Botox

Leesburg | Loudoun | Reston | Fairfax | Northern Virginia

Everything You Need To Know

BOTOX can do much more than you have ever thought. 

Neck Liposuction

Face Surgery

Mini Facelift

Look younger 

Wilton before mini Face lift
Before Mini Facelift
Wilton After Mini Facelift
After Mini Facelift

Facelift surgery is perhaps, along with breast augmentation surgery,  one of the two signature procedures in plastic surgery.  In 2016, according to statistics from the American Society of Plastic Surgeons, nearly 125,000 patients had facelift surgery.  Facelift surgery is as much an art as much as it is a technical procedure.  For that reason, you need to be find a surgeon that you feel has an artistic eye as  well as who stays on top of all of they many technical advances face rejuvenation and cosmetic surgery.

 

The following steps define how I approach aging faces and mentally decide how I could make you look more youthful. It is very important to understand that my mental approach is very different than what we decide would be your best treatment options. This is because the consultation should always start with YOU and what you want; there is no point in suggesting you benefit from a facelift or other surgical option when you are searching for ONLY non-surgical options.

When you come in for your consultation, we start with how you think you are aging and what you might want me to do about it. Many patients might then turn this around and ask for a a menu of what I think. In the end, it is a compromise between what you want and what I think I can provide. This is how you end up with natural results.

The following steps define how I approach aging faces and mentally decide how I could make you look more youthful. It is very important to understand that my mental approach is very different than what we decide would be your best treatment options. This is because the consultation should always start with YOU and what you want; there is no point in suggesting you benefit from a facelift or other surgical option when you are searching for ONLY non-surgical options.

When you come in for your consultation, we start with how you think you are aging and what you might want me to do about it. Many patients might then turn this around and ask for a a menu of what I think. In the end, it is a compromise between what you want and what I think I can provide. This is how you end up with natural results.

1.  Volume Restoration

Volume loss is the significant change with age.  And replacing volume early with facial fillers like Juvederm or Voluma particularly below the eyes, in the temples, and around the mouth will slow down aging in young patients.  Older patients might benefit more both functionally and financially with a fat transfer as it requires transferring your own fat, which has no overhead.  A nonsurgical or liquid facelift refers to a procedure that uses more than 4 syringes of facial fillers to elevate the tissue.

2.  Botox for Dynamic Facial Lines

Botox is a nice addition to the dynamic wrinkles of the forehead including the horizontal forehead lines, the vertical angry “11s” between the eyebrows, and the crows feet lines

3.  Skin Tightening 

A Mini facelift, facelift, or other skin tightening is only needed if volume replacement is not enough to elevate the tissue.  I will review my exact technique below.  This procedure is the most common procedure that I perform.  It allows for the elevation of the lower face, jowls, and some of the upper neck.  If there is a lot of droopy skin or muscle looseness in the neck, then a neck lift will also be required.  Patients who only have a mini facelift and facial fillers can often return to work in less than a week.  The addition of eyelid surgery, forehead, or neck lift surgery will require 1-2 weeks of immediate recovery.

4.  Laser skin care 

Laser skin using our Sciton Laser Platform is strongly suggested to clean up the skin.

There is not necessarily a “right” time to get a facelift surgery.  Just like the concept of beauty is subjective, the concept of facial aging can also be subjective.  Facial aging begins with a loss of collagen and volume loss before the skin begins to sag.  Therefore, nonsurgical options that add facial volume is usually a first step in treating facial aging.  This is mostly true if you are in your thirties and early forties.  As you get older, volume loss is more dramatic, collagen begins to stretch.  The strategy at this time is to optimize facial volume and lifting the extra sagging tissue.  The average age for a mini facelift is about 40 years old.

Facelift techniques continue to evolve.  The marketing of plastic surgery has unfortunately led to an explosion of confusing vanity names such as the lifestyle lift, the miami facelift, or a dozen other names.  At the end of the day, there are really only a few types. The choice of facelift technique depends on a number of factors including your skin quality, facial shape, age, and goals.

  • Skin only facelifts
  • SMAS elevation facelifts
  • Deep plane facelift and 
  • Subperiosteal facelifts

There is not necessarily a single best technique.  My technique is more of a strategic approach.  My goals are to produce a natural result that reproduces the components of aging in the safest way possible.  I do this by first replacing volume with either fat or cosmetic fillers, then I lift and reposition the deep support tissues ( SMAS) along with redraping of the skin to achieve long lasting results.  This is followed by rejuvenating the skin with lasers and treating the facial muscles with Botox.

Facelift surgery is a technically demanding procedure that requires the highest level of surgical skill. It is imperative that the surgeon be highly skilled and experienced. It is also important to note that no single technique is appropriate or “best” for all patients and that facelift surgery should be individualized for each patient depending on their goals and facial characteristics.

The mini facelift is performed and reposition the deep support tissues ( SMAS) along with redraping of the skin to achieve long lasting results.   The goal of the procedure is to lift the jowls upwards thereby restoring volume to the cheeks while improving the jaw line.  You can generally also expect a modest improvement in the neck.  If you want more significant improvements in the neck, a neck lift will have to be added to the procedure.  This would be called a face and neck lift.

The goal of the facelift is to redrape the skin and SMAS.  This might restore some volume in to the cheeks but more significant volumes will require the addition of a fat transfer or cosmetic fillers.  

Volume is most often required in the temples, the under-eye area, the cheek mound, and the area in and around the lips.  

Botox can be added to address the forehead lines, the angry lines between the brows, and the crows feet lines.  Not only does the botox treatment improve the appearance of aging, but it will preserve the longevity of the results by not allowing the skin to shift as fast over time.

Skin care lasers including the Forever Young BBL, Micropeel, and Profractional Laser can help with improving the glow and radiance of the skin by reducing brown and age spots, fine lines, and wrinkles.  They also help maintain your results by increasing and rejuvenating cellular DNA and collagen.

The answer will depend on exactly what procedures are added to the facelift procedure. Some general guidelines include:

  • Minifacelift – 5-7 days
  • Add facial fillers – no change
  • Add botox – no change
  • Add fat transfer – 2-3 weeks
  • Add BBL – no change
  • Add Forehead Lift – 2-3 weeks
  • Add Neck Lift – 2-3 weeks

After the surgery, you will need to avoid active activities for 3-4 weeks. You may start earlier but with the understanding that activity has the potential to prolong swelling and bruising

Feeling normal can vary as it is subjective.  Although most patients will not have a lot of pain, most patients will feel some soreness for about 2 weeks.  Minor swelling may continue for about 2 to 3 months. 

1 year.  It will take about a full year and more for your scar to completely whiten, fade, and flatten.  For this reason, scar revision procedures will not be performed for a full year.  Because the nature and quality of your scars depends on many factors outside of the surgeon’s control, scar revision procedures will require a small surgical fee.

Patients have a choice between oral sedation or general anesthesia.  The benefit of general anesthesia is obviously the ability to be put to sleep for the entire procedure; you wake up and the procedure is done.  The downside of general anesthesia, however, is the additional costs and some people don’t like the thought of being put under.  

Many patients will choose to have their procedure under oral sedation.  These patients will have a oral cocktail of valium and pain medicine to start the procedure.  Once the patient feels calm, the area that will be worked on will be injected with long-acting pain medications similar to going to the dentist.  They choose this option because of some cost savings and the ability to avoid being put under.  The recovery is easier and there is in general less swelling.  The downside, obviously, is that you are awake for the procedure.  Most patients find it very tolerable because of the calming effects of the valium

The risks of a facelift surgery are similar to the risks of any surgery.  They will also depend on if you are having any additional procedures at the same time.  The general risks include 

  • blood collections or hematomas
  • delayed healing, and 
  • infections.  

Complete symmetry cannot be expected.  Some relapse particularly in the neck is common.  Scar visibility depends on many factors outside our control and may occur.

