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Dermal Fillers

At Silk™, we strive to offer the highest quality FDA approved dermal fillers available in the US.

Thirty Minutes to Smoother, Youthful Skin

At Silk™, all consultations with the Joseph A. Astaphan, MD are complimentary. We recommend that you schedule a consult to discuss your area/s of concern with the doctor. Dr. Astaphan will be able to tell you what is involved with the treatment, which product will suit your needs and how many syringes you will need for adequate correction.

Dermal fillers are being used more and more to help reverse the changes associated with aging. Our goal, at Silk, is to help return the skin to its original youthful state. Dermal fillers can give a more natural appearance than surgical face lifts. Fillers such as Restylane®, Juvederm® and Radiesse® can be used either to fill in shallow skin wrinkles and lines or to go under the skin to fill out broad depressions like the nasolabial folds (“smile lines”). Juvederm® and Restylane® are also very useful to plump up the lips. More recently, they are proving helpful to fill in hollows and grooves in the region between the cheeks and the lower eyelids- those “dark shadows” under the eyes (called tear troughs).

As we age, we experience volume loss in the face. Gravity also adds to this “aged” look by causing areas of the face areas to droop, resulting in grooves, lines and shadows. Fillers are a safe and effective choice for replacing soft tissue volume loss. Fillers like Juvederm®, Restylane® and Radiesse® can restore the face to a more youthful appearance. Fillers may also be combined with Botox to enhance the cosmetic results.


There is no reason why having an injection of a dermal filler should be a painful, dreaded visit. Injections of Restylane®, Radiesse® or Juvederm® can cause considerable discomfort if the proper care and technique are not used. This is something that you do not need to be concerned with when receiving treatment at the Silk Aesthetics Centre. We offer you the most advanced pain free experience while receiving aesthetics services by using a vibrating anesthetic device or cold air spray. As an added benefit to our patient having dermal fillers injected in the lips or around the mouth, all fillers now have lidocaine to numb built into them.

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Dermal Filler Injections for a Non-Surgical Nose Jobs

The non-surgical nose job, sometimes referred as the “Lunch Time Nose Job or 15 Minute Nose Job”, is a new and exciting alternative available to patients interested in improving the shape of their nose without undergoing invasive surgery. At Silk, the benefits of nose jobs without surgery are immediate results, quicker healing time, and little or no pain.

Patients who are interested in nose surgery may be surprised to find out they are actually candidates for a non-surgical nose job. This popular new treatment is an excellent alternative to the traditional nose job. A Non surgical rhinoplasty involves using injectables such as Botox®, Radiesse®, Restylane® and Juvederm® to shape and contour the nose. Unlike a surgical procedure, these fillers allow patients to obtain quick results with little or no down time.

If you are interested in a non-invasive, non-surgical nasal contouring with fast and satisfying results then a 15 minute nose job is for you.

Patients interested in a nose job generally visit a surgeon to get rid of bumps, bulges and indentations on their nose. When there is not a major nasal imbalance, a non-surgical nose job can provide patients with outstanding results and an improved overall appearance. If the nasal deformity is major or you are looking to reduce the size of your nose, you are not a candidate for the 15 minute non-surgical nose job.

15 Minute Nose Job, “Lunch Time Nose Job”

The new 15 minute non-surgical nose job provides patients with a contoured, shapely nose, enhancing their overall appearance and increasing their self confidence.

At Silk, a non-surgical nose job is relatively painless and can be completed in one short office visit. During the treatment, Dr. Astaphan will inject the facial filler into the desired areas of the nose to help camouflage imperfections.

The new YOU is only a phone call away! Call Silk now (954) 462-7455 to schedule a complimentary consultation with Dr. Astaphan.

Botox Injections Fort Lauderdale
Botox Injections Fort Lauderdale
Dysport Treatments Fort Lauderdale
Dysport Treatments Fort Lauderdale
What is Restylane®?

Restylane® is a cosmetic dermal filler that replace lost volume and restore youthful contours to the skin to smooth away moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds). Restylane is the world’s most used, most studied dermal filler, and has been used in over 70 countries and in more than 1.4 million treatments in the U.S.

