“Subtle change with little downtime.”

Common name – Fillers, Botox (Toxins).

Technical name/also known as – hyaluronic acid fillers, poly L lactic acid, botulinum toxin, calcium hydroxylapatite.

Description of benefits

Injectables are minimally invasive techniques for men and women looking to make subtle changes to the face. Toxins are used to reduce wrinkles formed by muscles of facial expression, most commonly in the forehead, brows, and around the eyes. Fillers are used to increase volume in targeted areas of the face, commonly the folds around the mouth, lips, and cheeks, though other areas such as the temples and chin may be injected as well. Fillers can be used to restore lost volume or enhance existing volume.

How it is done: Toxins

Neurotoxins, trade names Botox, Dysport, and Jeuveau, are injected in small doses into specific muscles to temporarily stop movement. Common areas are the muscles between and above the eyebrows, the muscles of the forehead, and the muscles around the eyes. It can also be used in small doses in the muscles around the mouth.
The procedure is very quick (a few minutes) and the results are visible in a few days and will be fully active at two weeks. The reduction in motion will last for three months, though some report improvement in the wrinkles and creases treated longer than that.

How it is done: Fillers

Fillers, trade names such as Restylane, Juvederm, Sculptra, Radiesse, Belotero, are injected in specific areas of the face to replace lost volume or enhance existing volume. Areas that can be treated include the folds around the mouth, the lips, the cheeks, the tear troughs, the chin, the temple, and some acne scars. Results are seen immediately, although bruising and swelling can occur and take time to resolve. The effects can last anywhere from six months to two years, depending on the product and where the product is placed. Continued treatments will be required to maintain the result.


The procedures take little time to perform and typically have little associated downtime. Even subtle changes can make a big difference in how we look.


Though most people who undergo these procedures do well, some may have bruising which can last from days to weeks. Some patients may experience a lid droop after Botox which is usually temporary but can look unsettling. Because the fillers and toxins are temporary procedures, they need to be repeated to maintain the result. Some patients who desire fillers and toxins may be better candidates for surgery. Their improvement may be limited if this is the case.

Who pays for this

This is a cosmetic procedure, paid for by the patient.

What to expect

Length of operation

5 minutes to an hour, depending on the extent of the procedure.

Anesthesia used

​Topical anesthesia.

In or out patient

This is an office procedure, you will go home the same day.

Time until final appearance

​Usually two weeks. This is the maximum amount of time for toxins to take full effect and for swelling after fillers to resolve​.

Recovery time

Minimal up to two weeks if you have bruising

Side effects

Temporary swelling, bruising, and some pain. In most cases, you will be asked to avoid exercise and rubbing the area for the remainder of the day. With Sculptra injections, massage is an important part of the post-procedure treatment.

Risks of procedure

All surgery carries risk. I recommend patients carefully weigh the benefits of having surgery against the potential risks which may arise.   Risks include pain, bleeding, infection, damage to nearby structures, need for other procedures, recurrence of skin laxity, dissatisfaction with appearance, asymmetry, seroma, sensory changes including permanent loss of sensation, temporary or permanent changes in facial movement, wound healing delays requiring wound care, deep vein thrombosis, and pulmonary embolus. A complete list of risks will be discussed with you before surgery.


“Sometimes, a small tweak is all that is needed to give a refreshed look.”

– Dr. Danielle DeLuca-Pytell  

Virtual Consults


While we are under social distancing and shelter at-home instructions, I am offering virtual consultations for new patients interested in meeting with me.

You can do this from a computer (via an invitation) or a smartphone (via an invitation and the Google Meet app).
There are four parts to the consultation:


1. Arrange a consultation by phone or email,
Phone: 248-885-8858


2. Download the new patient forms. Click here.

After you fill them out, you can either fax or email them to me.
Fax: 248-856-3975


3. Once the consultation is arranged, a meeting invite will be sent to you with the link for the consultation. At our prearranged time, follow the link to our secure and private consultation.

There, you and I will have time to talk about your goals, medical history, and all about the procedure.

While the examination is limited to observation in two dimensions, I should be able to determine whether or not you are a candidate for surgery.


4. If you are indeed a surgical candidate, you will be contacted by Andrea, my patient coordinator, to get a surgical quote (or if insurance-based, your expected out of pocket costs), and an opportunity to hold a surgical date.

You will also be given a follow-up visit to confirm with your exam that you are a candidate and preoperative visit time for us to prepare you for surgery.


I hope to virtually see you soon!

Your Next Step!

Call or email us to schedule an appointment and find out if you are a suitable candidate for this procedure.

Our phone number


Give our office a call Monday to Thursday, 9am to 5pm, Friday 9am to 3pm.

Our email address

Please also email us anytime with questions you have.

Quick Contact Form

    Before and After Gallery

    When you come into the office for your appointment, you will be able to see more ‘before and after’ photos of this procedure including different options.

    Recovery time

    Minimal up to two weeks if you have bruising.

    Returning to Work

    This depends on the type of work that you do. Many people can return to work immediately or the next day.

    Length of results

    Three months for toxins.
    Six months to up to two years for some fillers​.

    Smoking and Surgery

    If you smoke, it is imperative that you quit six weeks both before and after surgery.  To better understand why, please click this link:

    Smoking and Plastic Surgery

    Other Information

    Arnica, a homeopathic anti-inflammatory medication, is recommended for use immediately following fillers to help reduce bruising and swelling. It comes in both a gel and tablet form. Ice is suggested to help reduce swelling, but should not be applied directly to the skin. If eyelid droop occurs after toxin injection, call the office immediately as drops can be used to help this resolve more quickly. Avoid taking aspirin or motrin for two weeks before your procedure to help reduce the risk of bruising. Any severe pain or change in skin color after fillers is an emergency, and you must call your doctor.

    if you color your hair, do so right before surgery as you will not be able to color your hair until three weeks following the procedure. Plan to bring a scarf with you to the hospital on the day of the procedure as well as dark glasses to camouflage your temporarily swollen appearance on leaving the hospital.


    See what her patients have to say about their surgical experience.

    Follow the link to read some of the many letters received by Dr. Danielle DeLuca-Pytell.

    Your Appointment

    When you visit the office for your appointment, we will talk about the side effects and risks of this procedure.

    You will have the chance to ask any questions you might have.

    Don’t forget:  it is your body!  There is no such thing as a bad or silly question!

    Contact us

    Give us a call to schedule your appointment.

    Our phone number