Before / after Forehead & frown lines At rest and in expression, identical lighting
Forehead & frown lines Botox & Dysport · case pending
Injectables
Placed by an injector, not chosen from a menu.
Botox, Dysport and dermal fillers, placed by credentialed injectors under physician direction. This is the one category that books directly — no $150 consult — because the assessment happens in the chair.
In short
Injectables address three separate things: lines that appear when you move your face, structure that has flattened through the cheeks, jawline or lips, and collagen you would rather build gradually than replace. A neuromodulator relaxes the muscle beneath a line; filler is placed for structure rather than volume; biostimulators work over months. What they do not do is tighten loose skin — that is a tissue question, and we will say so in the chair.
What this is for
The problems people describe.
Lines of expression Forehead, the frown lines between the brows, crow’s feet — lines that appear when you move your face. Usually Botox & Dysport → Lost structure in the cheeks and jawline The midface has flattened, or the jawline has lost its edge. Structure rather than volume. Usually dermal fillers → Lips Definition and balance, placed conservatively — the shape you have, sharpened rather than replaced. Usually dermal fillers → Gradual collagen You would rather build your own tissue over months than add anything that reads as filled. Usually biostimulators →
Compare
What each injectable actually does.
Intervals are typical, not promises — your injector gives you the plan for your face.
| Treatment | Best for | How it works | Downtime | Sessions | Starts at |
|---|---|---|---|---|---|
| Botox & Dysport Launching | Lines of expression — forehead, frown, crow’s feet | Neuromodulator placed by a credentialed injector | None | Every 3–4 months | Price TBC |
| Dermal fillers Launching | Structure and definition — cheeks, jawline, lips | Hyaluronic-acid filler placed for structure, not volume | Minimal | Every 9–18 months | Price TBC |
| Biostimulators Launching | Gradual collagen building | Injectable that stimulates your own collagen over months | Minimal | 2–3 | Price TBC |
Pricing is being finalised ahead of launch and is published the moment it is confirmed. Booking Botox, filler or a repeat treatment? No consult fee — book directly, and your injector assesses you in the chair.
Results
Injectable cases.
Cases are added as patients complete their 90-day photographs — same lighting, same expression, with the product and timeframe on every frame. Nothing here is borrowed from a manufacturer's gallery.
Before / after Cheeks & jawline Three-quarter view, identical angle both frames
Cheeks & jawline Dermal fillers · case pending
Before / after Lips Front and profile, same distance both frames
Lips Dermal fillers · case pending
Which is right for me
A rough answer before you come in.
Your injector confirms it in the chair. This gets you most of the way there.
If it bothers you when you move your face —
that is dynamic, and it is a neuromodulator question. A line that is still there at rest has been forming for a while and softens over more than one visit.
If it bothers you at rest and it is shape rather than skin —
flattened cheeks, a jawline that has lost its line, lips that have thinned — that is filler placed for structure, not for volume. Less product, placed precisely, is the whole technique.
If you want a gradual change you build yourself —
biostimulators stimulate your own collagen over months, across 2–3 treatments, rather than adding anything on the day.
If it is loose skin rather than lost volume —
no injectable will tighten it, and adding volume to laxity makes it look heavier. That is a tissue question: the face, skin and jawline page.
Who performs it
Under physician direction, every time.
Injectables are placed by credentialed injectors under the direction of Dr. Andrew Pugliese, our medical director, who oversees every clinical protocol. Karen Heimbrecht, RN, clinical director, runs clinical standards, training and treatment delivery. Protocols are written and versioned, not improvised. More on how we work.
Questions
About injectables.
Do I need a consult first?
No. Injectables are the one category that books straight into the calendar, without the $150 consult fee. Book directly — including a first appointment — and your injector assesses you in the chair before anything is placed.
How long does it last?
Botox & Dysport is typically repeated every 3–4 months. Dermal fillers are typically repeated every 9–18 months, depending on the area and the product. Biostimulators work over months, across 2–3 treatments, because they build your own collagen rather than adding volume on the day.
Will I look like I’ve had something done?
The overdone look people fear comes from filler used for volume where the problem was structure — too much product, in the wrong plane. It is a technique issue, which is why the credentials of the injector matter more than the brand of the product. Filler here is placed for structure; neuromodulator is dosed so you still move your face.
What is the difference between Botox and Dysport?
Both are neuromodulators that relax the muscle beneath a line of expression. Which one your injector uses for a given area is a clinical choice made in the chair, from your history and what you have had before — not a menu decision.
Is there downtime?
Botox & Dysport: none — you go back to your day from the appointment. Dermal fillers: minimal — some swelling or a small bruise at the injection point for a few days is normal. Plan a filler appointment a week or two ahead of anything important.
What does it cost?
Botox & Dysport is priced per unit, dermal fillers per syringe and biostimulators per treatment. The numbers are being finalised ahead of launch and are published on the pricing page the moment the practice confirms them — never as an estimate here.
Can I combine injectables with skin tightening?
Yes, and most people over forty do — they solve different problems. Radiofrequency remodels and tightens tissue; injectables relax muscle and restore structure. Sequencing matters slightly, and it is planned into your protocol at the consult if you are doing both. Face, skin and jawline.
Who performs it?
Credentialed injectors, under the direction of Dr. Andrew Pugliese, our medical director. Karen Heimbrecht, RN, clinical director, runs clinical standards and training. Protocols are written and versioned, not improvised.
Lines, structure, or both?
Botox, filler and repeat treatments book straight into the calendar — no $150 consult, no assessment appointment first. Your injector assesses you in the chair. If you are weighing injectables against skin tightening, The Blueprint Consult settles it with a scan.