Botox®, Voluma™
& Juvederm® XC

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Botox® Cosmetic

BOTOX® injections for facial wrinkles are one of the most effective treatments in the field of cosmetic medicine. Very few treatments produce such impressive results with no healing time required.  Common questions are:

What is Botox® Cosmetic?

BOTOX® Cosmetic is used to treat “frown lines” which are sometimes called “scowl lines” or “worry lines”. These are the lines seen between the eyes and on the bridge of the nose. In addition, BOTOX® Cosmetic injections are used for “crow’s feet” wrinkles, forehead wrinkles, and can also help lift the eye area.  The injections are performed an ultra fine needle and the number of injections required varies with the degree of wrinkling. The effects of BOTOX® Cosmetic typically begins within 2 to 8 days and the effect lasts an average of 3 to 4 months. There is some evidence that after several repeated injections the effects can last longer.

Who administers the injections at FPSR?

One of our two highly skilled and trained board certified physicians:  Dr. James Miller and Dr. John Siedlecki.   Our practice has previously hosted several training sessions including advanced training seminars.  Come experience for yourself why we have several hundred happy patients!

Will I still have expressions?

Yes, our goal is for you to remain looking natural with softer lines and a more youthful appearance. We will help the facial muscles to relax without having you become expressionless. We believe that more is not always better, our approach is conservative yet concise.

What is the difference between a “static” wrinkle and a “dynamic” wrinkle?

Static lines/wrinkles are embedded deeper into the skin that is visible even at rest.   The use of a filler, such as Juvederm® XC, may also be suggested along with Botox® Cosmetic to better smooth lines that are considered to be “static”.  Dynamic lines on the face can usually be softened by the use of just one Botox® Cosmetic treatment.  By using Botox® Cosmetic on a regular basis, the lines will continue to soften over time for most patients. Complimentary consultations are encouraged to discuss your specific needs.  Our expert staff will help to determine if you are a good candidate.

Are Botox® injections painful?

Because we use tiny needles, the size of a hair strand to inject, the treatment is extremely tolerable and lasts just a few seconds.  The use of ice and topical numbing agents are available for those patients that may need additional comfort.

How do I get started?

A complimentary consultation is advised for first time Botox® Cosmetic users and patients “new” to our office.  We take great pride in discussing your specific needs, not give you a “one for all” dosage.  Our Cosmetic Coordinator, Cassie O’Bier, will help to determine what is best for you and give you an estimate of cost.  Call her directly at 804-423-1514.

Click here to watch a BOTOX® patient testimonial.

Juvéderm® XC & Voluma XC

JUVÉDERM® XC is a smooth gel, hyaluronic acid facial filler that is used to instantly smooth away wrinkles typically around your mouth and nose area. Juvederm® XC can also be injected in other areas of the face that have a “static” line or deeper wrinkle.  With just one treatment, you’ll get smooth and natural-looking results that last up to 12 months or more.  Everyone will notice, but no one will know.

NEW Juvederm Voluma XC adds volume to the midface region, softly contouring the cheeks to restore a youthful appearance. Voluma XC is currently the only FDA product available specified for the midface. The results are instant and can last up to two years.

How does it work?

Young, healthy-looking skin contains an abundance of a naturally hydrating substance called hyaluronic acid (HA). But as you age, sunlight and other factors can reduce the amount of HA in your skin. The lack of HA causes your skin to lose structure and volume, creating unwanted facial wrinkles and folds – like those parentheses lines around your nose and mouth.

Using dermal fillers like JUVÉDERM® XC and VOLUMA XC is a safe and effective way to replace the HA your skin has lost, bringing back its volume and smoothing away facial wrinkles and folds.

When will I see results and how long will it last?

Results are seen instantaneously and will continue to soften and improve over the next few weeks following treatment.  Juvederm® XC can last up to one full year with some patients seeing results lasting up to 18 months.

Are the injections painful?

At FSPR, we use Juvederm® XC infused with lidocaine to improve comfort during treatment.  We also apply a topical numbing agent to the skin prior to treatment for additional comfort.  Most patients describe the injections as “easy with very little to no discomfort at all”.  Ice will be applied following treatment to help with any possible bruising and/or swelling.  With JUVÉDERM® XC and VOLUMA XC you get the smooth results you expect, with the improved comfort you deserve.

How do I determine if I am a good candidate?

You are unique; therefore it is advisable to have a consultation with our cosmetic coordinator and/or physician to determine if you are a good candidate.  Together,  we will customize a treatment plan to achieve the best possible results.  Consultations are complimentary and easy to schedule.  Call Cassie at 804-423-1514 to arrange an appointment today.  She will walk you through the process with ease.

Click here to watch a JUVÉDERM® XC before and after demo.

See potential JUVÉDERM® XC results with the Visualizer app!

The JUVÉDERM® XC treatment visualizer app for your iPad, iPhone, or Android device makes it easy to see what the treatment can do for you. Using the camera on your smartphone or tablet, the app lets you choose which areas of the face to treat, and then produces a realistic image of what the treatment can accomplish in those areas. Click here to view and download the app today.


Company Directory

Main Office to Schedule Medical Appointments804-330-3335
Skin Care Department or Concierge Practice Inquiries804-423-1514
Referral Coordinator for Dr. Siedlecki, Dr. Miller, Laura Eastman FNP, Brenda Canada FNP and Medication Prior Authorizations804-423-1515
To Schedule Dietitian Appointments or In-house Colonoscopy/EGD804-423-1515
Referral Coordinator for Lynn Woodcock FNP, Marianne Hagood FNP, Dalia Elsayed FNP804-330-5987
Billing Department804-330-5984
Fax Number804-320-2717
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