Crow's Feet

You laugh, you smile, you spend sunny days outside which create enduring memories but, they they also leave you with expression lines that may make you look older or feel angry, even when you're not.  When you're lauging and smiling, these natural crases that appear and are important in creating genuine and deep human connection.  It's important that the cosmetic results you acieve look natural!  

Botox is usually the first choice for patient's looking to reduce the signs of crow's feet but it's not the only option.  At Sylvana, we take a customized layering approach.  We layer services, providing a customized plan that smooths all kinds of wrinkles and restores a natural, youthful-looking smoothness to skin that shines with a healthy and vibrant glow.


We are known for providing an artful combination of proven procedures and medical-grade products offered in a physician-directed med spa. Our approach is safe, non-surgical and non-invasive with fabulous results! Get all the facts on what makes the Sylvana Difference.

To Prevent Wrinkles from Forming and Deepening Around You Eyes, Here is What We Suggest:


Botox, Dysport and Xeomin Wrinkle-relaxing injections with Botox, Dysport and Xeomin are the most patient requested treatment for crow's feet at Sylvana.  Botox, Dysport and Xeomin are well-known injectables that relax overactive muscles and soften facial expression.  They are all neuromodulators and they use naturally occurring bacteria to relax the muscles of the face. That relaxing effect minimizes and softens wrinkles, worry lines and other signs of aging.  Using neuromodulators to soften wrinkles and lines has been the gold standard, non-surgical solution for over a decade. Sylvana Med Spa in Frederick, MD is recognized as a leading provider of neuromodulator injections in the Frederick County region. We were also the first in the area to introduce Xeomin and we are known for our experience, artistry and natural-looking results.

How Does They Work?  Neuromodulators effectively weaken or  paralyze certain facial muscles to prevent them from contracting.  This effect is tempoary and should last a few months.  Because your crows feet muscles will be relaxed, the expression wrinkles on your face will smooth out since they can no longer contract.  At Sylvana, we consider neurotoxins a the best was to temporarily reduce crows feet wrinkles.  

What is the Process Like?  Using a tiny needle, we inject Botox Dysport or Xeomin directly into the muscle to be relaxed.  Our goal is a natural look, so we place the injections in a composed way that reflects the unique pattern of your facial expressions and focuses on the specific lines and wrinkles you want to smooth out. 

How Soon Will I See Results?  Botox, Dysport and Xeomin begin to work in about three days and the wrinkle-smoothing response approaches maximum results in about two weeks. Many clients see continued smoothing up to 30 days. When you return for your complimentary two-week follow-up visit, we expect to see significant smoothing. At that time, we can supplement any areas that will benefit from additional injections.

How Long Do The Benefits Of Botox Last?  For most people, visible results generally last from three to four months. For many clients, benefits accrue over time. That means they may need fewer injections to get optimum wrinkle-smoothing results. As with all non-surgical procedures, a regular schedule of appointments can maintain and often increase the visible benefits of treatment. In general, three annual appointments maximizes and maintains the benefits of neuromodulator injections.


Of course, following all the principles of a personalized skin care routine will keep your skin at its healthiest and make you look your best. That includes drinking plenty of water throughout the day, applying sunscreen 365 days a year, and using medical-grade skin care products. As part of your initial Complimentary Consultation, we create a Sylvana Solutions Treatment Plan that is unique to you. It provides a road-map for addressing your specific concerns and helping you gain and maintain maximum benefits.

Are There Side Effects?   Neuromdulators can have side effects when not performed properly.  It could clead to droopy brows and eyelids if too much is injected in the forehead since the muscles in the forehead would not be able to raise your brow.  

Why Do We Offer All Three—Botox, Dysport and Xeomin?  All three neuromodulators work in the same way, only the manufacturers are different. All three are FDA-approved. Many consider them to be interchangeable and only carry one or two. We carry all three in order to ensure the best value and maximum results to every one of our patients. If there is a special offer on one—alone or in combination with other products—we alert clients to that option. That’s the value part. For a small number of people, one neuromodulator is slightly more effective or long-lasting than another. In such a case, we will recommend the most effective product.

Collagen P.I.N.

