Dr. Sigler is one of the BEST in her field. I was hesitant of the possible headache to travel from the USA to Tijuana for Botox. Would it be worth the hassle.  I’m also a nurse in the USA and was also careful to observe  Dr. Sigler’s excellent bedside manner and cleanliness approach to everything she did. I was also impressed with Dr. Sigler’s other surgical expertise. I saw photos of the work she is doing for post surgical bariatric patients. Amazing!!! Is all I can say.
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I would not hesitate to recommend Dr. Sigler 100%. I’m a grandmother in my 50’s and when I have my grandson people think he is my child. Best compliment ever.

In regards to my concern of the “hassle” of going to Mexico for Botox , a friend and I made a fun day out of it. We had fun shopping and eating till our hearts content after our Botox. Will I do it again, absolutely and will be bringing more friends with me.
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‍— Plucky4923 | Realself

There are many types of dermal fillers. In addition to “off-the-shelf” fillers that use synthetic (manmade materials) and substances that naturally occur in your body, healthcare providers can use fat from your own body. Healthcare providers call this procedure “autologous fat grafting,” where they remove fat from one part of your body and inject it into your face.
The types of off-the-shelf fillers include:
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Hyaluronic acid (HA) is a naturally occurring acid in your skin. It gives your skin volume and keeps it hydrated. With age, your body stops making hyaluronic acid.
Results from HA injections usually last six months to a year. Restylane® is a commonly used type of HA filler.

Calcium hydroxylapatite (CaHA) is a type of filler that consists of a substance you have in your bones. Results from these fillers typically last around a year. Healthcare providers usually use CaHA fillers for deeper wrinkles. Examples of CaHA fillers include Radiesse®.

Poly-L-lactic acid (PLLA) is a substance that helps your body create its own collagen. Healthcare providers usually use poly-L-lactic acid to smooth deep wrinkles on your face. The results can last two years or more. Types of PLLA fillers include Sculptra®.

Polymethylmethacrylate (PMMA) fillers consist of collagen and very small balls that stay under your skin after your healthcare provider injects them. The balls give your skin volume and keep it firm. Bellafill® is one type of PMMA filler.

Dra Sigler prefers the use of fillmed brand fillers.

ANTI-AGEING AND COSMETIC TREATMENTS EXPERTISE Dedicated to aesthetic medicine since 1978. Laboratories FILLMED, experts in anti-ageing, develop aesthetic and cosmetic treatment solutions using hyaluronic acid and high performance active ingredients.

Fillmed is an exclusive collection of hyaluronic acid-based fillers with lidocaine, designed to smooth out superficial-to-deep wrinkles, plump up the lips and create/restore the volumes and contours of the face.

Anyone who is forming wrinkles on the upper half of the face due to constant repetition of expressions is a good candidate for this treatment. The results look natural, and getting started early in life can even prevent wrinkles from forming in the first place.

Don’t get a facial or head massage for a full 24 hours after Botox. You should also avoid rubbing your face in the area that was treated.
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Don’t lie down for at least 3 hours after receiving Botox. Don't go into any saunas, hot tubs, or tanning booths for at least 4 hours. This helps to prevent bruising, because heat can raise your blood pressure. Otherwise, you can resume your regular activities right after getting Botox.