Melanie Gómez, APRN Official Endolift provider and aesthetic injector in Downtown Miami
Melanie Gómez is a Florida-licensed Advanced Practice Registered Nurse who performs Endolift laser skin tightening, neuromodulators (Botox, Jeuveau, Dysport), dermal fillers, biostimulators, SkinVive, Morpheus8 and CO2 CoolPeel at Elda Silva Studio | Medspa, 275 NE 18th St, Suite CU1, Miami, FL 33132.
Refined, medical-grade results that still look like you. For women and men in Miami who want definition without surgery, and a straight answer about what they actually need.
- Candidacy checked first: you only hear about treatments you qualify for.
- One provider, start to finish: Melanie evaluates, plans and performs every treatment herself.
- Medical-grade protocols: every treatment runs under a physician-reviewed protocol.
- Authentic products only: sourced direct from Allergan, Evolus, Galderma, Merz and Eufoton.
Candidacy before anything.
Every visit starts with an evaluation, and some end with "you don't need this yet."
Authentic products only.
Sourced direct from Allergan, Evolus, Galderma, Merz and Eufoton. Ask to see the box.
5.0 on Google.
Google Top Rated. Read the reviews on Google.
Who is Melanie Gómez, APRN?
Melanie Gómez is the medical provider at Elda Silva Studio | Medspa in Downtown Miami. She holds a Florida APRN license and performs every medical aesthetic treatment at the studio herself: Endolift, injectables, biostimulators, SkinVive, Morpheus8, CO2 CoolPeel and IPL.
She trained on Endolift with Eufoton, the Italian manufacturer of the LASEmaR 1500, and is listed as an official provider. She is formally trained on Morpheus8 and Lumecca IPL. Every protocol she runs is physician-reviewed.
Melanie co-hosts the medical aesthetics episodes of the Elda Silva Podcast, where she answers the questions people are embarrassed to ask in a consultation.
- APRN, Florida Board of Nursing (verify any provider at flhealthsource.gov)
- Official Endolift provider, Eufoton trained
- Formally trained on Morpheus8 and Lumecca IPL
- Elda Silva Studio | Medspa, Florida Health Care Clinic License #6036858
"My job is to tell you what your face actually needs, in what order, and what to leave alone. The best result is the one nobody can point to."Melanie Gómez, APRN
Which treatment is right for me?
Most people arrive asking for a device. Melanie starts from the concern. Here is how she typically maps them; the consultation confirms it.
Endolift in Miami with an official provider
Laser skin tightening under the skin, in one session, under local anesthesia. Performed by Melanie as one part of an individualized skin tightening protocol.
Endolift is a minimally invasive laser skin tightening treatment performed with the FDA-cleared Eufoton LASEmaR 1500, a 1470 nm diode laser delivered through an optical fiber thinner than a hair. Melanie Gómez, APRN performs Endolift at Elda Silva Studio | Medspa in Downtown Miami, as one part of an individualized skin tightening protocol.
One fiber. Two actions.
- 1
Retraction
The 1470 nm wavelength is absorbed by water in the connective tissue just under the skin. The tissue is designed to contract as new collagen forms over the following months, which typically reads as a firmer, more defined jawline and neck.
- 2
Lipolysis
The same wavelength is absorbed by fat. The treatment is designed to reduce small pockets under the chin and along the jawline in the same pass, which is why Endolift is typically chosen for people who need both tightening and slimming rather than one or the other.
One patient, one session
Before
AfterEndolift jawline + under chin · 1 session · Typical result. Individual results may vary.
Key facts
| Device | Eufoton LASEmaR 1500, FDA-cleared (510(k) K092860) |
| Areas | Lower face, jawline, under chin, neck, lower eyelid; body areas by evaluation |
| Anesthesia | Local |
| Session | About 2 hours, including numbing and mapping |
| Sessions | Typically one; a second is evaluated at follow-up |
| Downtime | Typically mild swelling or bruising for a few days |
| Results | Some tightening is visible early; collagen results build over 3 to 6 months |
| Longevity | Commonly 2 to 3 years; natural aging continues |
Endolift compared with the alternatives
| Endolift | Surgical facelift | Thread lift | Waiting | |
|---|---|---|---|---|
| Anesthesia | Local | General | Local | None |
| Downtime | Typically days | Typically 2 to 4 weeks | Typically days to a week | None |
| Fat under the chin | Designed to reduce it in the same session | Addressed surgically | Unchanged | Unchanged |
| Longevity | Commonly 2 to 3 years | Longest lasting (with scars and surgical risk) | Commonly 12 to 18 months | Laxity typically increases |
| Who it suits | Mild to moderate laxity | Advanced laxity | Mild laxity, no fat concern | People still deciding |
Melanie evaluates each face for a skin tightening protocol. It typically pairs Endolift with other treatments; the combination is decided at the consultation.
