Relax old wrinkles and stop new ones! Botox is the only treatment that works 100% of the time and no other place does it better but Skinly!

20 minutes from start to finish

Painless with no downtime

Natural results that last 3-4 months

About: Botox is a neurotoxin derived from the bacteria clostridium botulinum and is used for both cosmetic and medical purposes. It works as a muscle relaxer and paralyzes the muscles in which it is injected. This results in reduction, prevention, and elimination of fine lines and wrinkles formed by muscular contractions, as well as a variety of other benefits.

Safety: Botox treatments are FDA approved and have limited risks and side effects. Common side effects include redness, bruising, and swelling, all of which subside within 1 – 5 days post-treatment. Botox is not permanent, meaning that any inadvertent side effects or undesired results will not last. Botox, whether for medical or cosmetic use, should always be discussed with a board certified physician.

Convenience: Botox is nicknamed “lunch break procedure” due to its quick and easy nature. Most Botox treatments take 10 to 20 minutes.

Cost: The cost of Botox treatment can range anywhere from $400 to $2000 depending on the area treated, number of units needed, and the desired results.

Efficacy: Multiple studies over decades demonstrated supreme outcomes after Botox injections, and its use for cosmetic purposes continues to yield consistent and reproducible results. It is effective for treating fine lines or more severe frown lines, wrinkles, and a variety of medical conditions including TMJ, hyperhidrosis, and more.

Woman doctor injecting botox

WHAT IS BOTOX AND HOW DOES IT WORK?

Mechanism of action – Botox is a neurotoxic protein produced by the bacterium Clostridium Botulinum. It acts as a neuromodulator, inhibiting the signal sent by the nerves to the muscles at the neuromuscular junction by blocking the release of acetylcholine from presynaptic motor neurons. This causes temporary paralysis of the injected muscle, leading to reduction, prevention, and elimination of fine lines and wrinkles.

How wrinkles are formed –  Facial wrinkles are formed when repetitive muscular movement along predetermined lines of contraction in the skin leads to collagen loss and development of visible lines manifested as horizontal or vertical wrinkles, also known as rhytids.

The wrinkles are further defined as either dynamic or static:

  • Dynamic type is apparent during facial expressions, e.g. frowning or squinting and completely disappears at rest;
  • Static type is visualized even when the face is resting, which is a direct sign that collagen was lost along the lines of muscular contractions. This type gets most attention and concerns from the patients.

How Botox reverses the wrinkles – Botox causes underlying muscles to relax and allows the dermal layer in the skin to regenerate lost collagen, which is an important building block for our skin to maintain its laxity and turgor. Aging process leads to reduction of collagen and elastin as our skin is unable to repair itself as well, making it more susceptible to the formation of wrinkles.

Cosmetic vs medical applications of Botox – Botox NYC is known to treat wrinkles for facial rejuvenation, but is also frequently used as a medical treatment for chronic migraines, excessive sweating, and for muscle spasms reduction.

Other cosmetic injectable neurotoxins on the market include Dysport, Xeomin, and Jeuveau, and function like Botox treatments, with slightly different biochemical compositions and properties. Botox is the best known and most commonly used product to treat anything from wrinkles to hyperhidrosis.

botox-before-after-photo
botox injection before after

WHAT CAN I EXPECT DURING MY BOTOX APPOINTMENT?

Consultation – You will first have a consultation with Dr. Schwarzburg to discuss treatment goals, areas to address, and your medical history.

Treatment plan – Once the treatment plan and number of units is established, the treatment area is sterilized and marked with a skin-safe marker.

Administration – Botox is injected through a tiny hollow insulin needle. You may experience some discomfort, often described as a pinching or prickling sensation. Once finished, you will receive an ice pack to reduce any swelling.

Postcare – You will be provided with instructions to follow to ensure that Botox settles correctly without side effects.

Overall, your appointment will last approximately 30 minutes, with a 10 – 20 minute treatment time, depending on the size of the treatment area and number of units administered.

WHY IS BOTOX SO POPULAR?

Botox is popular due to its transformative effects and minimally invasive nature. Botox has many aesthetic benefits and is FDA approved for several medical conditions. Its results are also not permanent, which is appealing to many, especially first time patients.

WHO IS A CANDIDATE FOR BOTOX?

An ideal candidate for Botox is someone who wants to prevent or eliminate fine lines and facial wrinkles, slim the jawline, reduce the severity of gummy smile, or improve the dimpling in their chin.

Botox is also beneficial for people with medical conditions including TMJ, hyperhidrosis, and chronic migraines, and many other conditions listed below.

