BOTOX® Cosmetic vs. Juvederm®

Woman getting Botox and dermal fillers
If you want to reduce the visible signs of aging, BOTOX® Cosmetic and Juvederm® can deliver fast, efficient results in different ways. BOTOX® Cosmetic is a neuromodulator that relaxes muscles that cause wrinkles through repeated, daily contractions. Juvederm is a dermal filler that restores volume and replenishes naturally occurring, skin-healing compounds.

At the Laser and Skin Surgery Center, board-certified dermatologist Dr. Renuka Diwan has nearly 30 years of experience helping her Cleveland patients attain radiant, youthful-looking skin. She can help diminish the visible signs of aging that you’re unhappy with. Read on to learn about the differences between BOTOX® Cosmetic and Juvederm, as well as how Dr. Diwan can use them to help you. Continue reading BOTOX® Cosmetic vs. Juvederm®

Mini-Facelift or Dermal Fillers: Which Do I Need?

Woman With Wrinkles Touching Face
Time and gravity can take a toll on your face, leaving you with wrinkles, creases and sagging skin. Facial aging is a concern for many of Dr. Diwan’s patients, but how they choose to address it varies. While some patients prefer a mini-facelift, others find that dermal fillers are the better option. At The Laser & Skin Surgery Center, we strive to provide you with both surgical and non-surgical solutions so you can choose a treatment option that best meets your needs.
Continue reading Mini-Facelift or Dermal Fillers: Which Do I Need?

Debunking BOTOX® Cosmetic Myths

Woman With Forehead Wrinkles Who Needs BOTOX Cosmetic

BOTOX® Cosmetic is one of the most popular non-surgical treatments for reducing the appearance of wrinkles. FDA-approved for use in more than 96 countries, BOTOX® Cosmetic injections are performed on more than 1.5 million people annually. Despite its popularity, or perhaps because of it, there are many myths surrounding its use.  At The Laser & Skin Surgery Center, many of our clients have seen successful results with BOTOX® Cosmetic injections, which is why we’d like to help dispel these misconceptions so you can better determine if BOTOX® Cosmetic is right for you.
Continue reading Debunking BOTOX® Cosmetic Myths


Stubborn fat beneath the chin (submental fat) can be extremely difficult to get rid of. Many men and women continue to struggle with the appearance of a double chin despite exercising regularly, eating right, and maintaining a healthy weight. While facial liposuction can help to sculpt a slimmer, well-contoured chin, not everyone is ready to undergo a surgical procedure. Dr. Diwan now offers Kybella, an injectable, FDA approved treatment that can help to finally eliminate that problem chin fat.

How does Kybella work?

Kybella is a non-surgical injectable treatment that is administered beneath the chin in order to reduce stubborn double chin fat. You will have a one-on-one consultation with Dr. Diwan in order to create a personalized Kybella treatment plan. This will be based on the amount of existing fat, your natural facial contours, and your desired outcome. When you come in for your Kybella treatment, Dr. Diwan will mark your injection sites using a specially created template. As Kybella is injected at the marked areas beneath your chin, the naturally occurring bio acid causes the fat cells to die. Over time, the destroyed fat cells are naturally eliminated from your body, leaving behind a slim, well-toned contour of your chin, jawline and neck.

kybella before and afterThese photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.

How long is Kybella recovery?

Most patients are able to resume their regular activities shortly after their Kybella treatment with Dr. Diwan. You may experience some numbness or redness along your neck, but this should fade over the next few days. While Kybella is a non-surgical treatment, you will achieve the best result from a board certified dermatologic surgeon like Dr. Diwan.

When will I notice the results of my Kybella treatment?

You should begin noticing results after just one month. Dr. Diwan may recommend a series of two or four Kybella sessions in order to achieve your desired outcome. The wonderful thing about Kybella is that once the fat cells are eliminated, they will not come back. However, it is important to maintain a healthy lifestyle in order to avoid excessive weight gain. To see Kybella before and after results, please click here.


