Botox in the Washington DC Area:
Reston, VA and Chevy Chase, MD
Botox® at The Naderi Center is performed only by physicians: Dr. Shervin Naderi, a double board-certified facial plastic surgeon, and Dr. Alexandra Snodgrass, a board-certified dermatologist. Patients from Washington DC, Northern Virginia and Maryland visit our Reston and Chevy Chase offices to soften forehead lines, frown lines and crow’s feet while keeping natural expression.
Physician-Performed Injections
100,000+ Procedures Performed
4.9★ from 1,100+ Google Reviews
On This PageYour Botox Guide Show all 20Hide
- Who Performs Your Botox
- What Botox Can Do
- Why The Naderi Center
- What Is Botox?
- Areas Botox Treats
- Who Is a Good Candidate
- Your Botox Appointment
- Before and After Photos
- Why Technique Matters
- Where Botox Is Injected
- Botox, Dysport or Daxxify?
- Patient Reviews
- How Many Units You Need
- Botox Cost
- How to Prepare
- Botox Videos
- When You Will See Results
- Side Effects and Safety
- Our Offices
- Botox FAQs



Dr. Shervin Naderi, named to Newsweek America’s Best Plastic Surgeons
- 2023
- 2024
- 2025
- 2026















Who Performs Botox at The Naderi Center?
Every injection at The Naderi Center is performed by one of two physicians, a double board-certified facial plastic surgeon and a board-certified dermatologist, never by a nurse injector or physician assistant. Both physicians see patients in Reston and Chevy Chase.
Specialization Matters!SM

Dr. Shervin Naderi, MD, FACS
Double Board-Certified Facial Plastic Surgeon
Injecting Botox and fillers for more than 20 years
Dr. Naderi performs his own Botox and filler injections and is known for natural results that never look overdone. His injection videos are followed by patients and by other injectors who use them to refine their own technique, and he is regularly invited onto podcasts and live shows to talk about fillers. As a facial plastic surgeon, he tells you honestly when an injectable is the right answer and when another treatment would do more.
Credentials
- Board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology-Head and Neck Surgery
- Fellow of the American College of Surgeons (FACS)
- Former national clinical trainer for Allergan and Medicis, teaching physicians how to inject fillers
- Oral board examiner for the American Board of Facial Plastic and Reconstructive Surgery
- Author of textbook chapters on facial plastic surgery
- Member and former officer, American Academy of Facial Plastic and Reconstructive Surgery
- Former clinical assistant professor, Indiana University School of Medicine
Recognition
- Newsweek, America’s Best Plastic Surgeons, 2023 to 2026
- Washingtonian Top Doctor, selected year after year
- Castle Connolly Top Doctor, 2026
- Northern Virginia Magazine and Arlington Magazine Top Doctor; Best of Bethesda
- Voted one of the top 25 injectors in the country by RealSelf users
- Lip injections featured in New Beauty Magazine

Dr. Alexandra Snodgrass, MD
Board-Certified Dermatologist, Cosmetic Dermatology
Thousands of patients treated with fillers and Botox
Dr. Snodgrass focuses on cosmetic dermatology, with a special interest in non-surgical facial rejuvenation with fillers and Botox. She has treated thousands of patients with cosmetic injectables and performs Botox, fillers, PRF and other injectables at both of our offices.
Credentials
- Diplomate of the American Board of Dermatology
- Dermatology residency at the University of Florida, one of the most competitive residencies in the country
- Medical degree from the University of Florida; college at Mercer University
- Author of scientific articles and textbook chapters, and presenter at national meetings
Memberships
- American Academy of Dermatology
- American Society for Dermatologic Surgery
- Women’s Dermatologic Society
- American Medical Association
Refresh Your Face with Botox Benefits
Refresh your appearance with customized Botox® treatments performed only by physicians at The Naderi Center. Precisely placed injections soften wrinkles and fine lines while keeping a natural, expressive look, with little to no downtime.
Wrinkle Reduction
Soften frown lines, forehead wrinkles, and crow’s feet with Botox®. By relaxing the muscles that create dynamic wrinkles, Botox helps you look smoother, refreshed, and naturally expressive.