Common complaints include:

  • scar visibility
  • mild relapse particularly in the neck
  • suture infections
  • numbness on the cheek in front of the ear
Scar healing takes about 1 and a half years.  They are intentionally created and hidden in your hair line and in the contours of the ear.  They are also easily hidden by wearing your sideburns or your hair down.  We will technically do our best to create the least visible scars possible by placing strong internal sutures and precise external sutures.  Despite these efforts, much of scar healing depend on how your body reacts to injury and other external or environmental factors.  Scarring is therefore not guaranteed.   Scar revision will require a minimal charge.

 

Mild relapse particularly in the neck is common.  Swelling will artificially make the skin look tighter and fuller than it is.  You will notice that immediately after the procedure, I would not have been able to pull the tissue any tighter without risking a pulled appearance or healing problems.  What I have been known for over time has been the ability to create for you a natural result with minimal risk.

Suture infections are common.  General infections are very uncommon.  Suture infections are usually due to the deep strong absorbable sutures.  These sutures are placed to give strength to the skin closure which will produce a better appearing scar.  If these sutures do not absorb fast enough, the body will sometimes reject them and push them to the surface where they can get infected.  The solution, however, is easy.  These sutures are simply cut at the surface and cleansed with either peroxide or surgical soap.

Numbness in front of the ear is universal.  All patients will have this experience.  It will go away in about 3 to 6 months.

Roughly 60 to 70 percent of patients will have their facelift procedures in the office under local anesthesia and oral sedation.  The most common reasons are cost and the avoidance of having general anesthesia.  

About 60 percent of my patients have a mini facelift making it the most common procedure that I perform.

  • Mini Facelift – 60%
  • Face and Neck lift- 30%
  • Quick Lift – 10%
The choice of procedures obviously depends on how you appear to be aging as will as your age.  Patients in their thirties obviously do not have a long of visible aging but as they approach forty, some patients will have some jowling as well as some loss of facial volume.  These patients might be perfect for a quick lift which is a “quick” procedure that involves a small incision hidden in the temple and fillers to replace facial volume. The temple incision is used to find and elevate the SMAS fibrous layer that causes the jowl.  Recovery to return to work is 3 days.
 
The majority of my patients will have a mini facelift.  This procedure is most commonly performed in my patients who are in their 40’s and 50’s.  Their main concerns are jowling and deepening of the facial lines.  The mini facelift will elevate and redrape the SMAS fibrous layer back into the cheek, reducing the jowling, creating a better jaw line, while reducing the appearance of the nasolabial fold and marionette creases.  Most patients will need fillers or a fat transfer to augment volume to the temples, under-eye area, and the area around the mouth.  
 
The face and neck procedure is really a combined mini facelift and neck lift.  The mini facelift will lift the lower face as stated above but it will only create a modest benefit for the neck.  Patients in their 50s might already have a drooping neck and might elect to have a more dramatic improvement in the neck by adding a neck lift to their procedure.

Anything that decreases the break-down of collagen will help preserve the benefits of your facelift procedure.  Anything the decreases the movement or stretch of the tissue will help preserve the collagen in your tissue.  In addition, there are some techniques and options to adding or rejuvenating your existing collagen.

Botox –  Botox stops the dynamic facial muscles from working.  Treatment of the glabellar lines between the eyes ( that normally pull the brows down ) keeps the brows elevated for longer.  Treatment of the crows feet lines ( that also normally pull the brows down ) keeps the brows elevated for longer but also prevent the movement of the thin skin around the eyelids and temple.  Fat volume is better preserved in the temple while the eyelid skin does not stretch and break down as fast.

Facial Fillers like Juvederm or Voluma – Facial fillers will distend the facial skin so that there is less movement.  Less movement will in turn slow the breakdown of the tissue collagen and therefore slow down facial aging

Facial Lasers and Skin Care – Facial lasers including the Forever Young BBL, Micro Laser Peel, and the Profractional not only treat the visible effects of aging including the brown spots, fine lines and wrinkles, but they all add and reorganize collagen.  Adding collagen will slow down facial aging

Fat Transfer- Fat transfer can be thought of as a natural facial filler.  One of the benefits that fat cells contain stem cells that continue to stimulate cell growth as well as stimulating the production of collagen

Sculptra- Sculptra is another facial filler.  It is unique amongst the facial fillers in its ability to stimulate the production of your own collagen.  

PRP-  PRP stands for Plasma Rich Protein.  It is a technique that includes taking and processing your own blood to extract growth factors and stem cells that are located in your platelets.  After extracting the factors, they are re-injected either into skin and tissue to stimulate the growth of your own collagen.  

 

Cosmetic Surgery of the Body

Brazilian Butt Lift

Leesburg - Northern Virginia - Loudoun

body
  • Provides a more uplifted, rounder, and shapelier buttock
  • Reduces fatty bulges from the waist, abdomen, and thighs

The Brazilian butt lift is one of the fastest growing surgical procedure in the world.  It is a procedure that has become popular in both men and women.  The procedure is performed to enhance the buttock by transferring fat from areas that you might not want it ( such as the abdomen, waist, and thighs ) to the buttock to give it a more uplifted, rounder, and shapelier appearance.

  • Transfer fat from the abdomen, flanks, and/or thighs to the buttock
  • General anesthesia is required
  • Procedure will take about 3-4 hours

Patients should refer to our page on fat transfer to further understand the concept of fat transfer and volume enhancements.


Patients may opt for a brazilian butt lift to restore volume that is lost to age and weight changes or simply to enhance the appearance of the area.

Like most tissues in your body, fat volume is lost with age and weight changes.  Loss of volume in any tissue can be visualized by imagining the visual result of deflating a balloon;  the tissue will lose its turgor and appear to sag.  Adding back volume will improve this appearance.  

Fat is first obtained by a gentle liposuction.  The fat can be taken from anywhere in the body but is most often obtained from the abdomen, waist, and/or thighs.  The fat is gently processed to remove any impurities, brought up into cosmetic syringes, and injected into the labia majora.   Patients with significant skin excesses may require the excision of skin.  The potential need for any skin excision will be discussed with you during your consultation.

The procedure willy take about 3-4 hours and is typically performed under general anesthesia at the surgery center. 

You are a candidate for a Brazilian butt lift surgery if you feel that these characteristics describe you.

  • Buttocks appears deflated and flat
  • Buttocks has minimal or moderate sagging
  • You have sufficient fat to donate or transfer

The nonsurgical options to adding volume to any area include cosmetic fillers such as sculptra, juvederm, and voluma.  These are manufactured injectable products that are extremely convenient but more temporary.  

Sculptra is the most popular of these products for performing the brazilian butt lift procedure.  Sculptra will last about 3 years.

Cosmetic fillers are an excellent alternative to a fat transfer for plumping up tissue.  They are however, more temporary and more expensive depending on the required volume.  

Dr. Chang will help you make with your surgical options during your consultation.

  • Lift a sagging buttock
  • Provide more roundness
  • Provide more projection

Recovery from fat transfer surgery will depend partially depend on whether your procedure will require any skin excision.  Patients who have only a fat transfer can expect:

  • All patients will be required to wear a compressive garment for 4 weeks
  • Pain is tolerable, but you might benefit from taking the prescribed narcotic pain medication for 3-5 days  
  • Final results should not be expected for at least 3-6 months
  • Intercourse should be avoided for 4-6 weeks
  • Sutures if any are removed in 10 to 14 days
  • Strenuous exercise should also be avoided for 2 to 4 weeks to help in the recovery process.
  • Most patients will take 3 to 7  days off of work
 

As with any surgery, there are associated risks.  Loss of any or all of the transferred fat is possible and at your own risk.  On average, patients will keep about 70-80% of any transferred fat.  Only you can decide whether the procedure can achieve your goals and whether the recovery and risk profile are acceptable to you.  

  • Local bleeding or bruising for up 2 months
  • Prolonged swelling greater than 2 months
  • Seroma fluid collection
  • Infection particularly from the absorbable sutures
  • Loss of sensation although rare
  • Widened or thickened scar
  • Asymmetry (unevenness between two sides)
  • Delayed wound healing with skin or tissue necrosis
  • Extra skin at the ends of the incisions
  • Under-correction
  • Over-correction

Unsatisfactory results that may require additional procedures.  Patients will generally be responsible for any associated facility fees. 

