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. Botox injections reduce, prevent, and eliminate fine lines and wrinkles formed by strong facial expressions.

Safety: Botox NYC 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 in NYC can range anywhere from $400 to $2000 depending on the area treated, the number of units needed, facial anatomy 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.

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 your appointment in New York, 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.

Contents

WHAT IS BOTOX AND HOW DOES IT FUNCTION?

Over the past two decades Botox NYC has become a household name and is known for its rejuvenating effects on aging skin. The neuromodulator is derived from botulinum toxin type A, produced by the bacterium Clostridium botulinum, and is one of the best known neurotoxins on the market alongside Dysport, Xeomin, and Jeuveau. 

Botox is primarily used cosmetically to stop facial muscle contractions that would otherwise cause wrinkles, such as raising the eyebrows, frowning, and smiling. By inhibiting the release of acetylcholine, Botox blocks nerve signals that cause such animations, and in turn, prevents wrinkles from manifesting in the first place, and fixes already existing rhytids upon injection into the targeted muscle groups. Results can be observed within 3 – 5 days post procedure and last up to 4 months.

BOTOX PROS AND CONS:

Pros:

  • FDA approved in New York for the treatment of fine to moderate wrinkles on many facial areas
  • Minimally invasive procedure with minimal downtime that doesn’t interfere with daily activities and doesn’t involve cutting or stitching
  • Virtually pain free and tolerated by vast majority of patients
  • Quick “lunch-break” procedure allowing you to be in and out in no time
  • Natural-looking results while preserving full range of emotions and facial expressions. The level of muscular relaxation can be titrated based on individual request
  • Excellent tool to prevent strong facial expressions to turn into deep lines and wrinkles
  • Prevention of dynamic wrinkles from turning into static and permanent wrinkles

Cons:

  • Botox effects are not permanent and require interval touch-ups to maintain excellent outcomes
  • Does not get rid of deep wrinkles, folds, and volume loss, which require additional treatment with other modalities such as dermal fillers or lasers
  • Is not a replacement for plastic surgery, but rather a powerful minimally invasive supplement
botox-before-after-photo
botox injection before after

BOTOX VS. FILLERS

While both Botox and dermal fillers fall under the category of cosmetic injectables, they serve very different purposes. 

Neurotoxins such as Botox are used to paralyze the muscles in which they are injected, limiting facial movement and thus, mitigating wrinkles and lines. Botox is not designed to treat deep folds or volume loss, in which case dermal fillers may be used.

Hyaluronic acid based dermal fillers such as Juvederm or Restylane are injected into the deep dermis and subcutaneous tissues to restore volume loss or fill in deeper wrinkles or folds that cannot be addressed using Botox alone.

For example, you may have crow’s feet that radiate around your eyes and dark under eye circles, making you look older. Botox can be used to treat the lines around your eyes that are the result of repeated squinting, while filler is used to replace lost volume and hollowness under the eyes, ridding you of dark circles. In some cases, your crow’s feet may be too deep for Botox to fully eliminate them – this is when a tear trough filler would be used.

THE INVENTION OF BOTOX

In 1989 a dermatologist by the name of Alan Scott discovered the effects of botulinum toxin via intramuscular injection in his New York lab. In 1991 he sold the rights of Botox to Allergan, a pharmaceutical company that is, to this day, responsible for the manufacturing and distribution of the toxin. 

WHERE DOES BOTOX COME FROM?

Allergan is the pharmaceutical company responsible for the manufacturing and distribution of Botox. Legally, Botox may only be distributed to doctors and qualified medical professionals such as Dr. Schwarzburg, who is one of the best Botox injectors in NYC. Other popular neurotoxins such as Dysport are also available and come from different distributors and pharmaceutical companies.

WHY IS BOTOX SO POPULAR?

Looking youthful, fresh, and rejuvenated has always been in style, particularly in the past decade, with the rise of social media and celebrity beauty icons. Originally, Botox was meant to treat a medical condition causing muscle spasms around the eyes. As it was injected into the muscles around the eyes, it was later found to have the cosmetic benefit of reducing lines that formed with squinting. Today, Botox is a popular cosmetic treatment in New York due to its minimally invasive nature and effectiveness in treating and avoiding wrinkles. It is also used cosmetically to slim the jawline, and for medical purposes it is FDA approved to treat migraines, TMJ, Bruxism, and hyperhidrosis. Younger patients who have not yet developed any signs of aging frequently see Dr. Schwarzburg for baby botox, which involves the injection of microdroplets of the toxin to stop rhytids from forming in the first place.

BOTOX ADDICTION AND OBSESSION IN OUR SOCIETY

Essentially Botox popularity is based on its superb ability to mitigate and prevent common signs of aging on your face with results so spectacular they are undeniable. All of Dr. Schwarzburg’s patients who have their Botox treatment done for the first time essentially “get addicted” to the flawless and wrinkle-free skin and rarely can go back to their old selves. Botox literally became the “magic eraser” of signs old age patients have been looking for decades without having to go under the knife. Not only that, but for those patients who start using this amazing medication at an early age it actually saves a lot of money and headache in the long term as they maintain their youthfullness for a long time or almost indefinitely, all with minimal effort and at relatively low cost. 

Getting regular Botox injections elevates most patients’ self-esteem and actually has important social and economical ramifications. Those who experience Botox results first hand realize that they stand out in the crowd by looking better and more attractive, less angry and just simply more healthy. Botox users report higher success both on a personal level by being able to meet and interact with other people without the fear of their wrinkles serving as a handicap and professionally as they are perceived more friendly, relaxed and easier to interact with. It is now more appropriate to introduce terms “Botox obsession” instead of “Botox popularity” as literally anyone who has ever experienced Botox effect can testify they can’t imagine their lives without this miracle medication. 

