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Botox Injectable

woman with natural appearance

Over time, features of your face may begin to develop fine lines and wrinkles. While these changes are part of the aging process, they are both avoidable and treatable thanks to advancements in aesthetic care.

BOTOX offers patients a temporary option for decreasing the appearance of fine lines and wrinkles in areas such as:

The glabella (between the eyebrows)

Crow’s feet at the outer corner of the eyes

The forehead

Treatment is proven, is extremely common, and does not require any downtime.

Injections with BOTOX can also serve more therapeutic needs, such as decreasing chronic pain. Doctors use BOTOX to treat symptoms of temporomandibular joint (TMJ) disorders, migraine headaches, and trigger points. As a result, patients can enjoy a higher quality of life.

Why Botox And Why Our Practice?

Treatment with BOTOX can be an effective way to diminish signs of aging. The injectable solution targets an underlying cause of unwanted wrinkles: the repetitive contracting of certain facial muscles. Treatment temporarily prevents these muscles from activating, giving the skin a smoother, more youthful appearance while still allowing for the full range of facial expressions.

BOTOX can also be used as an alternative to fillers for patients who want to achieve fuller-looking lips without added volume. A BOTOX lip flip increases the visibility of the upper lip by relaxing the muscles around it and causing a slightly upward turn of the lip. This treatment can benefit patients who have a thin upper lip that tends to disappear when they smile or want a more prominent pout.

The transformation is subtle yet enhances the definition of the lips and creates the appearance of additional volume without looking overly done. Our facial cosmetic surgeons make very precise injections for natural-looking lip enhancement that is visible within a few days.

BOTOX lip flip treatment lasts approximately four months, during which time the upper lip will slowly roll back down to its original position. Treatment can be repeated to maintain the appearance of fuller lips.

In addition to aesthetic concerns, BOTOX can also:

Alleviate the symptoms of TMJ disorders.

Reduce the frequency and severity of migraine headaches.

Lessen chronic pain related to trigger points.

Through training and years of practice, our practitioners offer extensive experience in injectables and facial aesthetics. As a result, patients can expect this med spa treatment to be more precise, predictable, effective, and comfortable.

Your Botox Consultation Overview

During your initial visit to the practice, we will ask you about your reasons for scheduling an appointment and the concerns you would like to address. Once we understand the outcome you want to achieve, we will outline a plan specific to your needs.

Assuming you are focused on aesthetic issues, one of our doctors will conduct an examination of the areas that you want to treat. We will ask you about factors that may affect your skin’s quality, including exposure to the sun and smoking. Depending on the evaluation, you may be a good candidate for cosmetic treatment with BOTOX.

If you are seeking therapeutic treatment with BOTOX, we’ll ask you about your health history and discuss treatments you may have tried in the past. Performing a thorough consultation allows us to give you the best possible care. In both aesthetic and therapeutic cases, most of our patients can receive BOTOX on the same day as their consultation.

What To Expect With Your Botox Treatment

BOTOX is a non-invasive cosmetic option that takes only minutes to complete. Patients frequently schedule treatment during the workweek and are back in-office later in the day.

Ensuring patient comfort before, during, and after BOTOX is a top priority at Virginia Advanced Surgical Arts. As part of the treatment, we will:

Prep the treatment area with ice to decrease your sensitivity.

Precisely inject BOTOX with a very small needle

Ice the area following treatment to prevent any potential swelling.

One common question our patients ask is about whether getting BOTOX is painful. This is where our cosmetic surgeons’ specialized training and decades of combined experience comes into play. Oral and maxillofacial surgeons perform thousands of facial injections over the course of their careers. This depth of experience means a more precise and gentle delivery of BOTOX to areas of need.

Contact Virginia Advanced Surgical Arts if you have questions about BOTOX or would like to schedule a consultation.

Meet Doctor

Craig Vigliante, MD, DMD

Dr. Vigliante became interested in oral surgery after having double jaw surgery for his open bite. Since then, he’s dedicated himself to showing his patients the highest level of care possible. He’s certified by the American Board of Oral and Maxillofacial Surgeons and holds medical and dental licenses in Virginia. 

What Our Patients Say


“I felt welcomed and valued from the second I walked in the door to the moment I left. Every person I interacted with- from the front desk staff, to the surgical assistants, and even the doctor himself- was kind, informative, and helpful. I had my wisdom teeth removed on Friday and was back to work with only a mild and easily manageable headache on Monday. They gave clear instructions on how to prevent infection and dry socket, and even called to check up on me the day of and week after my procedure! I strongly recommend this office to anyone who is searching for the services they offer.

Jacquelyn Candito


“Everyone was super nice, friendly, and courteous. The office is clean and modern. Everyone was professional and seemed pretty organized. I got to watch Netflix laying down while I waited as well. The staff was nice enough to even switch it to a show I recommended!! Also, there are snacks and drinks available for your drivers waiting on you. As someone who is wary of going to the dentist, it was a great experience and I’d recommend this place! Cute valentines day decorations when I was there too!”

Amy Vu

Experienced Cosmetic Surgeons Serving the DC Metro Area


Dr. Vigliante, Dr. Gocke, Dr. McAdams, and Dr. Thomas are board-certified oral and maxillofacial surgeons thoroughly qualified to perform complex restorative surgical procedures, no matter the circumstance, for patients in Northern Virginia and Maryland. Their experience and training have given them an unmatched skill set balanced between art and science. You can be confident in choosing Virginia Advanced Surgical Arts for your oral surgery needs.