Dermal Fillers and Hylenex

Subtle Restoration through Precision and Care

At Foreviva Medical Clinique, we believe rejuvenation should never feel artificial.

Our approach to fillers is rooted in medicine and shaped by artistry. Under the direction of Dr. Joelle Osias, every treatment begins with a deep understanding of anatomy, movement, and proportion. 

We analyze how light falls across your features, how volume supports structure, and how small refinements can restore a sense of harmony without altering your natural identity. This is the essence of our work at Foreviva.

We do not create new faces. We restore the balance that time has softened and bring vitality back to the features that tell your story.

The Science of Fillers

Dermal fillers are composed of hyaluronic acid, a sugar molecule naturally present in your skin that binds and retains water. It is one of the body’s most important elements of hydration and structure.

Over time, the amount of natural hyaluronic acid in our skin declines. Collagen fibers loosen, facial fat pads shift, and the skin loses its youthful ability to hold shape. The result is a face that may feel less firm, less defined, and less vibrant than it once was. A filler treatment gently replaces this lost support.

Injected with skill and restraint, it restores the smooth contours and light reflections that define vitality.

When placed properly, fillers do not distort your expression. They recreate the scaffolding that makes your features look healthy and rested.

At Foreviva, we view fillers as one of the most powerful medical tools for facial restoration, not for changing identity, but for maintaining the integrity of your features over time.

Common Treatment Areas

Each injection is guided by anatomical landmarks and performed with precision.  The goal is to create smooth, continuous transitions between treated and untreated areas so that results blend seamlessly with your natural features.

Our injectors are highly experienced in treating all key facial zones:

Lips

For natural definition, hydration, and youthful shape

Cheeks

For lift, contour, and light reflection

Nasolabial folds

For smoother smile lines

Marionette lines

For a softer lower face

Chin

For improved projection and profile balance

Jawline

For subtle definition and strength

Under-eyes (tear troughs)

For reducing hollowness and shadow

Temples

For restoring upper face structure

Neck and hands

For rejuvenation of texture and tone

Your Consultation and Treatment Experience

Before Appointment

  • Your experience at ForeViva always begins with conversation.

  • Your provider will take time to understand what brought you here, not just what you wish to change, but how you wish to feel.

  • Review your health history and prior aesthetic treatments

During Treatment

  • We assess your facial anatomy, muscle activity, skin elasticity, and areas of volume change.

  • Using fine needles or microcannulas, the filler is placed with gentle precision at specific depths within the skin.

  • Our injectors use advanced layering and fanning techniques to ensure smooth integration. Each movement is deliberate, minimizing trauma and maximizing symmetry.

After Treatment

  • Most treatments take between thirty and forty minutes. You can return to regular activities the same day.

  • Mild swelling or redness may appear but usually subsides within a few days.

  • We provide aftercare instructions and remain available for any questions as your results settle.

Results and Longevity

Results from hyaluronic acid fillers are visible immediately, offering instant gratification.

As the product integrates with your tissue, the final look becomes even smoother and more natural over the next several days.  Depending on the product and treatment area, results may last many months before gradual, even fading occurs.

Biostimulatory fillers such as Sculptra and Radiesse continue to improve skin density for many months, as new collagen forms beneath the surface.

At Foreviva, we view maintenance as part of a journey. We monitor how your face evolves with time and design a schedule that maintains freshness without overcorrection.

Fillers We Trust

We use only advanced, FDA-approved filler products from the most respected global manufacturers. Each has unique properties that make it ideal for specific applications.

Hyaluronic Acid Fillers

Hyaluronic acid (HA) fillers are the foundation of modern facial restoration. They attract and hold water in the skin, giving it smoothness and elasticity. They are also reversible, allowing complete safety and flexibility.

At Foreviva, we offer:

  • RHA Collection: formulated for dynamic facial movement. These fillers stretch and adapt as you express emotion, ideal for areas like the mouth and perioral region.
  • Restylane Family: a collection of precision fillers designed for definition and structure in areas such as lips, cheeks, and under-eyes.
  • Juvéderm Collection: soft, smooth gels that provide lift and contour with a supple, hydrated finish.

Each formulation has a specific consistency and cohesivity. We select the one that best suits your skin thickness, area of treatment, and desired result.

Biostimulatory Fillers

For patients seeking long-term structural restoration, we also offer Sculptra and Radiesse.

Rather than simply filling space, these products stimulate collagen production over time. They gradually improve skin quality, elasticity, and firmness, creating results that strengthen the face from within.  Biostimulatory fillers are ideal for the cheeks, jawline, temples, and other areas where structural support has diminished.

Combination and Complementary Treatments

Facial aging involves multiple factors such as volume loss, muscle contraction, skin texture changes, and hormonal shifts. For this reason, we often combine filler treatments with complementary procedures to address every layer of the skin and facial structure.

