Aesthetic Injection
Svetlana Pyatigorskaya NP in Family Health PC
Dermal Fillers
Dermal fillers are the paste-like preparation of hyaluronic acid. The familiar brand used in the USA is the Juvederm, Restylane and Radiesse, Sculptra and Bellafill. All those preparations have similar properties: injected into the skin, capable of staying at the place between 6-24 months, creating volume, and support the skin. Dermal Fillers are most useful for the face below eye level. It is excellent for correcting age-associated fat depleted at the cheeks, nasolabial folds, marionette lines, and more. Filler can be used in combination with PRP at the Filler can be used in combination with PRP at the Vampire Facelift
Botulinum Toxin
Botulinum toxin injections are the treatment method used for both cosmetic and medical therapy purposes. Common names for botulinum toxin-based medications used in the USA are Botox, Dysport, and Xeomin. All those brands have approximately similar effectiveness and longevity of therapeutic effect of the treatment.
As an aesthetic purpose, botulinum preparation was injected into the muscle, cousin g temporary paralysis of those muscles, resulting in a decreased appearance of the motion wrinkles. The effect of the injection lasts as long as muscles remain paralyzed, which is an average of 4-6 months. However, some people may have a more transitional effect; it depends on individual circulation and general capacity to recover.
Botulinum toxins injection is most effective for the upper part of the face for correcting frown lines, horizontal forehead lines, Crow’s Feet, and Bunny nose.
There are numerous possible uses of botulinus toxin at the lower part of the face and neck. However, functional transition deficits are more likely to be noticed by the patient, such as difficulty articulating the mouth for talking, chewing, and sucking through the straw.
Botulinus injection at the lower face can be used for lip lifting. Smokers line relaxation, gummy smily, marionette lines, chin, and “octopus” lines on the neck
Svetlana Pyatigorskaya, FNP-BC, is a Board-Certified Family Nurse Practitioner and the founder of Vitality NP NYC – Svetlana Pyatigorskaya NP in Family Health PC in New York City. With more than 30 years of clinical healthcare experience, she specializes in primary care, functional medicine, anti-aging medicine, hormone optimization, and preventive health. Her practice integrates evidence-based medical care with advanced longevity and metabolic therapies to deliver personalized, patient-centered treatment plans focused on long-term wellness and measurable health outcomes.
She holds the following professional credentials and advanced training:
- Board Certified Family Nurse Practitioner (FNP-BC)
- American Board Anti-Aging Health Practitioner
- Advanced Certification in Functional & Integrative Medicine
- IV Nutritional Therapy & Bio-molecular Treatment Protocols
- Bio-Identical Hormone Replacement Therapy (BHRT)
- Medical Weight Management & Metabolic Optimization
- Regenerative & Aesthetic Medicine (including PRP and micro-needling)
Her clinical philosophy emphasizes root-cause evaluation, preventive medicine, and individualized care strategies designed to improve vitality, balance hormones, enhance metabolic function, and support healthy aging.
Everything You Need to Know About Aesthetic Injections - FAQs
Aesthetic injections are non-surgical cosmetic treatments, including neuro-modulators and dermal fillers, designed to reduce wrinkles, restore facial volume, and enhance natural features.
Neuro-modulators temporarily relax targeted facial muscles to soften dynamic wrinkles (such as forehead lines and crow’s feet). Dermal fillers restore lost volume, contour facial features, and smooth deeper folds.
Neuro-modulator results typically last 3–4 months. Dermal fillers may last 6–24 months, depending on the product used, treatment area, and individual metabolism.
When administered by a licensed and trained medical professional, aesthetic injections are generally safe. Mild swelling, redness, or bruising may occur temporarily. A medical consultation ensures proper evaluation and treatment planning.
Healthy adults seeking to reduce visible signs of aging or enhance facial symmetry without surgery are typically good candidates. A personalized consultation determines suitability.
Most patients resume normal activities the same day. Minor swelling or bruising may occur but usually resolves within a few days.
Dermal filler results are often visible immediately. Neuro-modulator treatments typically show noticeable improvement within 3–7 days, with full results developing over two weeks.
Choosing an experienced, medically trained injector who understands facial anatomy and aesthetic balance is essential for safe treatment and natural outcomes.
Maintenance treatments are recommended based on individual response and desired results, typically every few months for neuro-modulators and annually or biannually for fillers.
Get In Touch!
Svetlana Pyatigorskaya is a Board Certified Family Nurse Practitioner and American Board Anti Aging Health Practitioner. She lives and practicing in New York.