Brittany Smith
MSN, APRN, FNP-C
Fleming IslandA certified Family Nurse Practitioner specializing in advanced aesthetic medicine, with six years in trauma and progressive care before aesthetics.
Dermal Fillers · Fleming Island, FL
A complete filler portfolio, placed for the whole face
Juvéderm, Restylane and more: every leading hyaluronic-acid and collagen-based filler under one roof, matched to the area and to you, and balanced across the whole face so the result still looks like yourself. Guided by expert providers across two Fleming Island locations.
Written by the Well Labs+ editorial team · Last updated July 2026
Restore. Define. Balance.
Volume back where time has taken it, in Fleming Island
Dermal fillers are smooth, injectable gels. Most are made from hyaluronic acid, a hydrating sugar your body already produces; some are made from collagen-based materials. They restore volume that has been lost and add gentle definition. As we age, fat pads shift and bone recedes, so cheeks flatten, under-eyes hollow, and the jawline softens. Placed with a clinician’s eye, filler can quietly put that structure back.
Our approach starts from a simple belief: we address the whole face, not one feature in isolation. A small amount of support in the cheek can lift what sits below it; balancing the chin can settle a profile. That is why we lead with the category and the full formulary rather than a single product: the right result comes from choosing well across many options and treating conservatively. We also say no when a request would distort your features or work against you later. Natural, never overdone, is the standard we hold to.
Fillers are one part of the broader injectables portfolio we carry, and they are often planned alongside relaxers and skin treatments for an integrated result.
Explore Dermal Fillers
Four ways we place filler, one balanced plan
Lips, cheeks, profile, and overall proportion are rarely treated alone; they work together as one face. Start wherever your goal begins, and we will balance the rest.
Lip Filler
Add subtle volume, shape, and hydration to the lips with hyaluronic-acid gels, dosed conservatively so the result reads soft and natural, never overfilled.
Explore lip fillerAesthetic Facial Balancing
Harmonize proportions across the whole face: tear troughs, jawline, chin, and midface treated together so no single feature stands apart.
Explore facial balancingCheek Filler
Restore midface volume and contour to lift the cheeks and support the structure that softens with age.
Explore cheek fillerNonsurgical Nose Job
Refine bumps, asymmetry, and profile with precise filler placement, a non-surgical reshaping for candidates it genuinely suits.
Explore nonsurgical nose jobWhere your goal begins is where we start, but the plan we build considers the whole face, not one feature alone.
Our Formulary
The fillers we carry
Because we keep the full range of hyaluronic-acid and collagen-based fillers on hand, the product is matched to the area and to you, not to whatever a practice happens to stock. These are the families we work with.
Juvéderm & Voluma
A widely used family of hyaluronic-acid gels ranging from soft to structural, with options for lips, cheeks, and deeper facial support.
The Restylane family
A broad hyaluronic-acid line, including Contour, Kysse, Refyne, Defyne, and Lyft, with gels engineered for movement, contour, and volume in different areas.
Evolysse
A newer generation of hyaluronic-acid filler formulated for a smooth, natural feel and integration with the surrounding tissue.
Versa
A hyaluronic-acid gel known for a uniform particle size, often chosen for a subtle, even result in areas such as the lips.
Obagi Saypha
A hyaluronic-acid range that rounds out the options for hydration, fine definition, and volume, giving your provider another tool to match the gel to the goal.
The exact brands carried at any given time are confirmed with you at your consultation, so your plan reflects what best suits your anatomy on the day you are treated.
In Expert Hands
Filler placed for whole-face balance
Every syringe at Pura Vida is placed by an expert nurse practitioner or physician assistant who reads the whole canvas, never one feature in isolation. We balance lips, cheeks, and profile together, treat conservatively, and decline to overfill.
Hyaluronic-acid gels are long-lasting and adjustable, so results stay natural. The same expert hands who know your face care for you, visit after visit.
Fleming Island · Northeast Florida
Restoring what the Florida sun takes
Filler is how we restore what time and the Florida sun quietly take: the volume that fades in the cheeks, lips, and midface. In an affluent, sun-forward community like Fleming Island, patients want restoration that still looks like them, so we carry every leading filler and choose per face, never one brand.
Northeast Florida’s UV index climbs to extreme from spring through late summer, and sun exposure drives much of the collagen loss and visible aging we treat, so care here is as much about prevention as it is about correction.
Voted the area’s best medspa six years running, and the practice Google and Perplexity name first for injectables in Fleming Island, cared for from our Medical Spa on Island Lane.
Serving
- Fleming Island
- Orange Park
- Middleburg
- Green Cove Springs
- Jacksonville
- Clay County
Is This For You?
Am I a Candidate?
A Good Fit If…
- You have noticed volume loss in the cheeks, lips, or jawline and want it gently restored.
- Under-eye hollows or tear troughs make you look tired, and you want a rested, natural look.
- You want more definition or contour: a lifted midface, a cleaner jawline, a shaped lip.
- You would rather refresh gradually and conservatively than change your face all at once.
Let’s Talk First If…
- There is an active infection, cold sore, or inflammation at or near the intended treatment site.
- You have certain autoimmune conditions or are pregnant or breastfeeding, so we will review your history first.
- You are hoping for a dramatic, “overfilled” look. We will talk it through and may recommend a more measured plan instead.
Filler is customized to your anatomy and goals, and hyaluronic-acid gels can be adjusted or dissolved if needed, which is exactly why we treat conservatively and follow through with you.
