Bellini Beauty


Injectibles Landing


Dynamic wrinkles are caused by the contraction of the delicate underlying facial muscles when you smile, laugh or frown. The more emotion you show, the deeper these wrinkles and lines are likely to be. Now, with a few simple injections of BOTOX® Cosmetic you can dramatically soften the appearance of worry lines, frown lines, laugh lines, crow’s feet and other dynamic wrinkles.

How does BOTOX® Cosmetic work?

BOTOX® blocks the communication of the nerve and the tiny facial muscles that are related to expression lines. As a result, the treated muscles relax and are unable to contract. After the treatment, the overlying skin will become smooth and result in a rejuvenated and refreshed appearance.

Are BOTOX® Cosmetic treatments safe?

Recently approved by the FDA for the treatment of frown lines, BOTOX® has been used safely and effectively for over fifteen years to soften facial lines and wrinkles. Each year hundreds of thousands of patients receive BOTOX® injections for a variety of medical conditions. With its increasing popularity BOTOX® has become one of the most performed treatments for reversing the visible signs of aging.

What is the treatment like?

Using a tiny needle, a very small amount of BOTOX® Cosmetic is injected strategically in the area to be treated. Because the needle is so fine and only a small amount of solution is used, the pain associated with the injections is minimal. Most patients compare the sensation to a bug bite. No sedation or local anesthetic is required, and you can resume normal activities immediately.

Are there any side effects?

Some patients may experience temporary bruising at the injection site. Small bruises may be easily covered with make-up. In some cases, BOTOX® can migrate and cause a temporary weakness of nearby muscles. Because the effects of BOTOX® are completely reversible, any side effects are temporary, lasting only several weeks.

What results can I expect?

If dynamic wrinkles are making you look older than you are, BOTOX® Cosmetic can soften these wrinkles and give you a more refreshed and rejuvenated appearance.

What are the limitations of BOTOX® Cosmetic injections?

Unfortunately, BOTOX® injections are a temporary solution for the treatment of dynamic wrinkles. The effects can last anywhere from three to six months. A simple repeat treatment is all that is necessary to regain the rejuvenating effects of BOTOX®. The majority of patients notice an increased duration of efficacy with subsequent treatments.

Is BOTOX® Cosmetic used to treat other symptoms?

Yes. BOTOX® has been used for over fifteen years on thousands of patients to treat a variety of medical conditions.

How can I find out if I’m a candidate for BOTOX® Cosmetic?

If you would like to learn more about your cosmetic options, or find out if BOTOX® is right for you, call to schedule a consultation


FDA Approved Alternative to BOTOX® Cosmetic

Dysport™ has been used for years in over 26 countries and is now available at Gerrish & Associates. It is the first FDA approved drug of its type to compete with BOTOX®, which also uses the botulinum toxin. According to reports, it has been found to take effect within the first day or 2 of treatment and can lasts 2 to 4 weeks longer than BOTOX. The skin begins smoothing out as treated facial muscles relax. Also, improvements from Dysport™ have been found to last up to 4 months.

According to physician reports, “Both Botox® and Dysport™ temporarily modify the action of facial muscles, smoothing out undesirable lines between the brows, across the forehead or crow’s feet to restore a more youthful, less stressed appearance. But they are not interchangeable, they have distinct dosing difference.” Dr. Gerrish will determine which is best for you. Call today to schedule your appointment.


Dr. Gerrish is the first doctor in DC to offer Selphyl

New wrinkle treatment called Selphyl uses patient’s own blood cells to reverse aging.


A Revolution in Rejuvenation

SELPHYL™ is a patented system for the safe and rapid preparation of Platelet Rich Fibrin Matrix (PRFM), a proven technology that Dr. Gerrish is using to correct the effects of skin aging. Dr. Gerrish collects a small volume of blood from the patient and through a patented process, separates and concentrates the patients own platelets and fibrin into a matrix. The resulting PRFM can be applied to a treatment area of the face or body to stimulate cell proliferation which promotes the increase of volume and rejuvenation of the skin through a process of targeted tissue re-generation.