Spider veins—those visible dark blue or red veins that often show up on the legs—are a common problem, especially among women. While not normally physically painful, spider veins can cause problems with low self-esteem and may prevent you from wearing certain types of clothing due to embarrassment. Sclerotherapy is a non-surgical injectable treatment performed by Dr. Renuka Diwan to help eliminate the appearance of these spider veins.

“I was on the beach and I looked down on my legs…they look amazing!!! No veins! Dr. Diwan did an amazing job. Thank you!” – SZ

How is Sclerotherapy performed?

Sclerotherapy remains the treatment of choice for  patients with spider veins, and can provide extremely effective results. The results are more predictable than those from laser treatment of spider veins. Sclerotherapy is an office procedure, which involves injection of the spider veins with a concentrated salt-water (saline) solution. Other solutions are available for injection, but saline is the safest and most effective in our experience. Dr. Diwan has helped many men and women by safely and effectively treating their spider veins with saline injection sclerotherapy. Sclerotherapy causes minor discomfort—similar to that from eyebrow tweezing or waxing—for most patients. If desired, Dr. Diwan can use an anesthetic cream prior to your Sclerotherapy to minimize any discomfort.

How long is Sclerotherapy recovery?

Following your treatment, you should be able to return to your normal routine with little to no downtime. You will have small bruises at the injection sites which fade over 7-10 days. Wearing long pants or a long skirt helps to hide the bruises. We recommend wearing compression hose of the treated areas for three days. Dr. Diwan will provide you with detailed care instructions once your treatment is complete.


These photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.

When will I notice the results of my Sclerotherapy treatment?

After just one sclerotherapy treatment, the problem veins often fade dramatically or disappear completely. However, it will take six weeks (*) for the final result from the treatment session to be evident. A second or third treatment may be recommended for further improvement and disappearance of the veins. The best time to have sclerotherapy is in the winter and spring, since it is easier to keep the legs sun-protected and hide the small temporary bruises.  Sun protection before and after sclerotherapy is important to minimize the risk of pigmentation, especially in darker skin types. As new veins may appear, over time, in patients with a tendency to have spider veins, additional treatments with Dr. Diwan may be necessary to keep your legs looking their best.

To see Before and After Pictures please click here

Lip Augmentation

Thin lips are a common concern for many and may be the result of either genetics or age. Having fuller lips often translates into feeling more attractive, a more youthful look,  higher self-esteem, and of course–more smiles. At the Laser and Skin Surgery Center, Dr. Renuka Diwan offers patients a non-surgical approach to lip enhancement, helping her patients achieve the fuller, more youthful smiles they desire.

How is a non-surgical lip augmentation performed?

The lips become thinner with age and restoring fullness is an important part of facial rejuvenation. Greater fullness and definition of the upper or lower lips can be achieved with a painless, surgery-free lip enhancement. Dr. Diwan is able to increase the fullness of the lips using dermal fillers such as Restylane®, Restylane Silk  or Juvéderm Ultra®. These fillers are safely injected into the lips to enhance their definition and size while maintaining a natural appearance and proportion. These filler injections can be repeated periodically to maintain the desired fullness of your lips. A very small amount of Botox, carefully injected in the lips, can also increase the visible height of the lip, and help to prevent too much fullness from fillers.

How long is lip augmentation recovery?

There is little to no downtime following a non-surgical lip enhancement with Dr. Diwan. You may experience some minor swelling or discomfort, but this should fade over the next couple days. Dr. Diwan will provide you with detailed care instructions.  Most patients are able to return to their daily routines.


These photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.


These photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.

When will I notice my lip enhancement results?

You will notice an immediate change in the look of your lips following your treatment. At first, they may appear a little swollen, but over the next few days, any swelling will dissipate, and your lips will appear naturally fuller.

How long will the results of my lip augmentation last?

Because the fillers used will not provide permanent results, we recommend returning for a little more filler to maintain lip enhancement every 6 months or when you notice that your lips are losing  their fullness (*).