Restylane® is made of hyaluronic acid. In the human body, natural hyaluronic acid provides volume and fullness to the skin. The hyaluronic acid in Restylane® has been modified slightly to last longer than the body’s hyaluronic acid. The hyaluronic acid in Restylane® is produced by a biotechnical process.

Restylane® is hydrophilic or “water loving.” The hydrophilic nature of these hyaluronic acid molecules and their three dimensional structure allow them to bind many times their own weight in water. As hyaluronic acid begins to degrade, each molecule binds to more water which helps to maintain its volume for about six months.

Restylane®: Long-lasting for about six months

If you’re considering treatment for your facial wrinkles and folds, Silk Aesthetics Centre invites you to learn important facts about Restylane®, including how they provide structural support and lift to nasolabial folds. In this section, you’ll learn where Restylane® can be used and how the treatment can help you reach your goal of a more youthful appearance. This procedure is non-surgical, and its effects are virtually instantaneous and can be done, painlessly, over a lunch hour.

Where can Restylane® be used?

Restylane® is FDA-approved for the treatment of moderate to severe facial wrinkles and folds, such as the lines from your nose to the corners of your mouth (nasolabial folds) , commissures (corner of the lips) or the marionette lines from the corner of the mouth to the jaw line. Restylane® is available in a smaller .4ML syringe making ideal to fill scars, acne grooves, or deep lines between the brows

Optimal correction with Restylane®

The unique hyaluronic acid gel in Restylane® restores lost volume and fullness to the skin to correct the lines or folds.

Sufficient volume of Restylane should be injected depending on the severity lines or folds to obtain optimal correction as determined by Dr. Astaphan. The availability of both products provides Dr. Astaphan with different treatment options, so he can best determine the optimal treatment amount.

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How long do Restylane® Products Last?

Restylane® Family of Fillers are proven to deliver long-lasting results. Studies have shown that Restylane® lasts about six months. The patented stabilization technology helps maintain the cosmetic effect for those time periods.

How long the aesthetic correction lasts is very individual. Talk with Dr. Astaphan about the benefits of scheduling a follow-up appointment in about six months.

What can I expect?

Restylane® requires no pre-testing. Before being treated with Restylane®, you should take a few precautions. Prior to treatment, avoid using aspirin, non-steroidal anti-inflammatory medicationsSt. John’s wort, or high doses of Vitamin E supplements. Also, if you have previously suffered from facial cold sores, discuss this with Dr. Astaphan, who may prescribe a medication to minimize recurrence.

Restylane® is injected directly into the skin in small amounts by an ultra fine needle. As with all injections, some patients may experience slight discomfort. To increase your comfort, Dr. Astaphan will assess your need for pain management and determine what technique is right for you. With Dr. Astaphan’s skills as both a Maxillo-facial surgeon and Anesthesiologist, our goal is to allow you the benefits of the service in a pain-free setting.

What are the advantages of Restylane®?

Restylane® is approved for treating moderate to severe facial wrinkles and folds. Dr. Astaphan can best determine which treatment is right for you.

Restylane® is Different from Botox® Cosmetic

Restylane® is a cosmetic dermal filler injected into the skin to smooth facial wrinkles and folds. In contrast, Botox® Cosmetic is a drug that blocks nerve transmission and relaxes the muscles that cause frown lines between your eyebrows. As Silk, we offer the combination of both Botox® and dermal fillers to give you a dramatic non-surgical facial rejuvenation, also commonly called a “liquid facelift”. Call now, 954-462-7455, for a complimentary consultation with Dr. Astaphan.

FACE YOUR HANDS With Restylane® Lyft

The first and only hyaluronic acid filler FDA-approved to treat your face and hands

Help complete your aesthetic look with natural-looking volume in your cheeks and hands for a smoother, fuller appearance. Restylane® Lyft is a safe, effective and dissolvable HA filler. Treatment can be administered in your hands and face at the same appointment — and can result in a more youthful-looking appearance.

