Facial aging is personal — and so is the solution. Prime Vitality Care offers physician-administered Botox, dermal fillers, and our signature Invisilift non-surgical facelift. Every treatment begins with a full facial analysis by Dr. Shiv Goel, MD.
Every protocol is customized after a comprehensive facial analysis and health assessment — because lasting facial rejuvenation starts with understanding your unique anatomy.
Botox, Dysport, Juvederm, Restylane, Sculptra — precision-injected by a physician for natural, balanced results.
FaceTite internal RF + Morpheus8 external RF + PDO suture lift — a surgical-level facelift without the surgery.
In-depth assessment of skin laxity, volume loss, asymmetry, and aging patterns before any treatment begins.
PRP and exosome therapies to stimulate your body's own collagen production and tissue regeneration.
Precise anatomical mapping of facial proportions to guide filler placement and achieve harmonious, balanced results.
Hormonal imbalances accelerate facial aging. We assess and address the internal factors driving external changes.
Prime Vitality is San Antonio's physician-led injectable and facial rejuvenation practice. Every treatment starts with a full facial analysis — assessing volume loss, skin laxity, symmetry, and your aesthetic goals before anything is injected.
Dr. Shiv Goel personally administers advanced procedures including Botox, dermal fillers, PDO thread lifts, and his signature Invisilift non-surgical facelift. No hand-offs to technicians. No cookie-cutter protocols. Just physician-level precision in every treatment.
"The best aesthetic results come from understanding the face as a whole — not just treating individual wrinkles. I look at structure, proportion, and biology before I pick up a syringe." — Dr. Shiv Goel, MD
Whether you're preventing your first lines or restoring lost volume, there's a treatment plan built for you.
You're noticing crow's feet, forehead lines, or the "11s" between your brows. You want to smooth them out before they deepen — and prevent new ones from forming.
You've lost cheek fullness, developed hollow temples, or notice your face looks "deflated." You want natural restoration — not an overdone look.
Post-weight-loss facial changes, aging, or life events have affected how you feel about your appearance. You want to look like yourself again — refreshed and confident.
You're in your 30s and want to stay ahead of the curve. Smart Botox, skin maintenance, and collagen-stimulating treatments keep you looking your best for decades.
Flip each card to learn how we combine injectables, regenerative biology, and advanced lifting techniques into one comprehensive facial rejuvenation program.
Botox, Dysport, and Xeomin to smooth crow's feet, forehead lines, frown lines, and more. Also used for TMJ, migraines, and hyperhidrosis. Physician-injected for precise, natural results.
Book Botox Treatment →Juvederm, Restylane, RHA, Radiesse, and Sculptra to restore volume in cheeks, lips, jawline, temples, and under-eyes. Dr. Goel uses advanced cannula techniques for minimal bruising.
Explore Fillers →Dr. Goel's signature non-surgical facelift combining FaceTite internal RF, Morpheus8 external RF microneedling, and PDO suture suspension — surgical-level lift without scars or general anesthesia.
Learn About Invisilift →Lip augmentation, lip flip (Botox), and vermillion border definition with Juvederm, Restylane Kysse, and RHA. Subtle or dramatic — your call.
Book Lip Treatment →Dissolvable PDO threads mechanically lift sagging skin while stimulating new collagen production. Targets jowls, mid-face, brows, and neck for immediate lift with progressive improvement.
Ask About Thread Lifts →Jawline definition with dermal fillers and Kybella for submental (double chin) fat. Masculine jawline sculpting is one of our most requested treatments for men.
Sculpt Your Jawline →A customized combination of Botox and dermal fillers to restore volume, smooth wrinkles, and create a lifted appearance — all without surgery. Dr. Goel tailors every liquid facelift to your unique facial anatomy.
Explore Liquid Facelift →Minimally invasive radiofrequency-assisted lipolysis (RFAL) that melts fat and tightens skin from the inside out. Delivers surgical-level contouring for jowls, lower face, and nasolabial folds — with only a tiny entry point.
Learn About FaceTite →Radiofrequency neck contouring that eliminates turkey neck, neck bands, and submental fullness. NeckTite delivers internal and external RF energy simultaneously for dramatic skin tightening without a traditional neck lift.