There are very few instances where Botox should be avoided, including the ones below:

  • You are pregnant;
  • You have an active skin infection;
  • You suffer from diseases affecting your muscles, such as myasthenia gravis;
  • You are hypersensitive to any botulinum toxin ingredient.

What areas can you get botox injections for cosmetic purposes?

Botox is useful in many different treatment areas, all of which Dr. Schwarzburg performs at his private medical office on the Upper East Side of Manhattan:

  • Forehead lines, worry lines, or horizontal lines
    • The primary muscle in the forehead is the frontalis muscle. When we make worried expressions or raise eyebrows, horizontal forehead lines begin to form. When Botulinum toxin is injected into the frontalis muscle, these lines can be eliminated, reduced, and prevented.
  • Glabella lines or 11s
    • The deep line between your eyebrows, often called the 11s line or severe frown line, can form when the corrugator muscle is contracted. These lines are one of the most common treatment areas for Botox injections as they make patients look less angry and soften the look.
  • Crow’s feet around the eyes
    • When we squint or smile, we form lines around our eyes, which can be numbed with Botox.
  • Neck lines or platysmal bands
    • Botulinum toxin can be used to reduce the appearance of both horizontal lines and vertical protruding bands around the neck. This is called the “Nefertiti lift” in which Botox is injected into the cords of platysmal bands to slow down the progession of turkey neck, or loose skin as we age.
  • Around the mouth
    • Smoker’s lines form when there’s excessive lip pouting or due to actual smoking with Botox injections reducing the tension in the orbicularis oris muscle.
    • Botox can also gently lift the corners of the mouth to reduce downward, depressed appearing smiles.
  • Gummy smile
    • Gummy smile is an aesthetically unpleasing look when teeth and gums are disproportionately exposed while smiling. This appearance is improved with Botox injections in the zygomaticus major and minor, levator labii superioris, and levator anguli oris muscles.
  • Lip flip
    • A lip flip involves 4 to 10 units of Botox in the superior orbicularis oris muscle to release the puckering of the upper lip. This results in the top lip “flipping” upward, making it appear fuller. For more dramatic results you should consider lip filler injection.
  • Pau d’orange of the chin
    • A dimpled chin appearance is secondary to a tense mentalis muscle, which Botulinum toxin relaxes, leading to improvement in the texture and softening of the chin dimpling.
  • Brow lift
    • Targeted Botox placement into the forehead lines produces an eyebrow lift, opening the eyes and creating a more “awake” look.
  • Botox Masseter Reduction for Facial Slimming
    • Botox injected into the masseters slims the face non-surgically and makes the jaw appear less square or bulky. This is also done for medical purposes, to relax the masseter muscle and relieve TMJ pressure and teeth grinding.

WHAT MEDICAL CONDITIONS DOES BOTOX TREAT?

Botox is FDA approved to treat the following medical conditions:

  • TMJ
    • Temporomandibular joint disorders (TMJ) are common and are often accompanied by tightness in the jaw, clenching, grinding teeth, headaches, and more. Botox injected into the masseter muscle causes relief of these symptoms as the masseter is partially disabled.
  • Migraine headaches
    • Botulinum toxin is FDA approved to treat migraines.
  • Excessive Sweating
    • Botox is used to reduce sweating (hyperhidrosis) in the underarms, hands, and feet as it incapacitates the activity of sweat glands.
  • Depression
    • Botox can alleviate the symptoms of depression when injected in the face, because it limits negative facial expressions, making many patients feel happier.
  • Cervical Dystonia
    • Cervical Dystonia is a neurological muscle disorder causing neck pain and muscle spasms in the head and neck. This can be treated using Botox injections.
  • Overactive bladder or Urinary Incontinence
    • Botox is used in adults with urinary urgency and urinary incontinence.
  • Blepharospasm
    • Botox can treat Blepharospasm, which is characterized by involuntary eyelid twitching and small muscle spasms around the eyes.
  • Strabismus
    • Strabismus can be treated with Botox injections. It is a condition where both eyes can not get aligned in the same direction.
  • Contractures in patients with cerebral palsy (CP)
    • Cerebral palsy patients aged 2 to 17 years often have muscular contractures and spasticity of the arms and legs, which can be diminished using Botox injections.

IS BOTOX SAFE?

Botox New York is FDA approved and has a limited number of possible risks, side effects, and complications (listed below). Most of them are only temporary and treatable. If you do have any concerns after your Botox treatment, be sure to contact your physician to confirm that everything is healing properly.

Forehead wrinkles before and after

WHAT IS DOWNTIME AFTER BOTOX INJECTIONS?