The price of any procedure is reflected in the skill and quality of your surgeon.  You are paying for the skill, quality, and technique that Dr. Chang provides for your procedure

When done well, fat tranfer surgery will significantly enhance your physical appearance, so it is important to concentrate on having a skilled surgeon with years of training, like Dr. Chang, rather than a low price. To help make surgery affordable, Aesthetica Cosmetic Surgery & Laser Center will help you find low-interest financing.

  • Labiaplasty
  • Mons pubis lift
  • Clitoraplasty
  • Mommy makeover

Many women choose to have fat transfer surgery because loss of volume in many areas of the face and body. The procedure, however, is viewed as a cosmetic surgery by most health insurance companies; they will therefore not cover the procedure.

Many surgeon offices provide payment plans to help spread the cost of surgeries that aren’t covered by insurance.

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Brazilian Butt Lift

Starts at $8000

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Aesthetica Cosmetic Surgery & Laser Center

Loudoun – Fairfax – Northern Virginia

Aesthetica Cosmetic Surgery and Laser Center

Face Surgery

Loudoun – Fairfax – Northern Virginia

Full Facelift

Traditional facelift surgery typically combines a face and neck lift.  Other procedures including eyelid surgery or fat transfer are often added.

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Mini-Facelift

The mini facelift goes under many names including a lower facelift or an S-lift.  The goals are to elevate the lower face, jaw line, and some neck.

Neck Lift

The  neck lift surgery has the goal of elevated a sagging neck.  Platysmaplasty is a procedure to tighten the separated neck muscles

Botox and Facial Fillers

Botox and facial fillers such as Juvederm or Voluma are the most common non-surgical procedures performed in the world

Eyelid Surgery

Eyelids age earlier than most of the face.  Upper or Lower eyelid surgery  has the goals of removing excess skin and fat bags to give you a more refreshed and youthful appearance

Ear Surgery

Ear reshaping surgery, or otoplasty, is is a common procedure that can reduce the size of protruding, or asymmetric ears.  Torn earlobes are also common

Experts in Plastic Surgery

Popular Procedures

Our office offers a wide variety of surgical and nonsurgical cosmetic procedures for the face, breast, body, and skin. We are pleased to meet the diverse needs of our Leesburg clients through high-quality cosmetic service. We also utilize Vectra 3D technology to show patients a preview of all the possibilities for customized treatment plans.

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Face Procedures in Northern Virginia

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Our office offers a wide variety of surgical and nonsurgical cosmetic procedures for the face, breast, body, and skin. We are pleased to meet the diverse needs of our Leesburg clients through high-quality cosmetic service. We also utilize Vectra 3D technology to show patients a preview of all the possibilities for customized treatment plans.

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Watch Our FAQ Videos

Eyelid Surgery

Eyelids age earlier than most of the face.  Upper or Lower eyelid surgery  has the goals of removing excess skin and fat bags to give you a more refreshed and youthful appearance

Ear Surgery

Ear reshaping surgery, or otoplasty, is is a common procedure that can reduce the size of protruding, or asymmetric ears.  Torn earlobes are also common

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Dr. Chang's World-Reknown Facelift Technique

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Practice Overview

Cosmetic breast surgery includes breast augmentation, breast lift, breast reduction and breast reconstruction.  Other common procedures include nipple and areola reduction.

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Live Labiaplasty Surgery by Dr. Chang

Cosmetic breast surgery includes breast augmentation, breast lift, breast reduction and breast reconstruction.  Other common procedures include nipple and areola reduction.

Liposuction Overview

Aesthetica offers the most advanced methods to effectively eliminate fat from areas of concern on the body. Surgical liposuction is a body contouring procedure that reduces pockets of fat from the flanks, tummy, buttocks, and thighs to create a more contoured appearance. This fat removal surgery at Aesthetica Cosmetic Surgery & Laser Center can be combined to treat multiple body parts.

Botox by Mel

Cosmetic breast surgery includes breast augmentation, breast lift, breast reduction and breast reconstruction.  Other common procedures include nipple and areola reduction.

Botox vs Fillers

Cosmetic breast surgery includes breast augmentation, breast lift, breast reduction and breast reconstruction.  Other common procedures include nipple and areola reduction.

Live Botox Injection by Dr. Chang

Cosmetic breast surgery includes breast augmentation, breast lift, breast reduction and breast reconstruction.  Other common procedures include nipple and areola reduction.

brazilian butt lift

Brazilian Butt Lift: How To Look Good In Your Daisy Dukes

Many years later, and advances in plastic surgery have created a new procedure that can make my Daisy Duke dreams come true. The Brazilian Butt Lift! But, what is it, how is it done and what will I look like after? Answers to all those questions below.
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The Down Low On Brazilian Butt Lifts

For some women, even if they are following the workouts and diets to the letter, a bigger butt is just not in the cards. It’s no wonder that in recent years the cosmetic surgery industry has seen a spike in the number of patients asking for a Brazilian Butt Lift.
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Mini Facelift Live Surgery

Cosmetic breast surgery includes breast augmentation, breast lift, breast reduction and breast reconstruction.  Other common procedures include nipple and areola reduction.

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Brazilian Butt Lift

Starts at $8000

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Cosmetic Surgery For Moms
What are the treatment options for your Mommy Makeover

Breast – Abdomen – Vagina – Liposuction

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Your cosmetic options for improving the appearance of the skin and body depends on factors that include the the amount of fat, the amount of skin laxity, the existence of  lines, wrinkles and sun damage.  

Coolsculpting Mini is the next evolution of the Coolsculpting Procedure that allows us to remove unwanted fat from the neck or other small areas.  

The device was made specifically for the contours of the neck.  Aesthetica is proud to have purchased the first device in Northern Virginia for your benefit.  

Depending on the amount of fat, you may need either one or 2 treatments.  There is minimal to no pain.  And there is no recovery.   Most patients will return to work immediately.  Results can be seen after 6 to 8 weeks.

Along with the abdominoplasty procedure, breast augmentation is the most common Mommy Makeover procedure.  As you know, pregnancy and breast feeding causes the breast to enlarge, stretch, and sag.  These changes usually don’t bounce back.  

Breast augmentation using saline or silicone breast implants or fat transfer are procedures that can restore the volume and shape of your breasts.

Some patients, who have significant amounts of sagging may require a breast lift.  

SkinTyte is an advanced nonsurgical skin tightening device by Sciton.  The device delivers broad band light which precisely heats and denatures skin collagen.  The collagen remolds and tightens the skin in the healing process.

SkinTye is purchased as a package of 4 or 6 treatments one month apart. There is minimal pain.  And there is no recovery.   Most patients will return to work immediately.  Results can be seen after 6 to 8 weeks.

Liposuction, along with breast augmentation and abdominoplasties are the most common procedures performed as a Mommy Makeover procedure.  Where an abdominoplasty will address the lower abdominal fat and sagging, liposuction is a useful adjunctive procedure for the fat in the flanks, lower back, and thighs.  

Liposuction is a minimally invasive procedure that directly sucks out and removes fat.  Most areas of unwanted fat can be removed.  The most common areas, however, include the neck, abdomen, flanks, arms, and thighs.  Small areas such as in the neck or arms can often be treated with regional anesthesia in the office instead of general asleep anesthesia in the surgery center or hospital.  The most significant limitation is in patients with either a lot of fat or if there exists a lot of extra skin.  Surgical tightening is required in these situations.

A breast lift is a surgical procedure designed to lift sagging of the breast.  The goals are to lift the breast, lift the nipple complex, tighten the skin envelope, and reshape the breast.  The procedure might need to be combined with a breast augmentation if you require additional volume.  Removing breast volume can be performed as a breast reduction.

Breast reduction can be performed to reduce the size of the breast.  Your breast may have enlarged with pregnancy.  In addition to reducing the size of the breast, the  goals of a breast reduction are to elevate the breast, elevate the nipple complex, reduce the size of the areola, and to reshape the breasts.  Breast reduction surgery has the highest patient satisfaction rate of any procedure in plastic surgery.