Quick and Easy
With minimal discomfort and little to no downtime, Botox® is a quick, convenient treatment that fits easily into even the busiest schedule.
Lasting Results
Enjoy smoother, more refreshed-looking skin for months. Botox® results typically last about 3–4 months, with regular treatments helping maintain a natural, consistent appearance.
Why Choose The Naderi Center for Botox®?
At The Naderi Center, every Botox® treatment is performed by a physician with a deep understanding of facial anatomy and muscle movement. The Naderi Center has performed more than 100,000 procedures, and our physicians customize every injection so your expressions stay natural.
Dr. Shervin Naderi was a national clinical trainer for Allergan on Botox® and for Medicis on Dysport®, teaching other physicians advanced injection technique. His educational videos on Botox®, Dysport® and facial injectables have been viewed by injectors around the world.
There is no one-size-fits-all Botox® treatment. Your physician evaluates your anatomy, muscle strength, symmetry and goals to decide exactly where and how much to inject.
What is Botox®
Botox® is a non-surgical injectable treatment used to soften dynamic wrinkles caused by repeated facial expressions such as frowning, smiling, squinting, and raising the eyebrows. Common treatment areas include forehead lines, frown lines between the eyebrows (the “11s”), and crow’s feet around the eyes.
Botox® contains a purified form of botulinum toxin type A that temporarily reduces communication between targeted nerves and muscles. By relaxing specific facial muscles, Botox® allows the overlying skin to appear smoother while preserving natural facial expression when precisely dosed and placed.
Botox® can also be used preventatively in younger patients who are beginning to develop expression lines. Reducing repetitive muscle movement may help prevent dynamic lines from becoming deeper wrinkles that remain visible even when the face is at rest. For existing static wrinkles, Botox® may soften their appearance, although additional treatments such as laser resurfacing or other skin rejuvenation procedures may sometimes provide further improvement.
What Can Botox Treat?
Botox® can be precisely injected into specific facial and neck muscles to soften dynamic wrinkles, improve facial balance, and address several aesthetic concerns. Common Botox® treatment areas include:
- Forehead lines – soften horizontal wrinkles across the forehead
- Frown lines and “11 lines” – reduce vertical lines between the eyebrows
- Crow’s feet – smooth fine lines around the outer corners of the eyes
- Botox® brow lift – subtly elevate the outer brows for a more refreshed appearance
- Bunny lines – soften wrinkles along the sides of the nose
- Lip lines – reduce fine lines around the mouth
- Gummy smile – decrease excessive gum show when smiling
- Botox® lip flip – gently relax the upper lip to create subtle outward rotation
- Chin dimpling – smooth a pebbled or “orange peel” appearance of the chin
- Downturned corners of the mouth – soften the downward pull around the mouth
- Masseter Botox® – reduce prominent jaw muscles for a slimmer, more tapered jawline
- Neck bands – soften visible vertical platysmal bands in the neck
- Nefertiti lift – Botox to the neck bands and the muscles that pull down the jawline, for a cleaner jaw and neck line
Who Is a Good Candidate for Botox?
- Have forehead lines, frown lines, crow’s feet, or other dynamic wrinkles caused by facial movement
- Want to look refreshed and natural rather than frozen or overtreated
- Are beginning to notice expression lines and are interested in preventative Botox®
- Want subtle improvements such as a brow lift, lip flip, gummy-smile correction, or jawline refinement
- Prefer a quick, non-surgical treatment with little to no downtime
- Have realistic expectations about what Botox® can and cannot accomplish
When something else may work better. Lines that stay deep even when your face is at rest often need dermal fillers or laser resurfacing. Heavy, hooded upper eyelids usually need eyelid surgery or a brow lift, and Botox in the forehead can make a heavy brow feel heavier. Jowls and loose neck skin need a facelift or neck lift. Your physician will tell you honestly which treatment fits.
What Happens at Your Botox Appointment?
- Consultation. You meet with Dr. Naderi or Dr. Snodgrass, who watches how your face moves and decides where and how much Botox® you need.
- Numbing if you want it. Most patients do not need it. If you prefer numbing cream, it takes 20 to 30 minutes to work.
- Injections. A few tiny injections with a very fine needle take about 5 to 10 minutes.
- Back to your day. There is no downtime. Makeup can go on right away; skip strenuous exercise for 24 hours.
- Results. Botox starts working in 3 to 5 days and reaches its full effect at about two weeks.
Planning for an event? Book Botox 2 to 3 weeks ahead. If your event is sooner, Dysport® or Daxxify® can start working faster. Botox can also be done the same day as a skin treatment such as a Sciton BBL photofacial or a HydraFacial; the skin treatment is done first.
Botox® Before & After photos







Why Injection Technique Matters
Botox® is injected into specific facial muscles, not directly into wrinkles. The location, depth, dose, and distribution of each injection determine how those muscles relax and ultimately how natural the result looks.
Experienced injection requires an understanding of how facial muscles interact. Treating one muscle can affect the position and movement of another, which is why the same injection pattern should not be used for every patient. Facial anatomy, muscle strength, symmetry, brow position, and individual patterns of expression must all be considered.
Precise dosing and placement can soften wrinkles while maintaining facial movement and balance. Poor technique or inappropriate dosing may contribute to unwanted effects such as brow or eyelid drooping, asymmetry, or an overly frozen appearance.
At The Naderi Center, every Botox® treatment is individually planned and performed by a physician rather than following a standardized injection template.
How does Botox® work?
Botox® temporarily blocks nerve signals to targeted muscles, reducing the contractions that create dynamic wrinkles such as forehead lines, frown lines, and crow’s feet. As these muscles relax, the overlying skin appears smoother.
Botox® is most effective for wrinkles caused by facial movement. Deeper static lines that remain visible at rest may also improve, but treatments such as laser resurfacing, dermal fillers, or other skin rejuvenation procedures may be recommended when skin texture or volume loss also contributes to the wrinkle.
We will bring the experience.
Where Is Botox® Injected?
Botox® is injected into specific muscles responsible for facial movement and dynamic wrinkles. Common treatment areas include the forehead, frown lines between the eyebrows, crow’s feet, nose, upper lip, masseter muscles, chin, and platysmal bands of the neck.
Precise placement is essential because Botox® affects muscle activity rather than the wrinkle itself. Small differences in injection location, depth, and dose can significantly influence the final result.
Botox® for Forehead Lines, Frown Lines and “11 Lines”
- Frontalis muscle: Soften forehead horizontal lines
- Corrugator supercilii and procerus muscles: soften the vertical “11” lines between the eyebrows
- Option to create a browlift
Botox® for Crow’s Feet
- Orbicularis oculi: crow’s feet, smoothen lines on the outer corner of the eye
Botox® for Bunny Lines
- Nasalis: bunny lines
Botox for a Gummy Smile
- Gummy smile: relaxes the upper lip and reduces gingival show
Masseter Botox for Jaw Slimming and Bruxism
- Masseter: reduce bruxism and make jaw more oval shaped
Botox® for Lip Lines and Downturned Mouth Corners
- Treatment of marionette lines, lifting corners of mouth
Botox® for Chin Dimpling
- Mentalis: reduce chin dimpling or “peau d’orange”
Botox® for Neck Bands and the Platysma
- Platysma Muscle: reducing appearance of bands on the neck
Botox, Dysport or Daxxify?
The Naderi Center offers three neurotoxins. All three relax the muscles that cause expression lines; they differ in how fast they start, how long they last and how they are dosed. Your physician will recommend the best one for your face and your schedule.
Botox®
- Active ingredient
- onabotulinumtoxinA
- Starts working
- 3 to 5 days
- Full effect
- About 2 weeks
- Typically lasts
- 3 to 4 months
- Price
- $16 per unit
The most widely known neurotoxin, with the longest history of FDA approval for cosmetic use.
Dysport®
- Active ingredient
- abobotulinumtoxinA
- Starts working
- Often 2 to 3 days
- Full effect
- About 2 weeks
- Typically lasts
- 3 to 4 months
- Price
- $5.30 per unit
Long FDA track record; often starts working a little faster than Botox. Dysport units are not the same as Botox units.
