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Science continues to develop new injectable dermal fillers to restore youthfulness to the face, and the latest development in this field is Belotero®, a new, natural injectable filler treatment that is taking the market by storm. Mittelman Plastic Surgery is one of the few practices that offers Belotero® to residents of San Jose, Palo Alto and the surrounding communities of California at its Los Altos office. Belotero® diminishes the appearance of folds and wrinkles around your mouth and nose by stimulating your skin’s natural hydration process.


Belotero® is an FDA-approved dermal filler that specifically treats wrinkles, folds and creases around the mouth and nose. Belotero® contains hyaluronic acid, a natural substance found in your skin that binds with water, increasing the amount of moisture in your skin. Belotero® stimulates your skin’s own natural hydration process to gradually restore volume and fullness. Lines, wrinkles, folds, and creases disappear gradually as your skin’s natural hydration increases over time.


Belotero® diminishes the appearance of wrinkles, creases and fine lines around the mouth and nose, an area of the face that in many individuals present the first and most obvious signs of aging. Belotero® is ideal for patients who seek to increase their skin’s own natural hydration process through a minimally invasive procedure that can achieve long-lasting, natural results. The benefits of Belotero® include:

  • Normal facial expressions and movement are not affected
  • Results are immediately noticeable and improve over time
  • Effectively diminishes facial creases, folds, lines, and wrinkles
  • Looks and feels totally natural because it’s made of natural hyaluronic acid that mimics that produced by your own skin
  • The procedure is safe, simple and quickly performed in the comfort of our office
  • Requires little to no recovery time
  • Low risk of allergy or side effects


Belotero® injections are recommended for adults in overall good health who wish to enhance facial contours and diminish the appearance of stubborn wrinkles, lines, folds and creases in the area of the mouth and nose. The treatment increases facial volume in people with visible damage resulting from environmental toxins, sun exposure, and smoking. Belotero® is not recommended for patients who have numerous or severe allergies that may cause anaphylaxis or those allergic to gram-positive bacterial proteins.


It is important to inform Dr. Mittelman if you are taking any medications, especially any medicines that affect blood clotting, such as aspirin, blood thinners or non-steroidal anti-inflammatory drugs (NSAIDs), or medications that affect your immune system. If you currently have a skin irritation or reaction, such as cold sores, cysts, hives, infections, pimples or rashes, treatment may have to be postponed until the irritation or reaction passes.


Belotero® is injected using a very fine-gauge needle. Typically, Dr. Mittelman will numb the treatment areas using a topical anesthesia to prevent any possible discomfort. Dr. Mittelman will use his skill and expertise to carefully select specific injection sites that will achieve the most flattering, natural-looking results possible.

Immediate improvement in skin luminosity and volume will be noticeable immediately following the treatment, as well as an immediate reduction in lines, creases and wrinkles. As the hyaluronic acid continues to bind with water in your skin cells, the enhanced hydration of your skin will further smooth out lines and wrinkles, gradually over time. Although many patients require only one Belotero® treatment to achieve desired results, some may require a follow-up treatment in six months to further diminish lines and wrinkles around the mouth and nose.


Because Belotero® is usually administered as an elective cosmetic procedure, most health insurers will not cover the costs. At Mittelman Plastic Surgery, we make procedures affordable to all patients by offering flexible financing and accepting other payment options, such as credit cards, personal checks, and cash.

Harry Mittelman, MD, is recognized as a pioneer in facial plastic surgery. As a board-certified facial plastic surgeon, specializing in both surgical and non-surgical or non-invasive cosmetic surgery and plastic surgery procedures, Dr. Mittelman provides his patients with exceptional skills and results that last. For more information on Belotero® or to schedule a private consultation at Dr. Mittelman’s office, please contact us today.We serve the entire Southbay and Bay Area including Los Altos, Palo Alto, Menlo Park, Redwood City, Mountain View, San Mateo, San Jose, Santa Clara, Sunnyvale and the surrounding areas.

Read Our Reviews

“I have been going to Dr. Mittelman for various procedures since 1999. He is personable, easy to talk to and absolutely sane about what to do and when. I appreciate his calm advice as much as i do his surgical skills, which are_the best_ A special note about the staff – they are considerate and…”

Hank B.

“I had my upper eyelids done by Dr. Mittelman. I was expecting improvement, but I think the results are fabulous. Dr. Mittelman and I talked a lot about what I was hoping to get out of the surgery and what he thought was possible. I had some wrinkles and heavy “hooding” that made me look…”

Mary S.

“Over the years I have had different procedures done by Dr. Mittelman. I prefer to have the smaller surgeries as I go along the way, they are less invasive and provide more natural results. Dr. Mittelman has delivered excellence in professionalism each and every single time. H is an excellent plastic surgeon, more like a…”

Jaqueline D.

“Dr. Mittelman, the master of administering BOTOX with fabulous results! His staff is super friendly and their office is extremely diligent in providing a safe, sterile, and clean environment, particularly during these unprecedented times – COVID-19”

KM from Monte Sereno

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