Your breast might change dramatically during and after pregnancy.  The tissue might have been left sagging after being stretched in addition to losing breast volume.  Breast augmentation using breast implants or fat transfer can often restore the volume to normal ( or more ), but in patients with significant sagging, they will need the addition of a surgical breast lift.

Breast augmentation can be performed using your own fat, killing two birds with one stone.  That is, you can reduce unwanted fat by liposuction, only to transfer the fat to the breast where it is wanted.  The advantage of this method is that is is more natural without using a artificial implant.  The disadvantage is that the transferred fat is never guaranteed to survive the transfer.  We can discuss the pros and cons during your consultation.

An abdominoplasty, also called a tummy tuck, is one of the most common plastic procedures in America.  The goal is to remove extra loose sagging tissue of the lower abdomen.  The stretch marks of the lower abdomen are removed in the process and the abdominal wall muscles are tightened from the top of the abdomen above to the pubic bone below.  

The procedure does not address the flanks are lower back.  Excess fat or sagging tissue in these areas may require liposuction for the fat or a lower body lift to lift the sagging tissue of the outer thighs and or buttock.

The mini-abdominoplasty procedure benefits only a small minority of women after pregnancy.  The goal of the procedure is to reduce or remove stretched extra skin of the lower abdomen while tightening the abdominal wall of the lower abdomen.  The belly button is not moved so the procedure is not appropriate for women who need larger amounts of tissue removal or tightening of the upper abdomen.

The vaginal canal will become more loose with age.  Pregnancy and vaginal tears during delivery will often accelerate this process.  The vaginal tissue will also thin out and vaginal lubrication begins to decrease.  The consequences can include painful and less satisfying intercourse.  The Sciton laser for vaginal rejuvenation is up to 80% effective in providing additional lubrication, thickening and tightening of the vaginal wall, while increasing sexual pleasure.

Many women are born with long or an asymmetric appearance of the labia minora.  In many additional women, the labia tends to get longer with age and pregnancies.  One of our specialties is the labiaplasty procedure which reduces the size and length of the labia.  

Peeing when you jump or sneeze is common after vaginal deliveries.  In fact, up to 70% of women are bothered by the development.  Fortunately, the Sciton laser for stress urinary incontinence is effective in eliminating or dramatically reducing the problem in up to 80% of women.

Facial rejuvenation can obviously mean many things.  But most people don’t realize that pregnancy will also change the appearance of your face.  The weight changes stretch your collagen, resulting in the appearance of sagging tissue and wrinkles that will at a minimum benefit from botox and fillers.

Coolsculpting is the non-surgical alternative to liposuction.  The goal of coolsculpting is to reduce the bulk of isolated fat pockets in areas that include the abdomen, flanks, upper back, arms, neck, and thighs.  I’m sure we can find other areas to treat too.  The biggest benefits include the fact that there is no surgery involved, there is no down-time, and there is negligible discomfort.

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More FAQs

Brazilian Butt Lift in Northern Virginia

Dr. Phillip Chang Plastic Surgeon in Loudoun VA

Dr. Phillip Chang is a leading plastic surgeon in Loudoun County who specializes in surgical and nonsurgical cosmetic procedures for the breast, body, face, and skin. He is board certified in plastic surgery by the American Board of Plastic Surgery and is the founder of Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. Dr. Chang is dedicated to providing high-quality service that concentrates on the unique needs and concerns of his patients. He believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results. Dr. Chang is thrilled to be serving the greater northwest area of Washington, D.C. with top cosmetic care that is dependable and trustworthy.

Interested in learning more about Dr. Chang? Click here.

We are based in Leesburg, VA. Located as part of the Lansdowne medical complex, you have access to our 24-7 state-of-the-art facility as well as access to Lansdowne hospital. We are based directly across the road from INOVA hospital. There is ample parking, elevators to bring you to our third floor offices, and welcoming staff to sign you in.

We are proud of our surgeries and cosmetic procedures and love that our patients are happy too. They like to shout it out on Google, Yell, Facebook, and right here on our website. Check out our reviews here.

Yes we do!

All potential patients receive either a phone, virtual, or in-consultation for free.

During the consultation we will discuss your treatment wishes and expectations. This is the time to ask us lots of questions to really understand what is involved, what the costs will be, and what is expected of you. This is also a great time to get to know Dr. Chang.

Aesthetica has received numerous awards from the Loudoun County Chamber of Commerce, New Beauty, Best of Loudoun, Posh 7 Top Picks, and Dr. Chang is internationally known for his lectures and advances in precise surgical technique as demonstrated through his unique mini-facelift procedure.

We have three execeptionally talents cosmetic nurses:

  • Melanie Schwarz, RN, BSN
  • Katy Down, RN, BSN
  • Angela Westbrook, RN, BSN

Read more about us – we can’t wait to meet you!

Look a younger version of you
What to Expect from Your Mommy Makeover Consultation and Treatment
Breast Lift Leesburg, Va

EXAMINATION OF WHAT IS THE PROBLEM?

As reviewed in previous pages, your treatment options for your mommy makeover will depend largely on how your body has changed after having babies and what are your primary concerns. 

The mommy makeover procedure is a cosmetic procedure tailored specifically to your needs and wishes determined at your consultation. 

Most women will choose to have a breast augmentation with or without a breast lift, an abdominoplasty with or without liposuction, and and a vaginal rejuvenation procedure.  Some patients will even have minor facial rejuvenation procedures such as botox and fillers.

PRICING?

The cost of your procedure will vary greatly depending on the procedure combination that you need.  You will receive a price quote at the end of your consultation.  Prices will include Dr. Chang’s surgical fee, surgery center fees, anesthesia fees, and material costs such as bras, compression garments, and breast implants. 

We are very sensitive to pricing as we are the first to say that prices can add up.  For this reason, discounts are given for multiple procedures performed on the same date.

 

BEFORE AND AFTER PICTURES and PREPARATION

Prior to your procedure, your pictures will be taken for documentation purposes.  Face procedure are never published without your specific written consent.  These images are used to follow your progress over the 3-12 month recovery period. 

Most patients will meet with the Karen, the surgical coordinator, after your consultation.  She is there to help you with all your administrative and procedural questions.  

She will start by giving you a written quote for the procedures that you discussed with Dr. Chang during your consultation.  These can always change, of course.  

She is also responsible for scheduling your preoperative visit, surgery, and initial postoperative appointment.  Feel free to call with any questions during this entire process.

HOSPITAL AND SURGERY CENTER

The vast majority of surgeries are performed either INOVA Loudon Hospital or the Loudoun Ambulatory Surgery Center.  Both facilities are accredited premier INOVA facilities with board certified Anesthesia.  

PREPARATION

Patients will be called by the surgical center prior to their procedures to give them more specific questions.  In general, however, they will want you to be at the facility 1 hour prior to your procedure; and tell you not to eat or drink anything after midnight the night before.  

Patients should also optimize their recovery by eating well and taking vitamins ( except for vitamin E and fish oils ) prior to their procedures.  

Patients should also avoid aspirin and aspirin products including advil and motrin 10 days prior to surgery.

While some patients will see results after only a month, most patients will need about 2-3 months. We will set up a follow-up appointment for 12 weeks later. We will ALWAYS be happy to see or talk to you prior to our standard appointment schedule.

At your follow-up, we will take your after-photos and weigh you. These are taken to show you your amazing transformation. 80% of patients are so thrilled, they will go on to have a DIFFERENT area treated.

Surgery can be a scary thing for most patients.  Fortunately, complications are rare and usually consist of small localized areas of delayed wound healing or infection that can easily be dealt with.  

Patients are often more concerned about their cosmetic outcome.  For most procedures, including breast, face, or body contouring procedures, it will take anywhere from 3 months to a year for the swelling to completely resolve and the tissue to reshape itself.  Until that time, it will be difficult to completely understand the results.  

For this reason, revisions are never performed before the 6 month mark with very few exceptions. 

