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Enhance Natural Youthful Beauty

Med Aesthetics is honored to have on our team, Dr. David McDonough, a leading provider of BOTOX® and dermal fillers in Southern California region.
Dr. David brings an aesthetic eye and expert knowledge to enhance each patient’s natural youthful beauty with consistent results.

cosmetic injectables

Cosmetic Injectables - An Overview

We offer several types of injectables, wrinkle relaxers, which are known by their brand names Botox, Xeomin or Dysport, and dermal fillers, each with unique functions and benefits.

Dermal fillers volumize areas of the face that have lost their youthful appearance, whereas wrinkle-smoothing cosmetic injectables, also known as neuromodulators, serve to diminish frown lines and smooth wrinkles.

Whether a patient wants lip enhancement or a liquid facelift, we work with each patient to determine the best options and treatment combinations to produce a refreshed and natural look.

Facts About Dermal Fillers

Fillers are just what they sound like; specially formulated fluids designed to fill in the areas of the face where we begin to lose volume.

There are a variety of highly versatile cosmetic fillers available, which allows Dr. David to expertly customize your treatment. Most of the fillers we use are made for specific areas of the face. JUVÉDERM VOLUMA, for example, is approved by the FDA to treat the cheeks, where volume loss can produce a sunken, or hollowed-out appearance.

Why Fillers?

As we age many things change in the skin. Beginning around 30, production of collagen I and lll slows, we begin to lose underlying fat, elasticity. Consequently, our skin loses the ``bounce back`` that it had in our youth and gravity takes its toll. This results in flattened, sunken cheeks and hollows and shadows under the eyes, which prematurely age us. Fillers restore the volume to the areas where it has been lost, and increases production of collagen and elastin, to create a fuller, softer appearance.

Benefits of Dermal Fillers

Improved facial volume and fullness

Decrease in fine lines and wrinkles

Refreshed appearance

Plumper, defined lips

Immediate and long-lasting results

Nose shape refinement

Nose shape refinement

Areas We Treat with Fillers

Lips and smile lines

Nasolabial folds + marionette lines


Eye contour

Areas with stubborn wrinkles


Who is a candidate for dermal fillers?

Anyone who wants to diminish fine lines and restore volume or fullness to the face can benefit from dermal fillers. They are an excellent option for patients seeking non-surgical solutions for specific problem areas on the face. Dr. David can deliver a simple area enhancement or create a complete “liquid facelift” that dramatically restores the volume and facial structure of your youth with natural-looking results.

What are fillers made of? How do they work?

Dermal fillers are based on several substances that occur naturally in the body., such as hyaluronic acid.  Boosting skin with hyaluronic acid fillers revitalizes the treated area, adds volume instantly and diminishes the appearance of lines and wrinkles.

The second type is composed of Calcium Hydroxylapatite crystals, which are similar to portions of bone matrix, with the strength to re-support and lift the face. It turns on fibroblasts to rebuild the connective tissues (collagen, elastin, and fibrin) that disappear as we age, filling, lifting, and stimulating your own cells, restoring “pre-gravity exposure height”.  

The third type of filler is composed of Poly-L-Lactic Acid, which turns on fibroblasts, stimulating collagen, elastin, and fibrin production in tissues building a beautiful foundation and bringing back a natural youthful look.

What fillers do you offer?

Here are some of the other fillers we have available:

JUVÉDERM® Ultra XC + Ultra Plus XC: Both JUVÉDERM products use hyaluronic acid (HA), a complex sugar naturally produced by the body which absorbs and stores water, helping hydrate the skin. Ultra and Ultra Plus differ in their thickness. The XC indicates that the fillers are pre-mixed with lidocaine, an anesthetic that helps minimize discomfort. 

BELOTERO BALANCE: A injection approved to temporarily smooth out and fill in moderate-to-severe nasolabial folds (the folds or wrinkles that go from the side of the nose to the corner of the mouth).

JUVÉDERM VOLBELLA® XC: A thinner gel designed to add shape and definition to lips and correct fine lines around the mouth.

JUVÉDERM VOLLURE® XC: The newest JUVÉDERM filler product, VOLLURE is the first HA filler clinically proven to improve the appearance of nasolabial folds up to 18 months.

RADIESSE® + RADIESSE® (+): Dermal fillers used for smoothing moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases that extend from the corner of your nose to the corner of your mouth), and for correcting volume loss in the back of the hands.

