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Dr. Michele Green is an Allergan platinum injector of Botox in NYC and a leader in cosmetic injectables and noninvasive 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 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. Combining “baby Botox” injections, preventative Botox, 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 City dermatology office.

Since Botox® was approved by the FDA for cosmetic use in 2002, the injectable has skyrocketed in popularity. Botox is currently the number one noninvasive aesthetic medical procedure performed in the United States. Botox, AKA botulinum toxin, is a neuromodulator that essentially ‘freezes’ targeted facial muscles by blocking nerve signals that control expression. By doing so, Botox effectively reduces the ability of the muscle to have full movement. Botox injections diminish the overall appearance of fine lines and wrinkles that develop as a result of repeated facial expressions. Botox is celebrated in the world of cosmetic dermatology due to the ease and speed of performing injections and consistently stunning results with no recovery time involved.

If you notice fine lines and wrinkles developing due to repeated facial expressions or are interested in preventing them from forming in the first place, Botox could be just the noninvasive cosmetic solution for you. Thanks to cosmetic injectables like Botox and dermal fillers such as Sculptra, Juvederm, and Restylane, Dr. Michele Green in NYC can provide her patients with pan-facial rejuvenation in a single treatment session. When working with Dr. Green, you can discuss your skin concerns and personal aesthetic goals to develop a treatment plan tailored to you that meets your cosmetic needs.

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Botox 3 weeks before and after

Botox NYC & Botox Injections

Botox NYC treatment is one of the most popular cosmetic treatments in the USA since being approved by the U.S. Food and 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 healthcare providers in NYC to offer cosmetic Botox injections and has been at the forefront of facial rejuvenation treatments in cosmetic dermatology for over 25 years. Dr. Green has been described as one of the best Botox injectors in NYC.

Botox was created by Allergan, an AbbVie company, and its indications for use and popularity have both increased exponentially over 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), incobotulinumtoxinA (Xeomin), prabotulinumtoxin-A (Jeuveau), and daxibotulinumtoxinA (Revance). Daxxify, the latest neurotoxin on the market, espouses a longer duration of activity of approximately six months.

Thanks to cosmetic injectables like Botox, Xeomin, Dysport, and other dermal filler products such as Sculptra, Restylane, and Juvederm Voluma, pan facial rejuvenation can be accomplished in a single treatment session. Botox was first developed and used by ophthalmologists to help treat poor eye muscle control. Quickly, the cosmetic benefits of Botox were discovered, and it could 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 that offer free consultations and “bargain” Botox, Dr. Green provides experience, 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?: Botulinum Toxin

Botox is an injectable medication that is derived from botulinum toxin type A. The bacterium Clostridium botulinum produces the toxin. 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? How is Botox made?

Botox is the brand name of a toxin derived from the bacterium Clostridium botulinum. Commercial forms are marketed under the brand name 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 affects the nervous system by blocking the release of the neurotransmitter acetylcholine, causing targeted, temporary muscle paralysis. This ability to “freeze” facial muscles is what makes Botox so effective at treating and preventing the formation of dynamic fine lines and wrinkles.

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Botox to glabella & forehead lines

What are the most common cosmetic areas injected with Botox?

The facial areas that Botox has been approved to treat have 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 that 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 relax this area. 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.
  • Necklines 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 depressed-looking smiles.
  • Brow lift. Botox can be used to raise the brow, give patients a brow lift, and open up their eyes.
  • Botox Masseter Reduction for Facial Slimming.  Botox can be used to slim the face and make the square jaw rounder non-surgically. 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, known 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 U.S. 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 eliminate the headaches arising from teeth grinding and diminish lockjaw 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 shown that Botox injections can treat facial expressions, 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 incontinence who have urinary urgency and frequency symptoms and have an inadequate response to or are intolerant of anticholinergic medication.
  • Blepharospasm:  Botox is used to treat blepharospasm, which is 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 it.
  • 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 aged 2 to 17, is 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 treat upper limb spasticity in children with cerebral palsy.

Can Botox cause headaches?

Some patients may experience mild headaches after having Botox injections in the face, although this is not a common side effect. Studies have shown that patients who have Botox injections for the treatment of severe migraines are most likely to experience mild headaches as a side effect of treatment.

Does Botox help with migraines?

