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Dr. Michele Green is an Allergan platinum injector of Botox in NYC and a leader in cosmetic injectables and non-invasive facial treatments. Dr. Green has been described as providing the “best Botox in New York” with over two decades of experience in Botox injections. Her “less is more” philosophy and artistic natural looking results will leave you the best version of yourself. “The goal is to look rejuvenated and not ‘frozen’ when it comes to Botox and dermal fillers” says Dr. Green. By combining “baby Botox” injections and “Botox sprinkles,” Dr. Green’s unique technique for Botox treatments will leave you younger looking after a single visit to her boutique private New York office.

Botox NYC & Botox Injections

Botox NYC treatment is one of the most popular cosmetic treatments in the USA since being approved by the Federal Drug Administration (FDA) for the treatment of glabella wrinkles. In 2002 Botox injections were approved for cosmetic use after extensive clinical trials. Dr. Michele Green was one of the first Botox injectors and has been on the forefront of facial injections in her New York City Upper East Side cosmetic dermatology practice for over 25 years. Dr. Green has been described as one of the best Botox injectors in NYC.

Botox was created by the Allergan company and its indications and popularity have increased exponentially though the years. Before Botox and other cosmetic injectables were invented, patients were forced to have invasive cosmetic procedures, such as facelifts and other plastic surgery for facial rejuvenation. Botox was the first drug to use botulinum toxin. There are many other competitors now on the market including abobotulinumtoxinA (Dysport), rimabotulinumtoxinB (Myobloc), and incobotulinumtoxinA (Xeomin), prabotulinumtoxin-A (Jeuveau), and daxibotulinumtoxinA (Revance). Revance, the latest neurotoxin on the market, espouses a longer duration of activity of six months.

Thanks to Botox, Xeomin, Dysport, and other cosmetic injections such as Sculptra and Juvederm Voluma, facial rejuvenation can be accomplished in a single treatment. Botox was first developed and used by ophthalmologists to help treat poor eye muscle control. Quickly, the cosmetic benefits of Botox were discovered and its it was discovered and its ability to make facial wrinkles disappear.  Now, Botox is a household name with celebrities and stars having Botox treatments as part of their beauty secret. While there are many medspas and medical spas midtown in New York which offer free consultations and “bargain” Botox, Dr. Green offers experience and precision and the skills to have the most beautiful, best Botox results in her discreet Upper East Side NYC dermatology office.

What is Botox made of?

Botox is an injectable medication that is derived from botulinum toxin type A. The toxin is produced by the bacterium Clostridium botulinum. Botox is manufactured by Allergan and comes in discreet vials of either 100 units or 50 units. The Clostridium botulinum type A neurotoxin complex contains Human Albumin and Sodium Chloride.

Where does Botox come from?

Botox is the brand name of a toxin derived from the bacterium Clostridium botulinum. Commercial forms are marketed under the brand names Botox Cosmetic and distributed formally from AbbVie, Inc., the distributor of Allergan cosmetics.

Is Botox Botulinum?

Botox (onabotulinumtoxinA) is made from the bacteria that causes botulism. Specifically, Botox is an injectable drug made from botulinum toxin type A, which is produced by the bacterium Clostridium botulinum. Botulinum toxin blocks prevents the release of the neurotransmitter acetylcholine causing the muscles to paralyze. This ability to “freeze” the muscle, is what makes Botox so effective at treating the muscles of facial expression and preventing the formation of wrinkles.

What are the most common cosmetic areas injected with Botox?

