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Botox injection at West Annapolis Medical Spa

West Annapolis Medical Spa

Botox & Dysport in Annapolis, MD

Experienced injectors, led by two board-certified surgeons. Dr. Henry Sandel, a double board-certified facial plastic surgeon, and Dr. Claire Duggal, a board-certified plastic surgeon, inject here alongside our two aesthetic nurse injectors.

Why patients choose us

Botox in Annapolis, MD

Experience matters

Your injector is one of our two board-certified surgeons or one of the experienced aesthetic nurse injectors who work alongside them. Placing a neuromodulator well depends on knowing the muscles underneath.

Free touch-ups

If you need a little more within two weeks, it’s free. We never over-treat, because too much can’t be undone.

Same-day appointments

Most days we can see you for Botox the same day you call.

The same injector every visit

You can request your injector when you book and keep them. Each treatment builds on what worked last time.

The product that suits you

We carry Botox, Dysport, Xeomin and Daxxify, so the choice is made for your face and history, not by what is on the shelf.

Treatment areas

Where we use it

Most treatments cover one to three areas in a single visit. Select an area to see where it is.

Illustrated face and neck showing the areas commonly treated with Botox

Results

Before and after

Botox for frown lines before and after
Botox for frown lines. An actual patient of West Annapolis Medical Spa.
Dysport for forehead lines, frown lines, crow’s feet and lip flip before and after, case 6006
Dysport for forehead lines, frown lines, crow’s feet and lip flip. An actual patient of West Annapolis Medical Spa. All 3 photographs ›
Botox for forehead lines, frown lines and crow’s feet before and after, case 6007
Botox for forehead lines, frown lines and crow’s feet. An actual patient of West Annapolis Medical Spa. All 3 photographs ›
Dysport for forehead lines, frown lines, crow’s feet and bunny lines before and after, case 6008
Dysport for forehead lines, frown lines, crow’s feet and bunny lines. An actual patient of West Annapolis Medical Spa. All 2 photographs ›
Dysport for forehead lines, frown lines, brow lift and bunny lines before and after, case 6009
Dysport for forehead lines, frown lines, brow lift and bunny lines. An actual patient of West Annapolis Medical Spa. All 4 photographs ›
Dysport for forehead lines, frown lines and crow’s feet before and after, case 6010
Dysport for forehead lines, frown lines and crow’s feet. An actual patient of West Annapolis Medical Spa. All 4 photographs ›
Botox for frown lines and crow’s feet before and after, case 6011
Botox for frown lines and crow’s feet. An actual patient of West Annapolis Medical Spa. All 2 photographs ›
Botox for frown lines and crow’s feet before and after, case 6012
Botox for frown lines and crow’s feet. An actual patient of West Annapolis Medical Spa. All 5 photographs ›
Dysport for forehead lines, frown lines and crow’s feet before and after, case 6013
Dysport for forehead lines, frown lines and crow’s feet. An actual patient of West Annapolis Medical Spa. All 4 photographs ›
See more Botox results ›

Who injects

Four injectors

Injections here are done by our two surgeons and our two aesthetic nurse injectors. You can request a specific injector when you book, and see the same one at every visit.

Henry D. Sandel IV, MD, FACS, double board-certified facial plastic surgeon

Dr. Henry Sandel

Facial Plastic Surgeon

Injects the face he operates on, including areas that call for advanced technique — among them masseter treatment, for bruxism, TMJ pain, and facial contouring.

Claire S. Duggal, MD, board-certified plastic surgeon

Dr. Claire Duggal

Plastic Surgeon

Board-certified plastic surgeon, non-surgical facial aesthetics.

Arabeth Turner, RN, BSN, Aesthetic Nurse Injector

Arabeth Turner, RN, BSN

Aesthetic Nurse Injector

Injectables, skin health, and treatment planning at the medspa.

@aesthetics_by_arabeth
Bailey Lusby, BSN, RN, Plastic Surgery Nurse Liaison and Aesthetic Nurse Injector

Bailey Lusby, BSN, RN

Plastic Surgery Nurse Liaison | Aesthetic Nurse Injector

Injectables at the medspa.