Social downtime – Immediate visible clues after botox injection may include minor bruising, swelling and redness, which are transient in nature and resolve in 24 hours. Applying ice packs to the treated areas facilitates the resolution of these minor inconveniences, and their appearance is effectively minimized with strategically applied facial makeup.

Medical downtime – There is no medical downtime associated with Botox tratment. In some instances, you may need to stop intense workouts for 24 hours.

ARE THERE ANY RISKS OR SIDE EFFECTS ASSOCIATED WITH BOTOX TREATMENT?

Common side effects are minimal when it comes to Botox injections. Risks to be aware of before scheduling your Botox appointment include:

Minimal to Mild:

  • Bruising
  • Swelling
  • Redness
  • Tightness
  • Irritation

Moderate to Severe:

  • Non-target diffusion (droopy eyelids, asymmetry, frozen forehead, limited facial movement)
  • Headaches
  • Muscle weakness
  • Allergic reaction
  • Respiratory problems

Bruising can be addressed by icing during first day, followed by a warm compress and arnica gel on day two until the bruising subsides.

A small percentage of patients may experience mild headaches on the first day of their botox injections. The pain resolves within 24 hours.

Muscle weakness and numbness is expected after treatment since it paralyzes the muscles, which is something you will get accustomed to.

WHAT TO EXPECT AFTER BOTOX INCLUDING POST CARE INSTRUCTIONS

After your Botox appointment, you may have some mild swelling, redness, itching, or tightness in the treated area. These unpleasant sensations can be minimized using an ice pack. If you bruise, you can apply a warm compress and arnica gel the day after your session.

After your treatment you should:

  • Not exercise for 24 hours
  • Not rub or massage the treatment area for 24 hours
  • Not apply heat on the injected area for 24 hours
  • Wait 15 – 30 minutes before applying makeup to the treated area
  • Apply an ice pack if swelling occurs
  • Apply a warm compress after 24 hours for bruising

What are botox precautions and how do I prepare for it?

Blood thinning medications such as aspirin, NSAIDs (ibuprofen), or plavix are best to avoid 5 days before your procedure to limit bleeding and bruising. Alcohol consumption should be limited for 24 hours prior to your treatment to diminish the bleeding and additional bruising. Taking two Tylenols before your Botox appointment will alleviate discomfort, and having a small meal prior to the procedure will help avoid fainting or dizziness. Applying the numbing cream a few minutes before your treatment will lessen painful sensations.

Botox crows feet - before and after

DOES BOTOX HURT?

While Botox can only be delivered through a needle injection, most people tolerate the injection process without any anesthesia. Sometimes a topical numbing cream is applied. Botox injections have been described as a pinching or poking sensations. However, the pain lasts no longer than the injection itself, making the treatment overall tolerable.

CAN I DRINK ALCOHOL BEFORE OR AFTER BOTOX TREATMENT?

A common question is whether it is okay to drink alcohol before and after your botox treatment.

It is advised to forgo alcohol consumption before you get your treatment, as alcohol acts as a blood thinner, causing additional and unnecessary bleeding and bruising. Alcohol consumption immediately after botox injections may affect the efficacy of the treatment, however, it is not commonly reported. If you want to play it safe, save drinking for the day following your treatment.

WHEN WILL I SEE MY BOTOX RESULTS?

It takes 3 – 5 days to start seeing your botox results and 10 days to see the final results. Botox acts at a neuromuscular junction by inhibiting the release of acetylcholine from presynaptic motor neurons, and it takes several days for the nerve signals to stop propagating.

HOW LONG DO RESULTS LAST?

Botox results generally last three to four months. Many patients get a touch up before the effects are gone to remain wrinkle free.

The longevity of your results can vary depending on a multitude of factors including:

  • The number of units administered: The duration increases with increased number of units;
  • The strength of your facial muscles: If you naturally have weak facial musculature, then your Botox results will likely last longer;
  • The intervals between Botox treatments: If you get regular touch-ups, your results will be longer maintained.
  • Metabolic response to threatment: Some patients metabolize Botox quicker than others. If you work out a lot, for example, your results will fade sooner than someone who doesn’t exercise.

IS BOTOX PERMANENT?

Botox injections are temporary and last on average 3 – 4 months. While some people respond well to the treatment, leaving them with 4 month results, others may lose the effects after 2 – 3 months. The duration of the effects applies to the treatment itself and to negative side effects, should you have experienced any.

HOW MUCH DOES BOTOX COST?

Botox is usually priced by unit or by area.

