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Overview of Botox in Washington DC

What is Botox?

Botox Cosmetic is an injectable neuromodulator, or neurotoxin, that has been the most popular cosmetic treatment in the United States, and in the Washington DC metro area for years. Though there are other neuromodulators on the market, Botox is widely considered the gold standard. The most common use for this injectable is to soften the expression lines on the face and help to prevent wrinkles for months at a time. When injected by an expert, such as Dr. Sherber, BOTOX® Cosmetic offers predictable, subtle results with no downtime. At Sherber + Rad, this neurotoxin treatment can also be utilized to minimize pores and provide a smoother look. It’s also a great treatment to pair with many other treatment options offered conveniently in the comforts of our office.

Dr. Sherber uses a modern approach and a light hand to create a natural and balanced look that makes you look refreshed while helping to prevent wrinkles in the long term without altering your natural look or expressions.

Learn the Nuance of Botox in Washington D.C.


Botox

Dr. Sherber details her approach to Botox® Cosmetic, the gold standard for softening and preventing expression lines on the face.

What Results Can I Expect?

Our team will take high resolution photographs for your record so that we can observe the results of your treatment with accuracy. We will then ask you about your medical history, including current medications and any prior procedures. Dr. Sherber will talk with you about your specific goals and customize a treatment plan for you that might include Botox, other injectables, laser treatments, and skincare products. Dr. Sherber is a board-certified dermatologist and performs all treatments personally. Her expertise is what makes her the best to perform Botox injections DC residents can trust.

*Actual patient treated by. Dr. Sherber with Botox

How Does Dr. Sherber Approach Botox?

Dr. Sherber is a board-certified dermatologist recognized as an expert in the art of BOTOX® Cosmetic injections. Dr. Sherber is known for giving patients natural results without their ever looking “frozen” or “done.” Dr. Sherber was named Washington DC’s best for Botox in Allure magazine: “D.C. women who’ve tried doctor after doctor for Botox keep coming back to this one.” Dr. Sherber also serves as an Advisory Board member to help develop best practices and innovation for Allergan (the manufacturer of Botox®). A hallmark of Dr. Sherber’s technique is that she creates a naturally refreshed appearance for her patients, and many of them appear on high-definition film and need to look youthful but not obviously “done.” Whereas some people worry that Botox® will make them look frozen or permanently surprised, a very nuanced lifting of the brows or smoothing of the forehead or picking up the corners of the mouth is achievable with the state of the art techniques. This popular injectable also improves skin elasticity and can prevent the formation of deeper lines, as cited in the Washington Post: “Optimal treatments for those who are frequently on television focus on skin quality,” says Washington dermatologist Noëlle Sherber… She has several patients — elected officials, CEOs, and others in the public eye — who start “prejuvenation” treatments in their 30s and 40s. “So that by the time they reach their 70s,” she says, “they look like they’re still in their 50s.””

What are the Benefits of BOTOX® Cosmetic

  • Quick: An in-office treatment lasting about 10 minutes (depending on number of areas treated) allows patients the convenience of this no-downtime treatment anytime of day. Patients can return to daily activities quickly without worry of recovery time.
  • Effective: Men and women can experience a refreshed look without the need for surgical enhancement. BOTOX® Cosmetic is minimally invasive and can help with wrinkles in the forehead, around the eyes, and around the mouth.
  • Rejuvenating: Patients enjoy smoother skin and look more rested within days and without the need for surgical enhancement. Expertise is essential to achieve natural animation of facial movements, particularly for those whose work or social lives place them in the public eye. When treating patients, Dr. Sherber relies on deep experience informed by many years and thousands of happy patients.
  • Cost-Effective: Because BOTOX® Cosmetic treatments can be personalized to meet patients’ cosmetic needs, we can develop a treatment plan that is in line with your desired investment. With savings from Allē rewards program and CareCredit financing options, we help patients bring cosmetic treatments even more into financial reach.
  • Comfortable: Discomfort is minimal with treatment. Dr. Sherber is particularly attentive to patients’ comfort, using exceptionally thin needles and injecting delicately and precisely.
  • No-Downtime: Patients can enjoy beautiful results without downtime, and returning to normal physical activity such as exercise, work and childcare need not be delayed.

