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Fillers and Neurotoxins

Powerful and natural-looking rejuvenation doesn’t have to require surgery. At Ayala Plastic Surgery, dermal fillers and injectable neurotoxins are just two options that can beautifully address signs of aging in the face such as wrinkles, volume loss, flat facial contours, nasolabial folds, and marionette lines. These injections take place during a convenient, in-office treatment that doesn’t require anesthesia or recovery time. Our knowledgeable San Antonio med spa would be happy to listen to your goals and identify the best product to give you the youthful, refreshed look you’ve been seeking.

The ideal injectable product for you depends on the nature of your concerns. Dr. Ayala and our team offer some of the most popular options to soften wrinkles, fill in deep creases, and restore volume to flat or depleted areas of the face.

Wrinkle Reduction with Neurotoxins

Neurotoxins refer to a group of injectables designed to temporarily relax the facial muscles in the areas of injection. As a result, wrinkles commonly caused by the repeated formation of facial expressions can be softened, resulting in a more carefree and vibrant look.

BOTOX^® Cosmetic: Perhaps the most popular injectable neurotoxin on the market, BOTOX^® Cosmetic can smooth frown lines, crow’s feet, brow creases, and other lines caused by overactive facial muscles. BOTOX^® Cosmetic has helped countless men and women smooth expression wrinkles that contribute to the look of facial aging. This highly popular injectable works by temporarily relaxing the muscles that cause facial lines to develop, refreshing the appearance of the face, and achieving natural-looking results that can last months.
XEOMIN^®: XEOMIN^® is FDA-approved to reduce the appearance of dynamic wrinkles, such as frown lines, crow’s feet, and forehead creases. Similar to BOTOX^® Cosmetic, XEOMIN^® works by temporarily relaxing the facial muscles responsible for creating expression lines, resulting in a smoother and more youthful complexion. What makes XEOMIN^® unique is its “naked” formulation, meaning the product does not contain any additional proteins other than the active ingredient — botulinum toxin. This purity reduces the likelihood of patients developing resistance to the treatment over time, allowing XEOMIN^® to remain a reliable option for long-term wrinkle management. Results gradually appear within 3 to 5 days after injection and continue to improve for up to 30 days. The rejuvenative effects typically last around three to four months.
Dysport^®: Dysport^® is an injectable neuromodulator that works similarly to BOTOX^® Cosmetic, softening dynamic wrinkles caused by repeated facial expressions. It is most commonly used to treat frown lines between the eyebrows, forehead lines, and crow’s feet. Dysport^® is known for its ability to spread more easily across larger treatment areas, making it a preferred choice for patients who want smooth, natural-looking results with minimal downtime. Results typically become noticeable within a few days and last about three to four months.

Volume Enhancement with Fillers

A loss in youthful volume and facial fullness is also commonly experienced during the natural aging process. Our med spa offers hyaluronic acid-based (HA) fillers to add volume to the face and achieve a more youthful look.

JUVÉDERM^® and JUVÉDERM^® Ultra: The original JUVÉDERM^® filler is a hyaluronic acid-based injectable gel designed to treat volume loss in the face. The formulation can be used to improve deep creases along the nose and mouth, including nasolabial folds (also called smile lines or parenthesis wrinkles) and marionette lines. It can fill facial depressions and generally enhance the fullness of your facial features. This can achieve a more rejuvenated look without the downtime or invasiveness required by surgical procedures.
JUVÉDERM VOLUMA XC^®: Designed to treat mid-facial volume loss, the VOLUMA XC^® formulation can add a more attractive, youthful contour to the cheeks and help minimize a flat or sunken appearance. As one of the only FDA-approved fillers specifically designed to treat mid-facial volume loss, JUVÉDERM VOLUMA XC^® can improve the appearance of flat cheeks, minimize nasolabial folds, and enhance fullness in sunken facial planes.
Restylane^®: Our med spa offers the entire spectrum of Restylane^® products, such as Refyne^®, Defyne^®, Silk^®, Kysse^®, and Lyft^®. Each filler is optimized to enhance a specific region of the face and possible treatment areas include the backs of the hands, lips, temples, cheeks, and mid-face. Each Restylane^® product is designed to augment a different area: the original solution can treat wrinkles and facial folds; the Refyne^® and Defyne^® formulations specifically target laugh lines; Silk^® is meant to smooth lip wrinkles; Kyss^®e can plump the lip shape; and finally, Lyft^® can restore fullness in the cheeks, mid-face, and the backs of the hands.
Sculptra^®: Sculptra^® is a biostimulatory injectable made from poly-L-lactic acid that gradually restores facial volume and stimulates natural collagen production. Instead of providing immediate results like traditional dermal fillers, Sculptra^® works subtly over time, with improvements in skin thickness, elasticity, and volume becoming more noticeable after a series of treatments. Results can last up to two years or more, making it a long-lasting option for patients seeking natural rejuvenation. Sculptra^® is commonly used to treat volume loss in the cheeks, temples, and lower face, creating a refreshed and youthful contour.
Skinvive^®: Skinvive^® by JUVÉDERM^® is the first FDA-approved hyaluronic acid injectable designed specifically to improve skin smoothness, hydration, and radiance rather than adding volume. Unlike traditional fillers, Skinvive^® works by enhancing skin quality from within, giving the complexion a refreshed and healthy glow. It is often placed superficially in the cheeks to improve texture and hydration, with results lasting up to six months. The treatment is quick, minimally invasive, and requires little to no downtime, making it an appealing option for patients looking to restore a youthful, dewy appearance.

Non-Surgical Lip Augmentation

Lip injections can add volume to thinning lips, achieve greater lip definition, plump the lips, or provide a softer pout. The most optimal lip filler for you depends on your concerns and your expectations for the outcome. Lip injections can provide temporary augmentation that looks natural and doesn’t require surgery or downtime. Our medical spa offers several treatment options to enhance the shape, texture, and contour of the lips, including JUVÉDERM^® Ultra, JUVÉDERM^® Ultra Plus, Restylane^® Kysse, and Restylane^® Defyne. In most cases, the results of lip injections can last as long as one year after your initial treatment.

JUVÉDERM^® Ultra Plus: The Ultra Plus^® filler can be an excellent treatment to better define the lip contours, as well as smooth fine lines around the lips such as “smoker’s lines.”
Restylane^® Kysse: Restylane^® Kysse can not only soften lip lines, but it can also add volume to the lips with XpresHAn Technology^™ — a patented formulation process that allows the product to move freely with your natural facial expressions.
Restylane^® Defyne: If you’re bothered by lines or creases surrounding the mouth, Restylane^® Defyne can help provide a fuller, more youthful look while reducing smile lines and parentheses wrinkles.

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