Botox & Fillers

BOTOX® Cosmetic and Dysport

Beauty is in the Eyes™

BOTOX® Cosmetic and Dysport are injectable products that Dr. Alexandra Chebil uses to temporarily reduce or eliminate facial lines that occur as we age.

As we get older, there is a natural loss of volume in the collagen and fat layers of the skin. As a result, the underlying muscle pulls more strongly on the skin resulting in deep lines and furrows that give a tired or worried appearance. Even in younger patients, facial muscles are repeatedly used for expression of emotions such as concentration, worry, and surprise. Other facial movements like smiling, whistling, or drinking from a straw will also cause creases to deepen and eventually become permanent. Some facial lines may give the wrong impression of emotion for example the lines between the eyebrows that show concentration may give a person an angry appearance.

BOTOX® Cosmetic and Dysport don’t simply fill in the creases; they actually prevent the creases from occurring by blocking the contraction of the underlying muscle.

These prescription grade products are ideal for both men and women above the age of eighteen who want to prevent the wrinkles from occurring as well as older patients who want to regain a more natural, youthful appearance.

Facial Areas that could benefit from BOTOX® Cosmetic and Dysport

These products can temporarily reduce or eliminate the frown lines between your eyebrows, the crow’s feet at the corners of your eyes, and the horizontal worry lines in your forehead. Research suggests that they may also reduce neck wrinkles (necklace lines) and smokers’ lines around the mouth.

BOTOX® Cosmetic and Dysport have also been approved by the FDA for migraines and the reduction of severe underarm perspiration with results lasting up to one year.

Most adults with perfectly smooth skin have probably used BOTOX® Cosmetic and Dysport to maintain their youthful appearance.

Treatment takes just a few minutes, with results starting to be noticeable between five and fourteen days. The duration of the effect varies between individuals, usually between three to four months. With repeat injections, results may last even longer depending on the strength of the muscle injected.

You may not be a good candidate for BOTOX® Cosmetic and Dysport if you:

  • Have severe allergies to bovine products
  • Have neurological diseases
  • Have skin infections in the areas that need treatment
  • If you have sagging, drooping or very sun-damaged skin
  • Blood thinners and fish oil supplements may increase your chance of bruising.

Botox FAQ’s

What is Botox?

Botox® is a dilute variation of botulism which Dr. Alexandra Chebil injects in facial muscles that cause wrinkles. This simple, nonsurgical, treatment can temporarily reduce or eliminate frown lines between the eyebrows of men and women between the ages of 18 and 65.

  • Is Botox approved by the FDA?
    Yes, Botox has been approved by the FDA since 1989.
  • Does Botox hurt?
    You will feel a slight pinch during the injection that disappears very quickly. If you like, we offer a topical anesthetic and ice pack to reduce the discomfort.
  • Does Botox work?
    Yes, it prevents the muscles from pulling on your skin so the facial wrinkles are reduced or eliminated.
  • Can I drive after Botox?
    Yes, you can drive right away after your injection. No recovery time is required.
  • Will my facial expressions continue to look natural?
    Yes, Botox will not make you look un-natural or frozen. The lines between your eyebrows will appear softer and less deep. You will still be able to frown and look surprised after the treatment.
  • What are possible side effects?
    You may experience mild pain, redness and bruising at the site of the injection. Very rare complications include temporary eyelid droop and nausea.
  • When should Botox not be used?
    BOTOX® Cosmetic should not be used if there is an infection in the area to be injected, if a patient is allergic to the product and if a patient has neurological diseases like ALS or myasthenia.

Botox and Dysport Before and After Pictures

Botox and Dysport Before 1Botox and Dysport After 1

Botox and Dysport Before 2Botox and Dysport After 2

Botox and Dysport Before 3Botox and Dysport After 3

Botox and Dysport Before 4Botox and Dysport After 4


What are Dermal Fillers, Juvederm, Restylane and Radiesse?

Juvéderm® and Restylane are smooth, transparent gels that are made of hyaluronic acid, a substance that naturally exists within the layers of your skin. As we age, our skin loses its natural volume and hydration, and wrinkes and lines appear. Dr. Alexandra Chebil will gently ease the Juvéderm® or Restylane injectable gelsand Restylane under your skin to quickly reduce or eliminate the smile lines which are the nasal-labial lines that run from the corners of your mouth up to the bottom of your nose. This product will safely and rapidly smooth away wrinkles and restore your skin’s volume.

Juvederm and Restylane are some of the only hyaluronic acid fillers that is FRDSA approved for up to one year lasting effect. Juvéderm® injectable gel is the first hyaluronic acid filler that can be used safely and effectively for people of all skin types and colors.

Juvéderm® and Restylane provide such a smooth and natural look and feel that no one will notice anything but a more youthful you. It has been proven that these products give better results than collagen-based fillers.

Most men and women are excellent candidates for Juvéderm® or Restylaneinjectable gels. Since they are not animal-based, allergies are very rare and may be a better choice for people who have tried collagen injections but were not pleased with their results. Juvéderm® and Restylane fillers may be great choices for patients who want to achieve a natural effect for facial rejuvenation of lines and wrinkles or who desire fuller lips.

Radiesse™ is another injectable product that is calcium based. It is also similar to Collagen, but is safer and lasts longer. Although past uses included just facial lines and wrinkles, more recent uses include facial contouring, to enhance the cheek, chin, nose and jaw line.

Dermal fillers may be good options for you if you are dissatisfied with the way your face is aging — namely, if you dislike the wrinkles and creases that have surfaced. Juvéderm® and Restylane may also be right for you if you feel that your lips need augmentation.

Juvéderm® and Restylane are appropriate for most areas of the face, including the lines around your mouth, your nose, and your forehead. Dr. Alexandra Chebil may also perform facial contouring to improve the appearance of scars, such as acne scars. Juvéderm and Restylane can also be used to enhance the appearance of your lips.

Injectable products may not be good for you if you have excess scarring, have severe allergies or are pregnant or nursing.

Dr. Alexandra Chebil offers complimentary facial consultations and will advise you as to the injectable product that is best suited to your needs. If you are taking medication such as aspirin or fish oil, there may be an increased chance of bruising after your injection.


Dermal Fillers Before and After Pictures

Dermal Fillers Before and After 1Dermal Fillers Before and After 2