Learn about DysportDaxxify®
- Active ingredient
- daxibotulinumtoxinA
- Starts working
- Often 1 to 2 days
- Full effect
- About 2 weeks
- Typically lasts
- Can last longer than Botox when dosed properly
- Price
- $10 per unit
A newer, longer-acting option. It is dosed at about twice the Botox units (20 units of Botox is about 40 units of Daxxify).
Learn about DaxxifyResults and timing vary from patient to patient. Units are not interchangeable between brands. Xeomin® and Jeuveau® are also FDA-approved and effective options. Read our full comparison of the neurotoxins.
What Our Patients Say About Botox
★★★★★4.9 on Google from 1,100+ reviews4.9 on RealSelf from 360+ reviews
01 / 10
“I fly from Tampa just to get my Botox done by him!”
“I was introduced to Dr. Naderi by my daughter a few years ago. His work is exemplary! I have never had anybody else work in my face! I fly from Tampa, FL just to get my Botox done by him! He is definitely a master!”
★★★★★L.G.Google review
“The happiest I’ve been with my Botox.”
“I’ve gotten Botox for about 10 years now, but I only recently changed my injector to Dr. Naderi. It was an excellent decision. This is the happiest I’ve been with my Botox. I love that Dr. Naderi really takes the time to look at my face before injecting me…”
★★★★★D.RealSelf review
“Beautiful, natural looking Botox.”
“Dr Naderi is the best for injections! He does beautiful, natural looking Botox and you barely feel the needle! He is quite conservative in his approach and actually used 10 units less than what I had been getting in California. The prices are very good, especially given the fact that he does them himself. I trust him explicitly with my face and anyone looking for amazing Botox in the Northern VA/DC area should make an appointment!”
★★★★★A.D.Yelp review
“It does matter who you go to.”
“I’m 50 and I like to get botox and I just want to say that it does matter who you go to. Dr Naderi is a master, he gives a low dose but knows exactly where to place it for high impact. I look refreshed, but still have movement. Also, he was able to improve my droopy eyelids, something I love. Other Dr’s I’ve been to simply placed the botox in the standard spots, Dr Naderi asks what I want and then places accordingly. He is worth every penny, I highly recommend him.”
★★★★★P.Healthgrades review
“He never freezes me!”
“Absolutely love Dr. Naderi, he’s the only one I would recommend for Botox! He never freezes me and is very in tune with facial structure and what would look best, and most importantly, natural. What I love about him is he embraces my desire to not look 20, but look my age but just a little better. I can’t say enough great things about him!”
★★★★★W.H.Google review
“The same results with less Botox.”
“Dr. Naderi is very good with his judgement of how many units of Botox needed to achieve my desired results, discourages using excess units, or over treating and actually got the same results with less Botox… After all it is a science and where & how much one injects is the key. Only an expert of his cadre can achieve it with great ease. He is a man of few words, knows his craft all too well, gives me results I want.”
★★★★★S.F.RealSelf review
“Better than I could have ever imagined.”
“Dr. Naderi and all of his office support staff are the very best. I went in to my consultation with him looking for everything… Botox, fillers, maybe even surgery, and walked out with just a skincare routine after that first appointment. He has always urged going slow and not going overboard, and I am more than happy with the results. Since that first appointment, I have gone back had Botox injections with him twice so far and the results have been better than I could have ever imagined.”
★★★★★K.T.Yelp review
“She’s my favorite.”
“Dr. Snodgrass is simply the best! I have been to derms and injectors around the DMV over the last 10 years and she’s my favorite. She’s conservative, she listens, and she truly tells you “no” if she doesn’t think what you’re asking for is a good idea.”
★★★★★M.R.Google reviewDr. Snodgrass
“He’s the best in NOVA.”
“Dr. Naderi is so skilled at Botox that I drive 45 minutes one way to see him. I would not even consider using anyone else now that I’ve found him. He really listens to what you want to and tailors the injections to the look you’re trying to achieve. He’s the best in NOVA.”
★★★★★A.RealSelf review
“By far the best injector I’ve ever been to.”
“I highly recommend this center… truly outstanding experience from start to finish. The staff is professional, welcoming, and attentive. Dr. Naderi is by far the best injector I’ve ever been to; his expertise and precision really stand out. As a woman over 50, I can confidently say he knows exactly what he’s doing and delivers natural, beautiful results every time.”
