BOTOX®, Dysport®, & XEOMIN®

For treatment of dynamic wrinkles, we offer BOTOX Cosmetic, Dysport, and XEOMIN in Washington, DC, at MI Skin Dermatology & Laser Center. These injectable neuromodulators work by blocking nerve signals in order to reduce the appearance of wrinkles formed by muscle movements. BOTOX, Dysport, and XEOMIN 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.

 Before & After Photos

Keep in mind that each patient is unique and your results may vary.

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Microneedling Case 6 Before & After Front | Washington, DC | MI Skin Dermatology Center: Melda Isaac, MD
Before & After
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Case #6

This woman was treated with microneedling to improve the appearance of wrinkles on her forehead. 

Keep in mind that each patient is unique and your results may vary.

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 dermatologist Dr. Melda Isaac uses BOTOX to treat wrinkles, excessive sweating, and migraine headaches.


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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 an experienced, meticulous dermatologist like Dr. Isaac 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.

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, and XEOMIN 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 to treat a gummy smile, slim the jawline, 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.

Dr. Isaac 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, and XEOMIN Treat Wrinkles?

BOTOX and its counterparts Dysport and XEOMIN 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, Dysport, and XEOMIN for Hyperhidrosis (Excessive Sweating)

BOTOX, along with XEOMIN 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.

Who Is a Candidate for BOTOX, Dysport, or XEOMIN 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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Saving on future treatments?Even Better!

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, or XEOMIN?

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. Dr. Isaac 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, and XEOMIN 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. 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 dermatologist Dr. Melda Isaac 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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BOTOX, Dysport, and XEOMIN FAQs

People often have questions regarding BOTOX, Dysport, and XEOMIN 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.

Q: Which neuromodulator treatment is right for me?

A: Without knowing a person’s individual situation, it’s difficult to say which treatment will be the best. This is why it’s important to have a thorough consultation with a top dermatologist, like Dr. Isaac, before deciding to have any treatment done. Dr. Isaac 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: Are neuromodulator treatments painful?

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

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 last 3 months on average, but it depends on the quantity of neuromodulator used and the individual.

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, and XEOMIN 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, these treatments are safe and effective.

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 frequently performs BOTOX, Dysport, and XEOMIN treatments for people from Chevy Chase and Bethesda, MD, Arlington and Alexandria, VA, and other surrounding communities.

Dr. Isaac

About Dr. Isaac

The founder and director of MI Skin Dermatology and Laser Center, Dr. Melda Isaac is consistently recognized as a top dermatologist in Washington, DC. An award-winning, board-certified dermatologist, she provides both medical and cosmetic dermatology services with professionalism and compassion. Her specialized expertise in injectables and her eye for creating natural-looking results have made her a sought-after source for excellent dermatological care.

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Credentials you can trust

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