Dermal Fillers in the Washington DC Area:
Reston, VA and Chevy Chase, MD

Every dermal filler injection at The Naderi Center is performed by a physician: Dr. Shervin Naderi, a double board-certified facial plastic surgeon, or Dr. Alexandra Snodgrass, a board-certified dermatologist. We do not use nurse injectors, physician assistants or aestheticians for filler injections.

At The Naderi Center, hyaluronic acid fillers such as RHA®, Juvéderm® and Restylane® cost $900 per syringe. Sculptra® is $1,000 per vial, and under-eye (tear trough) filler is $1,500 per syringe. A consultation is $250, which is applied to your treatment when it is performed the same day. See our full injectable price list.

Two syringes of hyaluronic acid filler cost $1,800 at The Naderi Center, based on our price of $900 per syringe. Deeper folds, such as the nasolabial folds, may need two to three syringes for full correction, while smaller areas may need one syringe or less.

We use FDA-approved hyaluronic acid fillers from the Juvéderm®, Restylane® and RHA® collections, as well as Sculptra®. Each product differs in thickness and flexibility, so your physician chooses the filler for each area at your consultation.

Most hyaluronic acid fillers last about 6 to 18 months, and some last up to two years. For example, Restylane Kysse™ can last up to 12 months in the lips, RHA® 2, RHA® 3 and RHA® 4 up to 15 months, Juvéderm Vollure® up to 18 months, and Juvéderm Voluma® up to 24 months in the cheeks. Fillers last a shorter time in mobile areas such as the lips and longer in less mobile areas such as the tear troughs or the nose. Results also tend to last longer when the area is fully corrected and with repeat treatments.

Among hyaluronic acid fillers, Juvéderm® Voluma® lasts the longest, up to 24 months in the cheeks. Restylane® Eyelight™ lasts up to 18 months under the eyes, and Juvéderm Vollure® up to 18 months. Sculptra® works differently: it stimulates your own collagen over several months, and results can last about two years. How long any filler lasts also depends on the area, since fillers last longer in less mobile areas such as the cheeks, nose and tear troughs than in the lips.

It depends on the area and how much volume has been lost. One syringe holds about one-fifth of a teaspoon. Cheek filler usually takes 2 to 4 syringes. Along the jawline, most women need 2 to 4 syringes and most men 4 to 6. Deep nasolabial folds may need two to three syringes for full correction, while most tear trough patients need one to two. Our physicians are conservative and prefer to add volume gradually rather than over-inject.

Most patients tolerate filler injections well. We apply numbing cream for 20 to 30 minutes before treatment, and today’s hyaluronic acid fillers contain lidocaine, a numbing medication that helps minimize discomfort during the injection. Some soreness afterwards is normal, and most patients find that Tylenol is enough to relieve it.

Some swelling, pinpoint bleeding and bruising are normal after filler injections. Bruising usually lasts one to two weeks, and initial swelling takes about two weeks to settle. We recommend icing, avoiding strenuous exercise for 48 hours, and waiting two weeks before judging your final result. See our filler aftercare instructions.

Yes. Hyaluronic acid fillers such as RHA®, Juvéderm® and Restylane® can be dissolved with an injectable enzyme called hyaluronidase. At The Naderi Center, dissolving filler is $1,500. We also see patients who are unhappy with filler placed elsewhere; learn more about reversing botched fillers. Fillers that are not made of hyaluronic acid, such as Sculptra® and Radiesse®, cannot be dissolved this way.

Yes. We regularly see patients who are unhappy with filler placed somewhere else, whether it looks overfilled, uneven or lumpy. Hyaluronic acid filler can be dissolved, and dissolving filler at The Naderi Center is $1,500. Once the area settles, usually after about two weeks, your physician can rebalance it with a conservative amount of new filler if needed. Learn more about correcting filler from another injector.

Filler placed in the right layer and in the right amount generally stays where it was injected. Most of what people describe as filler moving is really overfilling. When too much filler goes into an area such as the lips or under the eyes, it can spread past the intended borders and create puffiness or a ridge, such as fullness above the border of the upper lip. Our physicians build volume gradually and conservatively for this reason. If filler from an earlier treatment has spread, it can be dissolved and the area retreated.