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The facial areas, that Botox has been approved to treat, has expanded throughout the years. Initially, Botox was only approved for the glabella lines, or furrows between the eyebrows. However, the indications for Botox have grown to include many other cosmetic treatment areas, all of which Dr. Green performs in her private NYC dermatology office:

  • Forehead lines or worry lines.  The forehead is an area which tends to wrinkle even when we are young and we often appear worried or stressed.  Botox smooths out these forehead lines and leaves you looking relaxed and rejuvenated.
  • Glabella lines. The deep furrow which can form between the eyebrows can often make one look angry or scowling.  Botox treats this deep wrinkle and a small amount of Botox can make this area look relaxed. One of the most popular treatment areas for Botox® Cosmetic is to reduce these frown lines. Frown lines (sometimes called “11″ lines due to their shape) between the eyebrows are caused by the action of a facial muscle called the corrugator muscle and the bunching of skin from repeated facial muscle contractions.
  • Crow’s feet around the eyes.  Botox can remove the lines around the eyes which are most obvious when you smile or squint.
  • Neck lines or Cords. Botox can be used to minimize and smooth the lines around the neck in what’s called the “Nefertiti lift” by injecting the cords or platysmas bands.
  • Lines around the mouth.  Botox can be used to treat the smoker’s lines around the upper lip which is a sure sign of aging.
  • Pau d’orange of the chin.  Botox can be used to remove the texture and dimpling of chin wrinkles.
  • Frown lines around the mouth.  Botox can be used to lift the angles or corners of the mouth to fix the depressed-looking smiles.
  • Brow lift. Botox can be used to raise the brow and give patients a brow lift and open up their eyes.
  • Botox Masseter Reduction for Facial Slimming.  Botox can be used to non-surgically slim the face and make the square jaw rounder. Dr. Michele Green was one of the first dermatologists  in NYC, off Park Avenue, to use Botox for non-surgical jaw reduction via the use of just one injection on each side of the jaw. This process knows as “Botox Square Jaw Reduction” or “Botox Masseter Reduction” has increased in popularity over the years. The TMJ joint is responsible for patients who grind their teeth at night. Injecting the masseter muscle relieves the pressure of this hypertrophied masseter muscle and relieves the pressure of the TMJ.

What other medical conditions does Botox treat?

The Food and Drug administration has approved Botox treatment for many other medical indications including:

  • TMJ pain:  Botox is highly effective at treating the symptoms of temporomandibular joint (TMJ) disorders and jaw tension for patients who suffer from this disorder. Botox injections eliminates the headaches arising from teeth grinding and diminishes lock jaw as well.
  • Migraine headaches:  Botox has been approved for patients with severe migraines to relieve the pressure and alleviate the pain.
  • Excessive Sweating or Hyperhidrosis:  Botox is commonly used to reduce severe underarm sweating and make it possible for patients to wear clothing without staining.
  • Depression:  Recent studies have showed that Botox injections can treat facial expressions and influence feelings of depression and make patients feel happier since they do not appear frowning.
  • Cervical Dystonia:  Botox treats this neurological muscle disorder which causes neck pain and severe muscle spasms in the head and neck.
  • Overactive bladder or Urinary Incontinence:  Botox is highly effective at treating adults with urinary incontinece, who have symptoms of urinary urgency and frequency, and have an inadequate response to or are intolerant of anticholinergic medication.
  • Blepharospasm:  Botox is used to treat blepharospasm, whichis an abnormal twitch of the eyelid, many of which are chronic.
  • Strabismus:  Strabismus is a disorder in which the eyes cannot look in exactly the same direction at the same time and Botox can temporarily alleviate.
  • Muscle spasms:  Botox can reduce muscle spasms around the eyes and in the neck, arms, legs, hands, and feet.
  • Contractures in patients with cerebral palsy (CP):  One very painful side effect of cerebral palsy, particularly in pediatric patients, age 2 to 17, are muscle contractures and spasticity of the arms and legs. Botox injections can relieve this painful side effect of CP when physical therapy cannot relieve these contractures. Botox has been used to treatment upper limb spasticity in children with cerebral palsy.

Where is Botox injected for migraines?

Botox is injected into seven areas of the forehead, scalp, neck, and shoulders. Botox is taken up by the pain receptors in the muscle’s fibers and alleviates chronic migraines.

Why choose Dr. Green for your Botox in New York City?