Definitely! Patients with migraines often regularly have treatment with Botox injections to relieve their symptoms. Botox injections are well known to treat chronic migraines without the need for unwanted medications with side effects.

Where is Botox injected for migraines?

To manage symptoms of 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 fibers and alleviates chronic migraines.

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

It is sometimes difficult to know which healthcare provider to choose to have your cosmetic procedures performed. Many med spas 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. Having Botox with an experienced injector is important to avoid unwanted side effects, guarantee safety, and achieve optimal results. 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 was among the first dermatologists in NYC to offer Botox injections and 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 facial 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

Clinical trials for Botox Injections

Before its FDA approval for cosmetic use in 2002, there were clinical trials done to guarantee the safety and efficacy of Botox. A study of over 405 patients with glabellar wrinkles, divided into an experimental group and a placebo group, showed that the injection of Botox was effective for temporarily smoothing out the frown lines for a more youthful appearance. Patients who were treated with Botox injections were satisfied with the outcomes of their treatment and noted a smoother complexion, whereas patients who were treated with placebo injections indicated that there was no difference in the appearance of their skin before and after having injections. Before the clinical trials that were performed for the cosmetic use of Botox, the FDA approved Botox injections to treat the neurologic condition of cervical dystonia. Cervical dystonia is a medical condition that causes muscle spasms in the neck and shoulders. Healthcare providers now use Botox to treat an array of conditions, including hyperhidrosis and blepharospasm. To see full prescribing information for Botox injections, visit or consult with the board-certified dermatologist who will be providing your injections.

What is the Procedure for 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 to enhance the discussion and keep track of future progress. During your consultation, Dr. Green will review your medical and cosmetic history 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 downtime, some patients 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 effects of Botox treatment take up to two weeks. Dr. Green recommends that all of her Botox patients return to her 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 afterward 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.

Is Botox painful?

Botox injections are not painful. 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. Icepacks are applied to the treatment area immediately after Botox injections to minimize potential swelling and tenderness.

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25-34 year old male, Botox before and after 

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 downtime from Botox injections. There can be some mild temporary swelling at the injection sites.  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 your medical history and current medications before treating you with Botox injections for facial wrinkles.

It is important to tell Dr. Green if you have any muscle nerve conditions such as ALS (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 at least one week before your Botox injections.

Side effects of Botox include:

  • Localized swelling
  • Bruising in 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 that require immediate medical help include:

  • Itching
  • Rash
  • Red itchy welts
  • Wheezing
  • Asthma symptoms
  • Dizziness

Rare side effects of botulinum toxin products 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 injections of Botox should be discontinued.

Antibodies to Botox:

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

Important safety information for Botox

Any active skin infection, a known allergy to any components of Botox, as well as pregnancy and breastfeeding, are some of the contraindications for having Botox injections. Some severe effects can occur if Botox is spread to a distant area of the body relative to the treatment area. Symptoms may develop in the hours or weeks following Botox injection, including asthenia, generalized muscle weakness, diplopia, ptosis, dysphagia, dysphonia, dysarthria, urinary incontinence, and breathing difficulties. Should any of these symptoms occur, seek medical attention immediately. Injection volume, concentration, and dose are some of the factors that may influence the likelihood of the distant spread of Botox. These are controlled when Botox injections are performed by an experienced injector, greatly reducing the risk of such side effects.

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 depend on both 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 skincare regime and discuss what other procedures work best for you with Dr. Green.

What should I not do after Botox injections?

Immediately after having treatment with cosmetic Botox injections, you should be upright for the first four hours to limit swelling. For 48 hours, you should refrain from strenuous activities, facials, consuming alcohol, blood thinners, or excessive heat exposure, including saunas or steam rooms. You should apply an ice pack immediately after your Botox injections to help control any swelling that may occur. If you have an increased propensity for bruising, an oral herbal supplement called Arnika Forte is available that can help minimize this. When you have Botox injections with Dr. Green at her private dermatology office in NYC, she will provide you with all the pertinent aftercare information required for achieving and maintaining optimal results.

Is Botox preventative?

Yes, Botox injections can be preventative. Since Botox prevents certain facial muscles from contracting, it prevents dynamic wrinkles from forming. This is why so many younger patients have Botox injections, as a preventative measure for treating fine lines and wrinkles before deep creases can develop.

How does Botox compare with Dysport?