@beauty_by_baileyyyy

Dosing and cost

How many units do I need, and what will it cost?

Every patient is different. These are typical ranges for most people. Men, and anyone with deep lines or strong muscles, often need a higher dose.

Botox, Dysport and Xeomin cost the same for the same result. Dysport is measured on a different scale, so its unit numbers are higher. Daxxify costs a little more because it usually lasts longer, around six months.

Your injector confirms your dose, and your cost, at your visit.

AreaBotox unitsBotox, Dysport or XeominDaxxify
Frown lines between the brows15–20$280–$370$310–$410
Crow’s feet20–30$370–$480$410–$540
Forehead lines5–10$100–$190$110–$210
Lip flipAbout 10About $190About $210
All three upper-face areas
frown lines, crow’s feet and forehead
40–60$600–$840$680–$960

The price per unit goes down as the number of units goes up, so treating several areas at once costs less than the areas added together. If you need a touch-up within two weeks, it is free. Estimates only; pricing is subject to change.

Cost

How much does Botox cost in Annapolis?

Botox is priced per unit, so your cost depends on how many units your treatment needs. The table above shows typical costs for each area.

Every practice buys these products from the manufacturer at the same price. A price per unit far below the usual range can mean fewer units than stated, or product diluted more than it should be. It is worth asking how many units you are receiving.

What your treatment includes

A full dose

The units your treatment needs, at the manufacturer’s recommended strength.

Freshly prepared product

Product loses strength if it sits after it is mixed. We treat enough patients each day that it is used soon after it is prepared.

An experienced injector

Careful placement avoids a heavy forehead or drooping brow, the most common problems after Botox.

A free touch-up, if you need one

Most patients don’t. If a little more would perfect the result within two weeks, it costs nothing.

Four products, matched to you

Botox, Dysport, Xeomin or Daxxify: which one?

All four are botulinum toxin type A and all four work the same way. They differ in how quickly they take effect, how far they spread from the injection point, and how long they last. Which one suits you is a judgment your injector makes with you, based on the area being treated and how you have responded before.

Botox® Cosmetic

Allergan / AbbVie

onabotulinumtoxinA

The longest-established of the four and the one most patients arrive asking for, with the longest clinical track record behind it.

Onset

5–7 days

Typically lasts

3–4 months

Manufacturer patient information ›

Dysport®

Galderma

abobotulinumtoxinA

Takes effect a little sooner than Botox and spreads slightly more widely from each injection point, which some injectors prefer across a broad forehead.

Onset

2–3 days

Typically lasts

3–4 months

Manufacturer patient information ›

Xeomin®

Merz Aesthetics

incobotulinumtoxinA

Carries no accessory proteins — sometimes called a bare or naked toxin. Worth discussing if you have found other products becoming less effective over time.

Onset

3–4 days

Typically lasts

3–4 months

Manufacturer patient information ›

Daxxify®

Revance

daxibotulinumtoxinA-lanm

The newest of the four, stabilized with a peptide rather than human serum albumin. In trials the median duration was longer than the other three, though response varies considerably.

Onset

2–4 days

Typically lasts

Often around 6 months

Manufacturer patient information ›

Onset and duration are typical ranges, not promises — both vary with dose, treatment area, and how quickly you metabolize the product. The manufacturer links above go to each company’s own patient site, including full prescribing information and safety warnings.

How it works

All four products are botulinum toxin type A. A small dose relaxes the muscle that creates a line, so the skin above it smooths. Botox Cosmetic is FDA-approved for forehead lines, frown lines and crow’s feet.

Allē

Dr. Sandel has been named by Allergan, Inc., the makers of Botox Cosmetic, as the number one injector of Botox in Annapolis.

Loyalty programs

Each manufacturer runs its own rewards program. We participate in all three, so points accrue whichever product you and your injector choose. Enrolment is free and the accounts are yours — ask at check-in and we will scan your treatment in.

