Daxxify in the Washington DC Area:
Reston, VA and Chevy Chase, MD
Daxxify® at The Naderi Center is injected only by physicians: Dr. Shervin Naderi, a double board-certified facial plastic surgeon, and Dr. Alexandra Snodgrass, a board-certified dermatologist. It is a newer neurotoxin that can last longer than Botox® when it is dosed properly, offered at our Reston and Chevy Chase offices for patients from Washington DC, Northern Virginia and Maryland.
Physician-Performed Injections
100,000+ Procedures Performed
4.9★ from 1,100+ Google Reviews
Dr. Shervin Naderi, named to Newsweek America’s Best Plastic Surgeons
- 2023
- 2024
- 2025
- 2026
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
What Daxxify Can Do
Daxxify® softens the same expression lines as Botox®, and it is injected only by our physicians. For some patients, a properly dosed treatment means fewer visits a year.
Why Choose The Naderi Center for Daxxify®?
At The Naderi Center, every Daxxify® treatment is performed by a physician, never by a nurse injector or physician assistant. Dr. Naderi was a national clinical trainer who taught other physicians how to inject, and Dr. Snodgrass is a board-certified dermatologist who has treated thousands of injectable patients.
We added Daxxify only after evaluating it carefully, and we dose it for each face rather than by a fixed chart. A longer-lasting product only helps if it is dosed correctly, and an experienced injector knows how to keep the result natural.
What Is Daxxify®?
Daxxify® (daxibotulinumtoxinA) is an FDA-approved botulinum toxin type A made by Revance. The FDA approved it in 2022 for frown lines between the eyebrows. Like Botox® and Dysport®, it temporarily relaxes the muscles that create expression lines.
Instead of human serum albumin, Daxxify uses a peptide stabilizer, which the company credits for its longer duration. Some studies suggest it can last longer than Botox when it is dosed properly. In our experience it does not necessarily last twice as long, especially if the dose has not been adjusted.
Daxxify units are not the same as Botox units. It is dosed at about twice the Botox units: 20 units of Botox is about 40 units of Daxxify.
Source: Carruthers JD, et al. DaxibotulinumtoxinA for injection for the treatment of glabellar lines: results from each of two multicenter, randomized, double-blind, placebo-controlled, phase 3 studies (SAKURA 1 and SAKURA 2). Plast Reconstr Surg. 2020;145(1):45-58.
What Can Daxxify Treat?
We can use Daxxify® wherever we use traditional Botox®. The most common areas are the frown lines between the eyebrows (the “11 lines”), forehead lines and crow’s feet. Your physician may also recommend it for bunny lines on the nose, a gummy smile, lip lines, chin dimpling, neck bands, or the masseter muscles for jaw slimming and teeth grinding.
The goal is the same as with any neurotoxin: soften lines while keeping natural expression.
Who Is a Good Candidate for Daxxify?
- Have frown lines, forehead lines, crow’s feet or other expression lines caused by facial movement.
- Like your Botox® or Dysport® results but feel they wear off too soon.
- Want fewer appointments a year.
- Have an event coming up and want a neurotoxin that often starts working within 1 to 2 days.
- Are in good general health and not pregnant or breastfeeding.
If you are happy with how long Botox lasts for you, there may be no reason to switch. Lines that are deeply etched at rest often need more than a neurotoxin, such as fillers or laser resurfacing, and your physician will tell you so.
What Happens at Your Daxxify Appointment?
- Consultation. You meet with Dr. Naderi or Dr. Snodgrass, who watches how your face moves and decides where and how much Daxxify® 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. Daxxify often starts working in 1 to 2 days and reaches its full effect at about two weeks.
Planning for an event? Book Daxxify at least 2 weeks ahead so you see the full effect. It 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.
Why Injection Technique Matters
Daxxify® is injected into specific facial muscles, not directly into wrinkles. Where it goes, how deep, and how much is used in each spot decide whether you look refreshed or frozen. Because Daxxify is dosed differently from Botox®, the injector has to adjust the units rather than copy a Botox pattern.
Our physicians study your anatomy, muscle strength and expressions before every treatment and place each injection to keep your natural movement.
How Does Daxxify Work?
Daxxify® temporarily blocks the nerve signals that tell targeted muscles to contract. The muscles relax, so the lines they create soften, and new lines are less likely to deepen. The effect wears off gradually as nerve signals return, and treatment can then be repeated.
