Cosmetic Injectables



As we age, our skin changes. Over time, the natural volume of youthful skin begins to diminish as wrinkles and folds form. pesa juvederm 267x300 1But, with Juvederm® injectable gel, you don’t have to sit back and let it happen!

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Juvederm® is a smooth consistency gel made of hyaluronic acid – a naturally occurring substance in your skin that helps to add volume and hydration. Your healthcare professional eases Juvederm® injectable gel under the skin to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds – the creases that run from the bottom of your nose to the corners of your mouth).

Juvederm® provides a smooth, natural look and feel – so everyone will notice (but no one will know)! In fact, studies show superior results of Juvederm® compared to a collagen-based dermal filler.

We remain innovative injectors of the hyaluronic acids and not only published the first papers in the U.S. literature to instruct other physicians about these fillers, but we were also the practice that first identified the appropriate use of the enzyme hyaluronidase which can be used to immediately dissolve these fillers if needed.

Using Juvederm, we specialize in under-eye injections for dark hollows and overall face sculpting.


With age, trauma, and disease, our faces lose structural support and volume, leaving us with hollows and sagging bulges. Whereas the botulinum toxins help relax dynamic lines and wrinkles that first appear with facial movement, the dermal fillers fill in hollow areas and can camouflage some bulges.

Our practice began using the hyaluronic acid dermal fillers (HADFs) in 2003 when they available only in Europe and Canada. Since then, we have performed over 10,000 treatments, making us among the most experienced physician-injectors in this part of the country. In fact, it was our practice’s discovery and publication of the enzyme that rapidly and safely dissolves these materials that helped catapult them to the very top of the list of cosmetic procedures performed every year, right behind the botulinum toxins.

The HADFs are safer than collagens and require no sensitivity testing.

The HADFs remain the only instantly reversible dermal fillers available.

Currently, a wide range of HADFs are available, and in our practice, we take full advantage of the different properties of all of these fillers to create complex facial sculpting, combining soft pads with a more rigid support, as needed. Our goal is to maintain and enhance each person’s natural appearance while blunting the ravages of time. Every HADF treatment is customized not only for each person but with each treatment to adapt to the changing needs of every face.



If you would like to consult with Dr. Patrinely or Dr. Soparkar about a plastic surgery procedure, click here to contact us. We have several offices in Texas and Florida to serve you.

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If you would like to consult with our doctors about a cosmetic surgery procedure, contact us.