Allē by Allergan Aesthetics

Points on Botox® Cosmetic, Juvéderm®, Skinvive™, and Latisse®. Successor to Brilliant Distinctions.

alle.com
ASPIRE Galderma Rewards

Points on Dysport®, Sculptra®, and the Restylane® family of fillers.

aspirerewards.com
REVA Rewards by Revance

Points on Daxxify® and the RHA® Collection of fillers.

revanceaesthetics.com

Treatment with prescription Dysport can temporarily improve the look of moderate to severe frown lines, and generally takes just 10 to 20 minutes. Neither treatment is permanent. Dr. Sandel and Dr. Duggal may recommend combining injections with other treatments such as chemical peels, laser skin treatments, and injectable fillers depending on your needs and desires.

“Facial rejuvenation does not just mean a facelift. There are many other surgical and non-surgical options which can help you look younger and more refreshed, while always making sure you still look like YOU.”

Dr. Claire Duggal

Botox FAQs.

That is a conversation, not a preference. Your injector will weigh the area being treated, how quickly you want to see a change, how long you want it to last, and how you responded to any product you have had before. Patients who find their results fading sooner than expected are often the ones who benefit from switching. If you have never had a neuromodulator, we usually start with a well-established product and adjust from there.

Botox Cosmetic injections have earned FDA approval to treat forehead furrows, crow’s feet, and glabellar lines. Botox derives from a purified version of the botulinum toxin, which allows it to limit muscle activity. When injected in precise amounts in targeted areas such as your forehead and around your eyes, it can reduce dynamic wrinkles and fine lines that occur due to repetitive facial expressions like squinting and smiling.

Treatments are not permanent. In general you can expect results to last around three to four months until the product wears off, though this varies case by case. For many recipients, the effects of subsequent treatments last longer than the initial one because repeated use trains the targeted muscles not to contract. The temporary effect also lets you decide whether you like the results before committing long term.

By reducing the appearance of dynamic wrinkles and fine lines, Botox provides a more youthful appearance, but it does not alter your existing features. If you want to add definition to your cheeks or revise your lips, you may need to look to other non-surgical treatments like dermal fillers. Discuss your aesthetic goals with your provider to learn what complementary procedures may fit.

Following injections you will need to avoid applying any pressure to the treated area to avoid unintended product migration. For best results, we recommend waiting at least 24 hours to apply makeup, giving the neuromodulator time to settle and your injection sites time to recover completely.

After three to four months Botox usually starts wearing off, though the overall timeline varies from person to person. Some patients require a follow-up treatment within two to three months; for others it could take up to six months. Discussing your expectations with Drs. Sandel and Duggal will help set the right maintenance schedule.

For four hours after treatment, stay upright, don’t rub or press the treated areas, and skip strenuous exercise. This gives the product time to settle where it was placed.

In most patients the two last about the same time, around three to four months. Dysport usually takes effect a few days sooner. Daxxify often lasts longer, around six months, though response varies.

A few units of Botox placed just above the upper lip relax the muscle there, so the lip rolls slightly outward and shows a little more. It usually takes about 10 units, and it is a subtler change than lip filler, which adds volume.

Most patients describe a quick pinch at each point. The needle is very fine, and treatment takes 10 to 20 minutes.

Yes, if you need one. Most patients don’t, but if yours needs a little more to perfect the result, a touch-up within two weeks of your treatment is free, whichever of the four products you had and whichever injector treated you. We would rather add a few units than over-treat, because an over-treated area can’t be reversed.

The most common side effect is temporary bruising. Headaches can occur but are rare, and pass within 48 hours. A small percentage of patients develop a drooping eyelid, which resolves within about three weeks.

Often combined with

Injectables

Dermal Fillers

Skin health

Chemical Peel

Lasers

Laser Skin Treatments

Aesthetic detail

Latisse

Book your appointment.

Discussing your expectations with our injectors helps set the right plan for maintenance treatments, so you keep getting the results you want.

Request an appointment(410) 266-7120

Related reading

Botox and PregnancyRead in the journal4 Uncommon Uses for Botox®Read in the journalIs Eyelid Surgery or Botox Better?Read in the journalRestoring the Vibrancy of Your Eyes with BotoxRead in the journal