  • When priced per unit administered, the cost ranges $10 to $25 per unit of Botox. It takes on average 20 units per area, so it will cost you $200 to $500 for that region. While 20 units is the average, it does not apply to everyone. For example, one person may only need 10 units in their crow’s feet for optimal results, while another may need 30 units for the same result, in which case the same treatment area could be three times the price for the other person;
  • When priced by area treated, Botox pricing ranges $300 to $600 for one area and you get as few or as many units needed to reach the desired effect.

The cost of your Botox treatment depends on where you are getting your treatment. If you see the best botox doctor in NYC, the prices may be higher than other places, however, when it comes to getting medical procedures, it’s best to invest in quality work rather than to save on something that could alter your face. A set price for Botox is rare and there are often a variety of factors that go into the pricing during your treatment.

THINGS TO CONSIDER BEFORE GETTING THE TREATMENT

Botox is known for its low risk for side effects and complications. However, you should keep in mind that there is a possibility of bruising, swelling, and more serious complications including an infection.

Before scheduling an appointment, it’s best to conduct a thorough research of your provider and confirm that the person injecting you is a board certified physician with experience and extensive medical knowledge to avoid unnecessary risks and side effects. If injected poorly, you may end up with undesired and temporarily irreversible results that may take months to wear off to your initial baseline.

HOW TO FIND THE BEST DOCTOR FOR BOTOX INJECTIONS IN NEW YORK?

  • The whole process of finding the best Botox doctor in NYC is difficult. There are numerous medical spas in New York that offer Botulinum toxin injections, but getting the best treatment possible with a friendly staff will take time.
    Many medical practices employ registered nurses or physician assistants to perform injections. Their level of proficiency for this complicated procedure may be hard to ascertain. A medical doctor has sufficient experience and a better understanding of medicine and anatomy.
  • A board certified doctor has gone through a rigorous training and certification process. Only the most capable practitioners achieve this elite status.
    A doctor active in academic research is a sign of vast expertise only attainable by very few physicians.
  • Make sure that your doctor listens to your concerns and goals. It is not uncommon for plastic surgeons to implement their vision of an ideal image sacrificing patients’ needs in the process. A doctor with good bedside manners who takes into account your needs will deliver the best Botox results.
  • Ask as many questions as possible regarding the Botox cosmetic procedure and expectations, and address all concerns to avoid misunderstandings.
  • Front end of the medical office is important to consider, as rude receptionists and medical assistants are extensions of the physician.
  • Pay attention to the ambience of the office, the cleanliness, whether it is well scented, and how long the wait is.

IS BOTOX COVERED BY INSURANCE?

Botox can be covered by insurance for medical conditions such as TMJ, hyperhidrosis, or chronic migraines, which must be diagnosed by a board certified physician, and approved by the insurance company in order to be covered.

If your Botox treatment is cosmetic, it may not be covered by insurance.

TAKEAWAY

Botox is a minimally invasive procedure to treat both cosmetic and medical concerns. It is mostly known to eliminate, reduce, and prevent fine lines and wrinkles, but can also be used to slim or enhance certain areas of the face. Common medical conditions treated with the neurotoxin include TMJ, hyperhidrosis, and chronic migraines.

When scheduling an appointment, be sure to consult with a board certified cosmetic surgeon to confirm that it is the right option for you and ensure that you get the best results.

COMMONLY ASKED BOTOX QUESTIONS AND ANSWERS

WHO INVENTED BOTOX?

Botox was invented in 1989 by dermatologist Alan Scott who sold the rights to pharmaceutical company Allergan in 1991. Today, botox is extremely popular, and finding a good botox clinic or med spa has become much easier in larger metropolitan regions, such as New York. This popular neurotoxin has become ubiquitous and is used by not only celebrities, but everyone from your mother to your neighbors.

WHERE DOES BOTOX COME FROM?

Botox is manufactured by pharmaceutical company Allergan and new botox is distributed to botox clinics, such as Skinly Aesthetics. It is injected by Dr. Schwarzburg, MD, who is one of the best botox and dermal fillers injectors in New York City. While botox is the most popular neurotoxin, there are other neurotoxins that can be used interchangeably with it, such as Dysport, Xeomin, and Jeuveau, with slightly different chemical compositions.

IS BOTOX SAME SUBSTANCE AS DEADLY BOTULINUM TOXIN?

Botulinum toxin is produced by the bacterium Clostridium Botulinum and is deadly in its pure form. For reference, 100 units of Botox (onabotulinum toxin A) contain only 0.73 nanograms of toxin. It is very much diluted compared to pure botulinum toxin.

WILL BOTOX BEFORE AND AFTER RESULTS LOOK NATURAL?

After your botox aesthetic treatment you will have more youthful looking skin. Many people worry friends and colleagues will know they got the treatment; however, when skilfully applied it brings out your natural beauty, without showing evidence of any cosmetic treatment or plastic surgery.

