At Engle Renú, we specialize in a variety of cosmetic injectables such as Botox and dermal fillers designed to help smooth wrinkles, restore lost volume, and reduce the signs of aging in the face, neck, and hands.

Botox, fillers, dermal fillers, restylane, dysport, juvederm


Botox cosmetic, or onobotulinumtoxin A, is a neurotoxin that prevents muscle contraction by blocking nerve signals to the muscle. Botox has been used for decades for therapeutic use and was granted FDA approval for cosmetic use since 2002. Neurotoxin injections have become increasingly popular due to high patient satisfaction with the results, as well as ease of treatment, and are currently the number one cosmetic procedure performed in the United States. These injections are used to treat wrinkles, mainly in the upper face, caused by facial movement referred to as dynamic wrinkles by preventing targeted muscles from contracting. Botox treatments are a quick and easy way to diminish facial wrinkles or prevent them from forming or deepening and to give your face a smoother, younger appearance. In general, you should begin to see results between 24 and 72 hours, but some patients may not see full results for five days or more. It takes time for the effects of Botox to reach its full potential. Once the initial inflammation and redness dissipate, however, you’ll see results more quickly. The delay is due to your body reacting and adjusting to the neurotoxin used for injections, which is normally inactive and paradoxically, non-toxic.

Dermal Fillers

Hyaluronic acid is a naturally occurring substance found in the body that is abundant in the skin. It is the molecule primarily known for attracting water, which is what keeps skin appearing plump and hydrated. As the skin ages, it produces less collagen and contains less hyaluronic acid which results in volume loss and facial wrinkles. Hyaluronic acid fillers, such as Juvederm and Restylane products, are gel-like substances that are injected under the skin which immediately results in a restoration of volume to correct or augment depending on the patient’s goals. Common areas injected with fillers include the lips, the nasolabial folds, and the tear throughs. Fillers are also used for cheekbone, chin, and jawline augmentation.

Botox, fillers, dermal fillers, restylane, dysport, juvederm

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Botox, fillers, dermal fillers, restylane, dysport, juvederm


Juvederm is one of the better known hyaluronic acid injectables on the market. They offer a variety of fillers that vary in elasticity and thickness. The thicker filler products help create definition around the more prominent features of the face, such as the jawline and cheekbone areas. The more buoyant filler products help to build volume in the cheeks and lips for a fuller look. The thinner filler products help add hydration back to delicate areas, such as under the eyes, without changing the natural structure of volume. The results are immediate and usually last longer than Botox. The results can last about 6 to 18 months depending on the product and location.


Restylane is another hyaluronic acid filler that works by injecting underneath the skin to replace volume where there has been collagen loss. This helps to smooth and lift the skin which makes it look plumper and fuller. The hyaluronic acid in Restylane adheres to your skin and combines with the water to produce volume. The hyaluronic acid also attracts additional water to help preserve the recently added volume. Similar to Juvederm, Restylane offers a variety of products that aim to treat all areas of the face for your desired result. We encourage you to speak with one of our specialists to find a plan that will work best for you!

Botox, fillers, dermal fillers, restylane, dysport, juvederm


Dysport, or abobotulinumtoxin A, is another well-known neurotoxin similar to Botox that treats wrinkles and fine lines. This non-invasive procedure temporarily decreases muscle movement in the target areas to soften the appearance of glabellar lines, which are the verticle wrinkles most prominent in the forehead in-between your eyebrows. Dysport is similar to Botox and is effective in reducing moderate to severe wrinkles and fine lines. The biggest difference between these neurotoxins is in the formulation of both injectables. The results of Dysport injections are desirable for patients because the results spread more rapidly to induce muscle relaxation.

Lip Injections

Lip fillers can be used to enhance aging lips to replace lost volume and restore the vermillion border, which helps to restore a youthful appearance. They can also be used to augment the lips to add volume and create the desired shape, such as a pronounced cupid’s bow. The Russian technique can be used to increase the vertical show of the lips and change proportions to enhance the upper lip. The lips will be numbed with a topical cream and injections take about 15 to 30 minutes. There will be immediate swelling and potential bruising which can last for a few days to a week. Post-treatment icing and arnica gel can help alleviate bruising. The results should last about 9 to 12 months.

Botox, fillers, dermal fillers, restylane, dysport, juvederm


When the face ages, it loses fat underneath the eyes, in the cheek pads, and in the temples of the forehead. This coupled with bone loss in the aging face results in a loss of volume which can lead to wrinkles, hollows, and loose skin. Fillers can be injected into the skin to replace this volume loss and to restore youthfulness. Common areas where fillers are placed includes the nasolabial folds, the hollows in the temples of the forehead, and hollows in the cheeks. Fillers can also be used in the hands to replace fat loss and camouflage prominent veins.

Numbing & Sedation Options

To ensure the comfort of our patients, we offer a variety of numbing and sedation options that greatly reduce any possible discomfort and inflammation that you may experience during your treatment. Numbing creams are a combination of powerful anesthetics that effectively work to reduce pain from injections in the skin. If you’re hypersensitive or anxious about needles, we offer oral sedation to help bring ease and relaxation to your treatment. The Zimmer Chiller features cooled air for efficient pain treatment, swelling reduction, and muscle relaxation. Unlike other cooling methods, the Cryo 6 decreases the skin temperature quicker with less risk of sun burns and maintains a constant dosage throughout the entire treatment time. One of our specialists will educate you on all of your options and make sure that you have the best experience possible during your treatment!

Botox, fillers, dermal fillers, restylane, dysport, juvederm