Unlike many other fillers, Sculptra requires at least two treatments, spaced out at least four to six weeks apart. The results are longer lasting than many other fillers, he said.
“It adds bulk and volume for people who have hollow cheeks, poor cheekbones or hollow temples,” Rubinstein said.
“Temples are one of the most neglected places in the facial aesthetic,” he said. “If you inject Sculptra into that area and get some added volume, you can very subtly improve their youthful look in a way that no one can really tell — it just makes them look younger and fresher.”
For fine lines, Belotero is a relatively new injectable.
“Belotero has revolutionized the treatment of fine lines such as crow’s feet and smokers lines,” Baumann said. “My male patients love it because it gets rid of their forehead lines without the tell-tale frozenness of Botox, Dysport, Xeomin.”
Light and laser treatments can also be used to give patients a more youthful appearance, and are very effective at eliminating sun damage and stimulating new collagen, said Dr. Leyda Bowes, a board-certified dermatologist whose practice — Bowes Dermatology — is in Coconut Grove.
“It’s a non-invasive way to reduce the damage from the past and also proactively stimulate new collagen to make the skin look plumper, smoother and tighter,” said Bowes, who completed a two-year laser fellowship at Harvard Medical School’s Department of Dermatology.
Patients in their 30s and 40s can benefit from a Photofacial, which uses intense pulsed light (IPL), and is a popular, non-invasive treatment that requires no downtime, she said.
“This being Miami, with the sun exposure, we do have a lot of patients who come in because they don’t see their complexion as being bright — they have not only sun spots but blood vessels, diffused redness on their face, also fine wrinkles and enlarged pores,” Bowes said.
Often patients receive three or four IPL treatments, one month apart for the first year, then once a year after that for maintenance.
“The total effect of the IPL treatment is smoother skin with minimized pores and a complexion that is very even, very bright,” she said. “It’s very powerful, but very safe and this is why they call the procedure the Photofacial. Patients will come back saying the texture is smoother and pore size smaller.”
Katherine Amiguet, a pharmaceutical sales representative who lives in Coral Gables, has had three Photofacials since December, which she said have reduced the redness and eliminated dark spots on her skin, as well as reducing pore size and fine lines. “I’m a professional, I’m a mom, and I have to look good for my job because I am in and out of doctors’ offices,” said Amiguet, 44.
“I’ve been getting compliments,” she added. “They say, ‘What have you done to your face, you look really good!’ ”
Another treatment that can benefit patients in their late 40s and up is Fraxel, a laser treatment co-developed by Bowes’ husband, Dr. Dieter Manstein, and Dr. Rox Anderson.
“While it doesn’t involve cutting or needles, it does have a recovery time, a day or two with redness and swelling,” Bowes said. “But the results, in terms of minimizing lines, improving and reducing deeper wrinkles and tightening, are very significant.’’
Fraxel gets its name from fractional photothermolysis, which means the area treated is 15 to 25 percent of the surface area of the skin, depending on whether the patient has mild or deeper wrinkles and lines.
Yolanda Florin, 62, recently got her first Fraxel treatment to improve the fine wrinkles around her mouth and in the corner of her eyes, as well as the deep wrinkles on her forehead.
“It helped my fine lines and the texture of my skin,” said Florin, who lives in Miami Beach. She plans to have a second treatment after the summer. “To me, it’s fantastic, and there was no pain.”