Explore NeckTite →Deep fractional RF microneedling that remodels collagen up to 4mm below the surface. Tightens skin, reduces pore size, smooths acne scars, and improves overall texture — with minimal downtime. Often combined with PRP for enhanced results.
Book Morpheus8 →The first needle-free, hands-free facial treatment that simultaneously tones facial muscles and tightens skin using HIFES and synchronized RF. Lifts brows, cheekbones, and jawline in just 20 minutes — zero downtime.
Discover Emface →24-karat gold-plated microchannel delivery system infusing a custom cocktail of micro-Botox, hyaluronic acid, vitamins, and growth factors directly into the dermis. Creates an instant glass-skin glow with pore tightening.
Book AquaGold →Harvest your own fat (typically from abdomen or flanks) and reinject it into the face for natural, long-lasting volume restoration. Rich in stem cells, fat grafting also improves skin quality in treated areas over time.
Explore Fat Transfer →Sculptra (poly-L-lactic acid) and Radiesse (calcium hydroxylapatite) stimulate your body to rebuild its own collagen. Results develop gradually over 3–6 months and can last 2+ years — the ultimate natural rejuvenation.
Learn About Biostimulators →A light-guided suture system that lifts and tightens the neck and jawline from the inside — no external incisions. Uses ICLED technology to precisely place permanent sutures that redefine the cervicomental angle and platysmal bands.
Ask About MyEllevate →A multi-modality combination facelift using radiofrequency energy, microneedling, and targeted muscle stimulation to restore facial contours. Designed for patients who want comprehensive rejuvenation in a single-session protocol.
Explore Kinetic Facelift →Our most comprehensive non-surgical facelift combining FaceTite, NeckTite, Morpheus8, PDO threads, and targeted fillers into one transformative session. For patients who want maximum results without going under the knife.
Learn About Ultra Facelift →An advanced internal approach using radiofrequency-assisted lipolysis and suture suspension to lift the face and neck with zero visible scars. All entry points are hidden behind the ear or within natural creases.
Discover Scarless Lift →Kybella is the only FDA-approved injectable that permanently destroys submental fat cells. A series of targeted deoxycholic acid injections eliminates the double chin without surgery or liposuction.
Eliminate Your Double Chin →A regenerative filler that combines hyaluronic acid with amino acids and antioxidants to hydrate, plump, and revitalize the skin from within. Ideal for fine lines, crepey skin, and overall facial rejuvenation with a natural, radiant finish.
Ask About Biovita →The most powerful intense pulsed light (IPL) platform available. Treats sun damage, age spots, rosacea, broken capillaries, and hyperpigmentation in as few as 1–2 sessions. Reveals a brighter, more even skin tone fast.
Book Lumecca →A precise exfoliation technique using a sterile surgical scalpel to remove dead skin cells and vellus hair (peach fuzz). Instantly smoother, brighter skin that allows better product penetration and flawless makeup application.
Book Dermaplaning →Controlled micro-injuries trigger your body's natural wound-healing cascade, boosting collagen and elastin production. Treats fine lines, acne scars, enlarged pores, and uneven texture. Often paired with PRP or exosomes for enhanced results.
Book Microneedling →Medical-grade peels (glycolic, TCA, Jessner's, VI Peel) exfoliate damaged outer layers to reveal fresh, vibrant skin beneath. Treats melasma, sun damage, acne, fine lines, and dullness. Customized depth from light lunch-time peels to deeper transformative treatments.
Explore Peels →Luxurious, results-driven facials customized by our aesthetics team. Options include HydraFacial, oxygen infusion, LED therapy, and enzyme treatments — each tailored to your skin type, concerns, and goals for an instant Prime Vitality glow.
Book a Signature Facial →Facial rejuvenation unfolds in stages. Here's a realistic timeline of what most patients experience.
Botox smoothing visible by day 7–14. Filler results are immediate with mild swelling subsiding within days. You'll already notice a refreshed, natural improvement.
Collagen stimulation from Invisilift and PDO threads kicks in. Skin tightens progressively. Fillers settle into their final, natural position. Results compound with each passing week.
Full Invisilift results visible. Thread lift collagen production peaks. With a maintenance plan, you look 5–10 years younger — and the results keep improving.
A 45-minute evaluation with Dr. Goel. Comprehensive facial analysis, health history review, and aesthetic goals assessment. You leave with a clear understanding of your options.