Botox, fillers and biostimulators in Downtown and Midtown Miami
Dosed by muscle and placed by structure. Under-treat, reassess at two weeks, adjust only if needed.
Melanie Gómez, APRN performs neuromodulators (Botox, Jeuveau, Dysport), hyaluronic acid dermal fillers, biostimulators (Sculptra, Radiesse) and SkinVive by Juvéderm at Elda Silva Studio | Medspa in Downtown Miami. Every product is sourced direct from the manufacturer and every plan is built after a facial assessment.
Neuromodulators
Botox Cosmetic is FDA approved for frown lines, crow's feet, forehead lines and platysma bands; Jeuveau and Dysport are FDA approved for frown lines. Melanie doses by muscle strength and expression pattern, so movement stays and lines typically soften. Results typically appear within 3 to 14 days and last 3 to 4 months.
Dermal fillers
Hyaluronic acid fillers are designed to restore volume in the cheeks, lips, chin and jawline. Melanie uses a cannula where it reduces bruising risk and places conservatively; a second visit is typically better than an overfilled first one. HA filler is dissolvable, which is one reason she recommends it for first-time patients.
Biostimulators
Sculptra (poly-L-lactic acid) and Radiesse (calcium hydroxylapatite) are designed to stimulate your own collagen rather than adding volume directly. Results build over 2 to 3 months and are commonly reported to last up to two years for Sculptra and around a year for Radiesse. Typically 2 to 3 sessions.
SkinVive by Juvéderm
FDA approved in May 2023 to improve cheek skin smoothness and in June 2026 for neck lines. It is a hyaluronic acid microdroplet injectable for skin quality and hydration rather than volume, with results typically lasting up to 6 months.
Before
AfterLips, 1 syringe hyaluronic acid · 2 weeks after · movement preserved, natural proportion · Typical result. Individual results may vary.
"Will I look done?"
Melanie's rule is under-treat and reassess. You are photographed at baseline, seen at two weeks, and adjusted only if needed. Most first-time patients leave with less product than they expected to need.
Morpheus8 and CO2 CoolPeel in Miami: which resurfacing path is mine?
Two devices, two different jobs. Melanie chooses by skin type, concern and how much downtime you can take.
Morpheus8 is FDA-cleared fractional radiofrequency microneedling designed to treat laxity and texture from underneath the skin at adjustable depths. CO2 CoolPeel, delivered with the FDA-cleared DEKA Tetra PRO laser, is designed to resurface the skin for tone, pores and fine lines with typically 1 to 2 days of redness.
| Morpheus8 | CO2 CoolPeel | |
|---|---|---|
| Works on | Laxity, texture, acne scars, deeper remodeling | Surface texture, pores, sun damage, fine lines |
| Depth | Adjustable, into the dermis and below | Superficial, fractional ablation |
| Downtime | Typically 24 to 48 hours of redness | Typically 1 to 2 days of redness |
| Sessions | Typically 1 to 3, four to six weeks apart | Typically 3 to 4, four to six weeks apart |
| Skin tone | Energy adjusted by skin type per the device clearance | Evaluated case by case; deeper skin tones get a conservative protocol |
Skin tone safety. Melanie adjusts energy and depth by Fitzpatrick type and does a test spot when there is any doubt. If your skin tone raises the pigment risk for a treatment, she tells you and proposes the safer path.
How do I know I can trust the person holding the needle?
- Verify the license yourself. Melanie's APRN license is public record. Search "Gomez" on flhealthsource.gov and check the status before you book anywhere.
- Ask who the medical director is. In Florida, injectables and lasers run under physician oversight. Ours is named at the bottom of this page, where it belongs.
- Ask where the product came from. Botox, Jeuveau, Sculptra, Radiesse, SkinVive and Endolift fibers arrive direct from Allergan, Evolus, Galderma, Merz and Eufoton. Ask to see the box.
- Process guarantee. Candidacy is checked before anything is recommended. If Melanie would not do it on herself, she will say so.
Same light, same angle, no filters.
Before
AfterEndolift jawline · 1 session · Typical result. Individual results may vary.
Before
AfterEndolift neck · 1 session · Typical result. Individual results may vary.
Before
AfterEndolift under chin · 1 session · Typical result. Individual results may vary.
Before
AfterLips, first filler · 1 syringe · 2 weeks · Typical result. Individual results may vary.
Before
AfterLips, shape refinement · 2 weeks · Typical result. Individual results may vary.
Before
AfterLips, proportion · 2 weeks · Typical result. Individual results may vary.