Board-certified plastic surgeon Dr. Phillip Chang and our entire team at Aesthetica Cosmetic Surgery & Laser Center are honored to be serving the community of Lansdowne, VA. Every year we have visitors who travel from all across the county to receive care from Dr. Chang, and we consider it a privilege to transform the lives of so many men and women. We are located about 30 minutes from Washington D.C and 10 minutes from Dulles International Airport. A typical Uber ride from the airport is about 15 dollars. If you are traveling from out-of-town, please call our front desk for recommendations on where to shop, dine, and stay. For your convenience, we have listed some of our favorite spots below:

Lodging:

Attractions:

Dining:

We've been featured in:

Featured in New Beauty Magazine

Dr. Chang has recently been featured in New Beauty magazine and is listed as one of the “Top Doctors” in Virginia by Health and Beauty magazine. According to Allergan, the company which provides BOTOX® Cosmetic and Natrelle breast implants, Dr. Chang’s office provides more BOTOX® Cosmetic treatments and facial fillers such as JUVÉDERM® than any other single practitioner in Virginia.

Reclaim your confidence

Age:  30 – 39
Gender:  Female
Ethnicity:  White
Height:  5’ 0” – 5’ 5”
Weight:  100 – 149 lbs
Gallery:  38467
Young beautiful blonde woman in white fitness clothing, dark gray isolated background

Before

The fit woman measuring perfect shape of beautiful figure. Healthy lifestyles and fitness concept

Before

Age:  30 – 39
Gender:  Female
Ethnicity:  White
Height:  5’ 0” – 5’ 5”
Weight:  100 – 149 lbs
Gallery:  38467
Young beautiful blonde woman in white fitness clothing, dark gray isolated background

Before

The fit woman measuring perfect shape of beautiful figure. Healthy lifestyles and fitness concept

Before

Age:  30 – 39
Gender:  Female
Ethnicity:  White
Height:  5’ 0” – 5’ 5”
Weight:  100 – 149 lbs
Gallery:  38467
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Before

P3047496

Before

Age:  30 – 39
Gender:  Female
Ethnicity:  White
Height:  5’ 0” – 5’ 5”
Weight:  100 – 149 lbs
Gallery:  38467
Wilton before mini Face lift

Before

Wilton After Mini Facelift

Before

Age:  30 – 39
Gender:  Female
Ethnicity:  White
Height:  5’ 0” – 5’ 5”
Weight:  100 – 149 lbs
Gallery:  38467
Mini Facelift Surgery

Before

After Liposuction Waist Thighs

After

Breast Augmentation, Mommy Makeover

Age:  30 – 39
Gender:  Female
Ethnicity:  White
Height:  5’ 0” – 5’ 5”
Weight: Undisclosed
Gallery: 38292
Before Breast Augmentation

Before

After Breast Augmentation

After

Procedures

Breast

Sections

Contact Us

Experts in Plastic Surgery

Nipple Reduction

anchor incision breast reduction

Our office offers a wide variety of surgical and nonsurgical cosmetic procedures for the face, breast, body, and skin. We are pleased to meet the diverse needs of our Leesburg clients through high-quality cosmetic service. We also utilize Vectra 3D technology to show patients a preview of all the possibilities for customized treatment plans.

Sections

Acne

Traditional facelift surgery typically combines a face and neck lift.  Other procedures including eyelid surgery or fat transfer are often added.

Experts in Plastic Surgery

Other Popular Procedures

Liposuction for Body

Breast Surgery

Cosmetic breast surgery includes breast augmentation, breast lift, breast reduction and breast reconstruction.  Other common procedures include nipple and areola reduction.

beautiful body

Body Contouring

Body contouring procedures include abdominoplasty, lower body lift, circumferential body lift, as well as thigh and arm lifts. Some patients need it all especially after weight loss surgery.

Woman applying facial cream on her face

Face Surgery

Face surgery includes facial rejuvenation procedures such as face, neck, and forehead lifts or simple nonsurgical procedures such as botox, cosmetic facial fillers, or laser skin treatments.  Other procedures include nose jobs or ear reshaping.

Liposuction for Body

Breast Surgery

Cosmetic breast surgery includes breast augmentation, breast lift, breast reduction and breast reconstruction.  Other common procedures include nipple and areola reduction.

labiaplasty-surgery

Vaginal Health

Vaginal health includes treatments for vaginal dryness, laxity, and even urinary incontinence.  Common procedures include labiaplasty surgery, as well as Diva Laser Tightening.

beautiful body

Body Contouring

Body contouring procedures include abdominoplasty, lower body lift, circumferential body lift, as well as thigh and arm lifts. Some patients need it all especially after weight loss surgery.

More FAQs

Northern Virginia - Loudoun - Leesburg - NOVA

Dr. Chang Featured in a Maagazine

Dr. Phillip Chang is a leading plastic surgeon in Loudoun County who specializes in surgical and nonsurgical cosmetic procedures for the breast, body, face, and skin. He is board certified in plastic surgery by the American Board of Plastic Surgery and is the founder of Aesthetica Cosmetic Surgery & Laser Center in Leesburg, VA. Dr. Chang is dedicated to providing high-quality service that concentrates on the unique needs and concerns of his patients. He believes combining attentive care and minimally invasive techniques is the best avenue for achieving beautiful, natural-looking results. Dr. Chang is thrilled to be serving the greater northwest area of Washington, D.C. with top cosmetic care that is dependable and trustworthy.

Interested in learning more about Dr. Chang? Click here.

We are based in Leesburg, VA. Located as part of the Lansdowne medical complex, you have access to our 24-7 state-of-the-art facility as well as access to Lansdowne hospital. We are based directly across the road from INOVA hospital. There is ample parking, elevators to bring you to our third floor offices, and welcoming staff to sign you in.

We are proud of our surgeries and cosmetic procedures and love that our patients are happy too. They like to shout it out on Google, Yell, Facebook, and right here on our website. Check out our reviews here.

Yes we do!

All potential patients receive either a phone, virtual, or in-consultation for free.

During the consultation we will discuss your treatment wishes and expectations. This is the time to ask us lots of questions to really understand what is involved, what the costs will be, and what is expected of you. This is also a great time to get to know Dr. Chang.

Aesthetica has received numerous awards from the Loudoun County Chamber of Commerce, New Beauty, Best of Loudoun, Posh 7 Top Picks, and Dr. Chang is internationally known for his lectures and advances in precise surgical technique as demonstrated through his unique mini-facelift procedure.

We have three execeptionally talents cosmetic nurses:

  • Melanie Schwarz, RN, BSN
  • Katy Down, RN, BSN
  • Angela Westbrook, RN, BSN

Read more about us – we can’t wait to meet you!

Cosmetic Breast Surgery

Meet Your Cosmetic Team at Aesthetica

Aesthetica Cosmetic Surgery & Laser Center is an elite practice that offers plastic and reconstructive procedures for the face, breasts, body, and skin. 

Aesthetica is led by founder and director Dr. Phillip Chang, who is an award-winning board-certified plastic surgeon in Loudoun County who has gained his reputation from emphasizing the importance of looking natural particularly when it comes to face or breast surgery and procedures

This emphasis can be seen in the skills and expertise the cosmetic nurse injectors at Aesthetica.  Natural is better than plastic.

 

Your Advantages with Us

There are many reasons why Aesthetica is considered the “premier Plastic Surgery Center” in the Greater Washington D.C. area. Here are a few:

  • Voted Top Doctor and Best Plastic Surgeon in Northern Virginia spanning several years.
  • Dr. Chang lectures nationally on cosmetic surgery in the modern era and is known internationally through his YouTube channel with hundreds of thousands of views.
  • Published and contributor to New Beauty Magazine.
  • Board Certified by the American Board of Plastic Surgeons.
  • Over 15,000 treatments performed at Aesthetica. 
"Dr. Chang is an amazing surgeon. Not only did he give me back a rockin body, but he gave me my confidence back!! I can't thank him enough....when I first walked in his office I felt welcome by him and his staff. There was never any judgment. Dr. Chang reminded me that I was already beautiful But with having two kids, I needed a few little touch ups. I had a Mommy Maker Over and I couldn't be more happy with the results!! Dr. Chang is a perfectionist and I will forever be thankful for his amazing talents..My husband is too!"
Wow, are you beginning to feel as great as you're going to look?
Botox - Happy Women
Liposuction for Body

Before and Afters

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Specials

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Excisional Scar Revision

Surgically cutting out the bad scar and starting over may be the best option to improve the appearance of your scar particularly if the scar is very raised or wide.