HOW MUCH BOTOX WILL I NEED?

The number of units needed depends on where you get injected, how active your muscles are, when your last treatment was, and your desired look. During your cosmetic consultation these details will be taken into consideration by Dr. Schwarzburg, who will establish the perfect amount of botox for your unique goals.

I STILL SEE WRINKLES AFTER INJECTIONS. WHAT HAPPENED?

If the treatment is settled and the muscles are frozen but you still see lines, your skin has lost its ability to recover and replace lost collagen. Even though botox will prevent further wrinkling, you will need a dermal filler or collagen stimulating therapies to remain wrinkle free.

In rare cases, immunity to Botox injections is possible, and your body will not respond to the treatment at all. Here, your physician may try a different neuromodulator, such as Dysport, Xeomin, or Jeuveau.

WHAT OTHER TREATMENTS CAN COMPLEMENT BOTULINUM TOXIN?

Botox allows superficial wrinkles to recover and fill with your body’s own collagen. Other procedures that can be used to boost collagen production to improve the appearance of fine lines and facial wrinkles include Secret RF Microneedling and Fraxel laser. These modalities create controlled thermal damage to the skin, causing it to produce collagen and elastin to repair itself for more rejuvenated skin. The combination of neurotoxin injections and collagen stimulating devices provide the best skin care possible.

WHAT IS THE DIFFERENCE BETWEEN BOTOX AND FILLERS?

Botox aesthetic is used to freeze the muscles in which it is injected and dermal fillers are used to add and replenish volume. In order to bring fine lines and facial wrinkles under control, botox is needed to restrict muscle activity in the area first to halt the process of wrinkle formation.

Dermal fillers on the other hand come into play when your body’s natural collagen regeneration has been exhausted. Hyaluronic acid based bio-implants instantaneously volumize targeted areas for a fresh and rested look.

For instance, many think that botox eliminates under eye circles. Dark circles under the eyes are caused by volume loss and require an under eye filler to fix it. Botox and fillers do complement each other, but are very different and serve different purposes.

CAN YOU DO MICRONEEDLING OR FACIAL AFTER BOTOX?

If you want to get a microneedling treatment, it is best to wait one week after receiving your botox injections so that Botox can properly settle. You shouldn’t rub or touch the treatment area after receiving botox injections because the botox can shift to a different area, causing asymmetry and in the worst cases eyelid ptosis.

You can also get the Aquagold treatment, which happens to contain the neurotoxin itself, or the hydrafacial, designed for hydration.

WILL MY BOTOX LOOK NATURAL?

A physician must possess a critical and artistic eye to produce natural outcomes.

Naturally appearing botox injections are always a result of a complete understanding of your individual anatomical structure and functional anatomy.

New patients must be educated about botox to avoid unrealistic expectations and dissatisfaction with service, which is why credentials and best experience of your provider matter.

WHERE CAN I FIND NEW YORK’S BEST BOTOX DOCTORS AND HOW CLOSE IS BOTOX CLINIC TO ME?

Your search for Botox treatment in New York, NY is over. Skinly Aesthetics cosmetic dermatology practice led by world renowned physician Dr. Schwarzbug offers Botox injections on Manhattan’s Upper East Side, Downtown New York, Midtown West, Chelsea, Soho and West Village. Overlooking Michelin star JoJo by Jean-Georges restaurant, Skinly Aesthetics’ flagship location is steps away from New York’s beautiful Central Park, as well as a short distance away from Park Avenue and Fifth Avenue with its exclusive architectural landmarks, and Lexington Avenue.

Many patients enjoy walking after their Botox procedures to New York’s Bloomingdale’s department store to get their shopping done. Clients looking for artistic inspiration after their Botox treatment go to the Frick Collection in NYC. After their wrinkle removal with Botox our clients go luxury shopping along Madison Avenue exclusive boutiques. We also host Botox at pop up locations in New York’s Chelsea, Soho and West Village, as well as the Financial District NYC.

WHY CHOOSE DR. SCHWARZBURG FOR YOUR BOTOX IN NEW YORK CITY?

In NYC Botox is popular. Choosing the right botox injector can be difficult, especially in a city with multiple botox clinics to choose from.

Dr. Schwarzburg is a board certified, minimally invasive physician with over a decade of experience in cosmetic procedures who values all of his patients’ time and individual needs.

Many clinics offer Botox cosmetic injections priced by area of injection, resulting in mixed outcomes. Dr. Schwarzburg focuses on the unique number of units needed for his patient’s, allowing him to be precise and base his treatment off of each patient’s individual needs for the best Botox results.