Botox/Dysport/Jeuveau/Daxxify
Botox, Dysport, Jeuveau & Daxxify in Chevy Chase, MD
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Medically reviewed by Tina B. West, MD, board-certified dermatologist · Updated November 2, 2026.
Botox from a dermatologist who took part in its original FDA trials, and co-authored the first study on how dose affects how long it lasts.
Botox, Dysport, Jeuveau and Daxxify are neuromodulators. They relax the muscles that cause frown lines, forehead lines and crow’s feet. At The West Institute in Chevy Chase, every treatment is planned and injected by board-certified dermatologist Dr. Tina West. Dr. West participated in the original phase III FDA clinical trials for the approval of Botox Cosmetic.
Patients come from Washington, DC, Chevy Chase, Bethesda, Potomac and Northern Virginia
Why Dr. West For Botox
- She took part in its approval. Dr. West participated in the original phase III FDA clinical trials for Botox Cosmetic.
- She co-authored the research on dose and duration. The first study to show how the number of units affects how long results last, presented to the American Society for Dermatologic Surgery. She uses it to set your dose and interval.
- She trains other injectors. As a consultant and injectables trainer for Allergan (maker of Botox) and Galderma (maker of Dysport), she has trained other physicians in advanced techniques.
Is Botox Right For Me?
You may be a good candidate when expression lines start to show at rest. Common examples are vertical lines between the brows, horizontal forehead lines and crow’s feet. Treating the frown lines can also lift the brows slightly, because the muscles that pull the brows down relax.
Neuromodulators are also used to reduce sweating of the underarms, hands and feet.
Neuromodulators soften lines caused by movement. They do not replace lost volume or lift sagging skin. For those concerns, Dr. West may recommend dermal fillers or Sofwave lifting.
Botox vs. Dysport vs. Jeuveau vs. Daxxify: Which Is Best?
All four are FDA-approved botulinum toxin type A products. Dr. West recommends the product and dose that fit your goals and muscle pattern.
Longevity depends on the product, the area treated and your metabolism; Dr. West outlines realistic duration and maintenance at your consultation.
| Item | Botox | Dysport | Jeuveau | Daxxify |
|---|---|---|---|---|
| Onset | Within a few days; full at about 2 weeks | Some patients notice a quicker onset | Discussed at your consultation | Discussed at your consultation |
| Typical duration | 3 to 5 months for many patients | 3 to 5 months for many patients | Discussed at your consultation | Up to 6 months |
How Does Dr. West Approach Botox?
Dr. West has over 30 years of experience with facial injectables. She has refined her technique to get the result with the least product needed. The goal is to look refreshed and relaxed, not different.
Dr. West co-authored the first study showing the link between neuromodulator dose (units) and how long results last, presented to the American Society for Dermatologic Surgery as “Dose-Dependent Efficacy of Botulinum Toxin Treatment of Glabellar Frown Lines.” She uses that research to set your dose and treatment interval.
“The goal of treatment is always to look refreshed but natural. I always emphasize the goal of not looking like anything was done and explain that is the result of years of training and experience.”
You will still be able to make facial expressions. Etched lines are softened, and starting early with regular maintenance can help prevent permanent frown, forehead and crow’s feet lines.
Training and Credentials
- Diplomate, American Board of Dermatology and American Board of Internal Medicine
- Chief Resident, Department of Dermatology, The Washington Hospital Center, 1994–1996
- Residencies in internal medicine and dermatology and a clinical research fellowship in dermatology, The Washington Hospital Center
- MD, Bowman Gray School of Medicine; BA in Biology, Wake Forest University (Phi Beta Kappa)
- Participated in the original phase III FDA clinical trials for Botox Cosmetic
- Research on botulinum toxin, including “Effect of Botulinum Toxin Type A on Movement-Associated Rhytides Following Cutaneous CO2 Laser Resurfacing” (Dermatologic Surgery, 1999)
- Consultant and injectables trainer for Allergan and Galderma, training physicians on Botox, Dysport, Restylane and Sculptra
- Fellow, American Academy of Dermatology, American Society for Dermatologic Surgery and American Society for Laser Medicine and Surgery
Your Consultation
Dr. West spends 30 minutes or more in each consultation. You explain your goals. She studies how your muscles move and builds a plan for treatment now and maintenance over time
Results
What Happens On Treatment Day?
- Before photos are taken and the skin is cleansed.
- Topical numbing is applied if you want it. Most patients are comfortable without it.
- Dr. West uses an AccuVein device to see blood vessels before injecting, to help reduce bruising.
- Injecting takes about 10 minutes, depending on the areas treated. Most patients describe a small pinch.