People ask me, “What’s the difference between fillers and Botulinum like Botox ®, Dysport®, Jeuveau® and Xeomin®?” The answer is simple–Fillers fill in loss of space. As we get older, we get more cavities around our face. We lose fascia, we lose fat, we even lose some bone. Those fillers “fill in” so we look more even toned and our faces can be created to be more harmonious. Some fillers are Calcium based and actually promote collagen production under the skin. Others, like Juvederm®, Restylane® and Versa® are Hyaluronic acid fillers made up of similar material that our body already makes and stores in high concentrations in places like the tear trough area and joints.

As far as botulinums, they actually freeze the muscles. They relax the muscles and shrink them so that those lines that we have disappear. Most of us need the fillers and botulinum to give us back that youthful look we had years ago.


Meet Our Doctors

Dr. Jeffrey Spiegel


Dr. Jeffrey Spiegel

With special expertise in all aspects of facial plastic surgery, and a particular skill for revision surgery, it’s clear why Dr. Spiegel is one of the most celebrated facial plastic surgeons in the world. If you are seeking the best possible results, or have a uniquely challenging problem, you’ve found the right doctor.

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Dr. Onir L. Spiegel


Dr. Onir L. Spiegel

Dr. Onir (pronounced “oh-near”) has years of experience in facial aesthetics and treats some of the most recognizable and famous faces. Dr. Onir started her career in oral health, earning doctorate degrees from both New York University and Boston University. She has been the recipient of numerous awards for her cutting-edge medical research as well as her technical skills in dentistry.

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Dr. Jacob Tower


Dr. Jacob Tower

A board-certified specialist in facial plastic surgery, Dr. Jacob Tower brings a thoughtful approach and an artistic eye to New England’s premier plastic surgery practice, The Spiegel Center in Newton, Massachusetts. In addition to being an in-demand surgeon, Dr. Tower is an assistant professor at the Boston University School of Medicine, a sought-after lecturer, and an expert in facial plastic surgery.

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