Natural Skin Renewal
Collagen P.I.N. is a Micro-Needling Device that opens up a whole new horizon to skin treatments. It scientifically delivers the beautiful results that were previously only attained from aggressive laser treatments or surgery.  Collagen P.I.N. is the next step in the scientific evolution of aesthetics.
Automated Micro-Needling Improves Your Skin's Overall Condition
Automated Micro-Needling (also known as Percutaneous Collage Induction Therapy or PCIT) is an innovative treatment for fine lines, acne scars and improvement of the skin’s overall appearance and condition. The Collagen P.I.N. utilizes tiny pins to create controlled “micro-injuries” to the skin.  In response your skin, produces collagen and elastin.  Your skin’s repair process results in a thicker dermis with the appearance of smoother skin and diminished lines and wrinkles.  This Collagen P.I.N. process also creates superficial “micro-channels” which allow topical products to be absorbed more effectively into the skin.
What Results Can I Expect From My Collagen P.I.N. Treatment?

The results of treatment are both immediate and progressive. Many individuals will begin to see the effectiveness of the treatment after their first visit, however a series of 3-6 treatments may be recommended depending on your skin’s condition.  The Collagen PIN micro-needling treatment is a safe and effective method to activate cellular regeneration while addressing an array of skin conditions including:

  • Fine Lines

  • Scarring 

  • Stretch Marks 

  • Photo-damage

  • Fine lines

  • Tone and Texture

How Many Collagen P.I.N. Treatments Will I Need?

Typically, a series of 3-6 Collagen P.I.N. treatments is recommended, depending upon your areas of concern. Your Slyvana Med Spa Skincare Clinician will work together to determine a treatment schedule based on your individual goals and desires. Treatments are usually spaced in 4 week intervals. Patients with deep wrinkles, advanced sun damage, stretch marks, or any type of scars, usually require at least 6 treatments or more to achieve the desired results.

How Soon Will I See Results From My Collagen P.I.N. Treatment?

Most patients will see results after the first Collagen P.I.N. treatment. Individual results vary depending on your individual skin condition.  You should see a positive improvement within just a few days.  True, positive change should be evident as soon as 1 to two weeks after your first treatment.


Vibraderm is a non-invasive and painless procedure that promotes new cell growth, smoothes skin and helps even out skin tone. We use a paddle-like instrument that is covered with fixed abrasives to gently remove 75 to 85% of dead skin cells. Once the top skin layers are removed, fresher and younger looking skin will take their place. The treatment lasts about 30 minutes with no recovery time. You will leave with healthy glowing skin and a refreshed feeling! Vibraderm is a gentle treatment that benefits all skin types. It is ideal for treating sensitive and mature skin.

 A series of treatments can stimulate new collagen, smooth skin texture, improve skin tone, prevent acne breakouts and help minimize the appearance of pore size, fine lines and wrinkles.

Chemical Peels

Chemical peels are among the oldest treatments offered for skin revitalization. Some of the new and updated formulations offer dramatic results and are effective in reversing visible signs of aging, such as deeper and well as finer lines and wrinkles.  By removing dull layers of skin, new, healthy glowing skin is restored.  

It used to be that the positive results of chemical peels came with a real downside. The chemical action left the skin scabbed and oozing for a lengthy period of social downtime. Now that’s changed, with our introduction of an innovative new peel technology that is unlike chemical peels of the past.  At Sylvana we use laser skin therapy for reducing wrinkles, minimizing pores, removing age spots, redness and restoring your skin to a bright smooth texture. 

Sylvana Med Spa And EnerPeel By Glytone—A Winning Combination That’s Unequaled in the Region.  EnerPeel is the gold standard for chemical peels in Europe.  Sylvana Institute Med Spa in Frederick, MD was one of the first Med Spas in the country to bring this amazing treatment to the United States. EnerPeel by Glytone is highly effective with a quick recovery time. As a Med Spa we are especially sensitive to your skin’s needs based on type and issues. During your Complimentary Consultation, we will assess your skin scientifically with the Visia Complexion Analysis System and decide if a Glytone peel will achieve the best results for you.


What Makes These Chemical Peels Unique?  Using an innovative technology, EnerPeel by Glytone has created a peel that penetrates deeper without disrupting the top layer of skin. Unlike old-style chemical peels, EnerPeel by Glytone works from the inside out. The result is an even treatment, consistent skin remodeling, fewer side effects and reduced social downtime.