Typical results. Individual results may vary. Every image is published with written consent, at the same angle and lighting, without filters or retouching.
What patients say about Melanie
Google Top Rated, 5.0 rating. Every review is public and unedited.
“Melanie was extremely kind and professional. She created a safe and comfortable environment, which I truly appreciated.”
“[Melanie] is simply a professional. I loved her attention and the results. She restored the radiance my face needed. I highly recommend her work.”
“Excellent service from the moment you arrive until you leave, a place where you are truly attended to by professionals; on this occasion it was NP Melani and she is a great person, very satisfied with her work.”
“Elda is a lovely girl, and the other girls are very kind and professional. Melanie is very sweet and very professional.”
“Melanie is excellent!! Super professional”
Reviews are quoted verbatim from Google, including spelling. Melanie Gómez is an APRN (nurse practitioner); one reviewer's honorific was replaced with her name in brackets.
Frequently asked questions
Reviewed by Melanie Gómez, APRN. Last updated September 2026.
Is Endolift FDA approved?
Endolift is performed with the Eufoton LASEmaR 1500, which is FDA-cleared under 510(k) K092860 for soft tissue procedures including laser-assisted lipolysis. "Endolift" is the manufacturer's name for the technique. Ask any provider to show you the device clearance, and be careful with pages that say "FDA-approved."
How much does Endolift cost in Miami?
Endolift in Miami is typically priced per treatment area. Melanie gives you an exact investment at the consultation after mapping which areas you actually need; many people need fewer than they expected. Financing through Cherry is available.
Does Endolift hurt?
The treatment is done under local anesthesia. Most patients describe pressure and warmth rather than pain. The session takes about two hours including numbing.
How long does Endolift last?
Results are commonly reported to last 2 to 3 years. Collagen results build over 3 to 6 months. Aging continues, so maintenance is planned at follow-up.
How many Endolift sessions do I need?
Typically one. A second session is evaluated at the follow-up visit based on how the tissue responded.
What is the downtime after Endolift?
Typically a few days of mild swelling or bruising. Most people return to work within a day or two and to social events within a week.
Endolift vs Morpheus8: which is better?
They do different jobs. Endolift is designed to work under the skin on laxity and fat in one pass and is typically one session. Morpheus8 is designed to remodel texture and mild laxity through the skin over 1 to 3 sessions. Melanie often uses them for different faces, and sometimes together in a protocol.
Who is a good candidate for Endolift?
Adults with mild to moderate skin laxity in the lower face, jawline or neck, with or without fullness under the chin. Advanced laxity is typically better served by surgery, and Melanie will say so.
How much is Botox in Miami?
Botox in Miami is priced per unit, and the number of units depends on muscle strength and the areas treated. Melanie tells you the exact unit count and investment at the consultation before anything is injected.
Botox vs Dysport vs Jeuveau: what is the difference?
All three are FDA approved neuromodulators. Botox is approved for four aesthetic areas, Dysport and Jeuveau for frown lines, with other areas treated off-label at the provider's judgment. Onset and spread differ slightly. Melanie picks based on your anatomy and any previous response.
How long does lip filler last?
Hyaluronic acid lip filler typically lasts 6 to 12 months. Melanie places conservatively and rechecks at two weeks.
What is SkinVive and is it a filler?
SkinVive by Juvéderm is a hyaluronic acid microdroplet injectable that improves skin smoothness and hydration in the cheeks (FDA approved 2023) and neck (FDA approved 2026). It adds skin quality rather than volume, so it is a different job from a filler. Results typically last up to 6 months.
Is Morpheus8 safe for darker skin?
Morpheus8's FDA clearance restricts the highest energy settings to lighter skin types. Melanie adjusts energy and depth by skin type and does a test spot when in doubt.
What is CoolPeel and what is the downtime?
CoolPeel is a fractional CO2 resurfacing treatment delivered with the FDA-cleared DEKA Tetra PRO. A full face takes under 10 minutes and downtime is typically 1 to 2 days of redness.
What is an APRN, and can a nurse practitioner do injectables in Florida?
An APRN is an Advanced Practice Registered Nurse, licensed by the Florida Board of Nursing. In Florida, APRNs perform aesthetic injectables and laser treatments under a protocol with a supervising physician. Elda Silva Studio | Medspa operates under that model.
Where is Melanie located?
Elda Silva Studio | Medspa, 275 NE 18th St, Suite CU1, Miami, FL 33132, in Downtown Miami's Arts & Entertainment District, minutes from Edgewater, Midtown, Wynwood, the Design District and Brickell. Call (786) 878-2897.
Find out what your face actually needs.
A medical evaluation with Melanie, a written plan, and a straight answer. Endolift availability is limited each week.