Aesthetica Staff

Laser Scar Revision

The profractional laser is used to optimize new scars as well as to flatten raised scars.  The laser creates micro-ablative columns of injury to the scar that flattens and blends the scar into the surrounding skin

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Steroid Injection

Steroid injection is a quick an easy option to flatten raised scars and decrease inflammatory itching of itchy and red scars. 

Why Should You Get Your Cosmetic Surgery At Aesthetica?

AESTHETICA HAS BEEN VOTED #1 IN NORTHERN VIRGINIA AND THE LOUDOUN TIMEs MIRROR FOR MULTIPLE YEARS IN A ROW

Your Professionals

Meet Your Treatment Team

Aesthetica is one of the premier centers for Laser and Cosmetic Surgery Procedures in Northern Virginia. Meet your Cosmetic Nurses Katy, Angie, Mel, as well as the rest of your Aesthetica Leesburg Treatment Team in Northern Virginia.

Tips To Make Your Treatments

MORE AFFORDABLE

PRE-BOOKING DISCOUNT

Patients that prebook their next appointment decrease our administrative and marketing expenditures. Prebooking also ensures that your anti-aging efforts are optimized and decrease the time of your next visit. We want to pass these savings on to YOU! Pre-book to optimize your savings. 

WRITE A REVIEW

We are confident that you will happy with your treatment. Help us spread the word about your treatment by writing a review on Google to not only help other potential patients learn more about your satisfaction with the treatment, but to help them learn more about Dr. Chang and the team at Aesthetica as well. In return, receive a credit toward your next service. We would love to thank you for your loyalty! 

FACEBOOK SPECIALS

Stay in touch for exciting announcements and surprise discounts! Friends and patients that are on our Aesthetica Facebook and Instagram pages will not only stay up to date on the newest and greatest advancements in cosmetic surgery, but will receive exclusive offers for many of our services.

EXECUTIVE MEMBERSHIP

Executive Membership provides regular discounts on products and treatments. When you register you will automatically receive that month’s discount offer. If you plan to have multiple or regular procedures, consider Executive Membership for significant long-term savings! 

REFER A FRIEND

Referring a friend is the ultimate demonstration of your satisfaction and appreciation. We want to show our appreciation by giving you something more in return. For every friend who you refer and has a treatment done, each of you will receive $100. Read more about our referral program here. 

Packages | Products | Services

Med-Health 360

Trusted Partners and Physicians

Loudoun | Northern Virginia | Leesburg

What is Estrogen?

Estrogen is the primary sex hormone for women. It is produced primarily in a woman’s ovaries and is responsible for puberty developments including breast, public hair and menstruation. It is the reason why women have a menstrual cycle, it helps control lactation for breastfeeding and is an important part of bone growth. Estrogen, along with other hormones, including testosterone, progesterone, cortisol, and thyroid hormone also help regulate glucose modulation, are instrumental in boosting energy and have a significant affect over emotions and moods. Serotonin and all those ‘feel good’ chemicals like endorphins are affected by estrogen.

Many teenage girls and menopausal women feel that estrogen is the enemy within, the dictatorial hormone they would like to expel but would ultimately miss for the good times they can provide. It is a hormone that has a huge influence on a woman’s body and mind.

Myofascial pain is often a chronic condition due to scarring and contraction of the muscle and surrounding fascial envelope.  Think of it as a local or more generalized muscle spasm that can often be felt even in distant parts of the body.  MedHealth 360 program for myofascial pain includes isolating the source of pain, stretching the contracted muscles, and breaking up the scar tissue.  Our tools include physical stretching, massage, trigger point injections and dry needling, electrical stimulation therapy shock wave therapy, as well as a huge dose of yoga and circuit training.  

Plantar fasciitis is one of the most common and painful forms of isolated myofascial pain.  The pain can often be debilitating.  One of the hallmarks of the condition is the feeling of sharp excruciating pain with your first steps after getting out of bed.  The condition is due to shortening and inflammation of the muscle and fascia along the soles of the feet and achilles tendon.  The MedHealth 360 prescription for plantar fasciitis includes localized massage, orthotics, and shock wave therapy to break up muscle and fascial scars.  Difficult cases might benefit from PRP injections.

 Dry needling is a procedure in some ways similar to acupuncture, whereby a small needle is inserted directly into a myofascial trigger point.  The needle causes the contracted muscle to relax as well as to bring in new blood and growth factors to the affected area.  The MedHealth 360 plan believes that sustained benefit requires sustained emphasis on stretching the muscle, decreasing local inflammation, and promoting the health of surrounding tissue.  Our tools include physical stretching, massage, trigger point injections and dry needling, electrical stimulation therapy shock wave therapy, as well as a huge dose of yoga and circuit training.  

The benefits of massage shouldn’t require much introduction or explanation.  It is no secret that the tension you feel in you muscles immediately improves after a great massage.  Other benefits however, include improving peace of mind, increased muscular blood flow, and decreasing muscular inflammation.  Massage, yoga, and fitness training are important ancillary programs at MedHealth 360.

A Trusted and Professional Health-Care Site

Med-Health 360

Medical site devoted to educating the public about how to improve their health and wellness through advice and the sourcing of safe and effective medical products

Follow us online

Follow us on our other platform for more articles, plastic surgery images, and innovations on our social channels

Facts About Estrogen:

  • It’s the main female hormone
  • Estrogen receptors are found in every cell of a woman’s body
  • Estrogen declines as early as 30 years of age and is critically low by the age of 50
  • Low estrogen levels are responsible for: weight gain, cloudy thinking, low sex drive, low energy, and osteoporosis.
  • High estrogen levels are responsible for: weight gain, irregular periods, possibly breast and ovarian cancer, thyroid diseases, bloating, headaches and fatigue

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Respected Doctors

Professional and highly respected doctors and physician assistants

Personalized Plans

Personalized plans are created after hearing your medical complaints and reviewing your labs

Easy Checkups

Personalized service means being available to help you navigate through your wellness journey

Our Guarantee

We are confident in our system.  and guarantee that if you follow our program, you will look and feel healthier

Tips To Make Your Treatments

MORE AFFORDABLE

PRE-BOOKING DISCOUNT

Patients that prebook their next appointment decrease our administrative and marketing expenditures. Prebooking also ensures that your anti-aging efforts are optimized and decrease the time of your next visit. We want to pass these savings on to YOU! Pre-book to optimize your savings. 

WRITE A REVIEW

We are confident that you will happy with your treatment. Help us spread the word about your treatment by writing a review on Google to not only help other potential patients learn more about your satisfaction with the treatment, but to help them learn more about Dr. Chang and the team at Aesthetica as well. In return, receive a credit toward your next service. We would love to thank you for your loyalty! 

FACEBOOK SPECIALS

Stay in touch for exciting announcements and surprise discounts! Friends and patients that are on our Aesthetica Facebook and Instagram pages will not only stay up to date on the newest and greatest advancements in cosmetic surgery, but will receive exclusive offers for many of our services.

EXECUTIVE MEMBERSHIP

Executive Membership provides regular discounts on products and treatments. When you register you will automatically receive that month’s discount offer. If you plan to have multiple or regular procedures, consider Executive Membership for significant long-term savings! 

REFER A FRIEND

Referring a friend is the ultimate demonstration of your satisfaction and appreciation. We want to show our appreciation by giving you something more in return. For every friend who you refer and has a treatment done, each of you will receive $100. Read more about our referral program here. 

Want to know more?

