Sterling Botox doctors
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David E. Berman, MD
Sterling Plastic Surgeon
14 Pidgeon Hill Dr Suite 100, Sterling |
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Peter Klainer, MD
Virginia Plastic Surgeon
46396 Benedict Drive Ste 330, Sterling |
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Neeraja Mattay, M.D.
Sterling Dermatologist
14 Pidgeon Hill Drive #340, Sterling |
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Vikas Patel, MD
Sterling Dermatologist
14 Pidgeon Hill Drive Suite 340, Sterling |
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Dwana Shabazz, M.D.
Sterling Dermatologist
14 Pidgeon Hill Drive #340, Sterling |
Recent Answers
I'm a bit unclear about botox benefits. does it give you immediate results for wrinkles?
Botox relaxes the muscles and usually takes 4-10 days to onset. It is most commonly injected into the glabellar area (area between the medial eyebrows), the crows feet and the forehead. It lasts approximately 4 months. It has a great safety record. It really does a great job and makes a wonderful difference.
Dysport recently has been approved in the usa (has been used in europe for years) and is virtually identical to Botox. It is good that there is finally some competition to allerghan who has been able to increase their prices whenever they wanted since until recently, they had no competition.
A plastic surgeon or a dermatologist?
As has been pointed out, both are competent to administer Botox. Plastic surgeons are the only doctors that should be doing plastic surgery, but since Botox is NOT surgery, either one is fine.
I've had Botox for frown lines, crows feet, and forehead wrinkles about 6 - 8 times since 2004. I travel a lot so have been to several different doctors and always had wonderful and almost immediate results. In January this year, I went to a new doctor and was disappointed with the results - I felt the treatment was too conservative - did not get as dramatic or long lasting result. In October, I went to someone else, absolutely no results; 2 weeks later they did more Botox - still no results. Then about a week ago, after consulting with the Botox rep, they tried to inject other facial muscles - still no results. I have been reading about Botox resistance, and it seems patients with resistance experience this from the very first injections. But mine is years after the fact. What does this mean? What can I do short of surgery?
since you have seen and been treated by several different drs and are not having any result regardless of who is injecting you, strongly suggests that you are developing resistance. this is uncommon but certainly can happen. It usually happens after multiple injections. i have had this in a few pts and for unclear reasons, in some cases, when i re-injected them a few years later, they responded.
david berman md
board certified plastic surgeon
northern va
