Best Botox NYC

We believe we can provide the best Botox results in New York in terms of Safety, Efficacy, and Comfort. All Botox injections at our office are administered by a trusted expert in the field of Cosmetic Dermatology, Dr. Arash Akhavan. This helps ensure safety, efficacy, and the preservation of natural facial expression.

Amongst the many cosmetic treatments we offer in our office, Botox injections are amongst the quickest. But Botox treatments unfortunately have potentially serious complications and are best performed by a physician with an extensive educational background and experience in Cosmetic Medicine, such as a Board Certified Dermatologist or Plastic Surgeon.

Best Botox in New york

For the best Botox results the Botox should be injected into the proper areas to make sure it effectively relaxes the muscles that area causing wrinkles, but still maintaining completely normal facial expression.

For example frown lines are treated by injection into the frontalis muscle and crow's feet are treated by injection into the orbicularis oculi muscle. Injection into the wrong muscles is the most common cause of complications.

Botox is injected into key areas of the face to prevent excessive muscle contractions thereby relaxing lines and wrinkles. The idea with Botox is not necessarily to be completely wrinkle free but rather to soften lines and rejuvenate the face with a natural appearance. If someone desires a completely wrinkle free appearance, however, it can be achieved with Botox as long as the injections are started at an early age.

Botox is used to improve frown lines, wrinkles on the forehead, crow's feet, bunny lines, and vertical bands on the neck.

It can also be used to improve the appearance of a gummy smile, to help raise a downturned nasal tip, and to provide a fuller lip appearance with a Botox Lip Flip. Drooping corners of the eyebrows can be turned up and lifted when we are injecting the crows feet area. No matter where it is used Botox results in easy and quick cosmetic improvements.

We also use Botox for non cosmetic uses to treat conditions such as excess sweating and TMJ pain with great success. We also offer Botox in the Trapezius muscle "Trap Botox" to help alleviate tension in the shoulder area and to help with aesthetic improvement at the base of the neck- also called Swan Neck Botox. Patients find Trap Botox to be a great relief for muscle spasms in this area as well.

Botox can also be paired with other procedures to add to it's effects of prodcing a more youthful appearance. Botox can only relax lines and wrinkles in areas that have signs of aging from muscle activity- dynamic wrinkles such as frown lines and forehead lines. Fine lines in other areas of the face can be treated with other injectables such as hyaluronic acid dermal fillers and laser procedures. Deep wrinkles can be treated with fillers, or in cases of extreme need a "liquid facelift". The term liquid facelift refers to achieving facelift-like results with just the use of fillers.

Botox results and filler results are best at around 2 weeks but the effects of laser treatments can take many months to see.

The botulinum toxin in Botox Cosmetic is a safe medication that is produced by one of the world's largest and most trusted pharmaceutical companies, Allergan. It does not share any of the dangerous qualities of botulinum toxin that is found in toxic food items.

Botox effects come from the medication blocking some of the nerve signals to muscles. The medication works by blocking the neurotransmitter called acetylcholine.

The length that Botox lasts will vary based on the amount of Botox being injected and a patient's age and physiology. In our office in Manhattan we provide many Botox injection treatments every single day and our patients therefore have the advantage of knowing they are receiving the freshest Botox possible.

The best Botox injections typically last between 3-4 months when injected at average doses. If a patient wants lower doses off Botox to allow for more movement they should be aware that the Botox may not last as long. On the other hand, if someone wants their Botox to really freeze their movement one advantage would be that the Botox may last longer. A huge disadvantage in our opinion is that their results may bot be as natural appearing as desired. Dr. Akhavan believes that the best NYC Botox practices would lead to a happy medium of Botox longevity with natural appearing results.

If you would like us to set a reminder to prompt you when it is time for your next treatment, please ask!

There has been a growing interest over the last few years for Botox being used as a preventative measure against aging. Preventative Botox refers to injections prior to the development of wrinkles. The media has coined the term Baby Botox to also describe Botox procedures where very little Botox is injected for patients that do not yet have any lines or wrinkles with the purpose of preventing their occurrence in the future.

Preventing aging with Botox requires a very deep understanding of facial anatomy and injection points for Botox. For example injections in the forehead can be placed in a way that prevents aging and prevents the brows from getting depressed as a patient gets older. But unfortunately the way many injectors treat the forehead can lead to premature aging in the forehead area.

Botox Cosmetic, