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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. 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.

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, it was discovered that the cosmetic benefit of Botox was its ability to make wrinkles disappear.  Now, Botox is a household name with celebrities and stars using Botox 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.

What are the most common areas treated with Botox?

The areas that Botox treat has expanded through the years.  Initially Botox was approved for the glabella lines or furrows between the eyebrows. However, the indications for Botox has grown to include many other areas including:

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 for 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” 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.

Botox in forehead, glabella area and for crows feet

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 relives the pressure of the TMJ.

Migraine headaches. Botox has been approved for patients with severe migraines to relieve the pressure and alleviate the pain.

Underarm Sweating or Hyperhidrosis. Botox is commonly used to reduce 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 are not frowning or sulking.

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 brows to produce a “lift” in the forehead and can be combined with other dermal fillers such as Juvederm and Sculptra to help restore the youthful features of your face in a natural looking way.

37 female botox before after FRONT MGwatermark

Patient received Juvederm for lips and Botox injections for wrinkles

What is the Procedure of having Botox injected?

The patient comes into our NYC office of Dr. Michele Green for a cosmetic consultation.  We will take several photographs of your face.  Dr. Green will review 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 hat needs to be injected.  The cost of Botox will be reviewed and will be based on both the amount and treatment area needed.  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.

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.

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.

What is the Cost of Botox?

Botox costs vary on the experience and skill of the injector and geographic location.  Some clinics charge Botox  per unit and other offices charge 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.

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.

While a majority of Botox patients are female, in recent years, Botox has gained popularity amongst men too, with a greater percentage of male patients starting to look at options. In fact stats 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.


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

Find out more about Botox with Juvederm Voluma

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, Kybella, Radiesse or Restylane, along with which of our range of overall cosmetic treatments may be best suited for you.

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