It is sometimes difficult to know which physician to choose to have your cosmetic procedures performed. Many medspas and clinics offer “free consultations” to draw patients into their clinics. They may advertise that you are having Botox injected but often use less expensive neurotoxins in its place. Do your research through google and other authentic resources. Make sure you choose a board certified dermatologist, like Dr. Michele Green, for Botox injections. Dr. Green has over two decades of experience in cosmetic facial treatments to give you the absolute best Botox results.

How does Botox work?

Botox is the trade name for Botulinum Toxin Type A, a purified toxin produced by the bacterium Clostridium botulinum.  In extremely small doses, Dr. Green injects Botox directly into the specific muscles that cause wrinkles such as frown lines, crow’s feet around the eyes, furrows, platysmas bands around the neck, and more.  These isolated muscles are “frozen” by the Botox injections and can no longer contract. The action of frowning is stopped, and frown lines diminish. A similar procedure can be done in the brow area to produce a “lift” in the forehead and provide a Botox brow lift. Botox can be combined with other dermal fillers, such as Restylane, Juvederm, and Sculptra, to help restore the youthful features of your face in a natural looking way.

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Patient received Juvederm for lips and Botox injections for wrinkles

What is the Procedure of having Botox injected?

The patient comes into the NYC office of Dr. Michele Green for a cosmetic consultation.  We will take several photographs of your face. Dr. Green will review both your medical and cosmetic history during your consultation, to see if you are a good candidate for Botox injections.  She will ask you to make several facial expressions to see which areas are wrinkled and decide on the amount of Botox that needs to be injected and into which facial areas. The cost of Botox will be reviewed and will be based on both the amount of Botox and the desired treatment.  Patients who are sensitive to needles will receive a topical numbing cream for 30 minutes before the Botox injections.  While Botox is generally a painless procedure with no down time, there are patients who are sensitive to injections and we make every accommodation for them.

How long does it take for Botox to work or for Botox to “kick in”?

Botox injections take a few days to “kick in” and start to work, but the full effect of Botox treatment takes up to two weeks. Dr. Green brings recommends that all of her Botox patients return to her NYC, two weeks after their cosmetic injections, to make sure that their Botox treatments have been effective and that they have the best results.

What do you do to prevent bruising?

Dr. Green will recommend taking Arnica several days before having Botox in her New York office and immediately afterwards since this minimizes the chance of bruising. In addition, before any cosmetic facial injection, it is best to refrain from taking any blood thinners, such as Aspirin, Motrin, Alleve, or Coumadin, for at least one week before your injections. Vitamins, fish oil, and herbal supplements, can all cause bruising and should be similarly avoided. It is suggested to also refrain from drinking alcohol for at least one day before your cosmetic injections since alcohol can also lead to increased bruising.

Does Botox hurt?

Botox injections are not a painful procedure. However, some patients feel some discomfort from any needles or injections. If this is the case, we suggest applying a topical numbing cream to the treatment area for one hour before your Botox injections.

What is the downtime after Botox injections?

One Botox treatment can be performed in as little as ten minutes, which means it can even be done on your lunch break.  There is little or no down time from Botox injections.  There can be some mild temporary swelling at the site of injection.  We advise all patients to refrain from any blood thinners, vitamins, or fish oils for one week before the procedure to lessen the risk of bruising at the injection site.

What are the side effects of Botox

Patients should not receive Botox if they are allergic to any of the ingredients in Botox in the medication guide for Botox, or have had an allergic reaction to any other botulinum toxin product such as Myobloc, Dysport, or Xeomin. It is important to remember that Botox is a prescription medicine, that is injected into the muscles, and can have potential side effects like any other medication. Botox injections should not be done when patients are pregnant or breastfeeding. Dr. Green will review all of your medical history and current medications with you before treating you with Botox injections for facial wrinkles.

