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Medi-Spa FAQ

In our soothing setting, The Red Door now offers a menu of advanced medispa procedures. Our Pulsed Light Hair Removal service offers a convenient and permanent alternative to waxing and shaving. Fast, simple and minimally invasive, our rejuvenating facial services can reduce lines and creases, or restore volume and fullness. Results for Botox® Cosmetic last four to six months and injectable fillers such as, Restylane®, Perlane® and Juvéderm™ last six months or more. Sculptra Aesthetic stimulates skin to produce volume enhancing collagen that lasts up to two years. All medi-spa services require no downtime and are performed by board-certified plastic surgeon, Dr. Douglas Forman, cited by Washingtonian Magazine as a leading plastic surgeon in the Washington DC area. Dr. Forman answers commonly asked questions about our facial enhancements: Medi Spa Q&A



What is Botox® Cosmetic?
BOTOX® Cosmetic injections provide a non-surgical way of reversing some of the visible signs of aging. Following years of repetitive muscle usage in the face, wrinkles in the overlying skin will be produced. BOTOX Cosmetic is a natural purified protein that is typically used in the forehead, frown lines between the eyebrows, and the lines around the outer eye regions to decrease the activity of the wrinkle-producing facial muscles. Crow's feet, forehead furrows, and frown lines are caused by the contractions of underlying facial muscles. These can lead to wrinkles and creases that are present when you are not expressing emotion. 

How does Botox® work?
Muscles contractwhen a chemical transmitter is released by an adjacent nerve. BOTOX® Cosmetic blocks the release of the chemical transmitter (nerve impulses) to the wrinkle-producing muscles so they do not contract, thereby resulting in a relaxation of the treated muscle. The overlying skin will be smoother with the lines softened and in some instances, eliminated completely. The untreated muscles will allow for normal facial expression to remain unaffected.

The treatment is simple with minimal discomfort, requires only a few minutes, and you can immediately resume normal activities. Very precise injections are made into the areas selected for treatment. The results will be apparent in a range of 3 to 5 days. The duration of effect is between 3 and 4 months.* The longevity of treatment benefits may increase over time as the muscles weaken so that less frequent injections may be required in the future.

Is it safe?
BOTOX® has over 10 years of success in treating a variety of medical conditions. Its effect is confined to the treatment area. BOTOX® Cosmetic has been approved by the Food and Drug Administration as safe for cosmetic use.

Who is administering the treatment?
All BOTOX® Cosmetic treatments (as well as tissue-filling treatments) at Elizabeth Arden Red Door Salon and Spa are performed by American Board of Plastic Surgery certified surgeon, Dr. Douglas L. Forman.

Dr. Forman (Washington, DC/Bethesda, MD/Gaithersburg, MD)

How is the treatment administered?
It is a simple, non-surgical procedure that takes about 15 minutes and requires a few tiny injections. 

Is the treatment painful?
Discomfort related to the injection is minimal, brief, and is limited by the use of an anesthetic cream on the skin.

Are there side effects?
Side effects are extremely rare. However, should they occur, the most common ones are short-term bruising from the injection, a slight headache, and temporary changes in eyelid elevation.

Is there any downtime?
Normal daily activities can be resumed immediately. However, it is recommended to avoid exercise, bending, or lying down for several hours after treatment. The procedure is non-surgical so no recovery time is needed.

How long do Botox® results last?
BOTOX® Cosmetic is not permanent. It lasts between 3 and 4 months, so treatments should be repeated between 2 and 4 times a year to maintain the best results.*

What can patients expect from a Botox® treatment?
Within days, patients see a marked relaxation and smoothing of the wrinkles. The improvement will continue to occur over several weeks. Patients will not lose facial expression. They will still be able to laugh, smile, or frown but without the wrinkles.

What is the cost?
BOTOX® Cosmetic is one of the least expensive yet most effective facial aesthetic procedures. Price will vary based on the number of areas being treated.



What is the difference between Botox® Cosmetic and tissue fillers likeJuvederm, Restylane®, and Perlane®?
BOTOX® Cosmetic directly treats the cause of wrinkles by relaxing the muscles that produce them. The overlying skin smoothes out as a result of the lack of repetitive muscle contraction. 

Tissue fillers camouflage wrinkles and folds by adding volume directly into the wrinkle or the area of volume deficiency. Juvederm, Restylane®, and Perlane® are tissue fillers that are all made from hyaluronic acid which is naturally present in the skin. BOTOX® Cosmetic and tissue fillers are often used together to achieve the desired result.

How are tissue fillers used in facial treatment?
Tissue fillers have traditionally been used to smooth facial wrinkles and this remains a primary role for these injectables. Fillers are also used in areas such as the lips and cheeks when they are judged to be lacking in adequate fullness or projection. However, we now realize that in many more cases it is the absence of volume due to atrophy and migration of the fat and muscles in the face and neck that creates the changes we perceive as aging. In the aging face, we frequently need to restore volume in areas of folds or hollowing to achieve a more youthful appearance.  

What is hyaluronic acid?
Hyaluronic acid is found naturally in the body and provides volume and fullness to the skin. Injectable hyaluronic acid has been modified to allow for a greater longevity than that found in the skin. In addition, these products contain no animal proteins so no skin testing prior to treatment is required. It is a safe compound that is degraded gradually by the body over time. 

Why can’t I just use Botox® Cosmetic to achieve my anti-aging goals?
BOTOX® Cosmetic is an excellent choice in areas of the face where muscle contraction can be modified to achieve the desired effect of smoothing of the overlying wrinkled skin with maintenance of normal facial expression. In contrast, a tissue filler is indicated in areas of folds, wrinkles, or hollowing that are the result of volume shifts or deficiencies in the face. The selective use of BOTOX® Cosmetic in conjunction with a filler maximizes the potential benefits of each modality to the patient

How long do the results last?
The duration of effect from the hyaluronic acid fillers ranges from 6-12 months.  

Are the treatments painful?
A topical numbing cream or an injectable anesthetic will be used to minimize any discomfort from the injections. No pain would be expected after completion of the treatment. 

How is the treatment administered?
Following the use of an anesthetic agent, a tiny needle is introduced into the   skin. The volume enhancing effect is created by layering the filler in a series of fine tunnels within the undersurface of the skin. 

What are the possible side effects?
Any side effects are generally short-term and mild to moderate in nature. They include localized inflammation and swelling, bruising, discoloration, and skin surface irregularities. Intermittent application of ice packs following the procedure will reduce the minor amount of swelling and the likelihood of bruising following the procedure. In the unusual circumstance of a surface irregularity, fingertip massage will help smooth out the contour.        

What is the cost?
The cost is dependent on the amount of filler required to achieve the desired effect, and the average treatment requires 1-2 syringes. 

Consultations with our plastic surgeons are complimentary at The Red Door.
For more information, please call one of the listed Red Door locations.

Dr. Forman (Washington, DC/Bethesda, MD/Gaithersburg, MD)