Dermal Fillers

Injectables & Skin Care Doctors Serving Miami, Coral Gables, Miami Beach, Ft. Lauderdale & Nearby Florida

Happy young woman

Women and men in the Coral Gables area are increasingly seeing Dr. Shaun Patel for natural, subtle, beautiful but believable results with dermal fillers.

It’s important to realize that wrinkles themselves are invisible to the human eye. What you see is the shadow created by the uneven contours of the skin caused by the underlying wrinkle. The key to a youthful face is to minimize these shadows and to smooth transitions on the face.

Dr. Shaun Patel of Miami Skin and Vein in Coral Gables is an expert in nonsurgical facial aesthetics. He uses dermal fillers in combination with other treatments to improve facial proportions, correct age-related volume loss, soften facial lines and wrinkles. The goal is improved facial harmony, a more youthful and energized appearance to the face. For a consultation with Dr. Patel in and around the Miami or Fort Lauderdale area, call 786-618-5039 today.

Dr Patel's experience as a dermal filler injector | Background: Woman receiving cosmetic injection to forehead

Understanding Your Filler Options

There are many fillers to choose from, and sometimes it can be difficult to determine which filler is right for you. Here are a few tips to point you in the right direction. Don’t worry, though, because Dr. Patel evaluates each of his patients in person, determines their specific cosmetic concerns, provides a list of recommendations, and creates a customized cosmetic treatment. He offers all of the latest FDA-approved dermal fillers and is always adding newer fillers to his practice as they are approved.

Dr. Patel was one of the first injectors in South Florida to offer Restylane Silk, Juvederm Volbella, Restylane Refyne, and Restylane Defyne soon after their initial FDA approval.

  • Juvéderm Fillers – These fillers are the most popular hyaluronic acid-based fillers. They are ideal for treating a range of aesthetic concerns including lines, folds, and volume loss. The Juvéderm family of fillers includes Juvéderm Ultra/ Ultra Plus, Juvéderm Voluma, and Juvéderm Volbella. 
  • Restylane Family of Fillers – Similar to Juvederm, Restylane soften lines and wrinkles. This is Dr. Patel's go-to-filler for the undereye volume loss, tear troughs, and dark circles. There are a variety of Restylane fillrs such as Restylane Silk, Lyft, Defyne and Refyne, each designed with their own unique purpose.
  • Belotero – Silky consistency for superficial lines and undereye dark circles and volume loss.
  • Radiesse – Tiny beads of calcium hydroxylapatite provide immediate volume, and stimulate on-going production of fresh collagen. Also works great for rejuvenating your hands!
  • Sculptra – Poly-L-lactic acid is great for panfacial revolumization. It stimulates your body to produce it own collagen for gradual, long-lasting rejuvenation.
  • Microcannula – The technique to minimize discomfort and bruising from cosmetic injectables.

What Areas on the Face Are Fillers Used to Treat?

Dr. Patel is an expert in facial aesthetics. He uses advanced injection techniques based on years of training and experience and may inject areas on the face not typically injected by the amateur or untrained injector. Here is a list of areas he may address with fillers:

  • Lips and perioral lines (lipstick lines, upper lip lines) – add volume to lips, hydrate lips, soften lines
  • Corners of mouth – reverse the downturn of the corners of the mouth seen with aging
  • Marionette lines – Soften the shadows below the corners of the mouth
  • Nasolabial folds – fill in smile lines
  • Cheeks/Midface – restore volume to the cheeks, lift the face, and emphasize the cheek bones
  • Jawline – sharpen the jawline and minimize the appearance of the jowls
  • Prejowl – treat the area of volume loss just in front of the jowl but to the side of the chin
  • Temples – treat the scalloped appearance of the upper face due to volume loss in this area
  • Undereyes – improve dark circles caused by volume loss and prominent tear troughs
  • Frown lines – used in combination with Botox
  • Forehead lines – for deep lines on the forehead which Botox itself cannot completely treat
  • Neck lines – filler in “necklace lines” on the neck
  • Hands treat volume loss in the hands caused by aging; reduce appearance of veins and tendons in the hands

See our dermal fillers before & after gallery!

How Long Do the Results from Fillers Last?

Woman with dark hair facing camera | Miami Skin and VeinOf course, it is important to remember that every patient’s body is different and every patient can respond differently to the fillers based on such factors as diet, exercise, baseline metabolism, sun-exposure, and smoking. In general, Dr. Patel recommends maintenance treatments so that the results never completely return to baseline.

He also recommends that all patients start an at-home skincare regimen to maintain their results. This regimen usually includes a combination of antioxidants, sunscreen, moisturizers, and retinol. View our skin care products for multiple medical-grade options.

General guidelines for filler longevity based on Dr. Patel's experience using these products for his own patients is as follows:

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

A filler may last a longer or shorter duration on different parts of the face. For example, the lips tend to have lots of movement and so filler breaks down faster. The undereyes, cheeks, and temples have less movement and so filler injected in these parts of the face usually last longer.

The times listed above may differ from what the individual manufacturers (Allergan, Galderma, Merz) have on their own websites or literature. The times listed above are what Dr. Patel believes to be accurate based on his own experience having treated thousands of patients with fillers. 

To learn more about the different factors that determine how long a filler last, please refer to Dr. Patel's recent blog post on filler longevity

Benefits of Dermal Fillers

There are many benefits to using fillers for facial rejuvenation, including safety, effectiveness, longevity, and versatility.

Dr. Patel commonly gets asked “Why should I get filler injection when I can get a facelift?” Here are several reasons why you should consider injectable treatments over a facelift:

Dermal Fillers Facelift
Cost $2,500-$5,000 (full face) Cost $15,000-$30,000
Results last 1-3 years Results last 5-10 years
Reversible Permanent
Minimal to no downtime Long post surgery recovery
Nonsurgical Surgical
Subtle, natural looking results Results can look unnatural
No post procedure pain Significant post procedure pain

For younger patients, it is also important to note that by starting injectable treatments early, a patient can prevent signs of aging and postpone the need for surgical interventional indefinitely.

All cosmetic treatments at Miami Skin and Vein are performed by or with the oversight of Dr. Shaun Patel. Call our office today at 786-618-5039 to schedule an appointment.

A great review about dermal fillers for our cosmetic dermatologist in Miami