It is important to tell Dr. Green is you have any muscle nerve conditions such as ALS or Lou Gehrig’s disease, myasthenia gravis, or Lambert-Eaton syndrome. Always let Dr. Green know if you are taking any prescription medications (including muscle relaxants antibiotics for infection, allergy or cold medicines, sleeping pills), herbal supplements, or over-the-counter medications, which could potentially interact with your Botox treatment. It is always advised to discontinue any blood thinners for atleast one week before your Botox injections.

Side effects to Botox include:

  • Localized swelling
  • Bruising at the treatment area
  • Pain at the injection site
  • Headache
  • Flu-like symptoms
  • Dry eyes or excessive tearing
  • Drooping eyelid or ptosis
  • Double vision
  • Blurred vision
  • Dry eyes

Immediate allergic reaction side effects which require immediate medical help include:

  • itching
  • rash
  • red itchy welts
  • wheezing
  • asthma symptoms
  • dizziness

Rare side effects of botulinum toxin products may result from the speak of toxin effects. The effect of botulinum toxin may cause:

  • Muscle weakness
  • Trouble breathing, talking, or dysphagia (trouble swallowing)
  • Vision problems
  • Bladder incontinence (loss of bladder control)
  • Hoarse voice
  • Neck pain
  • Paralysis

If you develop any of these serious side effects following Botox, further injection of Botox should be discontinued.

Antibodies to Botox:

Some patients receiving injections of Botulinum toxin type A develop antibodies to the toxin which make subsequent treatments ineffective. Xeomin may have less incidence of developing these antibodies which make the injections ineffective.

How long does it take to see the results from your Botox injections?

While the results vary from patient to patient, the full effects of the Botox injections are reached after two weeks. The results are dependent on both being the right candidate for the procedure and the skill of the injector who performs the cosmetic Botox injections. The effects of Botox injections can last from 3 to 5 months before additional touch-up injections are needed.  To get the best Botox results, you should maintain your existing skin care regime, and discuss what other procedures work best for you with Dr. Green.

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Botox in forehead, glabella area and for crows feet

What should I not do after Botox injections?

Immediately after Botox injections you should be upright for the first four hours. You should refrain from strenuous actives, facials, alcohol, blood thinners, or excessive heat exposure including saunas or steam rooms. You should apply an ice pack immediately after your Botox injections.

Is Botox preventative?

Yes, Botox is preventative. Since Botox prevents these muscles from contracting, it prevents the wrinkles from forming. This is why so many younger patients are having Botox injections, as a preventative measure for treating fine lines and wrinkles before deep creases can ever develop.

What is the best age to start Botox injections?

The best age to start Botox is when you start to see fine lines and wrinkles starting to form on your forehead, furrows, or around the eyes (crow’s feet). Since aging is due to both genetics and sun damage, everyone ages at a different rate. If you are beginning to develop these lines, Botox can both help treat these wrinkles and prevent new lines from forming. This is why many patients start Botox injections as young as their mid 20’s and 30’s.

How long does Botox last?

Botox typically lasts 3 to 4 months in duration. With continued use and relaxation of the muscles of facial expression, some patients find that their Botox injections last up to six months. Over time, the wrinkles and lines will diminish because the muscles are shrinking.

What is the Cost of Botox in NYC?

Botox costs vary on the experience and skill of the injector and geographic location.  Some clinics charge Botox injections per unit and other offices charge Botox per area. Dr. Michele Green is a board certified cosmetic dermatologist who is a master injector and has been injecting the best Botox in NYC for over 25 years. The best Botox is determined by the experience and artistry of the injector.

Does Botox make you look older once you start?

No. The more you continue with Botox injections, the more Botox prevents you from developing fine lines and deeper wrinkles. Botox only makes you look younger looking once you start treatment. If you stop having Botox injections, your muscles of facial expression will be allowed to have movement and you will revert to the ability to wrinkle once again.

Medspas versus a private office for Botox in NYC

Medspas and clinics have nurse injectors mainly doing the Botox injectors. There is legally a physician who is affiliated with the clinic but is not doing the injections or procedures themselves. Many of these PAs and nurses take a weekend course in order to start administering Botox. When you consult a private physician, who is a board certified dermatologist, like Dr. Michele Green, you know that she has over 25 years of experience and training behind her.

