Botox & Dermal Fillers

The injectable team at this Chicago practice — led by physician assistant Michelle M. Ruffino (20+ years clinical, 16 years aesthetic) and nurse practitioner Selika Gutierrez-Borst (25+ years clinical, 15+ years aesthetic) under Dr. Dayan's oversight — delivers neuromodulator and dermal filler treatments with a combined record of more than 20,000 injections. Botox and Dysport are used to soften dynamic expression lines on the forehead, glabellar complex, and crow's feet. Dermal filler brands including Juvederm, Radiesse, and Restylane address lip volume, cheek augmentation, and nasolabial fold correction. Non-surgical liquid rhinoplasty using precision filler is also available.

Injectable treatments at this Old Town Chicago facial plastic surgery practice occupy a distinct position in the city's aesthetic market: administered within a surgical practice led by a rhinoplasty subspecialist with 23 years of experience, they benefit from a level of anatomical knowledge and injection precision that differentiates a specialist surgical setting from a standalone medi-spa. Dr. Dayan personally performs liquid rhinoplasty — non-surgical nose reshaping using filler injected through large-bore blunt cannulas to soften humps, adjust tip definition, or correct minor asymmetries — with topical numbing and hyaluronidase reversal available as a safety backstop. Results from liquid rhinoplasty at this practice last nine months to two years depending on the product used and the individual patient's metabolism. For facial rejuvenation injectables, the practice's mid-level providers bring significant volume to the treatment room: Michelle M. Ruffino, PA-C, holds 20 years of clinical experience and 16 years focused on aesthetic practice, while nurse practitioner Selika Gutierrez-Borst brings 25 years of clinical background and 15 years in aesthetics — together with the broader team representing over 20,000 injectable procedures. Botulinum toxin treatments using Botox and Dysport address horizontal forehead lines from frontalis recruitment, glabellar frown lines from corrugator and procerus activity, crow's feet from orbicularis oculi contraction, and additional zones including bunny lines on the nasal dorsum and smile lines at the oral commissures. Onset occurs at three to five days with full effect at approximately two weeks; results last three to four months on average. Dermal fillers in the Juvederm, Restylane, and Radiesse families address lip volume and definition, cheek augmentation to restore the youthful malar convexity, nasolabial fold softening, and perioral line correction, with results lasting six to twelve months for hyaluronic acid products. All injectable treatments are scheduled through the practice's Chicago office.