Over time, natural fat begins to deteriorate, resulting in sagging skin, more prominent wrinkles and a reduction of volume. Restylane Lyft is an injectable hyaluronic acid gel used to correct volume loss and treat wrinkles in the face and hands. Through nonsurgical injections, Restylane Lyft is specifically designed to add fullness to the cheeks, midface area, and the back of the hands to help complete your aesthetic look — for face and hands.

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Microneedling with PRP Fort Lauderdale
  • Avoid using aspirin, nonsteroidal anti-inflammatory medications (such as ibuprofen), St John’s wort, or high doses of vitamin E supplements, as these may increase bruising and bleeding at the injection site.
  • Talk with your healthcare professional if you have previously suffered from facial cold sores. He or she may prescribe a medication to minimize recurrence.
  • Treatment with Restylane, Restylane-L, or Restylane Lyft generally takes less than an hour (individual treatment times may vary)
  • Your healthcare professional will cleanse and prepare the area to be treated. Then Restylane, Restylane-L, or Restylane Lyft gel is injected into the treatment area using an ultra-fine needle to create the desired effect.
  • See immediate and visible results.
  • Use cold compresses to reduce swelling.
  • Avoid exposure to intense heat (sun lamp or sunbathing).
  • Reduce the risk of facial cold sore recurrence that could be caused by needle punctures. Talk with your healthcare professional about medications that may minimize an outbreak.
  • Avoid taking aspirin, nonsteroidal anti-inflammatory medications (such as ibuprofen), St John’s wort, or high doses of vitamin E supplements for one week after treatment. These agents may increase bruising and bleeding at the injection site.
  • After treatment, you might have some swelling, redness, pain, bruising, or tenderness. These are typically mild in severity and normally last less than 7 days in nasolabial folds and less than 14 – 18 days in lips. Swelling may be more likely in patients under 36 years, and bruising may be more likely in patients over 35 years.
  • Afollow up appointment will be scheduled in 2 weeks to make sure your desired result was achieved.

Galderma, the manufacturer of Restylane, now has a patient rewards program.

Welcome to ASPIRE Galderma Rewards

We believe that you should be supported — and rewarded — at every point in your facial aesthetic journey. And with ASPIRE Galderma Rewards’ simple ways to earn exclusive rewards, bonuses and discounts, you can feel good about looking your best. Plus, the longer you’re with us, the better it gets.

Nonsurgical Nose Jobs Fort Lauderdale
Nonsurgical Nose Jobs Fort Lauderdale
What Is JUVÉDERM™ Injectable Gel?

As we age, our skin changes. Over time, the natural volume of youthful skin begins to diminish as wrinkles and folds form. But, with Juvéderm™ injectable gel, you don’t have to just sit back and let it happen! Recently approved by the FDA, Juvéderm™ injectable gel is a “next-generation” dermal filler. The smooth consistency gel helps to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth).

Juvéderm™ is a smooth consistency gel made of hyaluronic acid—a naturally occurring substance in your skin that helps to add volume and hydration. Your healthcare professional eases Juvéderm™ injectable gel under the skin to provide a smooth, natural look and feel—so everyone will notice (but no one will know)! In fact, studies show superior results of Juvéderm™ compared to a collagen-based dermal filler.* And, almost 90% of all study volunteers who were treated with both Juvéderm™ injectable gel and another dermal filler* preferred Juvéderm™! In addition, Juvéderm™ injectable gel is the first FDA-approved hyaluronic acid dermal filler that is proven to be safe and effective for persons of color.


Juvéderm™ injectable gel is a nonsurgical, physician-administered treatment. Your healthcare professional eases Juvéderm™ under the skin using a fine needle to augment, or fill, the soft tissue of the dermis—the dense inner layer of skin beneath the epidermis—to add volume and diminish wrinkles and folds. Juvéderm™ injectable gel is used most effectively for those wrinkles and folds in the lower third of your face, like your “laugh lines,” “smile lines” or “parentheses” (nasolabial folds), or “marionette lines” (oral commissures).