Because Nothing Is More Natural Than You

The PRFM that is prepared with SELPHYL™ is autologous, meaning it uses your natural biology. Platelets are known to contain factors which your body uses to trigger cell migration and proliferation to rejuvenate and increase skin volume. You can’t turn back the clock, but you can re-wind it naturally with the SELPHYL™ System.

Natural, Lasting Effects

As soon as SELPHYL™ prepared PRFM is administered, growth factors are released into the skin through a sustained mechanism. In vitro studies have shown that platelet growth factors are released for up to 7 days, supporting collagen production and dermal matrix reconstruction. It is thought that SELPHYL™ treats a root cause of skin aging by triggering the production of new cells and collagen.

Pronounced effects occur approximately three weeks after the administration of SELPHYL™. Patients have enjoyed visible improvement and regeneration with long lasting effects.

Fast and Easy

SELPHYL™ is administered in a procedure that takes approximately 20 minutes. Desired results may be achieved in just one visit. However, only your physician will determine the best treatment approach. Together, we may decide if SELPHYL™ prepared PRFM is right for you, especially if you desire a natural solution to looking younger!

Frequently Asked Questions

What is SELPHYL™?

The SELPHYL™ System is an autologous platelet and fibrin processing system, which uses your own blood to prepare a product enabling the administration of your concentrated platelets and tissue building elements (Platelet-Rich Fibrin Matrix or PRFM).

Where is it applied?

SELPHYL™ is designed to enable physicians to collect and process your own natural tissue building elements for administration. SELPHYL™ prepared PRFM can be applied just below the surface of your skin.

Is the SELPHYL™ System safe?

Used on thousands of patients worldwide, SELPHYL™ has been shown to be both safe and effective. SELPHYL™ contains only autologous components and no severe adverse reactions have been reported (nodules, bumps or granulomas).

How is treatment with SELPHYL™ performed?

SELPHYL™ yields a natural biologically-active PRFM, loaded with viable platelets that can be applied in a simple, safe, quick, and minimally invasive outpatient procedure. Application typically takes place in the physician’s office. Your doctor can use a variety of pain management techniques during treatment to ensure your comfort throughout the process.

Are there any side effects?

Since SELPHYL™ uses your own blood and does not contain any animal or synthetic components, there is virtually no risk of an allergic reaction and there have been no reported allergic reactions to date. Consequently, skin allergy testing is unnecessary prior to treatment. However, if you have a history of allergies please inform your physician.

There have been no known serious side effects reported in actual usage. However, you may experience some common reactions, such as mild irritation, edema, bruising, swelling, itching, discoloration or tenderness at the injection site. These temporary conditions typically resolve themselves within one to two days.

What result can I expect?

The treatment will provide a gradual increase in volume by helping to stimulate your body’s own collagen production. Following your treatment, you will see immediate results. Once the initial swelling goes down, it may take up to 8 weeks to see sustained volume gain.

Will my skin become noticeably hard to the touch?

As this is a natural process using your own biology, there are no known such associated risks.

Does SELPHYL™ produce permanent results?

Although not permanent, SELPHYL™ PRFM offers natural and lasting effects.

Do I need more than one treatment?

Desired results may be achieved in just one visit, but only your physician can determine the best treatment approach.

Has the SELPHYL™ System been reviewed by a regulatory authority?

The SELPHYL™ system has been cleared with permission to market by the FDA 510(k) in the United States and CE mark certification has been granted in Europe. With over 45,000 procedures performed world-wide, this technology has been extensively used in plastic surgery, orthopedics, maxillofacial surgery and soft tissue regeneration.

The SELPHYL™ System is manufactured by Cascade Medical Enterprises, LLC, an affiliate of Aesthetic Factors, LLC.

Vid T Botox
With over 2,000 procedures performed, Dr. Gerrish is the most experienced Thermage specialist in the state of Virginia.