BOTOX ADDICTION AND OBSESSION IN OUR SOCIETY

Essentially Botox popularity is based on its superb ability to mitigate and prevent common signs of aging on your face with results so spectacular they are undeniable. All of Dr. Schwarzburg’s patients who have their Botox treatment done for the first time essentially “get addicted” to the flawless and wrinkle-free skin and rarely can go back to their old selves. Botox literally became the “magic eraser” of signs old age patients have been looking for decades without having to go under the knife. Not only that, but for those patients who start using this amazing medication at an early age it actually saves a lot of money and headache in the long term as they maintain their youthfullness for a long time or almost indefinitely, all with minimal effort and at relatively low cost. 

Getting regular Botox injections elevates most patients’ self-esteem and actually has important social and economical ramifications. Those who experience Botox results first hand realize that they stand out in the crowd by looking better and more attractive, less angry and just simply more healthy. Botox users report higher success both on a personal level by being able to meet and interact with other people without the fear of their wrinkles serving as a handicap and professionally as they are perceived more friendly, relaxed and easier to interact with. It is now more appropriate to introduce terms “Botox obsession” instead of “Botox popularity” as literally anyone who has ever experienced Botox effect can testify they can’t imagine their lives without this miracle medication.

BOTOX TREATMENT VS. PLASTIC SURGERY

Botox and plastic surgery are often associated with one another, though Botox is a far less invasive approach to address common signs of aging. Botox is ideal to treat fine lines and wrinkles, though there are some cases in which a surgical procedure is necessary. For example, Botox will not lift saggy skin – instead, New York based cosmetic dermatologist Dr. Schwarzburg recommends either a PDO thread lift or in more severe cases of skin laxity, surgical intervention. It is best to think about Botox as a tool to help you if not avoid plastic surgery completely but to delay it for decades. Botox in combination with other non-surgical procedures can effectively maintain your skin tight, lifted and wrinkle-free for decades if not perpetually. Plastic surgery itself is undergoing a mini-revolution focusing more on minimally invasive surgeries and Botox is an important component of this process.

WHERE IS BOTOX USED FOR COSMETIC PURPOSES?

Botox can be used in a variety of areas including the following:

  • Horizontal lines are the result of an overactive frontalis muscle, the primary muscle that covers most of your forehead. Facial expressions such as raising the eyebrows will cause these pesky wrinkles to appear over time. When horizontal lines get etched into your skin it causes makeup and foundation fill the deep crevices making them look worse. Overall you may give an impression of an “unkempt” person who doesn’t care about skincare or make people perceive you as an older person and pass incorrect judgement about you. Erasing those lines is a relief of cosmic proportions to all patients who come to see Dr. Schwarzburg.     
  • Glabellar lines, also known as “11s” run vertically between the eyebrows and are caused by frowning and overactivity of the corrugator muscle, making us look angry and older. Patients with pronounced “11s” present to Dr. Schwarzburg complaining that at work everybody thinks they are constantly angry, frustrated or not friendly when in reality they are not. This can really hamper professional advancement and career opportunities and Dr. Schwarzburg witnessed multiple cases when curing vertical frown wrinkles with Botox resulted in a job promotion, advancement along the career ladder, and just better interaction with co-workers. 
  • Crow’s feet are the lines that circle around the eyes and usually become evident when we smile or squint.
    These radial periorbital lines develop most intensely when we spend a lot of time out in the sun, work-out a lot or are just naturally very happy with life and smile a lot. Squinting narrows the orbital aperture and blocks the sun rays from hitting the retina. Orbicularis oculi muscle jumps into action when we are exerting a lot of effort doing our favorite repetition in the gym. And you would never think that being a happy person could possibly cause you so much distress, but alas – if you are a very happy person with a tendency to smile or laugh a lot those muscles go into overdrive and result in making you look older.
  • Platysmal bands are the muscles that run down your neck. Over time you may develop horizontal or vertical lines that circle around your neck. A Nefertiti lift is when the platysmal bands are injected with botox, preventing loose skin and turkey neck.
    Dr. Schwarzburg frequently observes that patients don’t notice those challenging vertical neck bands until it’s too late. The platysmal muscle gets active when we exert a lot of energy working out, when we talk a lot or during sleep. It is impossible to consciously control it or prevent those protruding band from forming. When they do permanently manifest themselves they are very revealing of one person’s age and are very hard to reverse. That’s why Dr. Schwarzburg advises on preventative approach to stop them from forming in the first place. 
  • Perioral lines, also known as “smoker’s lines” are the small rhytids that form around your mouth and lips as a result of pouting or smoking causing tension in the orbicularis oris muscle.
  • A gummy smile is when your gums are very exposed while smiling and can be reduced with Botox injections into the zygomaticus major and minor, levator labii superioris, and levator anguli oris muscles. This can also lift the corners of the mouth slightly for a more upward turned smile.
    Per Dr. Schwarzburg, a practicing cosmetic physician in NYC specializing in Botox injections, a gummy smile with excessive exposure of the gum mucosa is a major source of insecurity for a lot of patients with no reliable way to conceal it naturally. This results in patients being afraid of smiling freely and being constantly anxious about revealing too much of their mouth. It has both psychological and social consequences often leading to social anxiety disorder avoiding friends and social events.
  • Botox lip flip involves the injection of the toxin into the orbicularis oris muscles, causing the lips to relax and “flipping” upward. Some patients pair this with lip fillers for additional volume.
  • Pau d’orange is a dimpled chin due to tension in the mentalis muscle. You may also notice a horizontal line or dent across the chin, all of which can be relaxed with botox injections.
  • A botox brow lift can be accomplished by relaxing the superior aspect of the frontalis muscle and the orbicularis oculi muscles for a slight arch along the eyebrows.
  • The masseter muscles can be injected with the toxin for facial slimming and jawline contouring. This area of injection is also effective to treat TMJ and bruxism or tooth grinding.
    Masseter muscle hypertrophy is both a medical and cosmetic issue affecting millions of Americans, but can be effectively cured with Botox treatment. Strong jaw muscles make lower face appear bulky flipping the classic V sign upside down and making the face look less proportional. 
  • Micro botox is a diluted form of neuromodulators that is used as a preventative to stop muscle contractions that lead to wrinkle formation, while avoiding a frozen look. Baby botox can also be injected intradermally for skin rejuvenation and pore reduction.