Botox and Dysport are incredibly similar and can often be used interchangeably in facial rejuvenation treatment, as they both are injectable neurotoxins that work cosmetically to smooth wrinkles. The primary difference between Botox and Dysport is the type of protein attached to the botulinum toxin molecules. This is helpful for patients who have developed antibodies to Botox after having multiple treatment sessions over time and have become resistant to the particular strain of neurotoxin. Dr. Green offers Botox, Dysport, and Xeomin injections to the patients who visit her NYC-based practice and will help you determine which injectable is right for you.

Where to get Botox on the face?

The area(s) of the face where you get Botox injections should be determined with Dr. Green during your consultation in her private dermatology office in the Upper East Side neighborhood of Manhattan. The severity of the dynamic wrinkles present, as well as individual facial anatomy, have an impact on where on the face Botox should be injected.

What is the best age to start Botox injections?

The best age to start Botox is when you see fine lines and wrinkles forming 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. Botox can help treat these wrinkles and prevent new lines from forming if you are beginning to develop these lines. This is why many patients start Botox injections as young as their mid-20s and 30s.

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Botox in Masseter area, 6 months before and after

Does Botox prevent wrinkles?

Absolutely! Botox can be used to prevent the development of wrinkles and fine lines. The injection of preventative Botox has been increasingly trendy thanks to celebrities and social media influencers openly boasting about the benefits of having Botox treatments. Botox is indicated for patients who are at least 18 years old, and patients as young as their mid-20s often choose to take advantage of preventive or “baby” Botox to keep fine lines from forming in the first place. To perform preventive Botox, Dr. Green injects a smaller amount of the neurotoxin into the treatment areas. The facial muscles’ “freezing” helps keep skin smooth and wrinkle-free. If you are interested in preventing wrinkles from forming in the first place, schedule a consultation with Dr. Green in NYC.

How long does Botox last?

The effects of Botox injections typically last for 3 to 4 months in duration. Keeping up with your Botox treatments is a great way to keep the muscles in the treatment area relaxed, and some patients find that with regular maintenance sessions, their Botox injections can last for up to six months. If you are someone who has regular treatments with Botox and have noticed that the effects are no longer lasting as long as they previously did, it is possible that you could have developed antibodies to Botox, rendering the injections essentially ineffective. Should this occur, let Dr. Green know. This issue can easily be resolved by switching to another form of Botox, such as Dysport or Xeomin.

What is the Cost of Botox in NYC?

The cost of having Botox treatment may vary depending on factors such as the experience level and skill of the injector and the geographic location of the office in which you are being treated. Some clinics charge per unit of Botox, and other offices charge Botox injections per the number of areas being treated. The best Botox is determined by the experience and artistry of the injector. Dr. Michele Green is an internationally renowned board-certified cosmetic dermatologist with decades of experience providing Botox. She was among the first in NYC to incorporate cosmetic Botox injections into her private practice in Manhattan’s Upper East Side neighborhood. As a master injector of Botox with over two and a half decades of experience, she offers what has been described as the “best Botox in New York City”. When you consult with Dr. Green for your Botox treatment, she will work with you to determine a personalized facial rejuvenation approach that best suits your needs, goals, and budget.

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 once you start treatment. If you stop having Botox injections, your facial expression will be allowed to move, and you will revert to the ability to wrinkle once again.

Med spas versus a private office for Botox in NYC

Med spas 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 photodamage, as this will age your skin and create new and deeper lines and wrinkles. The effects of Botox last 3.5-4 months, and most patients have regularly scheduled treatment sessions to maintain the best cosmetic results.

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 the procedure has no medical contraindications, and the treatment is performed by an experienced, qualified healthcare provider. 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.

Is Botox FDA-approved?

Of course! Botox was approved for cosmetic use in 2002 after extensive clinical trials were conducted to demonstrate the efficacy and safety of treatment. Since its approval, Botox has soared in popularity and is not the number one noninvasive cosmetic treatment around the globe.

Can you exercise after Botox?

Dr. Green recommends avoiding heavy exercises 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 that are manufactured in the lab and use tiny doses of this material for injection into facial wrinkles and other medical conditions.

Is Botox toxic?

