When performed by a qualified physician, injectables have an excellent safety profile. All products used at Thrive are FDA-approved, and Dr. Miles' extensive medical training — including emergency medicine — means she is uniquely prepared to handle any situation. Every treatment begins with a thorough assessment of your health history and anatomy.

That's exactly what your consultation is for. Dr. Miles will assess your facial anatomy, discuss your goals, and recommend a personalized treatment plan. Sometimes the best results come from combining multiple types of injectables — and she'll explain exactly why each product is recommended for your unique needs.

Absolutely not — that's our promise. Dr. Miles takes a conservative, layered approach to injectables. The goal is always enhancement, not transformation. Many of our patients report that friends and family simply tell them they look "refreshed" or "well-rested" rather than noticing any specific treatment.

Duration varies by treatment type. Neurotoxins like Botox typically last 3-4 months. Dermal fillers can last anywhere from 6 to 18 months depending on the product and area treated. Biostimulators like Sculptra can provide results lasting up to 2 years, and Kybella results are permanent once the desired outcome is achieved.

Neurotoxins (Botox, Dysport, Xeomin) work by relaxing the muscles that cause dynamic wrinkles — like frown lines and crow's feet. Dermal fillers, on the other hand, add volume beneath the skin to restore fullness, smooth deep folds, or enhance features like the lips and cheeks. Many patients benefit from both, used strategically together.