Botox In NYC
Administered by a Board-Certified Dermatologist
Trusted Experience:
Dr. Arash Akhavan has personally administered over 15,000 Botox treatments and was chosen by Allergan to train other physicians in delivering safe and effective Botox treatments
Transparent flat-fee pricing.
All the units you need for the best Botox results.
$100 OFF for New Patients.
Botox® Cosmetic is one of the most popular cosmetic procedures in the world. It works by relaxing the muscles that cause dynamic wrinkles. The areas most commonly treated are wrinkles between the eyebrows, on the forehead, and around the eyes.
Our patients love the quick and easy rejuvenation they achieve at The Dermatology and Laser Group. All Botox treatments at our NYC office are administered by board-certified dermatologist, Dr. Arash Akhavan, offering the highest level of Botox expertise.
PAIN LEVEL
Minimal.
PROCEDURE TYPE
Injections using tiny needle.
DURATION OF PROCEDURE:
INDICATIONS
Wrinkle reduction and lifting of face and neck.
ONSET OF RESULTS
~3-5 days for initial effect, full results ~2 weeks
RESULTS DURATION
Up to 3.5-4 months.
RECOVERY TIME
No downtime.
Best Botox in New York City
Injections By A Physician
All injections are performed by a board-certified dermatologist, ensuring the highest level of expertise for Botox treatments. Dr. Arash Akhavan has personally performed well over 15,000 successful Botox treatments.
Expertise
Dr. Arash Akhavan is a nationally recognized expert in Botox injections and an Allergan faculty member, chosen by Allergan to train other physicians and providers in delivering safe and effective Botox treatments. Dr. Akhavan has been highlighted numerous times in the media on television, print, and online.
Experience
Dr. Akhavan has led our team in New York City for over 15 years and has been a member of the faculty in the Department of Dermatology at The Mount Sinai Medical Center for over 17 years. He has been recognized as a New York Magazine Top Doctor and awarded as a Castle Connolly Top Doctor every year for over a decade.
Premium Products
Our office uses only premium Botox Cosmetic and Daxxify brands for treatment, ensuring longer-lasting and consistent results. Botox Cosmetic is the original neuromodulator that was created.
Transparent and Fair Pricing
How Our Pricing Works: We charge a simple flat fee per area treated, which means all the units you need for one fair price with no surprises. Contact us for more information.
Comfortable Treatments
We use a highly specialized and extra-thin needle made in Japan, called The Invisible Needle by TSK. We also have prescription numbing creams and specialized cooling devices to increase comfort for anyone that needs it.
ed as a New York Magazine Top Doctor and has been awarded as a Castle Connolly Top Doctor for over a decade.
Botox in Midtown Manhattan
Our office is conveniently located in Midtown Manhattan – easily accessible by subway and central to all of NYC. Patients visit us from all over Manhattan, as well as Brooklyn and Queens, for our renowned Botox treatments.

What is Botox and How Does it Work?
Botox is a formulation of botulinum toxin type A, a neurotoxic protein produced by the bacterium Clostridium botulinum. Botox Cosmetic works by temporarily relaxing muscles that cause wrinkles. When Botox is injected, it targets the connection point between nerves and muscles. Botox steps in and blocks the release of this chemical, effectively pausing the communication between the nerve and the muscle. By stopping these signals, Botox causes the muscle to relax. In cosmetic treatments, this relaxation smooths out dynamic wrinkles—those caused by repeated facial expressions—such as crow’s feet around the eyes, forehead lines, and frown lines between the eyebrows. The result is a smoother, more refreshed appearance. Learn more about what botox is and how it works.
Benefits of Botox
Botox offers a safe, effective, and minimally invasive way to reduce the appearance of fine lines and wrinkles—helping you achieve a smoother, more youthful look without surgery or downtime. Patients in Manhattan choose Botox for its ability to target common problem areas like forehead lines, crow’s feet, and frown lines with precision and natural-looking results. Beyond aesthetics, Botox can also provide relief from medical concerns such as chronic migraines, jaw tension (TMJ), and excessive sweating. When administered by a board-certified dermatologist, Botox delivers noticeable yet subtle improvements that enhance your confidence while preserving facial expressiveness.
Eligibility and Candidacy for Botox in NYC
Botox is a safe and effective option for many individuals seeking to reduce the appearance of dynamic wrinkles and achieve a refreshed, youthful look. However, not everyone is an ideal candidate. Understanding who is eligible for Botox—and who should avoid it—ensures the best possible results and safety.
Who Is a Good Candidate for Botox?
- Adults age 18 and older: Botox is FDA-approved for adults. Most patients begin considering treatment when they notice the early development of fine lines, often in their mid-to-late 20s or 30s, but there is no strict upper age limit.
- Healthy individuals: Candidates should be in good overall health, without active infections or untreated medical conditions.
- Those with dynamic wrinkles: Botox works best for wrinkles caused by repeated facial muscle movements—such as frown lines (glabella), forehead lines, and crow’s feet. If you have static wrinkles or significant skin laxity, other treatments may be more appropriate.
- Individuals seeking preventative care: Some people choose Botox before deep wrinkles set in, as a preventative measure to slow the development of lines.
Who Should Not Receive Botox?
- Pregnant or breastfeeding individuals: Botox is not recommended during pregnancy or while breastfeeding.
- People with certain neuromuscular disorders: Conditions such as myasthenia gravis, ALS, or Lambert-Eaton syndrome may increase the risk of side effects.
- Those with allergies to botulinum toxin or its ingredients: If you have had a previous allergic reaction to any botulinum toxin product, you should not undergo Botox treatment.
- Individuals with active skin infections at the planned injection sites: Treatment should be postponed until the area is fully healed.
Setting Realistic Expectations
Ideal candidates understand that Botox provides temporary improvement in the appearance of dynamic wrinkles. Results typically last three to four months, and regular maintenance is required to sustain results. During your consultation, your provider will review your medical history, assess your facial anatomy, and discuss your goals to ensure Botox is the right fit for you.
If you are unsure whether you are a candidate for Botox, a personalized consultation with our board-certified dermatologist will provide expert guidance tailored to your unique needs and concerns.

Botox Treatment Areas
Botox is a quick, simple, and effective way to treat wrinkles and rejuvenate the face and neck.
At The Dermatology and Laser Group some of our most commonly treated areas are:
- Frown Lines - also called glabella lines (between the eyebrows).
- Forehead Wrinkles
- Crow's Feet: fine lines and wrinkles around the eyes
- Platysma Bands: vertical lines on neck
- Masseter Muscle: (TMJ treatment)
- Trapezius Botox (Trap Tox, Swan Neck Botox)
- Other areas (anywhere where relaxing muscles can lead to cosmetic improvements)
We are a leading choice for Botox Cosmetic treatments because we stress natural and effective results, while ensuring patient's have the safest treatment possible.
What to Expect During Your Botox Appointment
1. Personalized Consultation
Your visit begins with a comprehensive consultation with Dr. Arash Akhavan, a board-certified dermatologist and nationally recognized Botox expert. He will review your medical history, discuss your aesthetic goals, and carefully assess your facial anatomy. Together, you’ll decide which areas will benefit most from treatment to ensure natural-looking, effective results.
2. Treatment Planning and Preparation
Once your personalized treatment plan is established, Dr. Akhavan will map out the targeted muscles and explain each step of the process. To maximize your comfort, we offer prescription-strength numbing cream and specialized cooling devices, though most patients find the procedure highly tolerable due to our use of an ultra-thin, specialized needle.
3. The Injection Process
Botox is administered with precision into specific muscles responsible for dynamic wrinkles. The injections themselves are quick and typically take just a few minutes, depending on the number of areas being treated. You may feel a slight pinprick sensation, but discomfort is minimal.
Botox Aftercare and Recovery
Immediate Aftercare Steps
To ensure optimal results and minimize the risk of side effects, it’s important to follow these aftercare instructions after your Botox treatment:
- Avoid touching, rubbing, or massaging the treated areas for at least 24 hours. This helps prevent the Botox from spreading to unintended muscles.
- Do not lie down for at least 4 hours after your injections.
- Hold off on exercise or strenuous activity until the next day. Elevated blood flow can potentially affect how the product settles.
- Skip facials, chemical peels, or other cosmetic treatments on the treated areas for at least 24 hours.
- Wait before applying makeup to the treated areas, ideally for a few hours, to reduce the risk of irritation.
What to Expect During Recovery
Most patients experience little to no downtime after Botox injections and can return to normal activities immediately. However, some mild and temporary effects are common:
- Redness, swelling, or slight bruising at the injection sites, which typically resolve within a few hours to a couple of days.
- Mild tenderness or a pinprick sensation in the treated areas.
- Rarely, a mild headache may occur after treatment.
These effects are generally short-lived and should not interfere with your daily routine.
When to Resume Activities
- Exercise: Wait at least 24 hours before engaging in vigorous physical activity or workouts.
- Facials and Skin Treatments: Postpone facials, massages, or other skin treatments in the treated area for at least 24 hours.
- Makeup: You may gently apply makeup after a few hours, but avoid excessive pressure.
Potential Side Effects
As with all of our cosmetic treatments, we stress patient safety above all other factors with our Botox treatments. The combination of Dr. Arash Akhavan's excellent knowledge of anatomy, precise injections, and less-is-more philosophy allow us to provide the safest Botox treatments. One of the side effects patients fear most with Botox injections is drooping eyelids (ptosis). In over 17 years of practice and over 15,000 Botox treatments, Dr. Akhavan has not had even one single episode of that feared side effect.
Occasional minor bruising is typical with any injectable procedure. For more information on Botox Manufacturer Safety Information visit their website.
When to Contact Your Provider
While serious side effects are rare, contact your provider immediately if you experience:
- Difficulty breathing, swallowing, or speaking
- Severe or persistent pain or swelling
- Unusual muscle weakness or drooping in untreated areas
- Signs of an allergic reaction, such as rash, itching, or difficulty breathing
Mild bruising, redness, or discomfort is normal and should resolve quickly. If you have concerns about your recovery, don’t hesitate to reach out to our office for guidance.
Why Aftercare Matters
Following these aftercare instructions helps ensure you achieve the best possible results from your Botox treatment and reduces the risk of unwanted side effects. Proper care supports a smooth recovery and maximizes the longevity and natural appearance of your results.
Why Choose Botox at The Dermatology and Laser Group?
As a faculty member at Mount Sinai’s Department of Dermatology and the founder of The Dermatology and Laser Group, Dr. Akhavan is a leader in cosmetic dermatology. His deep understanding of facial anatomy and aesthetics ensures natural, rejuvenating results.
Under his guidance, we complement Botox with other aesthetic treatments, offering comprehensive cosmetic solutions tailored to each patient. Visit our Meet the Team page to find out more about why you should choose The Dermatology and Laser Group for your next cosmetic dermatology procedure.
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Testimonials
Botox FAQ's
At The Dermatology and Laser Group, patient satisfaction with their results is our greatest priority. Our simple flat-rate pricing model is based on the number of areas treated, rather than units, to avoid the risk of under-treatment and premature return of wrinkles and lines.
At our office all injections are done by Dr. Arash Akhavan, a Botox expert Board-Certified Dermatologist, but they still start at prices as low as $650 for new patients. We can offer prices this low because of the large volume of Botox we do at our office and our special pricing with the companies that provide Botox products.
Ask us for a quote to get the exact pricing for your particular needs.
At our office we offer only premium brands of Botox, such as Botox Cosmetic and Daxxify.
Botox Cosmetic, known scientifically as onabotulinumtoxinA, is the original brand developed by Allergan, FDA-approved since 2002, and is the most commonly used aesthetic injection in the world.