We will bring the experience.
Where Is Daxxify® Injected?
Daxxify® is injected in the same places as traditional Botox®, into the muscles responsible for facial movement and expression lines. These are the most common treatment sites:
Daxxify® 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
Daxxify® for Crow’s Feet
- Orbicularis oculi: crow’s feet, smoothen lines on the outer corner of the eye
Daxxify® for Bunny Lines
- Nasalis: bunny lines
Daxxify® for a Gummy Smile
- Gummy smile: relaxes the upper lip and reduces gingival show
Masseter Daxxify for Jaw Slimming and Bruxism
- Masseter: reduce bruxism and make jaw more oval shaped
Daxxify® for Lip Lines and Downturned Mouth Corners
- Treatment of marionette lines, lifting corners of mouth
Daxxify® for Chin Dimpling
- Mentalis: reduce chin dimpling or “peau d’orange”
Daxxify® for Neck Bands and the Platysma
- Platysma Muscle: reducing appearance of bands on the neck
Daxxify, Botox or Dysport?
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.
Daxxify®
- 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).
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.
Learn about BotoxDysport®
- 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 DysportResults 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 Their Injections
4.9 on Google from 1,100+ reviews4.9 on RealSelf from 360+ reviews
“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 Daxxify® Will I Need?
Most patients need 40 to 80 units of Daxxify®. Daxxify is dosed at about twice the Botox® units, so a patient who uses 20 units of Botox would usually need about 40 units of Daxxify.
Your dose depends on your muscle strength, the areas treated and how much movement you want to keep. Your physician decides it after watching how your face moves. If a treatment is underdosed, it will not last as long, which is why we do not cut corners on units.
Cost of Daxxify® Treatment
At The Naderi Center, Daxxify® is $10 per unit. Most patients use 40 to 80 units, about $400 to $800 per treatment, depending on the areas treated. You pay only for the units your face needs.
| Treatment | Price | Typical dose |
|---|---|---|
| Daxxify® | $10 per unit | Most patients use 40 to 80 units (about $400 to $800) |
| 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 |
| Consultation | $250 | Applied to treatment performed the same day |
Every injection is performed by a physician. Save more with REVA (Daxxify®), Allē (Botox®), ASPIRE (Dysport®) and The Naderi Center loyalty rewards: see our rewards programs. Prices are subject to change.
Revance Rewards
Save on Daxxify with REVA
REVA is the free rewards program for Daxxify and RHA fillers. New members start with 250 points, worth $25 toward an eligible treatment, and every 50 points is worth $5 off. 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 Daxxify® Treatment
Daxxify® and Neurotoxin Videos
Learn more about neurotoxins from Dr. Shervin Naderi, a facial plastic surgeon and former national clinical trainer who taught other physicians how to inject.
When Will I See Daxxify® Results?
Many patients begin to notice softening within 1 to 2 days, with the full effect at about 2 weeks. Daxxify® can last longer than Botox® when it is dosed properly, though not necessarily twice as long. How long it lasts for you depends on the dose, the area treated, your muscle strength and your own metabolism.
Most patients find out at their first treatment how long Daxxify lasts for them, and we plan the next visit from there.
Please follow our Botox and filler aftercare instructions, which also apply to Daxxify.
Daxxify® Safety, Risks & Potential Side Effects
Common Daxxify® Side Effects
Side effects from Daxxify® are usually mild and similar to other neurotoxins. They can include:
- Redness, swelling or tenderness at the injection sites for a few hours
- Small bruises that fade within about a week
- Headache
- A temporarily heavy or drooping eyelid or brow
- Mild unevenness, which can usually be adjusted at a follow-up visit
Rarely, a neurotoxin can spread beyond the treated area. Call us right away if you have trouble swallowing, speaking or breathing, or new muscle weakness.
Who Should Wait or Avoid Daxxify?
Daxxify® is not recommended during pregnancy or breastfeeding, or if you have a neuromuscular condition such as myasthenia gravis, Lambert-Eaton syndrome or ALS. Wait if you have an infection or active skin problem where you would be injected, and tell your physician about any allergy to a neurotoxin and about all your medications, especially certain antibiotics and muscle relaxants.
Daxxify in Reston, VA and Chevy Chase, MD
The Naderi Center has two offices in the Washington, DC area (the DMV), and every Daxxify® injection at both is performed by a physician, Dr. Naderi or Dr. Snodgrass.