BOTOX UNDER THE EYES

Botulinum toxin may be injected under the eyes (lower eyelids) or into the orbicularis oculi muscle to treat small rhytids and crow’s feet. The skin around the eyes is thin and very delicate, which is why many patients prefer micro-botox or smaller amounts of the toxin, both of which are FDA approved for intramuscular injection in muscles surrounding the ocular region. 

Many patients erroneously think that Botox can treat under eye dark circles and deep hollows – it can’t do that! Botox only works to relax the targeted muscles into which it is injected, but it is unable to address tissue volume loss, which is the root cause for tear trough appearance. The classic shallow look of the inferior orbital region, which makes patients look tired and unhealthy can only be addressed through injecting hyaluronic acid under eye fillers such as Juvederm or Restylane

GETTING BOTOX FOR MEDICAL CONDITIONS IN NYC

Botox is FDA approved to treat the following medical conditions:

  • Temporomandibular joint disorders (TMJ)
    TMJ is a common condition that is caused by overactive masseter muscles, leaving patients with symptoms including clenching the jaw, grinding the teeth, bruxism, and headaches. Injecting a neuromodulator into the masseter muscles relieves this tension and thus, is an excellent treatment option for Temporomandibular joint disorders.
  • Migraine headaches
    Chronic migraines affect nearly 2 million Americans and can be put at ease through Botox injection in muscles located in the forehead, scalp, neck, and shoulders.
  • Botox for Hyperhidrosis
    Excessive sweating is a common condition causing people to sweat more than an average amount in the underarms, hands, and feet. Botox can help mitigate this issue by inhibiting over productive sweat glands.
  • Depression
    Botox has been found to help symptoms of depression as it restricts frowning and unhappy facial expressions, causing a psychological response to increase a patient’s moods.
  • Cervical Dystonia
    Neck pain affects many of us and is often accompanied by muscle spasms in the neck. Cervical Dystonia can be alleviated with neuromodulators injected into target muscle groups along the neck.
  • Urinary overactivity
    Many adults suffer from urinary incontinence, which may be helped with Botox.
  • Blepharospasm
    Muscle spasms and twitches in the upper eyelids are classified as blepharospasms. Botox injected into the levator palpebrae superioris muscle will slow down or stop these spasms.
  • Strabismus
    Strabismus is a condition in which your eyes look in different directions and can be helped with toxin injections.
  • Cerebral Palsy (CP)
    Muscle spasms in the arms in legs are common symptoms of CP and primarily affect children and teens. These ticks can be remedied with carefully placed botulinum toxin injections.

BOTOX AND ROSACEA

One of the most evident symptoms of rosacea is redness and tenderness of the skin and is often visible in the midface and cheeks. Clinical studies conducted across the US and in New York convincingly demonstrate that superficial intradermal injection of Botox mitigates these issues by restricting dilation of blood vessels and alleviating the symptoms of rosacea. 

THE DIFFERENCE BETWEEN COSMETIC AND MEDICAL BOTOX

Botox is fundamentally known for its use in cosmetic medicine for reversal of facial signs of aging caused by UV light exposure and repetitive facial expressions. However, it was originally designed as a muscle relaxant to decrease muscle spasms known as ocular strabismus around the orbital region. Today Botox is used across the US and in NYC for both cosmetic and medical purposes including the treatment of migraines, hyperhidrosis, TMJ syndrome and various conditions that cause involuntary muscle twitches and tension. While Botox is the best known toxin, other neuromodulators that can be used for the same purposes include Dysport, Xeomin, and Jeaveau. 

Sometimes it’s hard to draw a hard line between where cosmetic applications stops and the medical one begins. The lines sometimes get blurred and the indications for treatment overlap. For patients coming to see Dr. Schwarzburg for TMJ and bruxism the added benefit that they reap is that besides having their muscular tension reduced the masseters also shrink reducing the square looking appearance of the lower jaw. Frequently patients who get their Botox injected in the forehead simultaneously get a relief from their migraine headaches and as just as often  those who get their upper lip flipped with Botox also get their smoker’s lines disappear.

TYPES OF WRINKLES BOTOX CAN TREAT

Wrinkles form over time as our facial muscles contract with facial expressions causing lines along the forehead, between the eyebrows, around the eyes, and other regions of the face and neck. There are two forms of wrinkles defined as the following:

  • Dynamic wrinkles are only visible as we make expressive facial animations including frowning, raising the eyebrows, smiling, and squinting. When the face is at rest, these lines are not visible at all. Everybody has these kinds of wrinkles from babies to adults and they are totally normal, until the contraction force is powerful enough to make normal facial expressions too strong, which makes you look angry, upset, disappointed even when you are not.
  • Static wrinkles are apparent when the face is at rest without any muscle tension and occur with age as your body produces less collagen and your dynamic wrinkles are essentially imprinted into your skin over time. Static wrinkles universally appear along the lines of contraction and this is easily understood as the muscles contract along genetically predetermined lines. The best analogy is when you fold a piece of paper multiple times along the same folding line and this crinkling overtime leads to a crease on paper because both compressive and tensile forces diminish resulting in “imprinted” lines on paper. The deep skin creases gradually appear because the body is no longer able to replenish collagen that is lost with new collagen.

