By: George J. Bitar M.D. & Robert F. Centeno M.D.
Board Certified Plastic Surgeons

Although no one can argue with the superior results and permanency that surgery can afford a patient who seeks facial rejuvenation, surgery is not for everyone. Some people prefer not to have surgery for health reasons, apprehension towards surgery, inability to afford the downtime or the cost, or simply because they are not sure they want a permanent result. Botox® and fillers offer these patients a great alternative to surgery.
When someone looks in the mirror and is unhappy with their face, there may be several factors causing them dissatisfaction. If a patient is unhappy with wrinkles around their forehead, eyes, and cheeks, or the shape of their cheeks, lips, and jowls, then they may be a good candidate for an injectable treatment. I offer Botox®, Restylane®, Juvederm®, and Radiesse® as a less expensive, quicker alternative to patients who do not want - or do not need - a surgical procedure. Results can last 6-24 months depending on the injectable, the location, and the patient. Patients are usually very happy with this tradeoff for an immediate rejuvenated look.
Because of the massive amounts of fillers on the market people can get confused by the difference between each injectable. Botox® is a protein that temporarily stops the nerve from communicating with the muscle, thus preventing that muscle from creating a wrinkle. This effect takes four days to take place and lasts 4-6 months. Restylane®, Perlane®, and Juvederm® are all gels made from hyaluronic acid, a natural sugar that binds water and creates fullness that lasts 6-12 months. Radiesse®, a more viscous filler, is made from tiny calcium particles in a solution, which also creates fullness that is less forgiving than the hyaluronic acid fillers but can last 1-2 years. A non-surgical facelift can be performed on patients by utilizing the different fillers and Botox®, as a temporary substitute for a surgical facelift.
An initial consultation is set-up where we discuss your options for non-surgical facial contouring, and whether you are a good candidate for the procedure. Since this is an in-office procedure, preparation is minimal. Since the face has excellent blood supply, patients are encouraged to stop medications that cause bleeding, such as aspirin, or aspirin products (Motrin or Ibuprofen), a week before this procedure. Mild to moderate pain is alleviated with local anesthesia or ice to numb the area that is injected.
Our office will provide you with a detailed post-operative instruction sheet that will be individualized to your needs.
For more information about this procedure call our office and speak to our friendly staff member at 703-206-0506.
Information on this web site is for information only. Do not use the information to diagnose or treat your plastic surgery or cosmetic surgery problems. Please contact your plastic surgeon with all questions and concerns.
[ Back to Top ]Procedure Summary
| Pain Level After Surgery | Mild-moderate |
| Anesthesia | Topical anesthetic or ice for numbing |
| Duration of Surgery | 15-30 minutes |
| Scars | None |
| Final Results | Immediately to 4 days depending on the injection used |
| Return to regular activity | Immediately |
| Resume Exercise | 1 day later |
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Price Range |
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Financing
CareCredit® Financing
Private plastic surgery financing arrangements may be made through CareCredit®. They offer special financing and low monthly payment options, no up-front costs and no-pre payment penalties so you can get what you want when you want it.
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Bitar Cosmetic Surgery Institute
3023 Hamaker Court, Suite 109
Fairfax, VA 22031
Prince William Hospital Health Center
8650 Sudley Rd. Suite 203
Manassas, VA 20110