How far in advance should I book before a holiday event?

Rejuran microneedling should be booked five to six weeks before your event. Dysport should be booked at least two to three weeks in advance to allow the product to settle fully.

What is Rejuran microneedling and how is it different from regular microneedling?

Rejuran microneedling combines traditional microneedling with a polynucleotide solution that supports skin repair and regeneration at a cellular level. It improves skin quality, hydration, and texture more deeply than microneedling alone.

Will Dysport make me look frozen for the holidays?

No. When Dysport is tailored to your facial movement and goals, it softens expression lines while maintaining natural movement. The result should look refreshed, not frozen.

Is there downtime after Rejuran microneedling?

There may be some redness and sensitivity for one to two days after treatment. Booking well in advance ensures this has fully resolved before your event.

Best Clinic for Skin Treatments | Sisu Clinic Newyork, Florida, Houston

December in the United States looks different depending on where you are.

In New York, the city is already dressed for the season: lights on Fifth Avenue, ice rinks in the parks, and a social calendar that fills up fast. In Houston, the weather is mild and the holiday party circuit runs from late November through New Year. In Fort Lauderdale and Miami, it is warm enough to wear something sleeveless to a rooftop event on Christmas Eve.

But wherever patients are sitting down with Johana Costillo, the question is the same.

How do I look my best for the holiday season without it being obvious?

Johana is a PA and injector at Sisu Clinic Fort Lauderdale. She works alongside a team of injectors across Sisu Clinic's locations in New York City, Houston, and Florida, and her approach to holiday season prep is one she has refined through countless consultations with patients across all of those cities.

"People come in at this time of year wanting to look polished and refreshed," she says. "They want to feel confident in photos, at parties, at family dinners. They do not want to look like they have just had something done. That is the brief I work from."

Here is how Johana would approach the festive season, and what her recommended plan looks like for patients preparing for Christmas events from New York to Miami.

Her starting point: skin that looks genuinely healthy

Johana begins every holiday prep conversation the same way.

Before she talks about Dysport, before she mentions any injectable treatment, she looks at the skin. Because in her experience, the most common reason patients look tired or dull in photos has less to do with lines and more to do with skin quality.

"Skin that is dehydrated, uneven, or lacking luminosity can make someone look more fatigued than they actually are," she explains. "If I can improve the skin itself, everything else looks better."

For her holiday prep plan, Johana recommends Rejuran microneedling as the foundation treatment.

What Rejuran microneedling does

Rejuran is a polynucleotide-based treatment derived from salmon DNA that works to repair and regenerate the skin at a cellular level. When combined with microneedling, it is delivered deep into the skin where it can support collagen production, improve elasticity, strengthen the skin barrier, and restore hydration from within.

The result is not a change in facial structure. It is a visible improvement in skin quality. Patients typically notice smoother texture, better tone, reduced fine lines, and a natural radiance that looks like genuinely healthy skin rather than a treatment outcome.

"Rejuran microneedling is one of my favorites for this time of year," Johana says. "It gives the skin that well-rested, well-hydrated look that photographs beautifully. And because it works from within, it looks completely natural."

Whether a patient is coming in from the Upper East Side, Montrose in Houston, or Brickell in Miami, Johana gives the same advice on timing: book Rejuran microneedling four to six weeks before the first major event on the calendar. This allows the skin to complete its regeneration cycle and for the full results to become visible before the party season begins.

"The mistake people make is booking too close to the event," she says. "You want to see the skin after it has had time to fully respond, not while it is still in recovery."

Then: Dysport for the upper face and neck

Once the skin quality foundation is in place, Johana turns her attention to expression lines.

Her injectable of choice for holiday season prep is Dysport, a fast-acting neuromodulator that she uses to address the upper face and, when appropriate, the neck.

"Dysport is my go-to for this time of year because it tends to settle quickly and the results look very natural," she says. "For patients who want to look refreshed for a specific date, the timing works well."

For the upper face, Johana typically treats the forehead, the glabella (the area between the brows), and the crow's feet around the eyes. These are the areas where expression lines most commonly make someone look more tired or tense than they feel.

The goal is never to remove all movement. It is to soften the lines that read as fatigue or stress while keeping the face expressive and natural.

"When Dysport is done well, nobody should be able to tell," Johana says. "Your friends will just think you look well-rested. That is exactly the outcome we are going for."

This applies whether the patient is heading to a rooftop party in SoHo, a holiday dinner in the Flatiron District, a corporate event in Houston, or a New Year's Eve gathering in Miami. The result should always look like them, just at their best.

The neck: an area people often overlook

One recommendation Johana makes that surprises many of her patients is treating the neck.

At this time of year, holiday outfits often mean lower necklines, off-the-shoulder styles, or dresses that draw attention to the neck and decolletage. Visible platysmal bands, the vertical lines that can appear on the neck with age and muscle movement, can be softened with carefully placed Dysport.

"It is a small addition to the treatment plan but it can make a real difference," she says. "Especially when someone is wearing something that shows the neck. It creates a cleaner, more refined appearance overall."

Dysport should be booked at least two to three weeks before the event to allow the product time to settle fully and for any minor adjustments to be made if needed.

The full holiday prep plan, as Johana would follow it herself

If Johana were preparing her own skin for the holiday season, this is exactly how she would approach it:

Five to six weeks before: Rejuran microneedling to improve skin hydration, texture, tone, and natural radiance
Three weeks before: Dysport to the forehead, glabella, and crow's feet, with optional neck treatment for platysmal bands
Ten days before: A skin review to assess results and make any minor adjustments if needed
The week of the event: A consistent skincare routine, SPF during the day, adequate hydration, and rest

The spacing between treatments is deliberate. Johana believes the biggest mistake patients make before a big event is trying to do too much too close to the date.

"Give your treatments time to work," she says. "That is when you see the real result. Not the day after, not the week after. Four to six weeks after, when the skin has fully responded and the Dysport has settled, that is when you walk into the room and feel genuinely good."

She says this to patients in New York, she says it to patients in Houston, and she says it to patients in Florida. The city changes. The advice does not.

Your treatment plan should not come from a trend

Aesthetic trends move quickly across the country. Social media can make fuller lips, sculpted cheeks and sharp jawlines appear to be the default. But a trend is not a treatment plan.

What suits one person may not suit another person's facial structure, skin quality, lifestyle, or goals. A result that looks striking in a filtered close-up may feel out of proportion in everyday life.

At Sisu Clinic, whether you are visiting a location in SoHo, the Flatiron District, the Upper East Side, the Upper West Side, Montrose in Houston, Fort Lauderdale, or Brickell City Center in Miami, the focus is not on recreating someone else's features. It is on understanding what would help each patient feel more confident and then creating a plan that respects their individuality.

That may involve Rejuran microneedling, Dysport, skin-quality treatments, a gradual combination of approaches, or no treatment at all.

Why holiday prep is not about looking different

There is a question Johana asks every patient who comes in before a big occasion.

Not what do you want to change, but how do you want to feel when you walk into the room?

"That question changes the whole conversation," she says. "Most people do not want to look dramatically different. They want to feel confident. They want to look in the mirror before they leave the house and feel good about what they see. That is a very different goal from transformation."

This philosophy shapes every treatment decision she makes. It is why she starts with skin quality rather than volume. It is why she uses Dysport to soften rather than freeze. It is why she builds treatment plans that are spaced out and considered rather than rushed.

It is the same philosophy that runs through every Sisu Clinic location, from the Upper West Side in New York to the lobby of Brickell City Center in Miami.