
West Annapolis Medical Spa
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
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.
If you need a little more within two weeks, it’s free. We never over-treat, because too much can’t be undone.
Most days we can see you for Botox the same day you call.
You can request your injector when you book and keep them. Each treatment builds on what worked last time.
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
Most treatments cover one to three areas in a single visit. Select an area to see where it is.

Results









Who injects
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.


Aesthetic Nurse Injector
Injectables, skin health, and treatment planning at the medspa.
@aesthetics_by_arabeth
Plastic Surgery Nurse Liaison | Aesthetic Nurse Injector
Injectables at the medspa.
@beauty_by_baileyyyyDosing and 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.
| Area | Botox units | Botox, Dysport or Xeomin | Daxxify |
|---|---|---|---|
| Frown lines between the brows | 15–20 | $280–$370 | $310–$410 |
| Crow’s feet | 20–30 | $370–$480 | $410–$540 |
| Forehead lines | 5–10 | $100–$190 | $110–$210 |
| Lip flip | About 10 | About $190 | About $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
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
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.

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
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

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
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
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.
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.
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.
Points on Botox® Cosmetic, Juvéderm®, Skinvive™, and Latisse®. Successor to Brilliant Distinctions.
alle.comTreatment 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
Discussing your expectations with our injectors helps set the right plan for maintenance treatments, so you keep getting the results you want.
Ask Sandel Duggal
Answers from our website
Ask about our procedures, our surgeons, or where to find something on the site. I cannot give medical advice or tell you whether a treatment is right for you — those are conversations for the office.
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