Daxxify is a longer lasting product produced in the United States. It is FDA cleared to say it lasts up to 6 months.
We also infrequently use Xeomin, or incobotulinumtoxinA by Merz Pharmaceuticals. Xeomin is a unique “tox” as it is comprised of just the active part of the medication, without an accessory molecule. Rare patients who have developed resistance to other injections may find that they are still able to have positive effects from Xeomin because it doesn’t cause an immune response. Some patients also prefer that the effects of Xeomin also kick in a bit earlier and go away a bit sooner.
Botox Injections as a Solution for Hyperhidrosis: Botox is effectively used to combat hyperhidrosis, a condition characterized by excessive sweating. This treatment works by blocking acetylcholine, the neurotransmitter responsible for activating sweat glands. When it is carefully injected into the skin, it significantly reduces sweating by temporarily inhibiting nerve signals to the sweat glands.
Botox for sweating is one of the most popular treatments in our office.

We use Botox in all 4 FDA cleared areas of the face and neck: the glabella (or frown lines), the forehead, the crow’s feet, and the platysma bands in the neck. In addition we commonly use Botox to enhance the lips with Lip Flip Botox, to lift a downturned nasal tip, to improve chin dimpling, and to improve a gummy smile. When injected properly, Botox is also a great option to lift the brows.
We use Botox in the lateral jaw for both medical reasons to treat TMJ and for cosmetic reasons to slim the face.
On the body the most common areas we use Botox are in the upper trapezius, called Trap Botox, in order to both provide relief from shoulder tension and produce a more elegant neck line. This procedure is also called Swan Neck Botox.
Enhancing Botox Treatments with Additional Cosmetic Procedures
Botox is just one key element of face and neck rejuvenation that should be combined with other modalities for optimal results.
Sunscreen and anti-aging creams can be recommended at your appointment, and should be part of your daily at home skin care.
Additionally in office we provide a variety of treatments that maintain and build collagen and elastin in your skin, replace lost volume naturally, and reverse sun damage.
When injected by an experienced provider such as board-certified dermatologist or board-certified plastic surgeon, Botox is safe. Botox has over 2 decades of widespread use throughout the world for both cosmetic and medical applications. It is produced by Allergan, a division of Abbvie, one of the largest pharmaceutical companies in the world.
Unlike the botulinum toxin associated with food poisoning, the formulation used in treatments is specifically designed for safe application.
For most patients we find that Botox lasts around 3.5-4 months. We recommend getting Botox injections about 2-3 times a year to maintain optimal results. For those wanting a longer duration of activity we recommend using Daxxify injections. For patients that want a shorter duration of action we select Xeomin.
Preventative Botox is a marketing term used to describe Botox injections that are done before significant wrinkles have set in. The earlier you start Botox, the lighter the treatments can be, allowing less Botox to be used per injection site.
There's a myth that wrinkles will come back worse if you stop Botox treatments, but that's not true. Botox is preventative care. Every time you get a Botox treatment you have the long term benefit of slowing down the aging process for the months that the Botox was active. If you decide to stop using Botox, your wrinkles will simply return to developing in the same manner that they were before treatment, not worse.
There is no universal answer, but we generally recommend starting when you first notice the development of fine lines. For most people, this is between ages 25 and 30. Everyone's face is different and has unique needs.
Most people start noticing Botox results within 3–5 days, with the full effect becoming visible around 10–14 days after treatment. The timing can vary slightly depending on the treatment area, your metabolism, and how strong the targeted muscles are. Smaller, finer lines may smooth out faster, while deeper creases can take the full two weeks to see maximum improvement.
Most people find that the effects of Botox last about 3–4 months, though this can vary based on factors like your age, metabolism, muscle strength, and the area treated. For some, results may last closer to 2 months—especially if it’s their first treatment
Most people describe Botox injections as quick “pinches” with discomfort rated 1–3 out of 10 and lasting only a few seconds per spot.