Facial Treatments in Colombia: Fillers, Botox, Biostimulators and Harmonization
The practice in Bocagrande, Cartagena performs hyaluronic acid fillers, botulinum toxin, collagen biostimulators, endolifting and facial harmonization, along with the correction of filler placed somewhere else. Which one applies to you is not chosen from a catalog: it is chosen after your anatomy is imaged with ultrasound, because the same complaint — “I look tired” — can come from lost volume, from skin laxity or from an overactive muscle, and each cause is treated differently.
Imaging before treating
- WHAT THEY ARE
One face, several tools — and a decision about which one
Facial aesthetic treatments work on three different things: volume and structure (dermal fillers, biostimulators), muscle activity (botulinum toxin) and skin quality or laxity (endolifting, biostimulators, mesotherapy).
A face that looks tired rarely has a single cause, which is why treating whatever bothers you most, in isolation, is how results end up looking uneven. The plan comes first; the product second.
- THE TREATMENTS
The facial treatments performed here
Each treatment has its own page, with what it does, how long it lasts and what it does not solve. They all share the same ground rules: the anatomy is imaged with ultrasound before treating, hyaluronic acid can be dissolved if needed, and most treatments allow a return to normal activity the same day. And when what you are asking for cannot be solved by injecting, the assessment says so: some cases need surgery.
Lip fillers
Volume and border definition with hyaluronic acid, in the proportion your face can carry.
Non-surgical rhinoplasty
Corrects the nasal dorsum and tip with filler. Ultrasound-guided, because of how the area is vascularized.
Jawline filler
Defines the mandibular angle and the chin, with product placed on bone.
Collagen biostimulators
Stimulate your own collagen for dull skin and mild laxity. The result shows over months, not days.
Endolifting
Laser under the skin for moderate laxity, with no incisions and no visible scar.
Filler correction
Locates filler placed elsewhere with ultrasound, then decides whether to dissolve it or reshape it.
- PROBLEM AND TREATMENT
Which treatment answers which problem
Rather than a catalog, this is the honest mapping between a problem and the treatment that actually addresses it.
Lost volume or structure
Dermal fillers or collagen biostimulators, depending on how much and where.
Expression lines
Botulinum toxin, which relaxes the muscle creating the line.
Skin laxity
Endolifting or biostimulators, depending on the degree of sagging.
Dull, dehydrated skin
Biostimulators such as Profhilo, or mesotherapy.
An undefined contour
Jawline and chin filler, placed on bone under ultrasound.
A result you dislike
Ultrasound-guided correction: locate the product first, then decide.
- STEP BY STEP
How a facial treatment is planned, step by step
The same protocol, whichever treatment is chosen.
Assessment
Ultrasound scan of the areas being considered, to map vessels, nerves and tissue planes — and, if you have had treatments before, to see what product is already there.
Choosing the treatment
The treatment is chosen for what the assessment found, including the case where the honest answer is that no treatment is warranted right now.
Guided procedure
The procedure is performed with real-time ultrasound where imaging adds control, which is most injectable treatments.
Result and follow-up
A check-up reviews the result and adjusts if needed. Plans with several areas are staged rather than done at once.
- REAL RESULTS
Facial treatments before and after
Real patients treated by Dr. Vives.
- ABOUT THE SPECIALIST
Dr. Jorge Vives Gutiérrez
Radiologist and aesthetic physician, with a career built on ultrasound imaging. Because of that dual training, the assessment here starts with an image rather than with a treatment plan.
- Universidad de Cartagena, Colombia
- Medical degree validated in Spain
- Speaker at international congresses
- Radiologist — member of the Asociación Colombiana de Radiología
- Member of the CMAC and AAAM expert committees
- International speaker for the Colombian Society of Radiology
- Trains physicians in ultrasound-guided injection technique
- Faculty: Ultrasound and Interventional Techniques in Facial Aesthetics
Where this procedure is performed
The same ultrasound-guided assessment wherever you are treated. Travel from abroad is coordinated in English, around the city that fits your trip.
Cartagena
The main practice, in Bocagrande. Full consultations, ultrasound assessment and filler treatment in the same visit.
Book in CartagenaBogotá
Dr. Vives travels on scheduled dates and sees patients at a partner clinic. Same assessment protocol; procedures are planned around the confirmed date.
Request dates in BogotáMedellín
Dr. Vives travels on scheduled dates and sees patients at a partner clinic. Same assessment protocol; procedures are planned around the confirmed date.
Request dates in MedellínBogotá and Medellín are consultation days at partner clinics, not permanent offices — dates are confirmed before you travel.
Start with a virtual consultation- BOOK YOUR APPOINTMENT
Book your consultation
The first step is a personal assessment with Dr. Vives — in Bocagrande, Cartagena, or online before you travel.
- FAQ
Frequently asked questions about facial treatments
The questions international patients ask most before choosing a facial treatment.
How much do facial treatments cost in Colombia?
It depends entirely on the treatment and on how many areas are involved. Prices are set at the assessment consultation, once the plan is defined — a quote given before examining your face is a price list, not a plan. International patients can request the equivalent in US dollars before traveling.
Which treatment do I actually need?
The assessment answers exactly that. As a rough guide: lost volume and structure respond to fillers or biostimulators; expression lines to botulinum toxin; skin laxity to endolifting or biostimulators; dull, dehydrated skin to biostimulators or mesotherapy. Most faces need a combination, staged over time.
How long do the results last?
Botulinum toxin 3 to 6 months. Hyaluronic acid 6 to 18 months depending on the area. Collagen biostimulators up to 2 years. None of them stop the aging process — they reset the starting point.
Do the treatments hurt?
Topical anesthetic is applied and most fillers contain lidocaine, so discomfort is limited in injectable treatments. Most patients describe pressure. Swelling or small bruises for a few days are normal depending on the area.
Are they reversible?
Hyaluronic acid can be dissolved with hyaluronidase. Botulinum toxin cannot be reversed, but it wears off in 3 to 6 months. Biostimulators are not reversible either — which is one reason the choice of product matters more than the brand name.
Why does Dr. Vives use ultrasound?
Because it shows where the vessels and tissue planes actually are in your face, rather than where anatomical averages say they usually are. It also reveals product from previous treatments before anything new is added — treating over an unknown is how a poor result becomes a worse one.
Can treatments be combined?
Yes, and most plans do combine them, because they act on different things. What changes is the sequence: some treatments are staged weeks apart so each result can be evaluated before the next step.
Can I see Dr. Vives in Bogotá or Medellín?
Yes. Dr. Vives is based in Cartagena, where he sees patients on a regular weekly schedule at his practice in Bocagrande. He also travels to Bogotá and Medellín on scheduled dates each month and sees patients at a partner clinic in each city, following the same assessment protocol.
Fillers are assessed and placed in the same visit in all three cities. Dr. Vives travels with his own ultrasound equipment, so the vessels and tissue planes are imaged before injecting wherever you are treated.
Because Bogotá and Medellín are consultation days rather than permanent offices, dates are confirmed before you travel. Request the next available date through the form and we will confirm the city and the date with you. If you are traveling from abroad, you can also start with an online consultation before booking your trip.
- EXPLORE
Explore each treatment
Each treatment has its own page, with what it does, what it costs and what it does not solve.
Facial harmonization
Balance and proportion, planned for each face.
Dermal fillers
Filler for lips, tear troughs, cheeks and folds, with natural results.
Botox
Softens expression lines on the forehead, glabella and around the eyes.
Ultrasound-guided fillers
Procedures guided by ultrasound for greater precision.