Serious complications are rare. Both of our offices always keep hyaluronidase on hand, the enzyme that dissolves hyaluronic acid filler, so if filler ever blocks a blood vessel your physician can treat it right away. Call us immediately if you have severe or increasing pain, skin that turns white, gray or blotchy, or any change in vision after filler. Smaller problems, such as a lump or an uneven result, can usually be adjusted at a follow-up visit once swelling settles.

There is no upper age limit for dermal fillers. What matters is your anatomy and what you want to improve. Fillers restore lost volume and soften lines, but they cannot remove loose skin. When sagging of the face and neck is the main concern, a surgical procedure such as a facelift may be the better option, and your physician will tell you honestly which treatment will help most.

Fillers add volume. When lost volume is the problem, filler is the answer. Lines that appear only when you make an expression, called dynamic wrinkles, respond better to Botox® or Dysport®, which relax the muscles that cause them. Lines that are present at rest, called static wrinkles, can be softened with RHA®, Restylane® or Juvéderm® as long as they are not extremely superficial.

Very fine, superficial lines do better with resurfacing such as CO2 laser or chemical peels, because filler placed too close to the surface can leave a visible lump. Filler also cannot tighten loose skin. When sagging is the main concern, a facelift may help more.

More men than ever are choosing fillers, and the key is placing filler where it keeps a natural, masculine look. In the cheeks, for example, our physicians place filler in a different part of the cheek than they would for a woman, restoring youthful volume without creating a high, feminine cheekbone. Many men also want a stronger chin and jawline, and most men need 4 to 6 syringes along the jaw. Men cannot hide bruises with makeup as easily, but their thicker skin tends to bruise less and recover faster. Learn more about dermal fillers for men.

Botox® and fillers do different jobs. Botox relaxes the muscles that cause expression lines, such as frown lines, forehead lines and crow’s feet. Fillers replace lost volume and soften lines that are present at rest, such as the nasolabial folds. Many patients benefit from both. Someone who has frowned for years without Botox, for example, may have a deep line between the brows that needs Botox to relax the muscle and filler to smooth the crease that remains. Your physician will tell you which one, or which combination, will help most.

What matters most is that an experienced physician with deep knowledge of facial anatomy performs your injections. Facial plastic surgeons and dermatologists both train extensively in the anatomy of the face, and at The Naderi Center you have both. Dr. Naderi is a double board-certified facial plastic surgeon and Dr. Snodgrass is a board-certified dermatologist, and every filler injection here is performed by one of them.

Yes. Hyaluronic acid filler is safe for every skin tone and does not change the color of your skin. In deeper skin tones, a bruise can rarely leave a temporary darker spot as it heals, so our physicians take extra care to limit bruising. If you have ever formed a keloid, tell us at your consultation, although keloids after filler in the face are very unusual. Read more about fillers for every skin tone.

For two weeks before your appointment, avoid nuts, seeds, fish, fish oil, NSAIDs such as ibuprofen, and supplements that prolong bleeding. This significantly reduces bruising and swelling. Come with minimal makeup and arrive 30 minutes early for numbing cream. See our filler pre-treatment instructions.

Our physicians’ schedules often fill 3 to 4 months in advance, so book as early as you can, especially before the holidays. If you are getting filler for an event, schedule it at least two weeks ahead so any swelling or bruising has time to settle. You can book online or start with a virtual consultation.

The Naderi Center has two offices in the Washington DC area. Our Reston, Virginia office is at 1850 Town Center Parkway, Pavilion II, Suite 551, and our Chevy Chase, Maryland office is at 5454 Wisconsin Avenue, Suite 1655, in Friendship Heights on the DC line. Patients come to us from Washington DC, Bethesda, Potomac, McLean, Tysons, Great Falls and across Northern Virginia and Maryland. For out-of-town patients we offer virtual consultations before your visit.

The best injector for you is an experienced physician whose results match the look you want. Dr. Shervin Naderi is a double board-certified facial plastic surgeon who was named a “Top 25 Injector” in the RealSelf Most Loved Injector Awards. Dr. Alexandra Snodgrass is a board-certified dermatologist focused on aesthetic injections. The Naderi Center has performed more than 100,000 procedures, and patients travel to our Reston and Chevy Chase offices from across the DC area and beyond. Browse our before-and-after photos and patient reviews to judge for yourself.