So, is Botox really poison? Many patients interested in Botox injections’ cosmetic benefits may first be hesitant to have the treatment done due to their concerns that Botox is a neurotoxin derived from Clostridium botulinum, the bacteria responsible for causing botulism. Despite the source of Botox, when injected by an experienced and knowledgeable healthcare professional, such as a board-certified plastic surgeon or dermatologist, the treatment is incredibly safe and produces satisfactory cosmetic results for patients seeking facial rejuvenation. Dr. Green injects small amounts of Botox into the muscles responsible for facial expression to essentially “freeze” the area. Since Botox can cause severe side effects if an incorrect injection technique is used or an inappropriate amount of the injectable is administered, an expert must perform the treatment. Dr. Michele Green has over two and a half decades of performing what is described as “the best Botox injections in New York City,” and will leave you feeling refreshed, rejuvenated, and youthful.

Can Botox cause cancer?

Botox has been used to safely and effectively reduce and prevent signs of aging for decades without any indication or scientific evidence that it is associated with cancer.

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 form once again.

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Botox for crows-feet, 2 weeks before and after

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 the 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 your aesthetic. Her “less is more” philosophy will leave you with natural-looking results and not overdone. It is important to research, 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.

Is Botox permanent?

The effects of Botox injections, unfortunately, are only temporary. Botox injections’ cosmetic benefits will usually last three to four months. Patients can maintain their results by electing to have a regular “touch-up” treatment session of Botox injections with Dr. Green. More permanent cosmetic procedures are often surgical, though not always preferred. Over time, as aesthetic tastes change and signs of aging continue to develop, patients have more control regarding their appearance with semi-permanent cosmetic treatments. Additionally, Botox and other noninvasive, semi-permanent cosmetic procedures are painless and require significantly less downtime (if any). Patients with a busy schedule often prefer to have procedures with minimal downtime and appreciate the fact that they can achieve a more youthful appearance quickly, easily, and without any discomfort.

Can Botox lift eyebrows?

Definitely! A Botox brow lift is a common cosmetic procedure performed in the office of Dr. Michele Green. A Botox brow lift is an injectable treatment that will remove forehead wrinkles and fine lines, provide a lifting effect for the eyebrows, and minimize the appearance of upper eyelid hooding. Brow lifts with Botox injections are often preferred to surgical brow lifts, which can result in a look that is unnatural or “surprised.” If too much Botox is injected into the forehead, however, the brow can actually look heavier and move the eyebrows down, resulting in the eyes looking smaller and the eyelids heavier. For this reason, it is essential to consult with an expert injector and board-certified dermatologist who understands the anatomy of the facial muscles and knows exactly where to inject to provide the best cosmetic results. Dr. Green in NYC is an Allergan platinum injector with decades of experience performing the best Botox injections in the city. If you’re interested in having a Botox brow lift, schedule a consultation with Dr. Green in her boutique dermatology office in the Upper East Side neighborhood of Manhattan.

Who uses Botox? Where can I get Botox?

Botox has become an incredibly popular cosmetic treatment since it was approved by the FDA for treating wrinkles in 2002. Due to its popularity and a high demand for treatment, there is an increasing number of medical spas that offer Botox injections. The risk of experiencing unwanted and adverse side effects increases exponentially when treatment is performed by an unqualified or inexperienced injector. It’s best to have your Botox injections provided by a board-certified dermatologist in a medical setting to guarantee that your procedure is performed in an appropriate manner, using the proper injection technique. Although it may be more inexpensive to have treatment with a nurse injector or aesthetician, Botox injections can be dangerous if not done properly. Dr. Green in New York City is an internationally renowned board-certified cosmetic dermatologist with over 25 years of experience providing the best Botox injections for patients from around the globe.

Does Botox help acne?

Although Botox has historically been used for cosmetically improving dynamic fine lines and wrinkles, recent applications have demonstrated that Botox can be effective in reducing acne in adults, too. The Botox, once injected, has an effect on the oil glands in the skin. Botox may be used to help control breakouts by reducing sebum production in the oil glands. Botox injections, however, are not the ideal treatment for acne. A number of in-office treatments, prescription medications, and specially formulated skincare products are available for targeting acne in a methodical and clinically proven way. Since many factors contribute to the formation of acne, consulting with board-certified dermatologist, Dr. Michele Green is the fastest and most effective way to determine the underlying cause of your acne and develop a treatment plan for managing it appropriately.