How to make Botox last longer?

The best way to have the appearance of longer acting Botox is to avoid the sun or photo damage, as this will age your skin and create new and deeper lines and wrinkles.

Will facial exercises make my Botox last longer?

There have been numerous studies on this question but the most recent evidence shows that facial exercises may make the effect of Botox happen more quickly, in the first few days of injection. However, these facial exercises do not allow Botox injections to last longer.

Is Botox Safe?

Botox is entirely safe, provided there is no medical contraindication to the procedure.  Although many patients are initially frightened to hear that they are injecting Botulinum toxin, Botox is FDA approved and very safe.  Botox gets directly injected into the muscle to relax the treated area.  Rare side effects can involve fever or muscle aches.

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Botox in Masseter (jaw) area

While a majority of Botox patients are female, in recent years, Botox has gained popularity among men too, with a greater percentage of male patients starting to look at options. In fact statistics from the American Society of Plastic Surgeons noted a 337% increase in men receiving Botox injections since 2000! Find out more about Botox options for men.

Can you exercise after Botox?

Dr. Green recommends avoiding heaving exercise immediately after Botox injections. Saunas, and steam rooms should be avoided for 48 hours after cosmetic injections as this leads to swelling of the treatment area.

Can you drink alcohol after Botox?

It is best to refrain from drinking alcohol for 24 hours before your Botox injection and for one day after your treatment. Alcohol can thin your blood and like aspirin, can cause bruising.

Is Botox bad for you?

No. Botox is FDA approved and is a documented safe cosmetic injectable treatment for fine lines and wrinkles. Botox is the number one cosmetic injectable treatment in the United States and has been used safely since the year 2000 in the USA.

Is Botox dangerous?

Although Botox is derived from botulinum toxin, Botox injections are an extremely safe cosmetic treatment.  Professional Botox injections are purified compounds which are manufactured in the lab and use tiny doses of this material for injection into facial wrinkles and other medical conditions.

Do you have to keep getting Botox once you start?

No, you can stop having Botox injections at any point. Once you stop having Botox injections, the positive effects will wear off. If you continue Botox treatment, the muscles are paralyzed and it prevents new lines and wrinkles from forming. If you stop having Botox injections, the muscles will be able to contract, and new lines and wrinkles will begin to once again form.

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Patient received 2 syringes of Voluma into cheeks and Botox treatment on forehead

Find out more about Botox with Juvederm Voluma

Should I get Botox?

Botox cosmetic injections have a significant preventative effect. When thinking of Botox injections, it is best to think long term. Although Botox treats facial wrinkles in just minutes, the real value of Botox is in maintenance and prevention of new and deep wrinkles. It is very important to consult an expert injector, like Dr. Michele Green in New York, who has the same aesthetic that you do. Her “less is more” philosophy will leave you with natural looking results, and not overdone. It is important to do your research and google your injector and look at before and after photos from their photo gallery. Botox can adjust brow asymmetry and treat other issues that have been bothering you. Botox, in expert hands, can also give you a brow lift, without having to consider plastic surgery.

How do I get started with Botox?

Dr. Michele S. Green is a board certified dermatologist and was among the first doctors to offer Botox® to her patients based in Manhattan and NYC, as well as all over the world. With over 20 years of experience, Dr. Green’s approach to facial rejuvenation is “less is more.” The ideal results from Botox will leave you looking younger and more refreshed, without any obvious signs of treatment and little or no side effects.

If you’re frustrated with the appearance of your frown lines, crows feet, neck creases, chin dimples or wide jawline, there’s finally a solution that can help — Botox! To find out more, please contact our NYC based office today or call 212-535-3088 to learn more about whether Botox, or a combination of Botox injections with dermal fillers such as Juvederm, Sculptra or Restylane, along with which our extensive cosmetic treatments may be be the best choice for you.

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