To see Lip Filler Before and After Pictures please click here


Restylane® & Restylane Lyft®

Facial lines and wrinkles are a normal part of aging. However, they can often leave you feeling self-conscious about your appearance– or even less like yourself. Restylane, Restylane Silk and Restylane Lyft are three popular dermal fillers used to reduce or eliminate the signs of aging and restore a more youthful facial appearance.

How are Restylane & Restylane Lyft treatments performed?

Restyle, Restylane Silk and Restylane Lyft are non-animal derived, FDA-approved hyaluronic acid filler products.  Hyaluronic acid is one of the natural components of skin. Dr. Diwan carefully injects Restylane into the skin to fill out surface depressions such as wrinkles and depressed acne scars. Restylane can significantly improve skin creases on the forehead, between the eyebrows, or on the upper and lower lips; it can reduce smile lines and marionette lines (extending down from the corners of the mouth), as well as  the creases across the neck and creases on the ear lobes. Restylane is also FDA-approved for restoring the fullness of the lips. Restylane Silk is the filler of choice for very fine lines on the lips or eyelids; or for creases in the thin skin of the neck. Restylane Lyft is similar to Restylane, but is more robust and more suitable for deeper grooves on the face or for restoring fullness to the face in hollow areas or areas of larger volume loss. 2016-11-17 10_59_34-Loss of Fullness Before & After Gallery These photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.
2016-11-17-10_52_50-lips-and-mouth-before-after-gallery These photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.

How Long is Restylane Recovery?

A useful feature of Restylane, Restylane Silk and Restylane Lyft is that there is no need for allergy testing before having treatment, because they are not  animal-derived products. Some redness–easily camouflaged by makeup–occurs in the treated areas and may last for a few days. Otherwise, there is no downtime following your treatment.

When will I notice the final results of my Restylane or Restylane Lyft treatment?

An important advantage of these two fillers is that the improvement obtained with Restylane and Restylane Lyft is immediate and expected to last 6 to 12 months (*). As you notice the results of your treatment beginning to fade, you may choose to return for touch-up treatments to maintain a youthful appearance.

To see Before and After Pictures please click here


Losing volume in your face can leave you with a gaunt or aged appearance. This can occur for various reasons, but is most often the result of a loss of facial fat as you get older. Dr. Diwan can use Sculptra to help replenish facial volume for a lifted, more youthful appearance. Diwan_July16Blast copy 2

How is a Sculptra treatment performed?

A youthful face is often fuller and softer than the face of a more mature person. Aging causes hollowing of the cheeks, temples and other parts of the face. Sculptra is an FDA-approved synthetic filler for the non-surgical augmentation of facial volume. Thin, athletic people also have loss of fat and a sunken look of the cheeks.  Restoration of facial volume has a rejuvenating effect, restoring the face to a fuller, more youthful appearance.  Sculptra requires preparation of the product two days prior to injection, and your treatment must be scheduled and confirmed with Dr. Diwan at least two days ahead of time.

sculptra treatment

You and Dr. Diwan will develop an effective treatment plan for your Sculptra procedure. Your Sculptra treatment will consist of several individual sessions spread about two months apart. With each injection under the skin, Sculptra works to replenish collagen beneath the skin, providing you with gradual, natural-looking results. SculptraPhotoImageTransformationElissa These photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.
2016-11-17-10_59_34-loss-of-fullness-before-after-gallery These photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more. 2016-11-17-10_59_50-loss-of-fullness-before-after-gallery These photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.

How long is Sculptra recovery?

There is no recovery or downtime following a Sculptra treatment. After each Sculptra session with Dr. Diwan, you are free to return to your normal schedule.

When will I notice the final results of my Sculptra treatment?