What is hair botox?

Hair Botox is not what it sounds like. Hair Botox has nothing to do with the injectable neurotoxin used to eliminate the appearance of dynamic wrinkles. Hair Botox refers to a deep conditioning treatment that relies on ingredients such as antioxidants, vitamin B5, vitamin E, and collagen complex. The treatment helps to repair damaged strands that have endured heat and stress, helping to hydrate and smooth the hair. Hair Botox differs from a keratin treatment in that the active ingredients are non-chemical.

Is Botox a filler?

Botox is an injectable neurotoxin that is used cosmetically to eliminate the appearance of dynamic fine lines and wrinkles resulting from repeated facial expressions. Dermal fillers are a different type of cosmetic injectable that are designed to treat age-related fine lines and wrinkles, enhance facial contour and definition, and replenish volume loss. Both cosmetic injectables are suitable treatment options for patients interested in achieving a more youthful appearance and can even be used in conjunction with pan-facial rejuvenation. During the same visit, Dr. Green often treats her patients with Botox injections and dermal filler treatments.

Do I need Botox?

Botox is often referred to in the world of cosmetic dermatology as ‘liquid gold’ for its unique ability to rejuvenate the face and eliminate the appearance of dynamic fine lines and wrinkles. Individuals who have begun noticing wrinkles in the forehead, glabella, and eye area (crow’s feet) may benefit from Botox injections. An increasing number of men and women are also choosing to have preventative Botox injections in order to keep fine lines and wrinkles from forming in the first place. Additionally, Botox treatment can help relieve symptoms of medical conditions such as chronic migraine, TMJ, hyperhidrosis, cervical dystonia, and an overactive bladder. The best way to determine if you would benefit from being treated with Botox is to consult an expert injector and board-certified dermatologist, such as Dr. Michele Green in NYC.

Is a lip flip done with Botox?

Yes! A lip flip is a cosmetic procedure that involves injecting Botox above the upper lip and into parts of the upper lip to create a fuller, more luscious pout. A lip flip produces incredibly subtle enhancement and is ideal for patients who are looking to achieve the most natural-looking results. It takes one to two weeks for the effects to become observable after having a lip flip treatment, and the results typically last between two to three months. Although Botox usually lasts 4-6 months in other treatment areas, the effects of the lip flip fade more quickly due to the increased amount of movement in this area of the face. Patients looking for additional lip volume may benefit from subsequent hyaluronic acid dermal lip filler treatment. When you consult with Dr. Michele Green in NYC for your lip augmentation treatment, you can discuss your unique skin concerns and overall aesthetic goals with her. She will then work with you to develop a personalized treatment plan that caters best to your needs, whether it be a lip flip with Botox injections, lip filler treatment, or a combination of the two.

Is Botox for lips?

Botox can be safely injected around the upper lip in order to provide a ‘lip flip’, described in detail in the previous section. Dermal fillers composed of a substance called hyaluronic acid are the ideal product for enhancing lip volume and definition. Hyaluronic acid is a substance that can naturally be found in the skin and supplies it with essential hydration as well as youthful suppleness. When injected into the lips, hyaluronic acid binds with water and provides a natural-looking, beautiful lip enhancement. Juvederm and Restylane products are some of the most common hyaluronic acid dermal filler products for lip augmentation. Both are excellent choices for creating a fuller, more defined lip. When you consult with Dr. Green for your lip augmentation treatment, she will work with you to determine which dermal filler product best suits your ideal cosmetic results.

Is Xeomin botox?

Xeomin, like Botox, is an injectable neurotoxin that is used to treat dynamic fine lines and wrinkles. Botox and Xeomin can be essentially be used interchangeably. Sometimes, it is possible that a patient may develop antibodies to a particular strain of the injectable. Should an individual develop antibodies, then the injectable is no longer effective, and patients may notice that the effects of their injections don’t last as long as they used to or should. If you have observed that the cosmetic effects of your Botox aren’t lasting as long as they used to, discuss this with Dr. Green, who may recommend switching to Xeomin or Dysport.

Will Botox help TMJ?

