Because she treats expression lines, volume loss and skin quality as one plan instead of three services. For non-surgical facial rejuvenation in Washington, DC, Dr. Anju Pabby, a board-certified dermatologist at DC Derm Docs, combines Botox, fillers such as Restylane and skin treatments like Fraxel Dual or Thermage, in an order she sets at your consultation.
What Can Non-Surgical Facial Rejuvenation in Washington, DC Improve in My 50s?
Quite a bit, short of lifting loose skin. At your consultation, you and Dr. Pabby will study your face together in a hand mirror. Then, she’ll sort what you see into the lines that Botox softens, the hollows in your cheeks and temples that filler restores, and the sun spots and texture that a laser treats.
How Does Dr. Pabby Decide Which Facial Treatment Comes First?
After a thorough conversation, you and Dr. Pabby will pick the one change you’d notice most. For most women in their 50s, that’s the frown lines, so she’ll typically begin with Botox that afternoon. At your two-week check, she may subsequently add a syringe of Restylane to your cheeks, and the two of you will book a Fraxel Dual session for the fall.
When Would Dr. Pabby Suggest Something Beyond Non-Surgical Treatment?
In the event the skin along your jaw has loosened past what Thermage can tighten, she’ll tell you so at your consultation. Rest assured, most of her patients in their early 50s are years away from that conversation.
Frequently Asked Questions About Facial Rejuvenation With Dr. Pabby
Should I Treat My Lines With Botox or Filler?
Frown and raise your brows for Dr. Pabby, and she’ll show you which lines move and which stay at rest. Typically, the moving lines get Botox and the resting folds get filler.
What Treats My Skin Quality Rather Than My Lines?
Once your Botox and filler settle, she’ll look at your sun spots under bright light and may recommend Fraxel Dual or IPL.
Can I Have Everything Done in One Visit?
You can have Botox and filler in the same half hour. However, she’ll typically book a laser on its own day.
How Will I Avoid Doing Too Much at Once?
Dr. Pabby will space each change a few weeks apart, so you’ll see how you feel about one before the next.
See DC’s Most Trusted Dermatologists
You’ll leave your consultation with Anju Pabby, MD, knowing which layer she’d treat first and which can wait a season. Call DC Derm Docs at (202) 664-8342 to book your appointment.