★★★★★L.A.Google review
How Many Units of Botox® Will I Need?
There is no single “correct” number of Botox® units for every patient. Some patients have stronger facial muscles and require more product, while others achieve an excellent result with a smaller dose. The goal is not to use the most Botox®, but to use the right amount in the right muscles.
At The Naderi Center, our physicians determine dosing based on your individual anatomy and muscle movement rather than following a standardized treatment pattern.
A gummy smile, for example, usually takes only 5 to 10 units.
Cost of Botox® Treatment
At The Naderi Center, Botox® is priced by the unit, not by area, so you pay only for the amount your face needs. Your physician decides the dose after watching how your muscles move; a petite face with gentle muscles may need far fewer units than a face with strong muscles.
| Treatment | Price | Typical dose |
|---|---|---|
| Botox® | $16 per unit | Most patients use 20 to 40 units (about $320 to $640) |
| Dysport® | $5.30 per unit | Most patients use 60 to 120 units |
| Daxxify® | $10 per unit | Dosed at about twice the Botox units |
| Consultation | $250 | Applied to treatment performed the same day |
Every injection is performed by a physician. Save more with Allē (Botox®), ASPIRE (Dysport®), REVA (Daxxify®) and The Naderi Center loyalty rewards: see our rewards programs. Prices are subject to change.
Allergan Aesthetics Rewards
Save on Botox with Allē
Allē is Allergan Aesthetics’ free rewards program. Members earn points on Botox Cosmetic, Juvéderm fillers and Kybella, and every 100 points is worth $10. Join before your visit, check in with us, and combine it with Naderi Center loyalty rewards.

Naderi Center Loyalty Program
Earn 10% Back on Every Injectable Visit
Earn 10% of every Botox and filler treatment back in reward dollars, and use them toward your next injectable visit: Botox, Dysport, Daxxify, fillers, Sculptra or Kybella. A $1,000 filler visit earns $100. You can combine it with Allē, ASPIRE and REVA.
One-time $50 enrollment. Reward dollars expire one year after they are issued and cannot be combined with other discounts outside of Allē, ASPIRE and REVA.

Patient Financing
Pay Over Time with Cherry
Monthly payment plans for surgery and treatments, including 0% APR options for qualifying patients. Checking whether you qualify won’t affect your credit score.
How to Prepare for Botox® Treatment
Before Your Botox® Appointment
Botox® requires very little preparation. Following a few simple guidelines can help make your treatment comfortable and efficient.
- Arrive with little to no makeup on the treatment areas when possible.
- Eat and drink before your appointment; it makes feeling lightheaded less likely.
- Tell your physician about any medications, supplements, allergies, or recent medical treatments.
- Let us know if you have experienced significant bruising or complications with previous injectable treatments.
- If you would like topical numbing cream, arrive about 30 minutes early; it takes 20 to 30 minutes to work.
Most patients find Botox® injections quick and easily tolerated without numbing.
Booking for an event? Schedule Botox 2 to 3 weeks ahead so it has time to take full effect.
Immediately After Your Botox® Injection
Botox® requires little to no downtime, and most patients return to their normal activities immediately after treatment. Following a few simple precautions can help minimize bruising and swelling:
- Apply a light cold compress as needed for swelling or discomfort. Avoid placing heavy pressure on the treated areas.
- Avoid rubbing, massaging, or manipulating the injection sites after treatment.
- Avoid strenuous exercise for 24 hours.
- Gently wash your face as usual, taking care not to aggressively rub the treated areas.
- Makeup may be applied gently after treatment if needed.
- Avoid facials, facial massage, or other treatments that place pressure on the injected areas until cleared by your physician.
Your physician will provide specific aftercare instructions based on the areas treated and your individual needs.
Botox® Educational Videos
Learn more about Botox® from Dr. Shervin Naderi, a facial plastic surgeon and former Allergan Botox® and Medicis Dysport® trainer. Dr. Naderi has created numerous educational videos on neuromodulators, facial anatomy, injection technique, and achieving natural-looking results.
Explore some of his most popular Botox® videos below.