Schedule a call to discuss your dermatology needs today

Dr. Phillip Chang M.D
Director of Aesthetica Cosmetic Surgery & Laser Center

Dr. Phillip Chang is a leading plastic surgeon in Loudoun County who specializes in surgical and nonsurgical cosmetic procedures for the breast, body, face, and skin.

Dr Pranav Virmani
Dr. Pranav Virmani M.D.
Partner Virginia Infusion Therapies

Dr. Pranav Virmani is a board certified Emergency Medicine physician who has been treating patients in Northern Virginia since 2002.

Dr. Jay Kugler D.O.
Partner Virginia Infusion Therapies

Dr. Jay Kugler board certified in both Emergency Medicine and Family Medicine. He has worked as an Emergency Physician in Northern Virginia since 2002.

Dr. Marwan Jaber M.D.
Partner Virginia Infusion Therapies

Dr. Marwan Jaber is a board certified Emergency Medicine physician who has been treating patients in Northern Virginia since 2007.

Laura Hurjui-Kenney, PA-C

Physician Assistant MedHealth 360

Laura graduated from Indiana University with a degree in Biology and then pursued Physician Assistant Studies at Jefferson College of Health Sciences in Roanoke VA. She has worked in Dermatology and in Family Practice.

Angela Westbrook, RN BSN
Cosmetic Nurse Specialist, Aesthetica
Melanie Schwarz RN
Melanie Schwarz, RN BSN
Cosmetic Nurse Specialist, Aesthetica & MedHealth 360
Katy Downs Griggs, RN BSN
Cosmetic Nurse Specialist, Aesthetica & MedHealth 360

Other MedHealth 360 Programs

Below are our programs often choose to have down for their health and wellness journey

Treatments We Offer

These services treat and often cure prevailing health challenges - try for yourself!

Solutions for Your Wellness

Lose weight | Increase Energy | Mental Acuity
  • Nutritional and Metabolic Coaching
  • Bio-identical Hormone Therapy
  • Vitamin Infusion Therapies
  • Cosmetic Anti-Aging Solutions
  • Ketamine Infusion Therapies for Depression
  • Fitness and Yoga training

Female Wellness

Stress Urinary Incontinence
Vaginal Dryness
Female Menopause
Vaginal Tightening

Medical Weight Loss

Metabolic Testing
Nutritional Counseling and Support
Supplements and Injections
Prescription Medications
Fitness Training

Hormone Replacement

Female Menopause
Male Menopause
Chronic Fatigue
Sexual Energy

Vitamin Infusions

Ketamine Infusions for Depression
Energy Booster
Immunity Booster
Weight Loss and Metabolic Boosters
The Hangover Cure

Chronic Pain Relief

Deep Tissue Massage
Trigger Point Injections
Joint Injections
Shock Wave Massage
Electrical Stimulation Massage

Cosmetic Anti-Aging

Coolsculpting
Botox
Facial Fillers
Skin Anti-Aging Lasers

Treatments We Offer

These services treat and often cure prevailing health challenges - try for yourself!

Female Wellness

Stress Urinary Incontinence
Vaginal Dryness
Female Menopause
Vaginal Tightening

Medical Weight Loss

Metabolic Testing
Nutritional Counseling and Support
Supplements and Injections
Prescription Medications
Fitness Training

15% off for Today

Celebrate our Grand Opening with Code 'Health360' at Checkout

Join the healthy revolution today.

Begin your 360 degree wellness journey with a free consultation.  Our wellness physicians and providers will work to keep you and your whole family healthy and strong each and every day.

Your Complimentary Consultation
Getting to know you

Getting to know you is important to us. Your experience will begin with your consultation.  We want to hear about your previous health experiences, your diet, nutrition, and exercise history as well as your thoughts on living a healthier and longer. Getting to know you is the most helpful way to create a treatment plan for you.

Lab Work + Review of Results
Know the problem to identify the solution

Your body will often lose its ability to adequately control normal biologic levels of hormones and electrolytes as we age. Lab work is needed to check for these vital biological components to help us understand how you are aging. Labs can often be performed from or near your home.

Visit with your Med-Health Doctor
Med-Health 360 expertise

Dr. Chang or one of the Med-Health 360 practitioners will sit down and explain your results.  We welcome your questions and input. Our patients who are fully engaged and understand the reasons behind their treatment program get the best results. We want to work WITH you to get those results!

Build Your Med-Health 360 Program Together
Nutritional Counseling | Individualized Fitness | Hormone Replacement

Integrative medicine involves coordinating health and nutrition, fitness, managing biological hormones and electrolytes and calming the soul. These are the elements that will be emphasized in the creation of your wellness prescription

Weekly Support and Buddy System
No man or woman should be an island

Our counselors and staff will help you stay on course with weekly support sessions where you will get feedback on your weight, metabolic tests, and evaluations on how you are progressing in the programs

You begin seeing results
Voila !

Our goals are simple.  If you succeed, then we succeed.  Our goal is for you to adopt a healthy lifestyle that is reproducible and easy.  We know that if the program is too complicated, you won’t stay on it.

Thyroid Support

Magnesium is involved in at least 600 enzymatic reactions in the body.Increases absorption of calcium, activates vitamin D, decreases bone breakdown, activates bone building and increases mineralization density. 

DHEA is your body’s secondary stress hormone. It needs to stay in balance for proper energy. DHEA helps produce other hormones, including testosterone and estrogen as well so it is essential to the framework of your hormonal balance.

Studies suggest chromium helps maintain already normal glucose levels and insulin sensitivity and can assist in weight management.

It supports heart, brain, skin, respiration, and bone health. With so many important functions, it is important in intake enough of this as your body can not produce these kinds of fats on its own. 

Blood Labs

Blood tests are an important diagnostic tool which doctors use to help determine how to help you stay in your best health. It allows you to see the way your body changes over time and empowers you to make informed decisions about your health.

Metabolic Testing

Metabolic tests measure the rate at which your body burns calories and uses oxygen during rest or during different activities. There are three tests that may be offered when doing metabolic testing. Depending on your initial consultation, we may test you for one or all.

Body Mass Testing
Body composition testing determines how much of your body is and isn’t fat. The non-fat part of your body is called lean tissue, which includes your muscle, water, bone and organs.
Renal Panel
The tests measure levels of various substances, including several minerals, electrolytes, proteins, and glucose (sugar), in the blood to determine the current health of your kidneys.
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Basic Plan

Universal

$35.00/mo

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Weight Loss

Wellness

$87.00/mo

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Female Menopause

Hormones

$64.00/mo

Menopause happens because the woman’s ovaries stop producing the hormones estrogen and progesterone.

Some men have low testosterone levels. This is called Testosterone Deficiency Syndrome (TD) or Low Testosterone (Low-T).

Physical issues that can cause low libido include low testosterone, prescription medicines, too little or too much exercise, and alcohol and drug use.

Fatigue is a term used to describe an overall feeling of tiredness or a lack of energy.

Vitamins Infusions

Hangover Cure
Revive and rally during times you are not feeling well from the game last night or the last call drink you wish you passed on.
Immunity Boost
Immunity Boost is a blend of vitamins and minerals to help with the ongoing fight of keeping healthy and help fight infections.
Energy Infusions
Delivers the hydration and electrolytes needed to replenish your body and provide you with a boost of energy.
Longevity Infusions
Live your best life! For skin, hair, joint, heart and nail health. Plus antioxidant benefits.

Items You Can Add To Your Infusion

Myofascial Pain Relief

10% off for a package of 10 treatments

10% off for a package of 10 treatments

10% off for a package of 10 treatments

10% off for a package of 10 treatments

10% off for a package of 10 treatments

Fitness Classes

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Yoga Classes

Flexibility

$39 / mo

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Circuit Training

Strength & Cardio

$45 / mo

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Meditation

Mental Acuity

$35 / mo

Hormones

Estrogen Pellet

$11

Estrogen is the primary sex hormone for women. Serotonin and all those ‘feel good’ chemicals like endorphins are affected by estrogen.