Juvéderm™ is a “next-generation” filler. It is made from hyaluronic acid—a naturally occurring substance in your skin that helps to hydrate and add volume. Hyaluronic acid may diminish with age, contributing to the formation of wrinkles and folds. Juvéderm™ injectable gel works to correct this by restoring hyaluronic acid in your skin, helping to smooth wrinkles and folds.

A unique manufacturing process

Juvéderm™ employs its unique manufacturing process to provide the highest concentration of cross-linked hyaluronic acid of any currently available hyaluronic acid dermal filler for long-lasting results. This advanced manufacturing process also works to create a smooth consistency gel that flows easily into the skin during the injection process and provides a smooth, natural look and feel—so everyone will notice (but no one will know!) Juvéderm™ injectable gel is the only filler available with this smooth consistency gel—other existing hyaluronic acid dermal fillers are made of granular consistency gels.

What to Expect During Treatment

Because Juvéderm™ injectable gel is a simple, nonsurgical treatment, there is minimal recovery or downtime. So you can make an appointment to stop by your healthcare professional’s office for treatment on the way home from work or the gym, or even while the kids are at soccer practice—and get right back to your life. Here’s what to expect when you visit your healthcare professional’s office for treatment. (Please note that although this experience is typical, the routine at your healthcare professional’s office may be different).

  • Before you go: Some doctors recommend that you avoid any medications that can prolong bleeding, such as aspirin and non-steroidal anti-inflammatories (NSAIDS), for at least a week prior to treatment in order to reduce the risk of bruising and bleeding at the injection site. Ask your healthcare professional what he or she recommends.
  • When you arrive: If this is your first visit, your healthcare professional will ask about your medical history, including any allergies you may have or medications you may take, and will tell you more about wrinkle treatment with Juvéderm™. Juvéderm™ injectable gel does not require an allergy test.
  • Determining your treatment needs: Your healthcare professional will examine the soft tissue of your face to assess the depth of wrinkles and folds to determine your treatment. Juvéderm™ injectable gel is available in two formulations—Juvéderm™ Ultra for versatility in contouring and volumizing facial wrinkles and folds, and Juvéderm™ Ultra Plus, a robust formulation for volumizing and correcting deeper folds and wrinkles. This allows your healthcare professional to better tailor treatment to your unique needs. Your healthcare professional may even take pretreatment photographs so you can see the difference after treatment!
  • Before the procedure: Although anesthesia is not required, your healthcare professional may use topical or injectable anesthesia to numb the treatment area first.
  • The procedure: Your healthcare professional will ease the Juvéderm™ injectable gel under your skin to augment, or fill, wrinkles and folds. Following the injection, your healthcare professional may gently massage the treated areas. The procedure is quick and easy. The injection itself usually takes only about 15 minutes.
  • After the procedure: With Juvéderm™, there is minimal recovery or downtime.

As Silk, we offer the combination of both Botox® and Juvéderm™ dermal fillers to give you a dramatic non-surgical facial rejuvenation, also commonly called a “liquid facelift”.  Call now, 954.462.SILK (7455), for a complimentary consultation with Dr. Astaphan.

For the first 24 hours following treatment, you should avoid strenuous exercise, excessive sun or heat exposure, and consumption of alcoholic beverages in order to help minimize the risks of temporary redness, swelling, and/or itching at the treatment sites. After the treatment, some temporary injection-related reactions may occur, including redness, pain, firmness, swelling, and bumps. Studies have shown that these are usually mild to moderate in nature and clear up on their own in 7 days or less. If you experience swelling at the injection site, you can apply an ice pack for a brief period. Your healthcare professional will tell you when makeup may be applied after your treatment.

Seeing results: You should see an immediate improvement in the treatment areas. Most patients need one treatment to achieve optimal wrinkle smoothing, and the results last up to 6 months or more. However, results may vary and correction is temporary. Supplemental “touch up” treatments may be required to achieve and maintain optimal results.

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Microneedling with PRP Fort Lauderdale

As you age, it’s not just about lines and wrinkles. Your cheeks can lose volume and skin may begin to sag. JUVÉDERM VOLUMA® XC is the first and only FDA-approved injectable gel to instantly add volume to your cheek area to correct age-related volume loss in adults. It can provide you contour and a subtle lift for up to two years with optimal treatment.