There’s An EnerPeel For Every Skin Type

Light & Laser Resurfacing Treatments

At Sylvana we use laser skin therapy for reducing wrinkles, minimizing pores, removing age spots, redness and restoring your skin to a bright smooth texture. 


Laser therapy information can leave you more confused than when you began!  There are severly choices, depending on your skin type, your desired result and severity of your skin damage and wrinkles.

There are two commonly used lasers for 100% skin resurfacing, they are the CO2 (carbon dioxide) and erbium based.  They can be used to removing the old wrinkles and revelading new, wrinkle-free skin.  These two types of laser treatments are uncoformable and intense.  We do not use these types of lasers at Sylvana since we have found that we can achieve the same results by using a series of different types of laser which lessen the severity of the recovery.

The Fraxel Laser can remove years from your appearance.  Fraxel is a clinically proven non-invasive laser skin resurfacing treatment that

removes years from your appearance — without the risks, side effects or prolonged downtime of other procedures. Fraxel is a popular treatment chosenby celebrities like Courtney Cox and Kathie Lee Gifford. It is a quick andeffective way to reduce crow's feet, forehead wrinkles, age spots and sun damage and acne scars.   

How Does Fraxel Work?  Fraxel affects a fraction of tissue at a time with thousands of microscopic laser columns — each just one-tenth the diameter of a hair follicle. The laser columns stimulate a natural healing process that works from the inside out. Due to how deep the Fraxel laser penetrates, it is able to replace damaged tissue with healthier skin.

With this “fractional” treatment your body heals skin faster than if treating all the tissue in a specific area. The body’s natural renewal process is accelerated leaving your skin smoother, healthier and younger looking. At Sylvana Institute Med Spa in Frederick, MD we offer a complimentary Vibraderm exfoliation treatment after your Fraxel treatment to get even better results!

What Are The Side Effects?  Swelling and redness are the most common side effects. Swelling is typically minimal and subsides within days. Redness typically fades within a few days. Other temporary effects may include minor itching, dry skin and peeling, flaking or bronzed skin. We guide you on way to minimize these side effects if they occur.


Always wear sunscreen of SPF 30 or higher. We also recommend avoiding direct sun exposure for at least three months and wearing a wide-brimmed hat in the sun.

Fortunately, you don’t have to make sense of all the laser procedures —or any skin therapy procedure—alone. We continuously evaluate new technologies, medical-grade skin care products, skin care services and procedures as they emerge in the market. Then we test them internally on staff to explore how they work in everyday clinical situations on real conditions.

Extended Blepharoplasty Blepharoplasty (or eyelid surgery) is intended to tighten the tissues of the upper and/or lower eyelids. It is useful for improving the appearance of aging around the eyes. In the upper lids, the procedure removes excess skin in virtually all cases. Depending on the individual anatomy, fat and muscle may also be addressed. The lower lids may be full and/or there may be skin laxity, both of which would be corrected surgically.  With an Extended Blepharoplasty, this variation of Blepharoplasty involves extending the incision beyond the rim of the eye into the temple area. This allows the surgeon to reduce excess skin in the temple area – where the Crow’s-feet are found.

Skin Care Products

 At Sylvana, we surround ourselves with innovative ideas, we inspire each other to think differently, to follow our instincts and put our heart and soul into providing the best products and services available anywhere, at any price.

In spite of the staggering number of skin care products available today, We all have experienced disappointing and unreliable results. And there are SO many, how do you even figure out WHAT you need and when?  Most of us have chosen the easist options of wandering through the department store or drug store or, Googled the "BEST" skin care products then purchased a bunch of stuff, at great expense, that may or may not work.

  • It's time to determine THE skin care products and regimen that is RIGHT for you.

  • You want tried and tested products with proven results.

  • You DO NOT want to pay $400 for a serum (rediculous)! 


Never underestimate the importance of a good consultation.  Nothing will resolve your fears more than talking to someone who really, really know’s their stuff! You find an expert to guide you along the way, and the feeling of inspired trust and confidence will relieve the anxiety of parting with your money for crap that doesn't work.