Botox erases static wrinkles and stops them from forming by inhibiting muscle activity in the areas that are most affected by these unwanted lines and allowing them to relax and recuperate by producing the collagen to fill in those deep wrinkles.

Botox areas

WHO IS A WELL SUITED PATIENT FOR BOTOX?

In NYC anyone who is looking to get rid of already existing wrinkles, or looking to stop them from developing is most likely a candidate for Botox injections. New Yorkers struggling with other insecurities such as a wide jawline, a gummy smile, or a dimple in the chin may also seek out a consultation for Botox. Medical conditions such as temporomandibular joint dysfunctions, chronic migraines, or excessive sweating are also commonly treated with neuromodulators.

Contraindications that disqualify you from Botox injections include the following:

  • Pregnancy
  • Active skin infections in the area of concern
  • Muscular disorders (myasthenia gravis, ALS, or Lou Gehrig’s disease)
  • Allergies to Botox ingredients

A sizable fraction of Dr. Schwarzburg’s patients come to see him at his NYC clinic thinking less about the physical manifestations of the aging process such as deep lines and wrinkles, but rather about social implications that they carry. Dr. Schwarzburg frequently hears the stories of patients telling him how they are being perceived as angry when they are not, frustrated when they actually feel uplifted,  gloomy when their spirits are bright, and so on. These faulty impressions stem directly from the way that they look, with overactive muscles of the facial expression such as the glabellar complex bearing the primary responsibility. The relief of muscular numbing with Botox that patients receive is often insurmountable to the actual effect of neurotoxins – they regain their confidence to interact normally, form new personal and professional relationships easily and without the fear of being rejected.

When you come for your treatment to New York, the best way to find out whether Botox is right for you is to consult with a medical professional, preferably a board certified cosmetic physician, like Dr. Schwarzburg, who can go over your medical history and give you a physical examination to confirm whether the toxin is a suitable option for you.

HOW OLD SHOULD I BE WHEN I START GETTING BOTOX INJECTIONS?

Depending on your medical or cosmetic concern, the strength of your facial muscles, and the depth of your wrinkles, Botox can be ideal for people of all ages. Some medical conditions in children can be treated using neuromodulators, while cosmetic Botox injections are typically only applied in patients who live in New York City above the age of 18. Whether it be for preventative micro-botox or to remedy already existing wrinkles alongside other cosmetic concerns, many of Dr. Schwarzburg’s patients in NYC start getting this treatment in their early to mid-twenties. Wrinkles are normal and occur even in children and teens. While some of us develop rhytids earlier on, there is no ideal age to start with Botox injections – it is better to take an “as needed” approach, as everyone uniquely ages at a different pace. 

Dr. Schwarzburg’s philosophy on commencing Botox injections in NYC revolves around the idea that if you have just turned 18 and have pronounced wrinkles you should get them fixed, and if you just turned 50, but your skin is smooth and wrinkle-free you can definitely get a break from getting Botox treatment done. Essentially it is a problem based approach – if you have a problem at the age of 18 you should get this resolved immediately instead of waiting for the “right age” to get started and vice versa – if you are in your mid 40s and look great without any signs of skin problems then you should continue with your established skin care routine and not bother about getting Botox injections done. 

WILL GETTING BOTOX INJECTIONS HELP SLOW DOWN AND PREVENT THE AGING PROCESS?

The short answer is yes – Botox injections are scientifically proven to stop the aging process at its source! We all start getting older from the day one we are born and the aging process is fierce and relentless. There are so many factors that affect the rate and the visual signs of aging from environmental pollutants to genetics to lifestyle to sun exposure and many others. Some of them we can easily control like limiting our time in the sun, and some we can’t like our genes. Dr. Schwarzburg advises that the best way to deal with so many variables is to identify those that affect your appearance the most and to selectively target them. 

A lot of Dr. Schwarzburg patients come to his NYC clinic with essentially the same story: “My mom has had these really deep wrinkles on her forehead since she was 25, and they look terrible, and I don’t this to happen to me”. Remember, that strong and hyperactive muscles are the primary reason why wrinkles develop – as they rhythmically contract in the same pattern over decades the collagen in the overlying skin loses its integrity and gets washed away without having a break to replenish the lost reserves. Knowing this allows to strategically plan ahead and tackle these issues to get the upper hand in the aging process due to hereditary strong musculature. By temporarily relaxing the muscles with Botox they will have the opportunity to rest and permit the overlying skin to fill the skin folds and cracks with new collagen, essentially reversing all the previous damage. 

If you think along the same lines it’s easy to see how taking both preventative steps like avoiding spending a lot of time in the sun to stop UV radiation from breaking the collagen strands, and being proactive by getting Botox injections to halt the strong muscles from contracting will help you not only reverse the clock, but also provide an opportunity be in control of the entire aging timeline.

THE PROCEDURAL PROCESS OF BOTOX NYC INJECTIONS

The first step of your Botox appointment will be a consultation with Dr. Schwarzburg at his private office in New York to give you the opportunity to discuss your aesthetic goals or medical concerns. Because each patient is unique, this step is an important one as there is no “one size fits all” approach to any cosmetic undertaking. Following your consultation, once Dr. Schwarzburg has established the appropriate treatment plan for you, medical photographs will be taken of the treatment areas to properly document your cosmetic journey progress.

Prior to the injections, the skin will be sanitized with alcohol and injection points marked if necessary to ensure symmetric distribution of the medication. Using an ultra-fine needle, Botox is carefully injected into the targeted muscle. At this point you may experience a prick, often described as a “bee-sting” sensation and hear a mild crunching sound as the needle goes through all cutaneous layers. After your Botox treatment at Skinly Aesthetics in NYC, you will be provided with an ice pack to reduce swelling and post-care instructions. All together you can expect to spend approximately 30 minutes at the clinic.

DOES BOTOX HURT?

Generally, Botox injections are well tolerated by most patients. The sensation is usually described as a pinching pain similar to that of a bee-sting, or a rubber band snapping against the skin. 

Everyone has different levels of pain tolerance, and while some patients feel no pain, others may be more sensitive. If you know or suspect that you have potentially low pain tolerance, a strong numbing agent containing 25% lidocaine will be applied to your skin 15 minutes prior to the procedure to make the overall process more comfortable. For those who have lidocaine intolerance or simply want to expedite the process applying an ice pack serves the purpose of numbing the area before the injections.

HOW LONG IS BOTOX APPOINTMENT?

You should plan to spend around 30 minutes for your Botox appointment, though this also depends on the treatment area and how high or low your pain threshold is. For example, 20 units of Botox injected into the horizontal lines will be much quicker (5 – 10 minutes) than 100 units injected into the palms of the hands for hyperhidrosis (30 minutes of numbing plus 20 minutes injection process). If you need a short break after every needle prick this will for sure extend the entire appointment time. If you have plans for a night out in NYC after your Botox appointment and aren’t sure how long it will take, you can always call your provider beforehand to see how long your appointment will take, so you can plan ahead accordingly.

BOTOX RISKS AND SIDE EFFECTS

The first thing that most people ask themselves before undergoing any type of medical treatment, is what the associated risks and side effects are. Just like any other medication, Botox comes with a few possible risks and side effects that you should be aware of including the following:

Minimal, mild, and most common Botox side-effects:

  • Bruising around the injection site can occur secondary to needle puncturing a small capillary or vein. This carries no consequences except for a minor cosmetic nuisance which is effectively concealed with makeup. Application of a cold compress followed by a warm compress is an effective remedy
  • Patients frequently get worried about round red bumps immediately after Botox treatment. These bumps are simply a small amount of water in which botulinum botox is dissolved. And this is what so called “swelling” means in reality – small amount of water trapped in the muscle, which gets absorbed over the course of 30-60 minutes. The redness around the injection site is secondary to minor tissue reaction and irritation because of the sharp needle going through the skin and also is resolved within 1st hour after Botox administration;
  • Skin tightness is experienced immediately after and for up to 1-3 days after your botox injections and is caused by water contained in Botox solution, which stretches out the skin
  • Skin irritation or itching may occur immediately after the injections and subside once the swelling goes down.

Moderate, severe, and rare:

  • Non-target diffusion (droopy eyelids, asymmetry, frozen forehead, limited facial movement) can occur if Botox was either administered by an inexperienced injector and placed in the wrong areas of the face, or if you rub or massage the injected area within the first 2 days after the injection process. Freshly injected intramuscular Botox needs to properly attach to the synapsis on the neuromuscular junction to exert its effect. If it is mechanically disturbed, which typically happens is patients go for a run or get a deep facial massage, it can migrate from the injected area to another muscle group and cause unintended consequences. 
  • Headaches may be triggered by neurotoxins, though this is extremely rare as Botox is frequently used to treat chronic migraines;
  • Allergic reactions to neuromodulators are extremely rare, though you can request an allergy test if you have a tendency to experience allergic reactions;
  • Respiratory problems have been correlated with botox injections, though there is no sufficient evidence that the toxin was the primary cause behind them. For that to happen a massive amount of Botox needs to be injected into the bloodstream so it can have profound systemic effects leading to diaphragmatic paralysis and problems with breathing
Forehead wrinkles before and after

IS BOTOX DEADLY?

No, even the maximum number of units of Botox that can be injected for cosmetic or medical purposes will not be nearly enough to be deadly. Botulinum toxin in its purest form can be deadly, though you would require 2 nanograms per kiilogram of body weight for it to be lethal. For reference, 100 units of Botox contain 0.73 nanograms of botulinum toxin, meaning that for an average 150 lb it would take thousands of units of Botox injected at once and into the bloodstream for it to kill you.

IS BOTOX SAFE?

Yes, Botox has very few risks and side effects and no downtime, except for a few restrictions in intense physical activity immediately after the procedure. Multiple clinical studies demonstrated its safety and it is FDA approved for several medical and cosmetic applications and is globally the most commonly administered minimally invasive medication with nearly 4.5 Million treatments administered in the United States in 2020 alone.

WHAT IS THE DOWNTIME FOR BOTOX?

Botox is minimally invasive and involves almost no downtime. You will notice some redness and minor swelling around the injection sites that may last up to 30 minutes post-treatment. This could be followed by minimal bruising which can be minimized with a warm compress or covered up with makeup. Dr. Schwarzburg, the leading Botox physician in NYC, recommends forgoing workouts and avoiding rubbing or massaging the injected area for 24 – 48 hours after your appointment. When you take a shower or wash your face, it is okay to touch as long as you are gentle.

IS MICRONEEDLING OKAY AFTER BOTOX?