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 Daxxify 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 6, 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
Daxxify® FAQs
Who performs Daxxify at The Naderi Center?
Every Daxxify® injection is performed by a physician: Dr. Shervin Naderi, a double board-certified facial plastic surgeon, or Dr. Alexandra Snodgrass, a board-certified dermatologist. Both inject Daxxify at our Reston, VA and Chevy Chase, MD offices.
How much does Daxxify cost?
Daxxify is $10 per unit at The Naderi Center. Most patients use 40 to 80 units, about $400 to $800 per treatment. A consultation is $250, which is applied to treatment performed the same day. See our injectable price list.
Why does Daxxify need more units than Botox?
Daxxify units are not the same as Botox® units. It is dosed at about twice the Botox units, so 20 units of Botox is about 40 units of Daxxify. The unit counts are not interchangeable, which is why comparing price per unit alone can be misleading.
How long does Daxxify last?
Daxxify can last longer than Botox when it is dosed properly, but not necessarily twice as long. Results vary with the dose, the area treated, your muscle strength and your own metabolism. Most patients learn after their first treatment how long it lasts for them.
Does Daxxify really last twice as long as Botox?
Not necessarily. Daxxify came to market as a longer-acting neurotoxin, and some studies suggest it lasts longer with proper dosing. In our experience it does not last twice as long for most patients, especially if the dose has not been adjusted for Daxxify.
How soon does Daxxify start working?
Many patients notice softening within 1 to 2 days, and the full effect develops over about 2 weeks. If you have an event, book at least 2 weeks ahead.
How is Daxxify different from Botox?
Both relax the muscles that cause expression lines and are used in the same areas. Daxxify uses a peptide stabilizer instead of human serum albumin, often starts working sooner, and can last longer when dosed properly. Botox has the longer track record. Your physician will help you choose.
Is Daxxify better than Botox or Dysport?
No neurotoxin is best for everyone. Daxxify may suit patients who want fewer visits or whose Botox wears off quickly. Botox and Dysport® are excellent, proven options too. Our physicians use all three and recommend the one that fits your face, goals and schedule.
Where can Daxxify be injected?
We can use Daxxify wherever we use traditional Botox: frown lines between the brows, forehead lines, crow’s feet, bunny lines, a gummy smile, lip lines, chin dimpling, neck bands and the masseter muscles.
Can I switch from Botox to Daxxify?
Yes. Many patients switch when their Botox results wear off. Your physician will convert your usual Botox dose to the right Daxxify dose, which is usually about twice the number of units.
Does Daxxify hurt?
Most patients describe a quick pinch. We use a very fine needle, and numbing cream is available if you are sensitive to needles.
Is there downtime after Daxxify?
No. Most patients return to work right away. You may have small red bumps for a few hours and occasionally a small bruise. Skip strenuous exercise for 24 hours.
What are the side effects of Daxxify?
Side effects are usually mild and similar to other neurotoxins: redness, swelling or bruising at the injection sites, headache, a temporarily heavy or drooping eyelid or brow, and mild unevenness. Serious side effects are rare.
Can men get Daxxify?
Yes. Men often have stronger facial muscles and usually need a higher dose. Our physicians tailor the dose and placement to keep a natural, masculine look. See our neurotoxin treatments for men.
Can Daxxify be combined with fillers?
Yes. Daxxify relaxes the muscles that cause expression lines, while fillers restore lost volume. Many patients have both at the same visit.
Who should not get Daxxify?
Daxxify is not recommended during pregnancy or breastfeeding, or for people with neuromuscular conditions such as myasthenia gravis. Wait if you have an infection where you would be injected, and tell your physician about allergies and all medications.
Is Daxxify FDA approved?
Yes. Daxxify (daxibotulinumtoxinA) was approved by the FDA in 2022 for frown lines between the eyebrows. Like Botox, it is also used by physicians in other areas of the face.
Are there savings programs for Daxxify?
Yes. Daxxify has its own manufacturer rewards program, REVA, and you can combine it with The Naderi Center loyalty rewards. See our rewards programs.
Where can I get Daxxify near Washington DC?
The Naderi Center offers Daxxify at two offices: Reston, Virginia, serving McLean, Great Falls, Tysons and Northern Virginia, and Chevy Chase, Maryland, on the DC line near Bethesda and Potomac. You can book online.