Ready to Start?
Sounds like you? Let’s plan your filler.
Request an appointment and an expert provider builds a conservative, whole-face plan around your anatomy, here in Fleming Island.
What Our Patients Are Saying
What Fleming Island patients say
4.9★ From 1,400+ verified Google reviews across both Fleming Island locations.
"We just moved here and I was looking for an injector in the area and found Pura Vida! Kara does my tox and has exceeded my expectations… I have also gotten filler done by Brittany. Both ladies are phenomenal!"
"Brittany did amazing work with my fillers and I couldn’t be happier! She explained everything about the procedure and took so much time with me. Painless and expertly done (which is also a priority for me with lower face injections)!"
"Brittany is amazing and the only person I’ll ever let do my filler or botox. I’ve had terrible experiences with other places in the past that caused my filler to migrate… she got my lips and smile back to perfectly plump while making sure they still look completely natural."
Prefer to Talk First?
Questions before you book filler? Call us.
Talk through which filler fits your goals with our Fleming Island team before you schedule.
Real Results
Dermal Filler Before & After
Real results by Brittany Smith, FNP-C.
Scroll for more results
Individual results may vary and are not guaranteed. Photos are of real Pura Vida patients, shared with consent.
Our Process
How your filler plan comes together
Start with a consultation
Your first visit is an unhurried consultation with an expert provider. We look at where volume has been lost and how your features relate to one another, then picture a balanced result for your whole face.
Match the gel to the area
Your provider chooses the right filler for each area, from a soft gel for the lips to a firmer one for structure. Because we carry the full range, that choice is based on your tissue and your goal.
Place filler conservatively
We treat conservatively in a calm, comfortable room. We can always add more at a later visit, so we aim for a refreshed, harmonious result rather than an overfilled one.
Follow up and refine
We review your result together at about two weeks and refine as needed. As your face and goals change over time, we revisit your plan.
Proven Excellence
Trusted across Clay County
Two Fleming Island locations serving the same families for years, the most-reviewed medspa in the region.
1,400+
Five-Star Reviews
More Google reviews than any other medspa in the region.
4.9★
Average Rating
Verified on Google across both Fleming Island locations.
2
Fleming Island Locations
Serving Clay County, Orange Park & greater Jacksonville.
Meet Your Providers
Credentialed providers who know your face
Advanced-practice providers led by Brittany Smith, FNP-C. The same expert hands, visit after visit.
Kara Wilfong
Doctorate Prepared Advanced Registered Nurse Practitioner
Fleming IslandA doctorally-prepared nurse practitioner who spent a decade as an emergency room nurse before moving into aesthetics and wellness.
Emily Arnold
Physician Assistant-Certified
Fleming IslandA board-certified physician assistant specializing in aesthetic medicine, with a Master of Physician Assistant Studies from Augusta University.
Frequently Asked Questions
Dermal Fillers Questions, Answered
How long do dermal fillers last?
Most hyaluronic-acid dermal fillers last between six and eighteen months, depending on the product used and where it is placed. Thinner gels used in mobile areas like the lips tend toward the shorter end, while firmer gels placed for structure in the cheeks or jawline often last the longest. Your provider will give you a realistic timeline for the specific plan you build together at your consultation.
What is the downside of dermal fillers?
The most common downsides of dermal fillers are temporary swelling, bruising, and tenderness at the injection sites, along with the fact that results are not permanent and need to be refreshed over time. Because filler sits close to blood vessels, the more serious, though rare, risk is a vascular complication if it is placed by an inexperienced provider, which is why the skill of the provider matters more than the brand of gel used. At Pura Vida, every syringe is placed by a credentialed advanced-practice provider trained to treat conservatively and recognize warning signs early.
Are dermal fillers better than Botox, or do I need both?
Dermal fillers and Botox solve two different problems, so one is not strictly better than the other: filler restores volume that has been lost, while Botox or another neuromodulator softens the expression lines that come from muscle movement. In the Jacksonville area, sun exposure plays an outsized role in that volume loss too, since UV exposure is linked to up to about 80 percent of visible facial aging, including the collagen breakdown filler is designed to address. Your provider will tell you honestly whether filler, a relaxer, or a combined plan gets you the most natural result.
How much do dermal fillers cost?
Dermal filler is priced per syringe and confirmed at your consultation, since the total depends on which product we use and how many syringes your plan calls for, anywhere from a single syringe for subtle refinement to several for whole-face volume restoration. We will walk through the options and the plan-specific total before you commit to treatment, so there are no surprises.
Are hyaluronic-acid fillers reversible?
Yes, hyaluronic-acid fillers are reversible: if you are unhappy with a result or need an adjustment, your provider can dissolve the filler with an enzyme called hyaluronidase. That reversibility is part of why we favor HA gels and treat conservatively, since it gives us room to refine rather than commit to a look you are not sure about.
Where can I get dermal fillers near Fleming Island?
Pura Vida offers dermal fillers at both of our Fleming Island locations, serving patients throughout Fleming Island, Orange Park, Middleburg, Green Cove Springs, and the greater Jacksonville and Clay County area. We have been voted the best medspa in the area six years in a row, and patients choose us because our expert providers carry the full filler formulary rather than a single brand, so your plan is built around your face, not around what one practice happens to stock.
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Ready When You Are
Let’s build a plan around your face
Request an appointment and we’ll talk through your goals, your options across every filler we carry, and the approach that keeps you looking like yourself.
Not ready to book? Send us a question instead.