More Botox videos from Dr. Naderi
From our Instagram
When Will I See Botox® Results?
Most patients begin to notice improvement within 3–5 days, with the full effect developing over approximately 2 weeks. Results generally last about 3–4 months, although duration varies depending on the treatment area, dose, muscle strength, and individual response.
Your physician will provide specific aftercare recommendations based on the areas treated and your individual needs.
Please follow our Botox and filler aftercare instructions.
Botox® Safety, Risks & Potential Side Effects
Common Botox® Side Effects
Side effects from Botox® are uncommon and usually mild, because the amounts used are small and carefully placed. You may notice:
- Redness, small bumps or tenderness at the injection points, which usually settle within an hour
- A small bruise, which makeup can usually cover
- Rarely, a temporary heavy feeling or droop of the brow or eyelid, which fades as the Botox wears off
Careful dosing and precise placement keep these effects to a minimum.
Who Should Wait or Avoid Botox?
Botox® is not recommended during pregnancy or breastfeeding, or if you have certain neuromuscular disorders, a known allergy to botulinum toxin products, or an infection at the planned injection site. Tell your physician about all of your medications and medical conditions before treatment.
At The Naderi Center, every Botox treatment is performed by a physician who reviews your medical history before injecting.
Botox in Reston, VA and Chevy Chase, MD
The Naderi Center has two offices in the Washington, DC area (the DMV), and every Botox® injection at both is performed by a physician.
Reston, Virginia. Our Northern Virginia office is at 1850 Town Center Parkway, Pavilion II, Suite 551, Reston, VA 20190. Patients come to us from McLean, Great Falls, Tysons, Vienna, Arlington, Alexandria, Herndon, Ashburn and Fairfax. Call 703-481-0002.
Chevy Chase, Maryland. Our Maryland office is at 5454 Wisconsin Avenue, Suite 1655, Chevy Chase, MD 20815, in Friendship Heights on the DC line, one block from the Metro. It is minutes from Washington DC, Bethesda and Potomac. Call 301-222-2020.
You can book a Botox appointment online, or start with a virtual consultation if you live farther away.
Medically reviewed by Shervin Naderi, MD, FACS, double board-certified facial plastic surgeon. Last reviewed November 4, 2026.
Maryland
5454 Wisconsin Ave,
Suite 1655
Chevy Chase, MD 20815
(301) 222-2020
Monday to Thursday, 9 AM to 5 PM
Friday, 9 AM to 4 PM
Get directions
Virginia
1850 Town Center Parkway,
Pavilion II, Suite 551
Reston, VA 20190
(703) 481-0002
Monday to Thursday, 9 AM to 5 PM
Friday, 9 AM to 4 PM
Get directions
Botox® FAQs
Who performs Botox at The Naderi Center?
All Botox® injections at The Naderi Center are performed exclusively by experienced physicians, including facial plastic surgeon Dr. Shervin Naderi and board-certified dermatologist Dr. Alexandra Snodgrass. Each treatment is customized based on your facial anatomy, muscle strength, patterns of expression, and aesthetic goals. Our approach is to use precise dosing to soften unwanted lines and wrinkles while preserving natural facial movement and expression.
How much does Botox cost in the Washington DC area?
At The Naderi Center, Botox® is $16 per unit, and most patients use 20 to 40 units, about $320 to $640 per visit. Dysport® is $5.30 per unit and Daxxify® is $10 per unit. A consultation is $250, which is applied to treatment performed the same day. See our injectable price list.
What is the difference between Botox®, Dysport®, Xeomin®, Jeuveau®, and Daxxify®?
Botox®, Dysport®, Xeomin®, Jeuveau®, and Daxxify® are injectable neuromodulators that temporarily reduce targeted muscle activity to soften dynamic facial wrinkles. Although they work in similar ways, they differ in their formulations, dosing, onset, diffusion characteristics, and duration of effect.
Botox® was the first botulinum toxin approved by the FDA for cosmetic treatment of frown lines and remains one of the most widely recognized neuromodulators. The best product depends on the treatment area, your facial anatomy, previous experience with neuromodulators, and your individual goals. At The Naderi Center, your physician can recommend the most appropriate option for you.