If you plan on getting microneedling, it is best to get it done right before you get Botox injections to avoid non targeted diffusion or migration of the toxin, risking asymmetry or droopy eyelids. Microneedling is safe to perform one week after receiving neurotoxins, at which point your Botox results will have settled. Some microneedling procedures, such as AquaGold, contain botox, though it is delivered intradermally, meaning that it will not affect the underlying muscles and thus, is safe to administer simultaneously.

PRECAUTIONARY STEPS FOR BOTOX IN NEW YORK

There is no preparation needed before Botox injections, though Dr. Schwarzburg recommends discontinuing blood thinners such as aspirin, NSAIDs like Ibuprofen, and certain multivitamins 3 – 5 days before your appointment as they tend to thin the blood and can result in small hematomas. If you are unsure whether a medication you are taking is safe to use prior to your appointment, you can contact your provider to confirm beforehand. If you are worried about it being painful or are particularly sensitive to pain, which, let’s face it – many of us are, you can take two Tylenols 30 minutes before your injections to minimize discomfort. Tylenol is the only pain killer without any anticoagulative properties and doesn’t increase the chance of bleeding during injections.

BOTOX AFTERCARE STEPS AND ROUTINE

Once you leave Botox appointment at your nearest NYC clinic, you can expect a few round and red bumps on the skin, and potentially some itching around the region that was treated. You can continue your daily activities as usual with minimal restrictions, however, you should avoid vigorous exercise and heat for 24 hours. If you play sports, you should skip practice the day of your injections to make sure the toxin doesn’t migrate or swell up more than it needs to. Most women who live in New York want to apply makeup immediately after to cover up redness, though you should wait at least 30 minutes to ensure that all injection points have completely closed to avoid a possibility of infection. After 24 hours you are free to resume normal activities and may apply a hot compress if you experience any ecchymoses.

Keep in mind that you won’t see any difference in the way your wrinkles look immediately after Botox injections. For 1-4 days you forehead will look exactly the same without any change in the level of muscular activity. It takes anywhere from 1-5 days to for neurotoxin to inhibit acetylcholine activity inactivating the receptors responsible for propagating the electrical signal from nerves to the muscle fibers. 

IS IT OKAY TO WEAR MAKEUP AFTER BOTOX?

Yes! Makeup is safe to apply after Botox. NYC based Dr. Schwarzburg recommends waiting 30 minutes before you put any makeup on the injection sites since they are tiny microscopic wounds that need to heal. If you can, try to give yourself a few hours before applying any makeup to minimize the risk of potential bacterial contamination.

HOW LONG DO BOTOX RESULTS TAKE TO SHOW?

Most patients who get their treatment done in specialized clinics in New York will start seeing Botox results 1 – 5 days after the initial treatment and the final outcome after approximately 10 days. The reason why the results are not immediate is because Botox works by inhibiting the release of acetylcholine from presynaptic motor neurons. This process can take several days as the nerve signals gradually stop generating muscular tension. Over the course of 1 – 10 days, you will notice your facial muscles weaken little by little until they are fully (or partially, depending on your desired outcome) restricted.

ASSESSING YOUR BOTOX BEFORE AND AFTER RESULTS – GUIDING THE EXPECTATIONS

However innocent and commonplace Botox injections may appear to the general public, do not forget that it’s a medical procedure that requires exquisite understanding of human facial anatomy and function, as well as excruciating attention to detail to produce excellent cosmetic results. Generally speaking Botox before and after results can be divided into technical that can be objectively measured and the perceptive that are often hard to describe. 

Technically, before getting your Botox, you generally have wrinkles running across the forehead that are facilitated and enhanced by strong facial movement such as frowning or eyebrow elevation. You may have tried to cover them up with makeup, only to find out that your concealer is making the lines even more prominent, which can take a huge toll on your self-confidence and make you feel old and unattractive. After your Botox treatment has settled, those pesky lines will be gone, giving you not only a more youthful appearance, but smoother skin, making the application of makeup a breeze. You will still be able to make natural facial expressions, but will no longer have to worry about them being molded into your skin over time. 

From the standpoint of how other people perceive you Botox works just as well. Prior to getting their Botox treatment done a lot of patients get comments about how they constantly look angry and annoyed on the outside despite feeling friendly and welcoming inside. This discrepancy in societal perception is what drives a lot of people to get their exterior match with their interior through tarteted Botox injections. 

And obviously Botox is a wonderful tool to diminish the seemingly inevitable, but yet totally preventable signs of aging and to maintain your face looking youthful and vibrant for a long time if not indefinitely.

WILL I LOOK FAKE AFTER BOTOX?

No – properly administered neurotoxins will look natural and allow you to produce genuine facial expressions, minus the wrinkly downsides that usually accompany them. It is extremely important to seek out a board certified, skilled, and experienced injector who specializes in minimally invasive cosmetic treatments. When you visit Dr. Schwarzburg at his private NYC cosmetic surgery center, who has an extraordinary understanding of your facial anatomy you won’t simply get the average 20 unit dose and be rushed out the door. Twenty units of botox can look natural on your friend, while it could “freeze” your forehead completely – and will never give every individual patient the same result.

The level of expertise of your provider matters when you want a specific outcome, so be sure to do your Botox research in NYC!

WHERE CAN I GET BOTOX NEAR ME?

Botox has become a staple and a necessity in modern skincare routine – it is an indispensable tool to prevent and reverse the aging process. Because of its popularity and high search volume for “Botox near me clinics” on search engines, a lot of medical practices started offering this service. When patients search on Google for “Botox near me” they usually get multiple results on Google map in New York and it is easy to get lost among all the choices to select from. Everybody seems to be doing it and it can be difficult to decide which one would fit you best. Prior to deciding on which Botox doctor to choose near where you live, it is important to do thorough research to make sure that your Botox provider is proficient and well-trained in performing this advanced medical procedure. You should not put your face at risk and go to a poorly trained injector and end up with a lopsided and asymmetric face. To get the best possible outcomes and avoid any serious complications you should stay clear of low priced options. Dr. Schwarzburg is Ivy League educated and has been practicing cosmetic medicine for over a decade and consistently ranks high among the best Botox doctors in New York. Patients often fly from out of state and across the globe to seek his expertise and to get procedures done at Skinly Aesthetics.

