Combo Therapies for Different Types of Wrinkles


When our Injectable Experts complement your BOTOX® Cosmetic or Dysport® treatment with dermal filler, you’ll benefit from their artistry and skill—and from two types of injectable products that deliver the best in the battle against dynamic and static wrinkles.

Dynamic wrinkles are caused by our muscles as we repeatedly express ourselves, resulting in smile or frown lines. These are best treated with neurotoxins such as BOTOX® Cosmetic or Dysport®.

Static wrinkles, like marionette lines, are caused by the loss of collagen and fat, and by gravity, rather than by muscle movement. This type of wrinkle is best treated with dermal filler.

Longer lasting fillers may be appropriate for you. Although they cost more per vial, they can save money in the long run, and mean less visits and injections overall. The three longer-lasting fillers we use, Bellafill®, Radiesse® and Sculptra® Aesthetic also stimulate collagen and can be noticeably effective for up to five years.

These are photos before the start of treatment, and after a neurotoxin and a collagen stimulating filler have been applied, during the same visit, to reduce dynamic and static wrinkles:

before and after botox and sculptra aesthetic

Join us for a complimentary consultation to learn about the types of wrinkles you may be developing and the therapies to diminish their impact.



Marie R.
Another great experience at Hayes Valley Medical. From making the appointment (seamless) to the treatment with Susie, an excellent experience, completely pristine, great results (already!), and professional follow-up. Can’t say enough.
Kirsten S.
Linda and staff are amazing. I am always very happy with my treatment results. It is apparent that she researches various technologies and techniques. The applications are always evolving with new and improved products. Highly recommended.
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Suzanne P.
Excellent service and an overall pleasant experience. Victoria was professional and knowledgeable. She proposed treatments addressing both my anesthetic and medical concerns.. I could not be happier with the results. Also, the Receptionist, Mattie, was pleasant and efficient. I look forward to future treatments.
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Lisa M.
Hayes Valley is the best! Kate did an incredible job with Dysport removing the wrinkles from my forehead, Sandra gave me great abs and glutes with Emsculpt, and Linda gave me my youthful facial structure back with Sculptra. These women are truly amazing. So glad that I found them!
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Gene V.
I love Hayes Valley Medical Esthetics! I've been coming for a while now for Botox and filler treatments. Linda is AMAZING! She knows just the right amount of product needed in all the right places to bring out my best facial features. I feel more handsome every time!!

The front desk staff are super sweet and helpful. They always ask exactly what I want and I never feel like I'm being 'upsold' or encouraged to do anything other than what I came in for. I would highly recommend HVME to anybody that is on the unsure about trying some of the services they offer. You won't be disappointed. Thank you!!
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Gene V.
I love Hayes Valley Medical Esthetics! I've been coming for a while now for Botox and filler treatments. Linda is AMAZING! She knows just the right amount of product needed in all the right places to bring out my best facial features. I feel more handsome every time!!

The front desk staff are super sweet and helpful. They always ask exactly what I want and I never feel like I'm being 'upsold' or encouraged to do anything other than what I came in for. I would highly recommend HVME to anybody that is on the unsure about trying some of the services they offer. You won't be disappointed. Thank you!!
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Julie S.
This was my first experience with any filler/injection treatment and it was very pleasant, professional and everyone there made me feel safe, welcome and I felt very knowledgeable coming out of my treatment about what to expect. I will absolutely be back!
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Tina B.
Diana at the front desk is so sweet, the medical assistant was amazing & personable and Kate who did my procedure is my favorite! As I walked out and met my husband, I told him how much I enjoy being there & what a good vibe Hayes has.
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Cher B.
Sheila and Linda took great care of me and I look younger and vibrant.  I do not trust anyone else for injectables.  Linda is careful, thoughtful, and respectful of one’s budget. I have followed her from Marin into SF and I will continue to follow her where ever she practices.
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Emily N.
I highly recommend Hayes Valley Medical Esthetics!! All the front desk staff are warm, friendly and professional and Denise is the best for laser, she goes above to make you feel comfortable and at ease. Andrea is exceptional at explaining the services they offer. They are the best in SF in my opinion and I do my research!
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Kathleen F.
Excellent customer service, advice, and care. Botox and Microneedling. Melonie is a gem. She is extremely knowledgable, sincere and honest. Everyone here is helpful, They carry a fabulous array of skin products too. I am so pleased with my results!
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