Botox, Dysport & Dermal Fillers

Pacific Plastic Surgery Group in San Francisco offers a comprehensive injectable menu under physician supervision. Neuromodulators — Botox, Dysport, and Xeomin — relax dynamic wrinkles in the forehead, frown lines, and crow's feet. Dermal fillers — including Juvederm, Radiesse, Restylane, Sculptra, Perlane, and Cosmederm — restore facial volume, define the jawline, and soften deep folds. Administered by Dr. Miranda's team including PA-C Charis Fasoldt.

The injectable services at Pacific Plastic Surgery Group cover both neuromodulators and the full range of modern dermal fillers, administered under the oversight of Dr. Edward P. Miranda in a board-certified plastic surgery environment. This clinical setting distinguishes the injectable experience from medical spa or aesthetician providers — patients have access to a surgeon who understands the underlying anatomical structures and can address complications or provide surgical context if injections are part of a broader treatment plan. The neuromodulator menu includes Botox (onabotulinumtoxinA), Dysport (abobotulinumtoxinA), and Xeomin (incobotulinumtoxinA) — all three FDA-approved type A botulinum toxins that temporarily relax the targeted facial muscles responsible for dynamic expression lines. Common treatment areas include horizontal forehead lines, glabellar frown lines (the 11 lines between the brows), crow's feet, brow lifting, perioral lines (lip lines), and chin dimpling. Results from neuromodulators typically last three to four months before repeat treatment is required to maintain effect. The dermal filler portfolio covers a wide range of products and volumizing mechanisms: Juvederm (hyaluronic acid family) for lips, nasolabial folds, cheeks, and jawline; Restylane (hyaluronic acid, slightly firmer consistency) for under-eye tear troughs, lips, and fine perioral lines; Perlane (a denser Restylane variant) for deeper structural volume; Radiesse (calcium hydroxylapatite microspheres) for immediate filling and collagen stimulation in nasolabial folds and cheeks; Sculptra (poly-L-lactic acid) for gradual collagen biostimulation and global facial volume restoration over a treatment series; Cosmederm for superficial fine lines. The practice's experienced physician assistant, PA-C Charis Fasoldt, administers treatments alongside Dr. Miranda's physician oversight. Located at 77 Van Ness Avenue, San Francisco.