WILL I LOOK OLDER WHEN MY BOTOX WEARS OFF? DO I HAVE TO KEEP GETTING IT ONCE I START?

No, you will not look older once your Botox wears off. The best way to think of the effects of neurotoxins is that it essentially delays the aging process. Once the toxin is metabolized by the body and has worn off, your face and facial muscles will simply go back to the state they were in prior to the injections. This is why Dr. Schwarzburg who is a medical director at Skinly Aesthetics medspa located in Manhattan, New York recommends his patients get touch ups or “refills” every 3 – 4 months, to slow down the aging process altogether.

HOW LONG DOES BOTOX LAST?

For most individuals the muscle relaxing effects last 3 – 4 months. If you get regular touch-ups every 2 – 3 months before the toxin has worn off, your results can last indefinitely, essentially leaving you wrinkle-free for as long as you keep up with your follow up treatments. 

In some cases botox is metabolized in less than 3 months, which may be the result of the following:

  • The number of units injected – if you get fewer or below the average number of units, also known as baby botox, the longevity of your results may decrease;
  • Your facial muscle activity – if you are the type of person who has a very animated face and makes a lot of facial expressions, you most likely have stronger facial muscles. Unfortunately this could cause the toxin to wear off quicker than in someone who has naturally weaker facial musculature;
  • The frequency of your treatments – regular maintenance appointments will inevitably extend the duration of your results as the toxin that wears off is replaced with fresh doses.
  • Your metabolism – having a fast metabolism is great in most aspects of life. You can eat more, have more energy, sleep better – the list goes on. However, someone with a fast metabolism will unfortunately also metabolize neurotoxins quicker than someone with a slower metabolic rate.
Botox crows feet - before and after

IS BOTOX PERMANENT?

While it would be nice to permanently get rid of wrinkles, Botox is not permanent and will wear off after 3 – 4 months. However, you can get regular touch-ups every 2 months to maintain your results, making botox semi-permanent as long as you keep up with your follow-ups.

BOTOX COST IN NEW YORK

Botox in NYC can be priced either by unit or by the area. When priced by the unit the cost can range from $10 to $30 per one unit of Botox in a reputable New York City cosmetic dermatology practice. If your provider charges by the area, you may be spending $200 – $1000 per region. If you want to get your horizontal forehead lines treated you can expect to spend anywhere from $200 to $600. Getting all three major sections of the face treated including horizontal wrinkles, vertical frown lines or “11s” and Crow’s feet can cost you anywhere from $600 to $2000 per single treatment. 

The cost is dependent on a variety of factors including: 

  • The experience level of your injector – a doctor will likely charge more than a nurse practitioner due to the higher level of expertise and understanding of human anatomy.
  • The location of the practice – just as most things are more expensive in larger cities, Botox is no different and is usually slightly higher in price than in the suburbs. It should come as no surprise that you will end up paying more in a large city like NYC and less in a suburb like Westchester.
  • The number of units needed – most clinics in New York that charge per unit of Botox and offer package deals for patients who want or need a larger amount of the toxin.

At Skinly Aesthetics we understand that there is no set number of units that work on everyone, which is why we charge by the unit. If you go to a medical practice in New York that charges Botox by the area, you should always ask how many units will be injected as a set price logically will be a set number of units. This way you can make sure that you are getting the appropriate dose for you and avoid getting scammed with diluted botox.

GETTING COUPONS FOR BOTOX

Depending on how much product is needed, Botox can certainly add up to a total that doesn’t always meet everyone’s budget. If you do have financial restrictions that make it difficult to get the results you want, it is better to ask a trusted provider if they offer payment plans, than to roll the dice on an online botox deal. Keep in mind that while cosmetic treatments can get pricey, you should never pinch pennies when it comes to medicine – and especially your face. 

Let’s be honest, we all love a discount – but no one wants to be botched. So while it is okay to ask for a discount with a provider who you already know and trust, always keep in mind that if a cheap botox deal at a place that you don’t know looks too good to be true, it probably is, and may leave you looking worse than before or with permanent damage. 

DOES INSURANCE COVER BOTOX?

In some cases medical insurance will cover neurotoxins, though is only applies to medical conditions that Botox is FDA approved in New York to treat (TMJ, hyperhidrosis, migraines, and certain neuromuscular disorders), which must first be diagnosed by a physician and then approved by the insurance company, given that your provider is in your network. Cosmetic botox is not typically covered by insurance, though Skinly does accept FSA and HSA flexible spending cards as well payment plans.

HOW MUCH BOTOX DO I NEED?

There is no set number of units that works on everyone, as each individual has a different anatomy and varying aesthetic goals. The global average number of units per area is 20 units of botox – the primary areas being the forehead or horizontal lines, the glabellar region or 11s, and the crow’s feet. With that in mind, you will need more or less 20 units per area depending on the following:

  • Your desired result – if you want to be frozen or want micro-botox;
  • The strength of your muscles – if your facial muscles are particularly active, you will likely need more than 20 units;
  • How many areas are being treated – logically, you will need more than 20 units of botox if you want to get rid of wrinkles in more than just one region of your face.

During your consultation, Dr. Schwarzburg will discuss all of the above with you to ensure that you get the proper dosage to meet your unique needs.