What is Voluma?

JUVÉDERM VOLUMATM XC injectable gel is a smooth, colorless hyaluronicacid(HA) gel that contains a small quantity of local anesthetic (lidocaine). HA is a naturally occurring sugar found in the human body. The role of HA in the skin is to deliver nutrients and help the skin retain its natural moisture and softness. The addition of lidocaine helps to improve the comfort of the injection. JUVÉDERM VOLUMATM XC injectable gel is manufactured using VYCROSSTM technology to give a specialized smooth-gel filler that produces long-lasting results at the treatment site. JUVÉDERM VOLUMATM XC is delivered by an injection into the cheek and surrounding area of the mid-face to correct volume and fullness.

What does it do?

As you age, the cheek area loses its youthful shape. The cheeks flatten out and the skin may begin to sag. JUVÉDERM VOLUMATM XC injectable gel is designed to temporarily reverse these signs of aging. It is a gel that is injected into the cheek area to lift the skin. It temporarily adds volume to the cheek area and results in a smoother contour and more youthful appearance to the face. Figure 1 shows the treatment areas for JUVÉDERM VOLUMATM XC. At Silk, our staff of advanced practitioners can inject Voluma in the precise way to give you lift and volume to recreate the look of your youth. Voluma contains lidocaine to help improve comfort during treatment which can be done in a brief office visit and minimal to no down time.

What should I expect following the procedure?

The most common side effects were temporary reactions at the treatment site such as tenderness, swelling, firmness, and lumps/bumps. These side effects generally lasted 2 weeks. Within the first 24 hours, you should minimize strenuous exercise and exposure to extensive sun or heat. Exposure to any of the above may increase temporary redness, swelling, and/or itching at the injection site. If there is swelling, you may place an ice pack over the swollen area.

Will I need more than one treatment to achieve my desired result?

We will schedule a 2 week followup and reassess to make sure that we achieved the desired goals. An additional syringe may be needed at this visit.

Does the correction last forever?

No. While individual results may vary, Voluma offers instant, natural-looking results that last up to 2 years with optimal treatment.

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Radiesse® naturally and safely promotes growth of your own collagen through advanced microsphere technology. Smooth, pearl-like microspheres of calcium hydroxylapatite are dissolved in a soft gel which is injected into wrinkles, smile lines, marionette lines, cheeks, scars and other facial areas. These microspheres are slowly dissolved by the body into naturally occurring calcium and phosphate ions. In the skin Radiesse creates volume, resulting in a natural, youthful appearance. Because it does not need skin testing, gives a natural-looking appearance and last longer than most other fillers, many experts agree that Radiesse is now the filler of choice for facial contouring.

About Radiesse®

A Natural Look That Lasts

Radiesse® is a safe, next generation cosmetic dermal filler that lasts longer than the former leading filler. It is setting a new standard for the correction of facial lines and wrinkles, restoring a natural, youthful look in an easy, convenient treatment. Numerous medical studies have shown that Radiesse is a safe, longer lasting treatment to fill and correct smile lines, Nasolabial Folds and wrinkles around the nose and mouth

Radiesse® Is:
  • FDA APPROVED to safely correct wrinkles and folds around the nose and mouth, including Nasolabial Folds
  • LASTS LONGER than the former leading cosmetic filler
  • Stimulates your skin to produce NEW COLLAGEN
  • IMMEDIATE correction in a treatment that can be performed over your lunch hour!
  • FEWER INJECTIONS and office visits
  • BIOCOMPATIBILITY means no allergy testing prior to treatment
  • The NEXT GENERATION cosmetic dermal filler made of ADVANCED calcium based microsphere technology
  • Long lasting, NOT PERMANENT, with none of the risks associated with permanent implants
  • COST-EFFECTIVE treatment that lasts longer than other fillers and uses less material to achieve OPTIMAL CORRECTION
Radiesse® uses:
  • Improve the shape and profile of noses (the “Lunchtime Nose Job”)
  • Hide jowls and restore a smooth jaw line (the “Lunchtime Face Lift”)
  • Enhance sunken and flat cheeks
  • Rejuvenate hands
Immediate Satisfaction, Long Lasting Results

The results of a Radiesse® treatment are immediate. Radiesse dermal filler typically lasts a year or more, longer than the former leading filler, saving you time and money. Since results may vary, be sure to discuss your expectations with your experienced Radiesse provider.