Revanesse® VersaTM: While similar to JUVÉDERM and other hyaluronic acid injectables, Revanesse uses Thixofix cross-linking technology that ensures easier injection and shaping, giving it a more natural feel and appearance when compared to thicker gel fillers.

Restylane® Silk: Restylane Silk uses hyaluronic acid particles, rather than a smooth gel, to create plumper, contoured lips. Clients who want lip enhancement may benefit from Restylane Silk.

Restylane® Lyft: An alternative to JUVÉDERM’s VOLUMA designed to be injected deeper into the skin in the mid-face area to produce a “lifted” appearance lasting up to 12 months.

Sculptra® Aesthetic: Made using a poly-L-lactic acid (PLLA), Sculptra gradually stimulates the natural production of collagen and is best suited for severe volume loss on the cheeks and nasolabial folds.

Wrinkle Relaxers

Wrinkle Relaxers, known by their brand names Botox, Xeomin or Dysport, are ideal treatments proven safe and effective to diminish wrinkles and lines. These injectable neuromodulators are used worldwide to relax wrinkles and dramatically enhance the appearance of men and women, alike. 

They address “dynamic wrinkles” caused by the repetitive contractions of facial muscles as we change expressions, by temporarily immobilizing those tiny muscles. We smooth and soften lines and wrinkles, erasing frown lines, crow’s feet and more, to look years younger in just a matter of one treatment. 

BOTOX® Cosmetic is the most popular treatment in Southern California with thousands of treatments performed every day, while Xeomin is a doctor and patient favorite due to the fast, and long-lasting effects.

The Benefits of Wrinkle Relaxers

Minimally invasive treatment

Smooths fine lines + wrinkles

Erases crow’s feet and frown lines

Can lift the brow and revive a fatigued appearance

Creates a more youthful look

Lessens jaw tension, which can help with headaches

Reduces sweat production in target areas (for hyperhidrosis)

Treatment Areas for Wrinkle Relaxers

Forehead lines

Smoker’s lines (Peri-oral lines)

Brow lift

Frown lines (Glabella)

Crow’s feet

Chin “dents” (Mentalis Dysfunction)

Jaw (Masseter chewing muscle)

Neck (including neck bands)

Who is a candidate?

Our doctor uses BOTOX and Xeomin on a wide range of patients to eliminate fine lines and wrinkles and achieve a youthful, rejuvenated appearance.

Anyone who would like to smooth the fine lines and wrinkles is a potential candidate for these extremely safe and effective treatments. It is best to start Xeomin or Botox treatment earlier than previously thought to prevent wrinkles and deep lines from developing in the future.

The age people should start BOTOX and the amount needed differs from person to person, as some are genetically predisposed to certain types of wrinkles, and more expressive in their facial movements than others.

The best way to find out if BOTOX is right for you is by calling Med Aesthetics to set up a free consultation.

Wrinkle Relaxer FAQs

What is BOTOX? How does BOTOX work?

BOTOX is a neuromodulator made using a purified form of botulinum toxin type A. When administered by qualified, experienced specialists, the treatment is extremely safe and reliable at smoothing the wrinkles caused by repetitive muscle contractions. 

BOTOX treatment is injected into specific muscles to block the signal to the nerve that makes muscles contract. This temporarily paralyzes the muscles and prevents them from contracting.  As the muscles relax, the static wrinkles that previously occurred with facial movement are softened and smoothed.

When do you see results? How long does BOTOX last?

Each patient’s experience will vary, but you can expect to see the initial results of your treatment within 3 to 5 days of the treatment. In most cases, changes continue occurring for about 2 weeks and the results typically last for up to 4 months.

What’s the Difference between BOTOX and Filler?

Dermal Fillers and BOTOX both reduce wrinkles, although they work completely differently. BOTOX® Cosmetic, Dysport, Xeomin, and Jeuveau are all in the same family of wrinkle relaxers. BOTOX is the most popular nonsurgical cosmetic treatment in the world at this time used to temporarily immobilize muscles to soften lines and wrinkles, with Xeomin following closely thereafter due to the fast, long-lasting results. Fillers are primarily used to restore volume, replenishing structure and shape lost due to aging. 

Give yourself the gift of a “liquid facelift” by combining Botox and fillers to different areas for a well-rounded rejuvenated result.

Not sure where to start? Call Med Aesthetics at 714-716-6395 to schedule a consultation with Dr. David or Med Aesthetics staff where they will listen to your concerns and recommend the best options for you, your skin type and concerns.