WHAT TREATMENTS WORK WELL WITH BOTOX?

Botox is injected into facial muscles to restrict their contractions and in turn reducing superficial wrinkles caused by facial expressions. In some cases, wrinkles are essentially molded into the skin, as we age, our collagen production decreases, and the depth of what used to be fine lines increases. In the case that these static wrinkles can be narrowed down with neuromodulators, but not fully eliminated, dermal fillers such as Restylane or Juvederm are there for the rescue to fill in the remainders of these lines. Fillers can be useful to add volume in other problem areas such as under eye hollows or dark circles, or to plump up the midface with a cheek filler for a fuller and younger looking face. Masseter Botox is often combined with jawline and chin filler for a full on jawline contour, to give patients that “snatched” look.

Other treatments that are used to smooth and tighten the skin include various lasers such as Fraxel and the carbon laser facial, and several forms of microneedling like Secret RF radiofrequency microneedling, Mesotherapy, or Aquagold.

Combing toxins with collagen stimulating devices allows you to reap the benefits of various forms of skincare and helps you to keep your face fresh and glossy long term.

I STILL SEE WRINKLES AFTER INJECTIONS – WHAT HAPPENED?

Botox works great to get rid of and prevent the formation of fine lines on your face, and shrink deeper wrinkles – to an extent. If you got your Botox in NYC and you still see lines in the area you got treated, there are a few factors that may contribute to the still visible lines on your face including the following:

  • Botox has not yet settled – it can take up to 10 days for Botox to fully settle, if you got your treatment yesterday, you most likely will not be seeing any differences until a few more days have passed;
  • You need more Botox – it never hurts to start with a small dose to see how you respond to the medication. In fact, Dr. Schwarzburg is a firm believer in a “less is more” approach. That being said, it is possible that you will need more product to achieve your desired result if you are still seeing lines 10 days post-op.
  • You have static wrinkles and collagen loss – unfortunately, Botox cannot fully get rid of deep static wrinkles that are visible when your face is at rest. These deeper manifestations are essentially “scarred” into your skin due to collagen loss. While botox can minimize their appearance, you will need a dermal filler to fill in what is left after the neuromodulator has settled to its full extent.
  • You are immune to Botox – this is incredibly rare, but does happen from time to time. If you have developed an immunity to Botox, there is no need to worry – fortunately there are many other neurotoxins that can be used that work just as well as Botox including Dysport, Xeomin, and Jeuveau.

THINGS TO CONSIDER BEFORE GETTING BOTOX TREATMENT

Neuromodulators are low risk and rarely come with complications. Do keep in mind that redness and swelling immediately after your injections are very common and completely normal, and bruising may occur mildly around the injection sites. 

If you have a big event coming up in New York, you should get your treatment 10 days prior to make sure that Botox has fully settled and healed by the day of your function.

You should always get your botox administered by a board certified cosmetic physician with extensive knowledge and experience in injectables to steer clear of any possible complications.

DIFFERENCE BETWEEN BOTOX AND DYSPORT

Botox and Dypsort are both neurotoxins and serve the exact same purpose, though they do differ slightly in chemical composition. Botox (onabotulinumtoxinA or ONA) is 3 times more concentrated than Dysport (abobotulinumtoxinA or ABO). For example, 20 units of Botox equal 60 units of Dysport. 

Some people swear by one or the other neuromodulator, and it doesn’t hurt to give them both a shot, though the two toxins are overall very much alike.

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

Looking for “your spot” can be challenging with so many Botox providers and medical spas in NYC. Some things to consider while looking for a provider is the location of the clinic, the reviews online, photographs of the clinic itself to see if it looks clean, and most importantly who is injecting you. A lot of medical spas have a doctor overseeing nurse practitioners inject, rather than the doctor being the injector themselves. Finding a practice in which a doctor will be injecting you is ideal, as they have extensive medical experience and a better understanding of the procedure and your individual anatomy. You should also get on the phone with a clinic you are considering to make sure that the staff is friendly, patient, and considerate, to make sure that you are in good hands. 

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

If you’ve been looking for your go-to Botox spot in NYC, your search is over. Skinly Aesthetics is owned and operated by board certified cosmetic physician, Dr. Schwarzburg, who is highly sought after on a global scale for his expertise and specialization in minimally and non-invasive cosmetic treatments including Botox injections. Skinly is located on the Upper East Side of Manhattan, New York overlooking Michelin star restaurant JoJo, by Jean-Georges, a 5 minute walk from New York’s iconic central park and 5th Avenue shopping strip.

To schedule your one on one consultation with Dr. Schwarzburg, you can contact us via text or call at (212) 774-4264 or email info@skinlyaesthetics.com.

FAQ

How much does Botox cost in NYC?

The cost varies $300-700 per treatment areas and depends on multiple factors, most importantly the qualifications of MD.

Will I look natural after Botox?

If injected by MD who understands anatomy and artistry of injections your results will always look natural

When will I see results after Botox?

It takes 3-5 days for results to start showing results and they fully settle in 10-14 days.

How long does Botox last?

Botox results last on average 3-4 months

Does Botox hurt?

Botox injections feel like tiny pin pricks

How long is Botox procedure?

Botox is classically known as lunchtime procedure and takes 15-20 minutes from start to finish

Is Botox safe?

Botox is completely safe when administered by qualified and board certified MD.

What are Botox side effects?

Redness and swelling for 30 minutes and rarely minor bruising for 24 hours

Can I wear makeup after Botox injections?

Makeup can be applied 20-30 minutes after injections.

What is Botox post-care like?

Avoid intense activities for 24 hours