What can I Expect During Botox Treatment?

Our team will take high resolution photographs for your record so that we can observe the results of your treatment with accuracy. We will then ask you about your medical history, including current medications and any prior procedures. Dr. Sherber will talk with you about your specific goals and customize a treatment plan for you that might include Botox, other injectables, laser treatments, and skincare products. Dr. Sherber is a board-certified dermatologist and performs all treatments personally.

Before Botox treatment we will clean your skin thoroughly, and Dr. Sherber will ask you to move your facial muscles to make various expressions so that she can map out your muscular anatomy. The injections are not painful but you may feel a small pinch in more sensitive areas. Several points will be injected, with the exact number of injections needed determined by your anatomy and by the extent of the areas being treated. Treatment takes about 5-10 minutes.

It may look like your skin has small “bug bites” for a few minutes post-treatment, but Dr. Sherber will apply a soothing serum and gentle sunscreen to your skin before you depart to help calm and protect it.

Dr. Sherber often starts with a lighter dose with a new or first-time patient so as to ensure that the result is not overly dramatic. After two weeks, you would return for additional treatment if needed.

What is “Skin Botox” or “Microinfusion”

The most popular injectable treatment in South Korea is “Skin Botox” to achieve the “glass skin” look of smaller pores, increased elasticity, and diminished flushing.

First developed in Singapore and also known as “Botox Facial,” this is not the traditional type of neuromodulator treatment common in the U.S. that will relax muscles to soften expression lines. Rather, Dr. Sherber will make a dilute sterile solution of the neurotoxin and stamp it into the dermis – the skin’s collagen layer – with tiny hollow needles rather than injecting into the muscles. This is a full-face treatment, and depending on where the Botox microinfusion is concentrated we can achieve diminished oil production and smaller pores, improvement in skin redness, and increased elasticity.

While some have tried administering filler in this way, research shows that the hyaluronic acid filler particles cannot pass through such small short needles; instead, to avail us of the skin’s increased absorption post-treatment Dr. Sherber will apply a smaller molecule form of hyaluronic acid topically that is the same type used in the Juvéderm fillers plus a customized cocktail of antioxidant vitamins.

Effects will have a comparable duration to traditional Botox treatments: 3-4 months. Topical numbing is not required but can be applied per your preference if you arrive 20 minutes before your appointment.

Q+A

How does Botox work?

Repeated muscle contractions – such as frowning, squinting, or raising eyebrows – cause skin to furrow and fold gradually resulting in the formation of… facial lines. BOTOX® Cosmetic works beneath the surface and temporarily reduces the underlying muscle activity that causes moderate to severe frown lines, crow’s feet and forehead lines in adults to help them look visibly smoother.

Is BOTOX® Cosmetic FDA Approved?

BOTOX® Cosmetic was first approved by the FDA in 2002, and is the first and only treatment FDA-approved to temporarily make moderate to severe frown lines, crow’s feet and forehead lines look better in adults. It is used off-label in other areas, and the injectable can also be used to diminish unwanted perspiration in the underarms. Botox has been used safely with extremely high patient satisfaction for over more than 25 years.

How should I prepare for treatment?

Bruising is uncommon, but the risk can be minimized if you avoid non-steroidal anti-inflammatory medications (such as Aspirin, Advil, Aleve, Motrin, and Excedrin) for two weeks unless medically necessary, as well as any supplements containing fish oil, omega 3 fatty acids, ginkgo, ginseng, or ginger. If you have a history of herpes simplex cold sores, and if the injectable treatment is used near your mouth, we may prescribe an antiviral to take as an adjunct to treatment to prevent an outbreak. Botox treatment is not advisable if you are pregnant or nursing, so please let us know about this when scheduling so that we can discuss the best timing of your treatment.