Book My Face Consult →A written treatment roadmap with sequenced services, realistic timeline, pricing, and a home skincare protocol. No pressure — just a clear path to your goals.
View Treatments →First treatment same-day or within days. All injectables are physician-administered. Follow-up within 2 weeks to assess results and adjust your plan.
Get Started →You're not buying a single injection — you're enrolling in a physician-supervised aesthetic program built around your face.
Face treatments integrate with our other specialties for comprehensive results.
Face treatments are part of our full aesthetic program — skin rejuvenation, body contouring, and more.
Chemical peels, microneedling, and laser treatments to complement your injectable results.
CoolSculpting, EMSculpt, and RF skin tightening — extend your transformation beyond the face.
PRP, exosomes, and Enerjet hair restoration — because a full aesthetic transformation includes your hair.
Hormonal imbalances accelerate aging. Optimize from the inside out for longer-lasting aesthetic results.
Triple board-certified. America's Best Doctor 2025. Your physician for all treatments.
"I was terrified of looking 'frozen' but Dr. Goel's Botox is the most natural result I've ever seen. My coworkers say I look rested and refreshed — nobody can tell I had anything done. That's exactly what I wanted."
Maria S.
Botox & Neuromodulators
"I lost a lot of facial volume after turning 50. Dr. Goel used Sculptra and Juvederm in my cheeks and temples — the difference is incredible. I look like myself again, not like someone who had 'work done.' His approach is truly artistic."
James T.
Dermal Fillers — Cheeks & Temples
"The Invisilift changed my life. I was considering a surgical facelift but Dr. Goel recommended his signature procedure instead. The results are unbelievable — my jawline is back, my neck is tight, and there's zero scarring. Worth every penny."
Priya K.
Invisilift Non-Surgical Facelift
Absolutely — when injected by a skilled physician. Dr. Goel uses conservative, precision dosing to smooth lines while preserving natural facial expression. The goal is "refreshed," not "frozen." Most patients report that friends notice they look great but can't pinpoint why.
It depends on the product and location. Lip fillers typically last 6–9 months, cheek fillers 12–18 months, and Sculptra can last 2+ years. Jawline fillers (Radiesse, Juvederm Volux) generally last 12–15 months. Dr. Goel will recommend the best product for your goals and longevity expectations.
The Invisilift is Dr. Goel's signature non-surgical facelift. It combines three technologies: FaceTite (internal radiofrequency for deep tissue tightening), Morpheus8 (external RF microneedling for skin resurfacing), and PDO suture suspension (for mechanical lift). The result is a surgical-level lift without scars, general anesthesia, or extended downtime.
Yes. Dr. Goel personally performs all advanced procedures including Invisilift, PDO thread lifts, and complex filler work. Botox and standard filler appointments may be performed by Dr. Goel or a supervised, trained provider — but every treatment plan is designed by Dr. Goel personally.
Botox at Prime Vitality is $12–14 per unit. Most patients need 20–60 units depending on the treatment areas. Forehead lines typically require 10–20 units, crow's feet 12–24 units, and frown lines (11s) 15–25 units. Our Tox Club membership ($69/mo) includes discounted pricing and monthly unit credits.
Botox and most fillers have zero downtime — you can return to normal activities immediately. PDO thread lifts may involve 3–5 days of mild swelling. The Invisilift typically requires 5–7 days of social downtime with some swelling and bruising, though most patients return to work within a week.
Yes — and we often recommend it. Botox relaxes the muscles that cause dynamic wrinkles, while fillers restore volume in areas of hollowing or sagging. Combining them in a single visit is safe, efficient, and often produces a more balanced, comprehensive result than either treatment alone.
Botox is a neuromodulator — it relaxes muscles to smooth wrinkles caused by movement (crow's feet, forehead lines, frown lines). Fillers are gel-based products injected to restore volume, contour, and structure (cheeks, lips, jawline, under-eyes). They complement each other and are frequently used together for full-face rejuvenation.
Take the first step toward your best face. Dr. Shiv Goel evaluates every patient personally — no hand-offs to technicians, no cookie-cutter protocols.
Your consultation includes a comprehensive facial analysis, health history review, and a written treatment recommendation with realistic expectations and transparent pricing.
Join thousands getting weekly insights on facial aesthetics, injectables, anti-aging science, and skin health — from a physician who treats the whole picture.
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