The Virginia Institute for Surgical Arts Blog

The Virginia Institute for Surgical Arts in Chantilly, near Northern Virginia is led by Dr. Trang Vo-Nguyen (Dr. V), who is a board certified facial plastic surgeon. She provides state of the art surgical treatments to patients in and around Loudoun County, Fairfax County, Prince William County, Fauquier County, and Arlington County. Dr. V also appreciates the needs of patients who wish to reduce their facial signs of aging without plastic surgery. In such cases, she may recommend injectable cosmetic treatments such as Botox or Dysport.

Surgical vs Injectable Treatments

In some cases, the patient may be unsure whether to opt for facial plastic surgery or choose a minimally invasive injectable treatment such as Botox or Dysport. Dr. V will explain the pros and cons of both treatment options to the patient in detail in order to help them make an informed decision.

Outcomes with cosmetic surgery treatments such as facelift can be more comprehensive compared to Botox or Dysport. However, if the patient needs only minor improvements such as reduction of facial lines and wrinkles between the brows and reduction of crow’s feet around the eyes, it may not be necessary to opt for a surgery.

In some cases, the patient may not be prepared to undergo a surgery or may not be a fit candidate for surgical procedures. The next best option in such cases may be Botox or Dysport to reduce the signs of aging from the face and make the patient appear more youthful.

Dr. V may explain the difference of outcomes between surgery and injectable treatments to patients with the help of before and after images. Patients in Middleburg, Leesburg, Fairfax, Manassas, Warrenton, Arlington, and other surrounding areas may seek consultation with her for the best facial treatment options suited specifically in their case.

FDA Approved Injectable Treatments

Both Botox and Dysport are widely used injectable anti-aging treatments that can successfully reduce fine lines and wrinkles from the face. Botox was approved by the FDA in 2002 for cosmetic treatment of wrinkles and frown lines on the forehead. Dysport came up later as a treatment similar to Botox, and was also approved by the FDA in 2009 for same cosmetic purposes. Both treatments are based on botulinum neurotoxin, which temporarily paralyzes the overactive muscle on the face that is causing the wrinkle.

When the treatment is injected directly into the targeted muscle, the wrinkle will disappear immediately, and the effects may last for up to six months. Botox has recently been approved by the FDA for the cosmetic treatment of crow’s feet around the eyes. This has expanded the scope of treatment, and many more patients in and around Loudoun County, Fairfax County, Prince William County, Fauquier County, and Arlington County may now receive Botox treatment from Dr. V for the reduction of crow’s feet.

Before and After Images

Pre Botox & Dysport

Botox and DysportBotox and Dysport before and after photos








 Post Botox & Dysport

Botox and Dysport before and after photosBotox and Dysport before and after photos








Dr. V makes use of before and after photos to show the outcomes that a patient may be able to achieve with Botox or Dysport treatment. This helps the patient make an informed choice between facial surgery, injectable treatments, and other invasive and non-invasive procedures.

Each patient has unique aesthetic goals, which may be addressed with a particular treatment in the best possible way. If the patient is looking for more comprehensive and long-lasting results, and is ready and fit to undergo a surgery, a facelift surgery or brow lift or eyelid lift may be the recommended options.

However, if the patient is happy with temporary results that can be achieved with Botox or Dysport treatment, the surgeon may support the patient’s choice, and recommend the appropriate treatment option.

Apart from helping decide the choice of treatment, before and after images can also provide another key benefit. They can ensure that a patient has realistic expectations from the procedure, whether it is a surgery or an injectable treatment. When the patients have a clear idea of what to expect as an outcome, they will typically draw a higher satisfaction from the results.

Choice between Botox and Dysport

Each patient may have different preferences when it comes to the choice of treatment. Dr. V offers both Botox and Dysport treatment options, and explains their inherent benefits to help patients make the correct, independent decision. Since both treatments essentially work on the same principle of blocking nerve signals to the wrinkle-causing muscle, there is not much difference between the two options.

However, Dr. V will show before and after pictures of previous patients who have received either treatment so that the patient can make a comparison and opt for the most suitable treatment according to their needs.

For more infomation please contact Dr. V. Dr. Trang Thuy Vo-Nguyen, known to her patients as “Dr. V,” is a board certified facial plastic surgeon providing the latest surgical and non-surgical aesthetic procedures in Northern Virginia, Leesburg, Loudoun, Fairfax, Warrenton, Fauquier, Arlington, Manassas, Middleburg, Prince William, and other areas.


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South Riding Professional Square
25055 Riding Plaza, Suite #140
Chantilly, VA 20152
TEL: 703.327.8200