Safe and Effective

Radiesse® is made of unique calcium-based microspheres that are suspended in a natural gel that is injected into the skin through a simple, safe and minimally invasive procedure.

Hundreds of thousands of patients have experienced Radiesse and more than 4,000 physicians worldwide have been trained to provide Radiesse® treatments. Through years of clinical studies and independent research, Radiesse® has proven to be safe and effective. With Radiesse®, you get safe, FDA Approved, clinically tested reliability.

How It Works

Radiesse® works with your body, below the skin’s surface, to stimulate the production of collagen and encourage tissue regeneration. It does more than just temporarily fill-in facial lines and wrinkles; it rebuilds your skin’s foundation. You get immediate results and look younger, longer.

Radiesse® Microsphere Technology™

Radiesse® is made of very small, smooth calcium hydroxylapatite (CaHA) microspheres, which are suspended in a water-based gel carrier. As Radiesse® is injected, the gel and Radiesse® Microspheres form a “scaffold”, stimulating collagen production and encouraging tissue growth in and around the injection area. This “partnership” between Radiesse® and your own body creates a natural look, comprised of your own tissue and Radiesse Microspheres.

Over time, your body absorbs the gel carrier while collagen has started to grow and infiltrate the area, replacing the gel with your own, natural tissue. The Radiesse® Microspheres continue to provide the support and structure for your body to grow new tissue and collagen until the Microspheres are also safely and naturally absorbed into your body.

Why Choose Radiesse®?

Radiesse® is a safe, next generation cosmetic dermal filler that is setting a new standard for the correction of facial lines and wrinkles such as Nasolabial Folds. That’s because clinical studies prove that Radiesse® lasts longer than the former leading filler to deliver a soft natural look that lasts.

Radiesse® cosmetic dermal filler can address many facial aesthetic and corrective needs. Because the results are natural looking and longer lasting, many patients turn to Radiesse to achieve a correction that revives and rejuvenates their appearance. No matter if your goals are to correct facial lines and wrinkles or to refresh your appearance, Radiesse® provides a safe, cost-effective and convenient treatment option.

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Radiesse® can be used for the treatment of:

  • Nasolabial Folds: between the nose and mouth
  • Marionette lines: the so-called “smile lines” in corners of mouth
  • Radial lip lines: lines above the upper lip
  • Depressions and blemishes: like acne scars
  • Shallow cheeks: caused by fat atrophy
  • Nose and Chin: correcting indentations, tips, bumps and unevenness.
  • Jaw: Improving the contours of this area
Radiesse® Hand Rejuvenation

Radiesse® injections immediately re-plump and replenish volume to the back of the hands to provide a supple and youthful appearance. Placed beneath the skin, Radiesse® raises the skin level so that tendons, joints and veins lose their prominence. Radiesse provides instant and durable long lasting results.

Because Radiesse® provides a scaffolding for collagen-building, the body’s own collagen interweaving into this structure keeps the skin feeling softly natural and smooth.

Radiesse® is becoming the dermal filler of choice for HIV Lipo-atrophy

Treatment of HIV-associated facial lipoatrophy requires a semi-permanent deep filler. Radiesse is one of two fillers specifically approved by the FDA for the treatment of HIV-associated facial lipoatrophy. The nature of the filler treatment will vary depending on the degree of the patient’s facial volume loss, but you can trust in the staff at Silk to monitor your treatments and get you looking your best self again.

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The RADIESSE® Patient Access Program

A program designed to help people with HIV associated Facial Lipoatrophy benefit from RADIESSE® treatment. The RADIESSE® Patient Access Program provides broad access for those patients who qualify for assistance.

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