Botox and Fillers – Fairfax and Northern Virginia

“Botox” is the original trade name of Botulinum Toxin A, a toxin that is used to smooth wrinkles caused by overactive muscles in the face. It is a powerful medicine that can restore a smooth, youthful complexion. Common locations to decrease muscle movement and smooth overlying skin are the:

  • Forehead
  • Glabella (or area between the brows)
  • Crow’s feet.

Fillers are used to fill areas of the face where aging tissue has lost volume and looks hollow. Fillers are also powerful agents to transform the aging face to a more youthful profile, and like Botulinum Toxin, they need to be used with expertise and moderation to produce a natural look. Areas where fillers are commonly used to restore volume are in the:

  • Cheeks
  • Temples
  • Lips

Deep folds around the mouth and chin as well as the tear troughs (under-eye bags) can also be treated with fillers with excellent and instant change.

Botulinum Toxin and Fillers are a great way to get an instant (if temporary) change in your facial contour if you’re not ready for a bigger surgical procedure, or if you don’t need one. They have changed the options for facial rejuvenation to include options for real, natural results with little down time.

Should I Use Botox and Fillers?

There are many cosmetic procedures such as a facelift, brow lift, and eyelid lift that can surgically restore your youthful look. But if you are not ready to take the plunge into surgery, or you are looking for a more subtle change, Botulinum Toxin (Botox) and fillers can work together to recreate facial fullness and smooth wrinkles with little to no downtime.

Botulinum Toxin (Botox)

Used for decades to defy aging, Botulinum Toxin (Botox) gives effective results in around 5 days.

  • No anesthesia needed and very short healing time.
  • Less time to perform the procedure, usually just 10 minutes.
  • Minimal discomfort including 5-10 minutes of swelling and minor bruising that lasts for a few days.
  • Much more affordable than surgery

While the results are excellent and require minimal maintenance to keep up, some Fairfax and Northern Virginia patients may experience side effects.

What Are the Side Effects of Botulinum Toxin (Botox)?

Most of the side effects of Botulinum Toxin (Botox) will only take a short time to go away. These include pain, swelling, and bruising. However, more serious side effects can occur including facial asymmetry and unwanted loss of muscle movement. Luckily these are temporary, but they can be uncomfortable and inconvenient. These side effects are less likely if you choose a board-certified plastic surgeon with experience in toxin use, like Dr. Jespersen.

The most common problems when Botulinum Toxin (Botox) injections are performed by anyone other than a doctor are facial asymmetry and incorrect administration that can give unnatural results. While these symptoms are relatively short term and not life-threatening, there are also very rare side effects, including:

  • Allergic reaction
  • Muscle weakness
  • Vision problems
  • Trouble swallowing and breathing

This underscores the importance of going to a qualified plastic surgeon who can administer the correct amount of Botox for you and provide you with medical care if you experience any of the rare side effects.

Who Is Qualified to Treat Me With Botulinum Toxin (Botox)?

This varies by state and in some states, like Virginia, a nurse or aesthetician is able to perform your Botulinum Toxin (Botox) injections. While nurses are highly trained medical professionals, they lack the years of training that doctors have. For the best possible experience look for a cosmetic surgeon who:

  • Performs all Botulinum Toxin (Botox) injections.
  • Is Board Certified.
  • Has specialty training in facial procedures.

Dr. Jespersen, servicing the Fairfax and Northern Virginia area, is a board-certified plastic surgeon who performs all Botulinum Toxin (Botox) injections for her patients and monitors their reactions following the procedure. She has years of specialized training in facial procedures and can create a treatment plan that will make you look years younger.


When we are young, we have two things helping our face look fabulous. First, we have thick skin with lots of elastin and collagen that makes it resistant to wrinkling. Second we have a healthy thick layer of subcutaneous fat which gives us round cheeks and camouflages the hollow areas of our facial bones. As we age we:

  • Lose both the thick fat under our skin
  • Experienced decreased levels of collagen and elastin

The result is an aged appearance, regardless of weight, skin color, and UV protection. The volume loss combined with the skin thinning usually makes skin wrinkle most noticeably around the mouth and nose, like parentheses around your mouth.

Fillers like Voluma, Restylane, and Juvederm restore lost cheek volume, and actually lift the sagging skin that causes the wrinkling. And they do it instantly. Fillers decrease the signs of aging by camouflaging the hollow areas of your facial structure that are visible over time, frequently at the temples and the sides of the chin. Everyone’s face ages differently, so fillers are used to correct the areas that bother you. If you’re not sure why you look old or tired, Dr. Jespernsen can explain where small changes can make a big difference.

The benefits of fillers are:

  • The procedure takes only 30-45 minutes.
  • Results last 18-24 months.
  • Subtle change, so most people will only say “wow you look great” and not “you’ve had something done”.

Like Botulinum Toxin, fillers can result in some swelling and bruising. It does not occur in all cases, can be covered with makeup, and will usually last five days or less.

As with Botox, Dr. Jespersen administers fillers to Fairfax and Northern Virginia patients herself and has years of experience with injectables. Her first goal is to understand your goal, to give you a natural and youthful.

To create a treatment plan that will take years off your look, call our office in the Fairfax and Northern Virginia area at (703) 992-7969 or fill out the contact form located on the right.

Call us at (703) 992-7969