It will take several sessions ( an average of six) before achieving the full results of your Sculptra treatment. The number of individual sessions will depend on your own unique situation and desired outcome. Each treatment session will provide you with subtle, immediate results. What makes Sculptra different from other fillers is that it provides you with gradual results, leading up to a natural-looking rejuvenation. Sculptra can help smooth away facial wrinkles and lift folds of sagging skin. You should continue to see the benefits of your Sculptra treatment for two years or longer.

To see Before and After Pictures please click here


Juverdem Treatment in Cleveland, Westlake, & Strongsville Area. As you get older, your face begins losing volume, leaving behind signs of aging such as wrinkles, folds, and hollow areas. These effects of aging can be reversed through a professional and artistic use of hyaluronic acid fillers. Dr. Renuka Diwan can help to restore a youthful, smooth-skin appearance using the Juvéderm line of  fillers.

How is Juvéderm Treatment Performed?

Juvéderm Ultra XC and Ultra Plus XC are used at the Laser & Skin Surgery Center by Dr. Diwan. Both of these fillers are approved by the FDA and contain hyaluronic acid, a naturally occurring substance found in your skin. These fillers are designed to replenish your skin’s supply of hyaluronic acid, helping to fill in fine lines, wrinkles, and areas of lost volume. Dr. Diwan will carefully administer each syringe of Juvéderm into pre-determined locations based on your consultation. Juvéderm can be used in areas of the face, such as around the nose, lips, and mouth. For many patients the skin is numbed with an anesthetic cream for Juvéderm treatment, and because the hyaluronic acid gel is completely natural, there is little risk of an allergic reaction.

Questions about Juvederm?

The smile and marionette (extending below the corners of the mouth) grooves can be improved by injecting Juvéderm Ultra or Ultra Plus into the creases and filling them out. Juvéderm is also effective in correcting dark circles caused by grooves under the eyes.

juvederm before and afterThese photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.

Juvederm Voluma has distinctive properties that make it the most suitable filler for restoring youthful fullness and correct the contours of the aging face (sunken and hollow cheeks). The availability of Juvederm Voluma has revolutionized facial rejuvenation by making it possible to have immediate results that also last significantly longer,  up to 18-24 months (*).


These photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.


These photos are from a specific patient. Results may vary. Schedule a personalized consultation with our doctor to learn more.

How long is Juvéderm recovery?

There is no recovery period associated with a Juvéderm treatment. You may experience some minor soreness, bruising, or redness, but these should fade within days and can be camouflaged with a concealer. Many patients choose to come in for  Juvéderm treatment during their lunch break and return to work in about one hour.

When will I notice the final results of my Juvéderm treatment?

Juvéderm Ultra and Ultra Plus will provide you with instantaneous results, helping to dramatically improve common signs of aging such as the frown creases, dark circles caused by volume loss, the creases around the mouth (parentheses), vertical lip lines, or marionette lines. Juvéderm can also be used to restore fullness to thinning lips. Juvederm Voluma will immediately provide fullness in sunken areas of your cheeks and restore facial balance and youth to your appearance. These fillers provide a natural transformation of your appearance in 30-45 minutes.

How long will my Juvéderm results last?

The results of a typical Juvéderm treatment will last for anywhere from 6-12 months, depending on how much movement there is in a given area. You can enhance the results of your treatment, when needed, by combining Juvéderm with other fillers or injectables such as Botox. As the lines and wrinkles begin to return, you may choose to undergo further treatments to maintain your youthful appearance. Juvederm Voluma provides contour improvement for 18- 24 months.

Would like to learn more about your Juverdem treatment options?

If you are in Cleveland, Westlake, Strongsville OH or other surrounding neighborhood and interested in getting Juverderm treatment, Dr. Diwan is here to provide you with all the information that you need. Schedule a Juvederm consultation with Dr. Diwan today to learm more.

Schedule a Consultation

Or Call us at 440.871.9832

Our office is conveniently located in Westlake, OH – only 25 minutes from Cleveland, 30 minutes from Strongsville and a 15 minute drive from Cleveland Hopkins International Airport.

To see Juvederm Before and After Pictures please click here