At The Naderi Center, our physicians use Botox®, Dysport® and Daxxify®. Botox® and Dysport® have been on the market the longest and have the longest history of FDA approval for cosmetic use, which is why they have been in our hands for so many years. We added Daxxify® because it came to market as a longer-acting toxin, and some studies suggest it can last longer when it is dosed properly. Xeomin® and Jeuveau® are also FDA-approved and effective options.
How many units of Botox® do I need?
The number of Botox® units you need depends on the treatment area, your facial anatomy, muscle strength, patterns of expression, and your desired degree of movement. There is no single Botox dose that is appropriate for every patient.
Patients with stronger facial muscles may require more units, while others may achieve their desired result with a smaller dose. Even two patients treating the same forehead, frown lines, or crow’s feet may require very different amounts of Botox®.
At The Naderi Center, our physicians evaluate your face in motion and at rest before determining your dose. We charge by the actual number of Botox® units used rather than by treatment area, allowing each treatment to be customized specifically to your face.
How many units of Botox does a gummy smile take?
A gummy smile usually takes only 5 to 10 units of Botox®, placed to relax the muscle that lifts the upper lip so less gum shows when you smile.
How often should you get Botox®?
Most patients who want to maintain consistent Botox® results schedule treatments approximately every 3–4 months as muscle movement gradually returns. However, Botox does not need to be performed on a fixed schedule. Some patients choose treatment only once or twice a year, while others prefer more regular maintenance.
The ideal Botox® treatment frequency depends on your muscle strength, treatment area, dose, how long your results last, and your aesthetic goals. Your physician at The Naderi Center can recommend a personalized treatment schedule based on how your individual face responds to Botox®.
How long does a Botox lip flip last?
A Botox® lip flip lasts about 2 to 3 months, a little shorter than Botox elsewhere on the face (3 to 4 months), because only a very small amount is used.
Does Botox® work for men?
Yes. Botox® is highly effective for men who want to soften forehead wrinkles, frown lines between the eyebrows, and crow’s feet while maintaining a natural, masculine appearance. Sometimes referred to as “Brotox,” Botox® for men has become an increasingly popular non-surgical treatment for facial wrinkles.
Men often have larger and stronger facial muscles and may require higher Botox® doses in certain areas than women. Injection patterns may also differ, particularly around the forehead and eyebrows, where careful placement is important to maintain a natural brow position and avoid an overly arched or “frozen” appearance.
At The Naderi Center, Botox® treatments for men are performed by experienced physicians and customized according to each patient’s facial anatomy, muscle strength, patterns of expression, and desired degree of movement.
Do Botox® injections hurt?
Botox® injections are typically quick and well tolerated, and most patients require no anesthesia. The injections are performed with a very fine needle and usually cause only brief, mild discomfort.
For patients who are particularly sensitive to injections, ice or a topical numbing cream may be used to make the treatment more comfortable. Most Botox® treatments take only a few minutes and require little to no downtime.
How long does a Botox® treatment take?
Botox® is a quick, in-office treatment that typically takes only 5–10 minutes to perform. Because there is little to no downtime, many patients schedule Botox® during their lunch break and return to work or normal daily activities immediately afterward.
How far ahead of an event should I get Botox?
Book Botox® 2 to 3 weeks before a wedding, photos or another big event, so it has time to take full effect. If your event is sooner, Dysport® or Daxxify® can start working faster.
Can I get Botox the same day as another treatment?
Yes. Botox® can be done the same day as a skin treatment such as a Sciton BBL photofacial or a HydraFacial. The skin treatment is done first, then the Botox.
Is Botox® safe?
Yes. Botox® has a long history of medical and cosmetic use and is considered safe when it is dosed and injected by a trained physician. Side effects are uncommon and usually mild, such as redness or a small bruise at the injection points. Rarely, the brow or eyelid can feel heavy or droop for a few weeks until the Botox wears off. At The Naderi Center, every Botox injection is performed by a physician who reviews your medical history first.
Will Botox® make me look frozen or unnatural?
Botox® should not make you look frozen or unnatural when it is appropriately dosed and precisely placed. The goal is to soften unwanted wrinkles while preserving natural facial movement and expression.
