Consultation
Dr. Osayande evaluates brow position, forehead and hairline anatomy, eyelid skin, facial symmetry, medical history, and your goals. Photographs help document the relationship between the brow and upper eyelids.


GlowTox is a combination treatment pairing a wrinkle relaxer such as Botox or Dysport with a VI Peel, addressing expression lines and skin quality in a single visit. Signature Facial Plastic Surgery serves patients in Rockville, Bethesda, and the greater Washington, DC area.
Lines and luminosity in one visit
GlowTox pairs a wrinkle relaxer with a VI Peel in a single appointment. The wrinkle relaxer eases the muscle activity that creates expression lines, while the peel resurfaces the skin to improve pigment, texture, and clarity.
The two work on entirely separate problems, which is what makes the combination worthwhile: treating only the muscle leaves dull skin, and treating only the surface leaves the lines.
GlowTox is a refresh rather than a reconstruction. Significant volume loss or skin laxity will not respond to it, and those concerns are better addressed with filler, biostimulators, or surgery depending on what is driving them.
Thoughtful patient selection

You may be a good candidate if you have dynamic expression lines alongside uneven tone or dullness, are in good general health, and can accommodate several days of peeling.
GlowTox is not performed during pregnancy or breastfeeding, over active infection or open skin, for patients with certain neuromuscular conditions, or for those who have recently taken isotretinoin.
Sequenced for safety and comfort
Both halves of the treatment are planned individually. Units and placement are chosen for how your face moves, and peel depth is selected for your skin type and the amount of downtime you can accommodate.
The order and timing of the two treatments within the visit is deliberate, and is planned so that neither compromises the other.
“Smooth skin and bright skin are two different problems. GlowTox treats both, in the order that makes sense.”
From consultation through follow-up
Dr. Osayande evaluates brow position, forehead and hairline anatomy, eyelid skin, facial symmetry, medical history, and your goals. Photographs help document the relationship between the brow and upper eyelids.
Your incision pattern, degree of repositioning, anesthesia plan, and whether another procedure would add meaningful benefit are selected for your anatomy—not from a standard formula.
Brow lift surgery is performed with anesthesia appropriate to the planned technique and setting. The tissues are carefully repositioned and secured while the incisions are closed with attention to scar quality.
Scheduled postoperative visits allow Dr. Osayande to monitor swelling, incision healing, brow position, and your gradual return to normal activities.
Planning your downtime
Healing varies by patient, but the following timeline offers a general framework.
Skin feels tight and may look bronzed. Avoid rubbing the areas treated with the wrinkle relaxer.
Peeling begins, and the wrinkle relaxer starts to soften expression lines.
Peeling completes, revealing brighter skin. Daily sunscreen is essential.
The wrinkle relaxer reaches full effect and the combined result is apparent.
At roughly two weeks, once peeling is complete and the wrinkle relaxer has taken full effect.
The smoothing effect typically lasts three to four months. The improvement in skin quality lasts several months, depending on sun exposure and skincare.
Bruising, headache, and temporary asymmetry from the wrinkle relaxer, plus redness, dryness, and temporary pigment changes from the peel.
Considering upper-face rejuvenation?
Your consultation will determine whether the change you see comes primarily from the brow, upper eyelids, dynamic muscle activity, or a combination of factors.

Why choose Signature
Dr. Bella Osayande is a fellowship-trained facial plastic surgeon whose practice is focused on the face, eyes, brows, nose, neck, and hair. That focused training supports a comprehensive, whole-face approach to every procedure she performs.
Her approach emphasizes precise planning, natural facial expression, honest treatment recommendations, and results that feel proportionate to the individual—not a predetermined aesthetic ideal.
Frequently asked questions
Clear answers to common questions about surgery, recovery, scars, and treatment selection.
A combined treatment pairing a wrinkle relaxer, either Botox or Dysport, with a VI Peel, so expression lines and skin tone are addressed in the same visit.
They solve different problems. The wrinkle relaxer softens lines created by movement, while the peel improves pigment, texture, and radiance. Together they address both the muscle and the surface.
Yes. It is performed as a single visit, with the order of the two treatments planned for both safety and comfort.
Minimal downtime from the wrinkle relaxer, plus roughly three to seven days of dryness, flaking, or peeling from the VI Peel.
Most patients schedule it two to three weeks ahead, so that peeling is complete and the wrinkle relaxer has reached full effect.
Yes. The number of units and the areas treated are planned for your face, and peel depth is selected for your skin.