused by facial muscle movement.

Dysport® does not work by filling in wrinkles like facial fillers or JUVÉDERM®. Instead, it temporarily paralyzes the facial muscles that contract and cause the wrinkles. As we age, our skin loses elasticity and wrinkles caused by repeated muscle movement gradually stop smoothing out on their own. As a highly skilled Cosmetic Plastic Surgeon, Doctor McDonald gives his patients an enhanced but natural look through his thorough understanding of the relationship between facial muscles and facial expressions.


Juvederm® is a dermal filler composed of hyaluronic acid gel. The intended use of the product is to temporarily enhance lips, restore facial volume, and reduce the appearance of facial wrinkles, folds and other visible signs of aging.To precisely meet the needs of each individual patient, Juvederm® is available in two formulas: Juvederm Ultra and Juvederm® Ultra Plus, with the latter formula made to last longer.



Radiesse® is an injectable dermal filler designed to restore facial volume and augment contours of the face. It is composed of calcium based micro-spheres suspended in water based gel. The substances present in Radiesse are not derived from animal or human components, but they are biologically compatible with the natural substances in the body, meaning they are “virtually identical.”

When injected, effects of Radiesse® can be witnessed immediately. Volume is restored, the appearance of facial wrinkles, folds and lines are greatly reduced (if not eradicated) and eventually, a resulting process called “collagenesis” stimulates new collagen growth for a prolonged effect. The results of Radiesse are not permanent. Typical patients see effects that last about a year, which is longer than many comparable offerings on the market. The added benefit of collagen stimulation might play a role in the endurance of Radiesse®, which has led some people to believe it is more cost-effective.


Sculptra® is an injectable product that restores and corrects the signs of facial fat loss by replacing lost volume. Sculptra® provides an increase in skin thickness, and helps to create a more natural facial appearance in those with facial lipoatrophy.

Sculptra® is composed of poly-L-lactic acid, a synthetic material. Sculptra® is not made from human or animal sources and does not require a skin test. Poly-L-lactic acid (PLLA) is a biocompatible (does not harm the body), biodegradable (able to be broken down by the body) material that has been widely used for many years in surgical products. The effects are long-lasting; they were shown in a clinical study to last for up to 2 years after the first treatment session.