Botox and Juvederm

BOTOX® treatment is a revolutionary approach to reversing the effects of facial wrinkles. Crow’s feet, worry lines, and laugh lines can all be a thing of the past. These are referred to as dynamic wrinkle lines and all are treatable with this procedure. Cosmetic denervation is the process of injecting Botox into the tiny facial muscles that create the wrinkles.


BOTOX® injections are performed without anesthesia because it is virtually painless. Only a very small sting is felt when the injections are made. The effects are not permanent and may need to be repeated two to three times per year to retain the effects. Research has suggested, however, that long term use of the injections leads to a longer duration of each treatment’s effect. Patients over the age of 65 may not experience as dramatic of results. Botox is only useful in treating expression lines and cannot be used to repair sagging skin caused by aging.

Click here to see examples of before and after pictures.

Post-Operative Information

After the operation patients may experience slight bruising around the area that quickly fades. Normal activities can be performed immediately. Possible side effects are temporary weakness of nearby muscles or in rare cases, an eyelid may droop. BOTOX® is completely reversible, so any side effect is only a temporary condition. The doctor will explain all risks associated at the time of your consultation.


Juvederm is one of the latest dermal fillers introduced to the U.S. market by Allergan, the company which manufactures Botox. It is a hyaluronic acid-based filler similar to Restylane. However, JUVÉDERM™ injectable gel employs its unique manufacturing process to provide the highest concentration of cross-linked hyaluronic acid of any currently available hyaluronic acid dermal filler for long-lasting results. This advanced manufacturing process also creates a smooth consistency gel that flows consistently and easily into the skin and provides a smooth, natural look and feel.

Recently approved by the FDA, Juvéderm™ injectable gel is a “next-generation” dermal filler. The smooth consistency gel helps to instantly restore your skin’s volume and smooth away facial wrinkles and folds, like your “smile lines” or “parentheses” (nasolabial folds—the creases that run from the bottom of your nose to the corners of your mouth).

With Juvederm, the results are immediate with minimal downtime. Most patients need one treatment to achieve optimal wrinkle smoothing, and the results last up to 6 months or more. Juvederm can be used virtually anywhere on the face, with most success in the lips, nasolabial folds (lines from the nose to the corners of the mouth), and the marionette lines (lines from the corners of the mouth downward to the jawline).

See examples of before and after pictures here!

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Our Latest Patient Testimonial

Dr. Coviello was an Angel sent from Heaven!!!! I had gotten bitten in the face by a dog and my whole chin was completely hanging off my face, I was terrified thought I'd never look the same and let's face it being a woman no one wants their face to be messed up. I was sent to Winchester, VA ER Where Dr. Coviello was called in to perform my surgery, I was so scared and freaked out, but he was very comforting telling me he would do his very best to fix my face, he was so kind..I was very fortunate to have had him to perform my surgery, It's now been about a year and half and my face has healed so very good, very minimal scarring on my face but I also followed his directions very closely and kept the wound clean. Once it healed up(no open wound), I kept mederma on it 2x's a day. I will be returning to get the microdermabrasion done to try and get rid of the scar permanently. I just wanted to give credit to the Dr who saved my life literally bc this not only scarred my face but it has scarred me emotionally and thank god for his godly hands or my face would be all messed up!! Thank You So Very Much Dr. Coviello I will be forever grateful for your work!!! I'll be seeing you soon to get the final procedure done..


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