An unnatural result can occur when too much Botox® is used or when the dose and injection pattern are not appropriate for the patient’s individual facial anatomy and muscle activity. At The Naderi Center, our physicians customize every Botox® treatment based on your facial structure, muscle strength, symmetry, and desired degree of movement, so you still look like yourself, only more refreshed.
What is the best age to start Botox®?
There is no single “best age” to start Botox®. The right time depends more on your facial anatomy, muscle strength, expression patterns, and whether dynamic lines are beginning to remain visible when your face is at rest.
Some patients begin preventative Botox® in their late 20s or 30s to reduce repetitive muscle movement before expression lines become deeply etched, while others may not benefit from treatment until later. Starting Botox® simply because you reach a certain age is unnecessary.
At The Naderi Center, our physicians recommend Botox® based on what they see in your individual face, not your birthday.
What happens when Botox® wears off? Will my wrinkles get worse?
When Botox® wears off, the treated muscles gradually regain movement and your expression lines slowly begin to return. Your wrinkles do not suddenly become worse simply because you stop Botox® treatments.
Most Botox® results last approximately 3–4 months, although duration varies by patient, treatment area, dose, and muscle strength. If you decide not to continue treatment, your facial movement and wrinkles will gradually return toward their pretreatment appearance while the normal aging process continues.
Can Botox make my nose tip smaller?
No. Botox® in the nose tip can reduce active flaring of the tip, but it does not make the tip smaller. A smaller nose tip requires rhinoplasty.
What is a Nefertiti lift?
Can Botox® be watered down or over-diluted?
Botox® is supplied as a powder and must be reconstituted with sterile saline before it can be injected. The amount of saline added determines the concentration of the solution, but the most important number for patients is the actual number of Botox® units they receive.
A more diluted solution does not necessarily mean you are receiving fewer units of Botox®. However, concentration and injection volume can influence how the product is delivered and distributed within the targeted area, making proper preparation and injection technique important.
At The Naderi Center, Botox® is carefully reconstituted to a consistent concentration, and patients are charged according to the actual number of Botox® units used. When comparing Botox pricing, ask how many units you are receiving rather than focusing only on the total price of the treatment.
The U.S. Food and Drug Administration has also warned about counterfeit Botox® and advises patients to confirm that their injector is licensed and trained and that the product comes from an authorized source.
How do I choose the best Botox® injector in the DMV?
Start with who will actually hold the syringe. In the Washington DC, Maryland and Virginia (DMV) area, Botox® is offered by many kinds of providers, so it helps to ask about the injector’s medical training, how many years they have been injecting, whether you can see their own before-and-after photos, and whether you are charged for the exact number of units you receive.
At The Naderi Center, every Botox® injection is performed by a physician: Dr. Shervin Naderi, a double board-certified facial plastic surgeon and former Allergan and Medicis clinical instructor who was selected as one of RealSelf’s Top 25 Most Loved Injectors in the United States, or Dr. Alexandra Snodgrass, a board-certified dermatologist. Botox® is priced by the unit at our Reston, Virginia and Chevy Chase, Maryland offices.
Where can I get Botox® near Washington DC?
The Naderi Center offers physician-performed Botox® at two offices in the Washington DC area. Our Reston, Virginia office is convenient for patients from McLean, Great Falls, Tysons, Vienna, Arlington and Alexandria. Our Chevy Chase, Maryland office is on Wisconsin Avenue in Friendship Heights, on the DC line one block from the Metro, close to Bethesda, Potomac and Northwest Washington, DC. Every Botox injection at both offices is performed by a physician.
Who should not get Botox®?
Botox® may not be appropriate for everyone. Patients with an infection at the planned injection site, a known allergy to botulinum toxin or its ingredients, or certain neurologic or neuromuscular disorders may not be candidates for treatment.
Women who are pregnant or breastfeeding should discuss Botox® with their physician, as cosmetic treatment is generally deferred because adequate safety data are limited. Certain medications and medical conditions may also affect whether Botox® is appropriate.
Before every Botox® treatment at The Naderi Center, your physician will review your medical history, medications, previous treatments, and aesthetic goals to determine whether Botox® can be safely and appropriately performed.