Washington, DC BOTOX

Botox &/or Dysport may be used alone or along with injectable facial fillers to reduce lines and wrinkles of the face and restore a more youthful and rested appearance. Botox &/or Dysport injections relax the muscles that cause lines and wrinkles, while facial fillers plump up and smooth wrinkles and other skin depressions. There is a clear distinction between muscle relaxants like Botox & Dysport and Dermal Fillers like Restylane, Juvederm, Perlane and Radiesse.  Dermal fillers are used to fill in wrinkles after the lines have formed.  Fillers are not preventative.  Botox and Dysport are actually best used at an early age to prevent formation of lines and wrinkles.  Today, we have many patients, in our Northern Virginia office, or our Chevy Chase Maryland office, in their 20's and 30's who start a routine yet conservative low-dose Botox or Dysport regimen, in order to prevent getting wrinkles.  But if you already have wrinkles, Botox or Dysport can reduce the appearance of the wrinkles and improve them over time. 

There are many different ways of adding volume to the face including facial implants, fat injections, Radiesse, collagen products like Zyplast, Cosmoderm as well as Artefill, and hyaluronic acid products like Restylane, Hylaform, Juvederm, Perlan, Captique and others. Individuals seeking a quick improvement to facial lines and wrinkles without significant downtime may be good candidates for Botox or facial fillers.

Dermal fillers may be used to reduce wrinkles but they can also be used to add volume and sexappeal to the lips as well as enhance the cheek area, quickly and relatively safely. 

Dr. Naderi performs Botox, Dysport and facial dermal filler injections in his Washington DC offices and the procedures are quick, lasting just one to ten minutes! Anesthesia is not necessary, though a topical numbing agent, ice or dental block can be used to maximize the patient's comfort. Many of the dermal fillers today come with Lidocaine premixed for patient comfort.  Lidocaine is a numbing solution similar to Novocaine.  Dr. Naderi does all of the injections himself personally and his gentle and precise technique often times results in less pain, less bruising and more aesthetic results.  We hear this kind of testimonials and praises from hundreds of happy patients who have been to multiple other plastic surgeons or dermatologists for Botox or Filler injections but become fans of Dr. Naderi's techniques after having injections by Dr. Naderi.  Dr. Naderi is also a clinical instructor for Allergan and Medicis, teaching other doctors and dermatologists and nurse injectors how to properly inject Botox, Dysport, Restylane and Juvederm.

Botox & Dysport are administered with a very fine (30g) needle directly into the muscle. Botox & Dysport may be used in the areas surrounding the eyes, forehead, mouth and neck to treat crow's feet, frown lines, worry lines, and lines on the neck. Botox & Dysport work by weakening the muscles responsible for wrinkles and lines, and may also be used to treat migraine headaches, excessive sweating, and muscles spasms in the eyes and neck. Results tend to last three to six months. Botox may also help improve the smile of "gum smilers" by reducing excess gum show during smiling.

Collagen injections are able to fill in sunken areas of the face and smooth lines and wrinkles. Zyderm and Zyplast are bovine-derived forms of collagen, while Cymetra, Cosmoderm and Cosmoplast, Fascian and Autologen are human-derived forms of collagen. Artefill is derived of 75% bovine collagen and 25% polymethyl-methacrylate microspheres. The results of most types of collagen may last anywhere from two to six months, though Artefill is a permanent filler providing longer lasting results. Zyplast and Artefill both require allergy skin testing four weeks before the procedure.

Fillers made of hyaluronic acid include Captique, Restylane, Perlane, Hylaform, Juvederm and others. Restylane is used to smooth wrinkles, sculpt lips and shape facial contours, while Perlane can treat deep facial lines, augment the lips and contour the chin and cheeks with a liquid cheek lift or liquid face lift.    Both provide results lasting up to a year. Hylaform and Juvederm treat facial wrinkles and folds and add volume, with results typically lasting six months to a year. Fillers last the shortest in the lips and the longest under the eyes.  Restylane can be used to volumize the lips in a very subtle conservative manner and to reduce smokers verticle lip lines or in a much more sensual and dramatic fashion.  Restylane can also be used to fill in the tear troughs or dark circles due to hollowness under the eyes.  Restylane can also be used in a select few patients in their nose for a non surgical rhinoplasty. 

Radiesse is a synthetic injectable filler comprised of calcium hydroxylapatite that can be used to treat wrinkles, creases and scars with results reported to last one to two years. Fat injection involves the removal of fat from one area of the body, such as the thighs or abdomen, which is then re-injected into facial areas to add volume and fill in lines and wrinkles. Results are long lasting although 2 or 3 procedure sessions may be necessary for the final result.

Botox and injectable facial fillers are relatively very safe and have little to no downtime. Bruising can occur. Patients are usually able to immediately return to work and other normal activities.

Q - What are facial fillers?
Facial fillers, also referred to as injectable fillers, can restore a more youthful appearance to the face by minimizing the appearance of lines, wrinkles and other skin depressions. When injected beneath the skin, facial fillers plump and smooth surface irregularities and sunken areas of the face. There are many different facial fillers including Restylane, Captique, Radiesse, Juvederm, Artefill, Zyplast and Cosmoderm.

Q - What is Botox?
Botox is a non-surgical injection which may be used to temporarily reduce the appearance of some lines and wrinkles. Botox works by temporarily paralyzing and relaxing the muscle responsible for a given wrinkle. Crow's feet, frown lines, worry lines and lines on the neck can all be treated. Botox can also be used to treat migraine headaches, excessive sweating, and muscle spasms in the eyes and neck.

Q - Is Botox or a facial filler right for me?
Botox or a facial filler may be right for you if you're seeking quick improvement in facial lines and wrinkles without significant downtime.

Q - What does a consultation for injectable fillers or Botox entail?
During the consultation, the surgeon will examine your facial skin, take a medical history, and discuss your goals. A course of treatment will be recommended and all aspects of the procedure will be explained including the technique, the risks, costs and so on.

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