Cosmetic Surgery


Injectable Anti-Aging Treatments Fort Lauderdale

Many patients who are just beginning to show signs of facial aging desire improvement, but cannot justify the cost or time investment required for surgical intervention. For these patients, injectable treatments are perfect to suit their needs.

Injectables can be utilized during an office visit, rather than requiring a trip to the operating room. With some treatments, no anesthetic is necessary, as the needles utilized are so small that discomfort is minimal. With others, topical anesthetic agents or nerve blocks may be utilized, depending on the patient’s preference and the sensitivity of the region being treated.

What are the two general classes of injectables?

Neuromuscular toxins

The first option, which is most appropriate for active lines or age associated wrinkles that are just starting to appear, is to temporarily weaken or paralyze the muscle that is causing the wrinkle. Botulinum Toxin type A is a family of neurotoxins that block nerve signals that cause muscles to contract.

  • The toxin works directly where it is placed, and can be artistically used to alter facial expressions. Botox Cosmetic® was the first neurotoxin to be approved for cosmetic use in the U.S.; other manufacturers are producing toxins that will likely be approved for use in the future.
  • These toxins are differentiated by their time to onset, duration of effect (the clinical effects of Botox Cosmetic® are typically 3 to 4 months), and the distance of effect from the injection site.
  • Risks include bruising at the injection site, rare chance of an infection, and the possibility of unintentionally affecting nearby muscle groups. Specific risks will be discussed with Dr. Moon or his staff during your consultation.

Soft tissue fillers

The second class of injectable treatments is more useful for treatment of firmly established wrinkles or larger lines of facial aging (such as the nasolabial folds). Fillers restore volume to the face and can add structure as well.

Depending on the type of filler and the depth at which it’s injected, it can smooth out fine lines on the surface of the skin, fill out deep lines (e.g., nasolabial folds), augment soft tissues (such as the lips), or even effectively augment facial bone structure.

  • Clinical differences in fillers are predominantly governed by how long the effects last, as well as how the filler “feels.” Very soft fillers (for lips) tend to have a shorter duration of effect, while fillers that last longer tend to have more structure and are better suited in regions where they will not be palpable (such as the nasolabial folds).
  • Because soft tissue fillers are placed by an injection, they carry the usual risks of bruising, lumpiness, redness, product specific adverse reactions, and in rare cases, local infections. Specific risks will be discussed with Dr. Moon or his staff during your consultation.

Collagen-based fillers - the most widely used soft tissue fillers were based on collagen, with sources ranging from bovine to human. For some collagen formulations, skin testing before injection is necessary to confirm that you will not have an allergic response to the filler. Collagen-based fillers tend to last 3 to 6 months, and for some, have a very natural feel.

HA fillers - a more recent class of fillers is based on hyaluronic acid (HA), a sugar found naturally in human skin. Allergic reactions are extremely rare, and no pre-treatment skin testing is necessary. These compounds bind water similar to the way a sponge absorbs water. As a result, they hydrate the skin in the treated region and act as a cushion.

  • Hyaluronic acids are eventually absorbed by your body, and the length of time is dependent on a multitude of factors including the patient, the location of injection, and the particular product used. Results last from three months in high mobility areas (such as the lips), and up to one year in regions such as the nasolabial folds, with most patients experiencing the desired effects for six months.
  • Formulations with smaller particle sizes tend to be softer and smoother, and work well in regions such as the lips. Larger particles have more structure, and are best suited for deep folds such as the nasolabial creases.

Are there new technologies?

A newer class of fillers has been introduced based on microsphere technology, tiny round particles of solid material that are relatively uniform in size. Two formulations are FDA approved for use, differing in design and expected longevity of results. These products are used for volume replacement and for deep facial wrinkles (such as the nasolabial folds); they’re not approved for use in the lips.



During your consultation, Dr. Moon will determine which filler may be most appropriate for your individual circumstance.


“Thank you for being so kind and caring, for you compassion and advice and excellent care.”-Maria V.-

“I can't believe it's been a year since my surgery; my experience was wonderful with you and your staff.”-Kristen M.-

“I especially thank you for all your excellent wisdom and insight, you are a special and dear surgeon.”-Margie G.-