For Younger Patients: Preventive and Enhancing

Younger patients often use fillers not for correction, but for enhancement — adding subtle definition to the lips, balancing facial symmetry, or maintaining skin support before significant aging occurs.

Preventive filler treatments can slow visible volume loss by supporting collagen and hydrating the skin from within.

When started early and managed thoughtfully, these treatments preserve youthful contours for years while maintaining complete natural expression.

For Men: Subtle and Strong Results

An increasing number of men choose fillers to restore definition, balance facial proportions, or correct signs of fatigue.

At Foreviva, we design treatments that maintain masculine features while softening areas of volume loss or deep lines.  Our male patients often focus on the jawline, chin, temples, and tear troughs to achieve subtle strength and confidence.

We prioritize a natural, structured look that enhances rather than changes.

Our Philosophy

At Foreviva Medical Clinique, we believe every face tells a unique story—Every treatment should too.  We approach fillers with the same precision and respect as any medical procedure.

Our injectors are trained to see beyond isolated areas of concern and to view the face as a living structure. Each expression, each angle, and each shadow tells us where support is needed and where restraint is essential.

Our patients describe our results as graceful. That is because we take time. We never chase trends.

Our focus is on achieving effortless rejuvenation through meticulous attention to detail. We prioritize proportion, skin quality, and the seamless, natural transitions between your features.

Hylenex: Precision and Reversibility

Foreviva offers Hylenex, an injectable enzyme that dissolves hyaluronic acid fillers safely and gently.

Hylenex allows our providers to refine results when necessary or correct filler placed elsewhere that feels too full or unnatural.  It restores flexibility and confidence to every patient, knowing that treatments can always be adjusted.

We view Hylenex not as a corrective measure, but as part of responsible, ethical practice. Having it available in-clinic ensures that every filler treatment is performed with transparency and accountability.

Frequently Asked Questions

What do fillers treat?

Fillers restore lost volume, smooth deep lines, and enhance contour. They are also used to hydrate lips, lift cheeks, and balance facial proportions.

Yes. When performed by trained medical professionals under physician supervision, fillers are extremely safe and well tolerated.

Yes. Hyaluronic acid fillers can be dissolved using Hylenex, a medical enzyme available in-clinic at Foreviva.

Results appear immediately and continue to refine over several days.

Longevity depends on the product used, area treated, and metabolism. Your provider will discuss realistic expectations during consultation.

Never. Foreviva’s philosophy is based on balance and subtlety. Our results are always natural.

Only licensed medical professionals trained in advanced facial anatomy and injection technique.

The Foreviva Patient Experience

When you visit Foreviva Medical Clinique, you enter a space that reflects the balance of warmth and professionalism that defines our care. Our environment is bright, elegant, and calm, designed to make every patient feel respected and at ease. Our patient care coordinators greet you with genuine hospitality. From the moment you arrive until you leave, every interaction is guided by attentiveness and expertise. Whether you are visiting for your first consultation or a maintenance appointment, you will feel supported, informed, and valued. Our commitment to long-term relationships means you always see familiar faces who understand your goals and track your progress with care.

Aftercare and Maintenance

After your filler treatment, your provider will guide you through personalized aftercare instructions.

You may be advised to:

  • Avoid vigorous exercise for twenty-four hours
  • Sleep with your head slightly elevated
  • Refrain from pressing or massaging the treated areas
  • Avoid heat exposure or facials for several days

Mild tenderness or swelling is normal and fades quickly.

Your results will continue to refine over the next week as the filler integrates.

A follow-up visit may be scheduled to assess symmetry and ensure your outcome aligns perfectly with your expectations.

Safety and Clinical Integrity

Every filler treatment at Foreviva is performed under the medical oversight of Dr. Joelle Osias, ensuring adherence to the highest standards of safety, sterility, and ethics.

We source all products directly from approved pharmaceutical distributors.  Our team uses sterile technique and evidence-based protocols to minimize risk and ensure predictable, natural outcomes.

In addition, our patients benefit from having Hylenex available on-site for immediate adjustment if ever needed.  This commitment to safety is part of what defines ForeViva’s reputation for excellence.

Why Our Patients Trust Foreviva

Patients across Menlo Park, Mountain View, and throughout the Bay Area choose Foreviva because of the difference they feel from the first moment they walk in.  They trust our expertise, they sense our care, and they value the results: refined, natural, and true to who they are.

At Foreviva, filler treatments are not quick appointments. They are part of an ongoing relationship between patient and provider, built on understanding, trust, and shared goals.  Our role is not simply to inject, but to guide you through a continuum of care that supports your confidence at every stage of life.

Your Journey Begins Here

COMING SOON!
Foreviva Medical Clinique
60 Plaza St E STE 1F
Brooklyn, NY 11238