Yes! Botox injections into the masseter muscle work wonderfully for the management of TMJ symptoms. Characterized by tenderness along the jawline, aches around your ear, pain in the joints of the jaw, chronic migraines, and jaw dysfunction that can lead to difficulty chewing and opening or closing the mouth, TMJ can be a debilitating disorder. Botox injections for TMJ work by “freezing” overactive jaw muscles. It takes 1-2 weeks for the full effects of the Botox to become noticeable. Results typically last for 4-6 months, with most patients choosing to engage in maintenance sessions on a regular basis in order to keep up the best effects. Although Botox for TMJ may be offered by your dentist or a nurse injector at a medical spa, it is important to consult with a board-certified dermatologist, such as Dr. Michele Green in NYC. Dr. Green was among the first dermatologists in New York to offer cosmetic Botox injections to her patients, some of the most discerning men and women from around the globe.

Does Botox work?

Yes! Botox is a safe and effective injectable with cosmetic and medical applications. It is one of the most popular non-invasive cosmetic procedures worldwide and is considered the gold standard for reducing dynamic fine lines. Botox is an injectable neuromodulator that smooths and prevents wrinkles by inhibiting nerve signals to targeted facial muscles responsible for expression. Botox eliminates fine lines and creates a more youthful appearance by limiting muscle contraction. The effects of Botox can start to work as early as several days following treatment, although it can take up to two weeks for them to fully be observable. The effects of Botox last for up to four months, and most patients have regular Botox treatments every 3.5-4 months to keep up the best results. It is possible to develop antibodies to Botox. When antibodies develop, Botox injections are not as effective. When this occurs, the solution is to switch to a different neuromodulator like Xeomin or Dysport. Becoming resistant to one neurotoxin does not mean that a different one will not work.

What does Botox do to you?

Botox temporarily limits muscle contraction by blocking nerve signals. The visible effects of Botox can vary depending on the area where it’s injected. Cosmetic Botox injections in the face and neck reduce dynamic fine lines and create a smoother skin texture. Botox injections in the jaw muscles create a slimmer, more defined, v-shaped jawline. Many patients also have Botox treatment to manage symptoms of TMJ, which can be caused by clenching and grinding. Botox forces the masseter muscles to relax, which releases tension and prevents overuse. Botox can also be used to manage symptoms of various medical conditions, including cervical dystonia, hyperhidrosis, blepharospasm, and migraines.

To guarantee safety and optimal cosmetic results, it is important that Botox injections are done by an experienced, qualified injector, such as board-certified dermatologist Dr. Michele Green in NYC. Dr. Green was among the first dermatologists in NYC to offer cosmetic Botox injections and has decades of experience treating some of the world’s most discerning individuals. When you consult with Dr. Green, she will work with you to create a customized treatment plan for your Botox that works best for your particular needs.

What kinds of Botox are there? Are Dysport and Xeomin the same as Botox?

Botox is an injectable neurotoxin that essentially ‘freezes’ certain facial muscles related to expression. Dysport, Jeuveau, Xeomin, and Daxxify are all neuromodulators like Botox that can be used to achieve similar results. These neuromodulators are essentially interchangeable and can be used to achieve comparable cosmetic results or manage symptoms of a variety of medical conditions. The main difference between the neuromodulators is the presence or absence and type of additive proteins included. Although there is only one official injectable with the brand name Botox cosmetic, these other brands of neuromodulators are comparable and can be used to treat the same concerns.

How do I get started with Botox?

If you’re frustrated with the appearance of your frown lines, crow’s feet, neck creases, chin dimples, or wide jawline, there is a quick and easy noninvasive cosmetic solution that can help — Botox! Botox is the gold standard for treating and preventing dynamic fine lines and wrinkles and is one of the most popular non-invasive cosmetic treatments worldwide due to the ease of injections, lack of downtime, and consistently stunning results. Dr. Green was among the first physicians in New York to offer cosmetic Botox injections to her patients and is known for providing the “best Botox in New York City.”

Dr. Green is an internationally renowned board-certified dermatologist with over two and a half decades of experience providing some of the world’s most discerning individuals with the best non-invasive cosmetic treatments, including Botox injections. Dr. Green takes a holistic approach and embraces a less-is-more philosophy regarding facial rejuvenation, customizing each patient’s treatment plan to meet their needs best and achieve optimal cosmetic results. She is consistently identified as one of NYC’s best dermatologists by Super Doctors, New York Magazine, and Castle Connolly for her dedication to her patients and expertise. 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 the best choice for you.

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