One of our Sylvana Skin Care Specialsts will examine your skin prior to recommending ANY product.  No point in recommending products that won't work for your skin. 

This is how WE do it at Sylvana:

We ask questions and we listen. To make recommendations we must first understand what concerns you most right now and what works best for your lifestyle.  Our skilled Sylvana Skin Care professional will carefully listen to all of your skin care concerns, instinctively know what questions to ask you, and will be able to answer all of YOUR questions.  They will put a name to your concerns, explain exactly what is going on with your skin and why, then recommned ingredients and products that will work for you.

Our Sylvana Skin Care Specialist will provide you with ALL of your options prior to you making a decision.  How much you spend is important, but getting the right advice and knowing what is available to you, AND the best skin care approach to take right away should be your first consideration.      

Make the Plan.  Even if you have plenty of disposable cash to spend on your skin, we recommend that you go slowly to allow your skin to begin rejuvenationg.  We recommend small steps before moving into more intense products and procedures.  There are no quick fixes, this is a longer term plan.  Your personalized treatment plan will give you options and inform you of other services products that are avaialble and when you may need them.

The BEST method to avoid crows feet and preventing premature skin aging is by using sunscreen every day.  This is super important.  Regardless of the weather; sunny, hot, cold, cloudy, rainy, snowy, you should wear sunscreen every day to protect your skin from the UVA and UVB rays.  It's never too late to start wear sunscreen.  It works to protect your skin and to prevent forhead wrinkles, moles, freckles, crepey skin and other forms of sun damage.

Sylvana Solution Skin Care Products

A leader in the field of professional skin care, Sylvana Solution products are advanced formulas created to deliver fast, superior results in treating numerous skin types and conditions, inluding forehead wrinkles.  

With our Sylvana Solutions Products, we hold ourselves to a starndard of excellence.  We are ALWAYS selective in developing cosmetially elegant formulations that make a remarkable difference in your skin.  Using only the purest, most refine, most potent pharmaceutical ingredients; by tapping into rejuvenating qualities of nature bty adding purified botanical and meneral extracts (such as aloe vera and kaolin clay for example, our Sylvana Solutions products will help you achieve flawless, youthful and healthy looking skin.

Our chemists carefully monitor and control each step of the Sylvana Solution product development stages, making sure the products are safe and allergy tested for even the most sensitive skin types.  The FDA registered laboratory and manufacturing faciliyt which produces the Sylvana Solution products follows the most rigorous pharmaceutical manufactuing standards to ensure safe and effective formulations.

We offer a variety of products, providing us with with numerous product options.  This enables us to offer customized skin care and condition driven regimens. 

Here Are Some Active Ingredients to Treat Wrinkled, Sun Damaged Skin:

Vitamin C:  Vitamin C is a very effective ingredient for any skin care product.  It is a potent anti-oxidant that can neutralize free radicals that damage your skin and boost your skin collagen production, helping skin to become firmer and smoother.

Retinol:  Retinol is a Vitamin A compound.  This was the first antioxidant to be widely used and now some strengths are available over the counter.  Vitamin A is an extremely effective skin rejuvenating ingredient that can dreduce wrinkles and fine lines by speeding up you skins renewal process for firmer, younger looking skin.  

Hyaluronic acid:  HA is a pwerful moisture-binding ingredient that can hold 1000 times it's weight in water.  It can retain moisture to keep your skin plump and fully hydrated.  Skin looks smoother and moistureized, whcih improve the appearance of fine lines and wrinkles. 

The Acid Family:  Hydroxy acids, Alpha hydroxy acids, Beta hyroxy acids and Ply hydroxy acids.  These acids can be very effective at exfoliting your skin by removing the uper layer of dead skin to reveal the new skin underneath.  The amounts found in skin care products are not as high as those found in chemical peels but are great for maintaining results.

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Sylvana Institute Med Spa in Frederick, MD Hours:  Mon, Wed, Thurs, Fri: 9am-1pm & 2pm-5pm
Tues: 9am-1pm & 2pm-6pm
Saturday & Sunday:  Closed


182 Thomas Johnson Drive, Suite 100  |  Frederick, MD  21702  |  Phone: 301-668-0002  |  Email: