Women and men from Chevy Chase, Arlington, Bethesda, and surrounding areas visit MI Skin Dermatology & Laser Center for BOTOX Cosmetic, Dysport, XEOMIN, and DAXXIFY in Washington, DC, look refreshed and more youthful. These injectable neuromodulators work by blocking nerve signals in order to reduce the appearance of wrinkles formed by muscle movements. BOTOX, Dysport, XEOMIN, and DAXXIFY are all FDA-approved for use by a board-certified dermatologist and are safe and effective. They can also be used to disable sweat glands or the muscles that contribute to migraines.

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BOTOX Cosmetic

BOTOX Wrinkle Treatment Washington DC

BOTOX is best known as the go-to treatment for fine lines and wrinkles, but it also treats a variety of other conditions. Board-certified dermatologists Dr. Melda Isaac and Dr. Daniel Yanes use BOTOX to treat wrinkles, excessive sweating, and migraine headaches.

BOTOX is highly effective for treating lines and wrinkles caused by muscle contractions in the face and neck, including crow’s feet, 11’s between the brows, forehead lines, and softening neck bands. Skilled injectors like Dr. Isaac and Dr. Yanes can help you achieve natural-looking results with this proven wrinkle relaxer.


dysport logo

Dysport is another neuromodulator popular for treating wrinkles. The difference between Dysport and BOTOX is that Dysport spreads to a larger area, thus potentially requiring fewer injections. It’s vital to have a Dysport treatment performed by experienced, meticulous dermatologists like Dr. Isaac and Dr. Yanes because an inexperienced injector could spread Dysport into unwanted areas, such as the eyelids or lips. It is best to consult with a board-certified dermatologist before undergoing any injectable treatment.

Dysport is a great wrinkle treatment, especially for shallower wrinkles, such as crow’s feet, where spreading or diffusion is desired. The results are often seen more quickly than with BOTOX or XEOMIN, although how soon results are seen depends on the individual.


Xeomin logo forehead wrinkle treatment dermatologist alexandria

Similar to BOTOX, XEOMIN is a neuromodulator treatment often used for reducing frown lines. Frown lines are the deep lines that develop between the eyebrows over time. As we age, our skin loses its elasticity, and the wrinkles formed by our expressions become deeper and more permanent. XEOMIN relaxes the muscles around the eyebrows, allowing wrinkles to smooth out and preventing new wrinkles from forming.

XEOMIN has another benefit in that it contains fewer proteins than BOTOX or Dysport and thus may be better for people with sensitive skin. Talk to an expert dermatologist to find out if XEOMIN may be the best choice for you.


Like BOTOX, DAXXIFY works to reduce dynamic lines due to muscle contractions. Unlike other neuromodulators, DAXXIFY is made without any human- or animal-based components, making it a vegan treatment made with peptides using Peptide Exchange Technology™. It is believed that these peptide stabilizers are the reason why DAXXIFY lasts 2 to 3 times longer than other neuromodulators.

Talk to your dermatologist at MI Skin Dermatology to see if DAXXIFY is right for you.

Dr. Isaacs Performing Injections

Expert in the Art of Injectables

Dr. Melda Isaac’s impressive credentials make her the choice of so many for BOTOX, JUVÉDERM, and other injectables. Highlights include:

  • Board-certified dermatologist
  • 20+ years of experience with injectables
  • Performs more than 2,000 injectable treatments per year
  • Provides the most BOTOX treatments in the Washington, DC area
  • Incorporates her refined sense of facial aesthetics into each treatment
  • Remains on the forefront of injectable techniques and applications
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What Are BOTOX, Dysport, XEOMIN, and DAXXIFY Used For?

At our dermatology center in the heart of Washington, DC, we can use injections of BOTOX and other neuromodulators to soften wrinkles in a very natural-looking manner so you are still able to make your normal expressions. These treatments are often used to correct:

  • Horizontal forehead lines
  • Crow’s feet around the eyes
  • Vertical frown lines between the eyebrows
  • Bunny lines on the bridge of the nose

We can also use neuromodulators like BOTOX to treat a gummy smile, slim the jawline (masseter reduction), and provide a subtle lift to the eyebrows. Anti-wrinkle treatment results vary from person to person, so it is important to find a skilled injector.

Can BOTOX and Other Neuromodulators Be Combined With Other Treatments?

Your provider may recommend combining neuromodulators with other cosmetic treatments, such as dermal fillers or laser treatments, to achieve the best results.

BOTOX Treatment Areas

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How Do BOTOX, Dysport, XEOMIN, and DAXXIFY Treat Wrinkles?

BOTOX and its counterparts Dysport, XEOMIN, and DAXXIFY are neuromodulator treatments that address dynamic wrinkles, which are formed by the repeated contractions of facial muscles. When injected into precise locations, they relax the muscles, allowing the wrinkles to gradually smooth out and preventing them from becoming deeper. They can also be used proactively in younger patients to prevent wrinkles from forming in the first place.

BOTOX vs. Dermal Fillers

Because BOTOX and dermal fillers are both injectables used for facial rejuvenation, people often don’t know which option to choose. Here are some differences:

  • BOTOX (and other neuromodulators) temporarily relaxes muscles that cause lines and creases, allowing the skin to gradually smooth out.
  • Dermal fillers instantly smooth away wrinkles and folds by replacing volume within the skin. They also can fill out the cheeks, hollows around the eyes, and thin lips.

Dr. Isaac and Dr. Yanes often combine filler injections with neuromodulator injections to provide a full-face rejuvenation.

BOTOX, Dysport, XEOMIN, and DAXXIFY for Hyperhidrosis (Excessive Sweating)

BOTOX, along with XEOMIN, DAXXIFY, and Dysport, may be used to treat excessive sweating, a condition called hyperhidrosis. When injected in specific points under the arms or in the palms, these products prevent the release of a chemical that activates the sweat glands. While experiences vary, sweat is usually noticeably reduced in treated areas for about 3 months; in some cases, neuromodulators can control hyperhidrosis for up to a year.

BOTOX for Migraine Headaches

BOTOX has been approved by the FDA for use in preventing chronic migraines, defined as migraines that last for four hours or longer for 15 or more days in a month. People who have less frequent or severe migraines may also benefit from neurotoxin treatment but may also respond to other therapy options.

With a series of BOTOX injections into strategic points in the head and neck, people with chronic migraines may experience relief from the condition. While BOTOX has been proven effective in preventing chronic migraines, it does not prevent every occurrence. If you experience a migraine headache while on BOTOX therapy, it is still okay to use other prescription medications to relieve the migraine.

BOTOX for Jaw Slimming

BOTOX can be used to slim an enlarged jaw muscle, creating a more feminine shape to the jawline. By injecting BOTOX into the masseter muscle, the muscle is relaxed, which causes the size of the muscle to diminish over time, slimming the jawline.

BOTOX for a Gummy Smile

When you smile, your upper lip is pulled up, revealing your teeth. For some people, this can also expose the upper gum line, resulting in a “gummy smile.” BOTOX can be used to relax the muscles in the upper lip, resulting in less lift when you smile. This minimally-invasive treatment only takes a few minutes but can have a significant impact on your appearance.

Who Is a Candidate for BOTOX, Dysport, XEOMIN, or DAXXIFY Injections?

To be eligible for BOTOX or other neuromodulator injections, whether for cosmetic concerns or medical issues, you must first be in good general health. When addressing unwanted facial wrinkles, for example, the fine lines and wrinkles must be located in an area that the neuromodulator can treat, such as on the forehead, between the eyes, or even around the neck. Before any neuromodulator treatment, your doctor will determine whether your concern can be effectively treated with well-placed BOTOX injections.

You may not be a good candidate for BOTOX if you have a serious illness or infection or suffer from a skin infection at the treatment site. BOTOX is not recommended for patients who are currently pregnant or breastfeeding, as well as those who are allergic to botulinum toxin products or have a muscle or nerve condition that might interfere with the treatment. To learn whether you are a candidate for neuromodulator injections, please schedule an appointment with us today!

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The Allē℠ rewards program from Allergan Aesthetics makes it easy to save on BOTOX®, JUVÉDERM®, CoolSculpting®, and other eligible treatments, as well as LATISSE® and SkinMedica® products. Getting started is simple; just sign up online.

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What Is Recovery Like After BOTOX, Dysport, XEOMIN, or DAXXIFY?

As a fairly simple treatment, BOTOX injections are not typically painful and require little to no downtime. Most people experience a pinching sensation during the injection that quickly fades. You may see some redness or slight bruising around the injection sites, but these side effects typically fade within a day or 2. You may also safely conceal the redness or bruising with makeup. Your provider usually warns against exercising for about 24 hours after a BOTOX treatment. That’s because the increased blood flow caused by exercise can reduce the significance of your results by essentially “thinning out” the product.

How Long Will BOTOX, Dysport, XEOMIN, and DAXXIFY Results Last?

The full results of BOTOX are typically not visible until a week after the injections. Over the first few days, you will notice wrinkles slowly fading, and the full effect should last at least 3 to 6 months. DAXXIFY treatments have been shown to last up to 9 months. Follow-up appointments at our office will be necessary to maintain the full effects of botulinum toxin injections.

Turn Back the Clock

Rediscover a younger, more vibrant you. Trust award-winning dermatologists Dr. Melda Isaac and Dr. Daniel Yanes to restore your vibrance with individualized anti-aging procedures. Each treatment is meticulously planned and performed to take years off your face without leaving any obvious signs of a cosmetic treatment. Look as youthful as you feel, starting today.

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Q: What’s the best neuromodulator injection?

A: BOTOX, Dysport, and XEOMIN provide similar results and last about the same amount of time. DAXXIFY lasts up to 9 months for some patients. Dysport tends to spread farther, which could be an advantage or a disadvantage depending on where it’s injected. XEOMIN may be a good choice if you have sensitive skin because it contains no additives. DAXXIFY is made from peptides, and contains no human or animal-based components. Patient needs vary, so it is important to have a thorough consultation with a top dermatologist like Dr. Isaac or Dr. Yanes before deciding to have any cosmetic treatment. She will assess your situation and the kinds of results you want in order to arrive at a customized treatment plan that is right for you.

Q: What’s the best age to start getting BOTOX?

A: The best age for your first BOTOX treatment depends on the improvements you hope to attain. These treatments help young adults prevent dynamic wrinkles from forming. BOTOX can help people in middle age and older look naturally rejuvenated by smoothing away existing lines and keeping these signs of aging at bay. 

Q: Are neuromodulator treatments painful?

A: BOTOX, Dysport, XEOMIN, and DAXXIFY treatments are not painful if injections are performed with a fine needle by an experienced injector, like Dr. Isaac or Dr. Yanes. Our providers always offer topical anesthetic cream and ice prior to injections; however, many people don’t even find this to be necessary.

Q: Will anyone be able to tell I’ve had BOTOX or will my results look natural?

A: When done right, BOTOX will help you look naturally refreshed, not obvious or frozen. The key to attaining the results you want is to choose a board-certified dermatologist who has expertise in these cosmetic injections.

Q: How long do neuromodulator treatments last?

A: It depends on the individual treatment plan, but any neuromodulator treatment generally doesn’t take longer than 15 minutes. Part of the reason BOTOX is so popular is simply because it doesn’t take very long to perform to obtain excellent benefits with little to no downtime. Results from BOXO, Dysport, and XEOMIN last 3 months on average, but it depends on the quantity of neuromodulator used and the individual. DAXXIFY results tend to last longer, up to 9 months for some patients.

Q: What are the side effects of neuromodulators?

A: Side effects vary depending on the treatment and the individual, but the most common side effects are simply some slight redness and swelling around the injection sites. Bruises may occur in some cases, and occasionally headaches or slight nausea, but these symptoms, should they occur, disappear very quickly.

Q: Are neuromodulators safe?

A: BOTOX, Dysport, XEOMIN, and DAXXIFY are all FDA-approved, popular treatments for wrinkles and facial rejuvenation. As long as you choose a board-certified dermatologist with expertise in injectable treatments such as Dr. Isaac and Dr. Yanes, these treatments are safe and effective.

People often have questions regarding BOTOX, Dysport, XEOMIN, and DAXXIFY treatments. We’ve put together an overview of some of the more frequently asked questions. If you don’t see your question answered here, please visit our BOTOX FAQ page.

Schedule Your Consultation Today

To learn more about neuromodulator treatments and whether they are right for you, request a consultation online or call (202) 393-7546. In Washington, DC, Dr. Isaac and Dr. Yanes frequently perform BOTOX, Dysport, XEOMIN, and DAXXIFY treatments for people from Chevy Chase and Bethesda, MD, Arlington and Alexandria, VA, and other surrounding communities.

About Our Doctors

Dr. Melda Isaac and Dr. Daniel Yanes are consistently recognized among the top dermatologists in Washington, DC. Our board-certified dermatologists provide both medical and cosmetic dermatology services with professionalism and compassion. Their specialized expertise in injectables and an eye for creating natural-looking results have made them a sought-after source for excellent dermatological care.

Dr. Isaac

Melda Isaac, MD

Founder and Director of MI Skin Dermatology and Laser Center

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Dr. Yanes

Daniel Yanes, MD

Board-Certified Dermatologist

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Credentials you can trust

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Dr. Daniel YanesDr. Daniel Yanes

Schedule Your Consultation with Dr. Daniel Yanes!

Dr. Daniel Yanes has joined Dr. Melda Isaac and the MI Skin Dermatology Center team. He brings extensive medical and cosmetic dermatology expertise, including experience with cosmetic injectables and lasers. Schedule your consultation with Dr. Yanes at MI Skin Dermatology today!

Meet Dr. Yanes