Botox & Dermal Fillers

Gotham Plastic Surgery administers the full range of injectable neuromodulators — including Botox, Dysport, Xeomin, and Jeuveau — and dermal fillers including Juvéderm VOLUMA, Restylane, and RHA collection products. Injectable treatments are performed by RN aesthetic injector Selena, who is trained directly under Dr. Philip Miller, within the same Midtown East Manhattan facility. Treatments address dynamic expression lines, volume loss in the cheeks and perioral area, jawline definition, and lip augmentation without any downtime.

Injectable treatments at Gotham Plastic Surgery provide a non-surgical complement to the practice's surgical expertise, offering patients access to a comprehensive menu of neuromodulator and dermal filler options within the same Midtown East Manhattan facility where surgical procedures are performed. Injectable treatments are delivered by Selena, a registered nurse and aesthetic injector who has been trained directly under Dr. Philip Miller — ensuring that injection technique and aesthetic judgment are aligned with the surgical philosophy of natural-looking, proportional facial rejuvenation that underpins the practice. Neuromodulator options at the practice include the four major FDA-approved botulinum toxin type A formulations: Botox Cosmetic (onabotulinumtoxinA), Dysport (abobotulinumtoxinA), Xeomin (incobotulinumtoxinA), and Jeuveau (prabotulinumtoxinA-xvfs). Each product works by blocking acetylcholine-mediated neuromuscular transmission at targeted facial muscles, softening the dynamic expression lines that develop from repetitive muscular contraction over time. Primary treatment areas include the forehead (frontalis muscle), the glabellar complex (frown lines between the brows), and crow's feet (orbicularis oculi), with additional applications including brow shaping, masseter reduction for facial slimming, and platysmal band softening in the neck. The dermal filler portfolio spans multiple product families selected for their differing rheological properties and clinical applications. Juvéderm VOLUMA and Restylane Lyft provide structural lifting support for the cheeks and midface; Juvéderm VOLURE and Restylane Defyne address nasolabial folds and marionette lines with natural-feeling flexibility; Restylane Kysse and Juvéderm VOLBELLA offer precise lip enhancement and hydration; and the RHA (Resilient Hyaluronic Acid) collection provides dynamic correction in high-movement zones of the face. All products in the hyaluronic acid filler category are reversible with hyaluronidase enzyme, providing an important safety margin. A liquid facelift — a multi-modality injectable protocol combining neuromodulators, strategic volume replacement, and where appropriate, PDO thread lift — is also offered as a comprehensive non-surgical alternative for patients not ready for surgical intervention. New York City patients at Gotham Plastic Surgery are guided through an individualised facial analysis before any injectable treatment, with realistic expectations and precise injection planning grounded in the anatomical expertise of the supervising surgeon.