Greater Washington Plastic Surgery Associates | Vineet Mehan, MD, | Earl M. Johnson, Jr., MD,

Treating lines and wrinkles without surgery

Injectables | Dominion Plastic SurgeryCosmetic injectables are popular alternatives to surgery as they can treat lines and wrinkles with little to no downtime. Here’s some insight into these popular non-surgical treatments to help you achieve a more youthful appearance.

BOTOX® and Dysport®

Dynamic wrinkles form due to muscle contractions under the skin. These kinds of wrinkles occur mainly on the expressive upper third of the face when you make certain expressions such as frowning or squinting. These include forehead lines, crow’s feet, frown lines and more.

BOTOX® and Dysport® are both FDA-approved treatments designed to tackle dynamic wrinkles. They work similarly beneath the surface of the skin by temporarily blocking nerve messages from the muscles to the brain. Since the brain never receives the command to contract the muscle, the wrinkle doesn’t form on the surface.

BOTOX® and Dysport® results are not immediate. It takes two to five days for Dysport® to fully relax the injected muscle, while it takes up to a week for BOTOX® to fully work. BOTOX® results last about four to six months before muscles start contracting again and the wrinkle returns. Dysport® results last about five months. You’ll want to return for another injection at this time to maintain results.

Juvederm® and Restylane®

Juvederm® and Restylane® are FDA-approved dermal fillers made of hyaluronic acid, which is a naturally occurring substance that binds with water molecules under the skin. Injected under a wrinkle, crease or in an area where there’s volume loss, these fillers will restore volume to the skin, lifting and smoothing out wrinkles and other fine lines. These fillers treat static wrinkles, which are continually visible wrinkles. These include frown lines, marionette lines and lip lines. The results are immediate and last up to a year. Restylane® is also used for lip enhancement to make lips look fuller.


Made of microspheres composed of calcium hydroxylapatite within water-based gel, Radiesse®

is an FDA-approved filler that fills the wrinkle and stimulates the body to produce new collagen. It’s most effective in reducing the appearance of lines and wrinkles around the nose and mouth such as smile lines, nasolabial folds and marionette lines. Results can last up to a year or longer.

Injectables can be combined in different ways to treat dynamic and static fillers. Dominion Plastic Surgery can help you put together a customized plan tailored to meet your unique needs. Schedule a consultation by calling (703) 544-8971 today.

Posted in: Non-Surgical Procedures

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