Other Uses of Botox

One of the most cutting edge techniques that Dr. Sherber employs is to pre-treat any areas on which facial surgeries are planned (such as facelift, blepharoplasty, cosmetic mole excision, or skin cancer excision) to works beneath the surface and temporarily reduces the underlying muscle activity that causes moderate to severe frown lines, crow’s feet and forehead lines in adults to help them look visibly smoother.

Preparing for Treatment

For the 2 weeks prior to any injectable treatment we ask that you discontinue any NSAIDs such as Aleve, Advil, or Aspirin (unless medically necessary), as well as any supplements containing fish oil, omega 3 fatty acids, gingko, or ginger, in order to minimize the risk of bruising. excision, or skin cancer excision) to works beneath the surface and temporarily reduces the underlying muscle activity that causes moderate to severe frown lines, crow’s feet and forehead lines in adults to help them look visibly smoother.

What are Dr. Sherber’s patients saying?

  • great experience – Baltimore, MD
    Botox/Juvaderm has made me look 10 yrs younger! Excellent results. Minimal bruising. Very comfortable experience with a very caring doctor.”

    – Kim in Pa (RealSelf)

  • “I started seeing Dr. Sherber for Botox, laser and fillers, approximately 10 years ago in Baltimore. I followed her to Washington D.C. when she and her husband, plastic surgeon Dr. Rad, opened a joint practice. Last year it was time to for Dr. Sherber to hand me over to Dr. Rad for surgical work. I had an amazing experience with Dr. Rad when he performed a lower face/necklift, chin implant, lower blepharoplasty and fat transfer. At the one year mark, I decided to return for a tummy tuck and upper arm lipo. This time I was smart to stay in Sibley hospital – 2 nights – after my experience with hard-to-control pain during the first 2 post-op days last year, when we were in an outpatient surgical center. I was treated very well despite being very needy with respect to pain control. Everything is still very swollen and bruised but looks good so far. I will continue to travel to D.C. for maintenance treatment and any new procedures with both of them. They are that amazing.”

    M.L. IN WASHINGTON D.C. | 2019

  • “I have been seeing Dr. Sherber for over a decade – I followed her from Baltimore to Washington D.C. – for skin care including Botox, fillers and laser, as well as medical dermatology including total skin checks. She is brilliant and personable and I recommend her highly to everyone I know!”

    Jennifer P (Google)

  • “Dr. Sherber is a brilliant physician who knows how to make just about any woman look much better in the most non-invasive ways. An artist!”

    Sharon W (Google)

Consultation with Dr. Sherber

What Can I Expect from My Consultation with Dr. Sherber?

Our team will take high resolution photographs for your record so that we can observe the results of your treatment with accuracy. We will then ask you about your medical history, including current medications and any prior procedures. Dr. Sherber will talk with you about your specific goals and customize a treatment plan for you that might include Botox, other injectables, laser treatments, and skincare products. Dr. Sherber is a board-certified dermatologist and performs all treatments personally.

Before Botox treatment we will clean your skin thoroughly, and Dr. Sherber will ask you to move your facial muscles to make various expressions so that she can map out your muscular anatomy. The injections are not painful but you may feel a small pinch in more sensitive areas. Several points will be injected, with the exact number of injections needed determined by your anatomy and by the extent of the areas being treated. Treatment takes about 5-10 minutes.

About Your Washington DC Dermatologist

Dr. Sherber graduated magna cum laude from Harvard University, where she designed and implemented a novel degree program in health policy focused on assessing and improving quality of care. She next attended the Johns Hopkins University School of Medicine where she earned her M.D. degree. Following a post-doctoral fellowship in clinical research at Columbia University, she returned to Johns Hopkins for dermatology residency training and conducted research in scar healing and in disorders of abnormal collagen. She is now a Clinical Assistant Professor at George Washington University in the Department of Dermatology.

Allē

  • • Dr. Sherber has been involved in Botox® education for Allergan (the manufacturer of Botox®) such as the “Which ‘1’ Are You?” patient education program.
  • • Dr. Sherber participates in Allē’s rewards program for her patients, and points are awarded for and may be redeemed for this treatment.

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Sherber+Rad1101 15th St. NW, Suite 100, Washington, D.C. 20005