Testosterone Pellet

$11

Testosterone is the primary sex hormone for men. It assists in the regulation of blood circulation, glucose modulation, energy, and moods.

Oxytocin

$14

Oxytocin is a peptide hormone and neuropeptide. It is normally produced in the hypothalamus and released by the posterior pituitary.

DHEA

$17

Dehydroepiandrosterone, also known as androstenolone, is an endogenous steroid hormone.

Vitamins & Supplements

Cosmetic Anti-Aging Procedures

Skin Rejuvenation

$11

Combination Package including Broad Band Light, MicroLaser Peel, and ProFractional Laser Peel.  Restore youthful glow, fine lines, and textural changes of age.

Botox

$11

The most popular cosmetic surgery procedure in the world brought to you by Aesthetica Cosmetic Surgery and Laser Center.  Reduce and slow the development of development of aging and wrinkles

Cosmetic Fillers

$14

Aesthetica Cosmetic Surgery and Laser replaces the lost volume of the face including the undereye area, cheeks, lips, and temples.

Miradry

$17

Permanently reduce unwanted underarm sweating with a single non-surgical procedure. 

Vaginal Lubrication

$11

Revolutionary laser procedure provided by Sciton’s Diva Laser system.  Strengthen and restore the vaginal lining that has become stretched and thin with age and pregnancies.  No downtime!

Vaginal Tightening

$11

Revolutionary laser procedure provided by Sciton’s Diva Laser system.  Restore the aged mucosal cells with youthful cells and functional cells with improved ability to provide lubrication and vaginal tightening.  No downtime!

Urinary Incontinence

$14

Revolutionary laser procedure that can provide immediate relief from stress urinary incontinence that can result from age and pregnancies.  The laser restore the strength of the urinary and pelvic support.  Results guaranteed.  No downtime!

Sexual Satisfaction

$17

A non-surgical, minimally invasive treatment option to enhance female pleasure and satisfaction.Results guaranteed.  No downtime!

Have questions? See us for a complimentary consultation

Face Surgery in Loudoun VA

Have questions? See us for a complimentary consultation

Face Surgery in Loudoun VA

Safety First

Bio-Identical Hormone Replacement Therapy is not Hormone Replacement Therapy

Sports Nutrition

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Take the Assessment Below to Get Started

In providing answers to the following survey, please assess how many of these symptoms you would say you are experiencing and their severity with 1 - being almost never, 2- being occasional, 3 - being frequently, and 4 - being almost all the time.

Why Do We Need Hormone Replacement Therapy?

It is important to understand that although most people think of testosterone as the “male” hormone and estrogen as the “female” hormone, men and women actually produce and circulate both hormones; they are simply present in different proportions.  Both estrogen and testosterone decrease dramatically as a person ages beginning around the age of 30 and heading downwards from there.  By the time a person reaches the age of 50, the levels of both estrogen, testosterone, and other essential hormones including thyroid hormone, cortisol, and DHEA have decreased to levels that no longer properly support normal physiological functions.  They have entered menopause or manopause. 

Hormones act as communication signals and triggers for proper organ function.  For example, estrogen which regulates female fertility, increases during adolescence and pregnancy while decreases as a woman ages beyond child-bearing age; testosterone regulates male maturity, increases male sex drive and muscle production and decreases as a male ages; and cortisol along with DHEA regulate how we react to stress. Without positive levels of these hormones our bodies begin to act out and our minds become less functional. Hormone Replacement Therapy (HRT) is designed to help these symptoms by providing our bodies with the necessary hormones needed to function.

Consultation:

Your initial consultation will include a thorough assessment of your health and wellness.  We want to get a good idea of how our tools can help you in your wellness journey.  Some patients will benefit from simply replacing hormones that are low.  Other patients will benefit from a more holistic approach to include weight loss, anti-aging, and fitness.  Most patients don’t even know that their health has been impacted by how decreasing hormone levels are affecting their daily lives.

Some questions we will ask:

  • Do you suffer from hot flashes?
  • Are you more irritable that normal?
  • Are you gaining weight despite maintaining your normal diet and activity?
  • Are you finding you aren’t as interested in sex as you once were?
  • Are you having a harder time climaxing or even getting aroused?
  • Are you increasingly being bothered by negative thoughts?
  • Do you find that your skin color and texture are changing?
  • Do you suffer from high blood pressure?

What the program involves:

  • Weekly Coaching
  • Metabolic testing and body composition analysis
  • Hormone testing for insulin resistance and cortisol levels
  • Exercise Programs and boot camps for some patients
  • Recommendation for treatment
 At Med-Health 360,  we believe that traditional medicine and its reliance on pills and pharmaceuticals fails in many ways; particularly when it comes to admitting that many of our bodily function suffer simply age-related changes in how our body maintains itself.  Hormone replacement therapy is simply the restoration of normal body levels of hormones that your body needs to function.
What Happens Next:

Laboratory testing and studies

  • Hormone levels including estrogen, testosterone, cortisol, thyroid, and dhea
  • Blood studies for hemoglobin, electrolytes and psa in men
  • Metabolic testing
  • Body composition testing

Working Out Your Program

We will devise an individualized treatment program that will involve the following:

  • Coaching and Follow-up sessions every week or two until body composition is stable
  • Metabolic testing one a month for weight loss patients
  • Hormone pellets are replaced every 3-4 months
  • Labs are taken every 2 weeks until body composition is stable
Restore Hormonal Balance:

Hormones play a huge role in how your body regulates your weight and is the reason for many of the symptoms experienced during perimenopause and menopause. Most people will lose the ability to properly regulate their estrogen, testosterone, insulin, cortisol, and thyroid levels as they age.  Even young people might struggle with how their bodies regulate their hormones.  

Hormone Testing and Nutritional Lab Studies

    • Check for insulin resistance ( the main cause of weight gain )
    • Check increased cortisol levels ( seen with many medical conditions but also with high stress )
    • Check for low thyroid ( a frequent cause of decreased metabolism and weight gain )
    • Check for diabetes
    • Evaluate electrolytes and biomarkers
Reduce Insulin Resistance

Insulin resistance is one of the most important problems when it comes to regulating weight.  Prolonged increases in glucose and insulin levels will eventually lead to insulin resistance and weight gain.  An important method of how to break the cycle of insulin resistance is medically supervised intermittent fasting.  Our coaches will help you learn methods of intermittent fasting while supervising your labs and vitals.

Nutritional and Metabolic Assessment:

There will also be other tests including a comprehensive body composition analysis and metabolic test that will establish your baseline metabolism and fat composition. The analysis helps us personalize the program to your needs and follow your progress through the program.

Body Composition Analysis and Metabolic Testing

  • Decrease proportion of fat over time
  • Increase  your proportion of muscle over time
  • Increase your metabolic rate over time
  • Provide weekly feedback to help you achieve your goals
Personalized Weight Loss Coaching:

Your program may include signing up for our weight loss program. You will be assigned a Nutritional Coach and Cheerleader who will help you through your weight loss journey. They are an integral part of our team and will help you with education, questions, testing, and accountability.

Nutritional Coaches are Integral to your Weight Loss Journey

  • Educate you about the program
  • Discuss the initial lab work and metabolic testing results
  • Meet with you weekly to assess progress
  • Hold you accountable to goals and progress
  • Answer any questions during the week
  • Cheer you on to success
Weekly Check-in:

We ensure that you have regular contact time with us. If you are on the weight loss program, this includes a weekly check-in because we know maintaining a healthy weight doesn’t always come naturally to patients. Healthy living is a combination of many lifestyle habits that many people never learned.  Weekly check-ins are an integral part of establishing accountability and obtaining feedback for for your new lifestyle habits.  

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PLASTIC SURGERY FACILITY

Our state-of-the-art medical facility provides a safe and convenient cosmetic oasis where world class technology and equipment is coupled with a caring, compassionate staff. You will be welcomed into a chic, inviting reception area and greeted by our friendly patient coordinator. Your treatment will be performed in one of our cutting edge suites, and then you will be escorted to our soothing, restorative recovery rooms. Concierge service and boutique amenities await at every stage of your journey.

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