Cosmetic Injection

  • Cosmetic Injection for Women
  • Men's Cosmetic Injection


The Botox® facial injection is a safe, FDA-approved medication that softens lines and unwanted wrinkles around the eyes, eyebrows, forehead, and mouth.

Our Botox® injection techniques will give you a natural, refreshed, less tired, less “angry” look while not interfering with the normal animation of the face.

Botox® results become visible within a few days and typically last 3-4 months.

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Dysport® is an FDA-approved injection used get rid of moderate to severe frown lines between the eyebrows. This deep wrinkle treatment rejuvenates frown lines and lines formed during animation. Results are visible within a few days and typically last 3-4 months.


Xeomin ® injection is a prescription medication injected into facial muscles for the temporary improvement in the appearance of moderate to severe glabellar lines (frown lines) in adult patients. It is recommended to be administered no more frequently than every three months.


Belotero Balance® is an FDA-approved injection to help temporarily smooth out and fill in moderate-to-severe nasolabial folds (the folds or wrinkles that go from the side of the nose to the corner of the mouth).

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Restylane®, RESTYLANE® LYFT, Juvéderm® and Prevelle®

Hyaluronic Acid (HA) is a natural substance that is found within our skin. The prescription product known by the trade names of Restylane®, Restylane Silk®, Restylane® Lyft, Juvéderm Ultra®, Juvéderm Ultra Plus® and Prevelle®. These are popular and effective FDA-approved soft tissue fillers to manage wrinkles, fine lines, contour irregularities, and volume depletion of the face, cheek folds, and lips.

Using an ultra fine needle, the facial filler is injected directly under the skin in tiny amounts attracting water within the skin, which fills out the lines on the skin surface and creates a more youthful appearance. Each product is engineered to address specific areas of the face. Dr. O’Toole will share his wealth of expertise on which product will achieve optimal results for you.

The procedure is quick to perform, results are immediate, and last up to 6 months. No recovery time is necessary.

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Juvéderm Voluma® XC is the first and only FDA-approved injectable product created to instantly add volume to the mid-face/cheek area to correct age-related volume loss. It can provide contour and a subtle lift for up to two years. No recovery time is necessary.

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Fat Injection/Fat Transfer

A patient’s own body fat can be one of the best sources of facial fillers; used to smooth wrinkles, folds, and depressions on the face or any area of the body.

Most often, fat transfer (autologous fat transplantation) involves removing fat from the abdomen, buttocks, or thighs and placing it into areas of need in the cheeks and lips, resulting in a plumper, lusher, more youthful look.

This is a very natural, non-allergenic office procedure with very little downtime. Fat transfer can be permanent. The effects of the results vary significantly from patient to patient. Fat injection can be an attractive and cost-effective alternative if combined with other procedures such as liposuction.

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Do you have a double chin that just won’t go away? Would you like to re-define your jawline without surgery? Kybella® may be the answer. Kybella® is the first and only FDA-approved injectable treatment to improve the appearance of moderate to severe fat beneath the chin by physically destroying those fat cells. The active ingredient, deoxycholic acid, is a naturally-occurring molecule in the body that aids in the breakdown and absorption of dietary fat. Many patients experience visible results in 2 to 4 treatments. Once treatments are complete, results are permanent*. (*Not for some patients). 

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Skin Resurfacing

Aging, genetics, and environmental factors such as sun exposure and our habits (alcohol, nutrition, smoking) can influence skin texture, the amount of facial wrinkling and uneven pigmentation.

Skin resurfacing, just like all other cosmetic endeavors, needs to be customized to fit your particular skin type and problem.

On a visit to our Pittsburgh cosmetic surgery practice, Dr. O’Toole will analyze your skin and your goals to recommend the appropriate skin resurfacing option for you. Common skin resurfacing options include chemical peels and laser skin resurfacing.

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Chemical Peels

The chemical peel procedure is generally categorized by the type/strength of the chemical that is used and the extent of the treatment that must be conducted.

Chemical peels fall into one of two general categories: Light Peels or Medium/Deep Peels.

Generally, a combination of alpha hydroxy acids (AHA) with trichloroacetic acid (TCA) in low concentrations is used for the light skin peel, which is usually part of an overall skincare program.

Medium and deep facial peels are generally performed with more highly concentrated TCA or Phenol (considered the gold-standard for deep skin resurfacing). These are the strongest peels and are used to treat significant or deep wrinkles.

The whole face, or regions of the face, can be treated. The lower eyelids and areas around the mouth and chin are the most common parts of the face for chemical peels.

Phenol peels are often performed with eyelid and facelift surgery to enhance overall facial rejuvenation. The effects of these peels are long lasting. Specifically, Phenol has been proven effective in clinical studies spanning over 30 years.

The healing time with medium facial peels and deep facial peels vary from 4-10 days depending on the treatment plan that Dr. O’Toole recommends. Normal activities may resume once you have healed. The quality of your skin will improve over 3-6 months, with help from our regimen of customized skincare designed for each patient.

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VI Peel® is a skin treatment used to improve the appearance of the skin on the face, chest, hands or other areas. The VI Peel® is an effective treatment to improve several skin conditions including acne, uneven skin texture, uneven tone, fine lines, wrinkles, acne scarring, sagging skin, age or sun spots, enlarged pores and hyperpigmentation. The VI Peel® also provides a more youthful look by brightening the overall appearance of the skin and improving collagen production. The VI Peel®, like some other chemical peels, can also assist in removing precancerous cells.

The VI Peel® is virtually pain-free and has little-to-no down time.

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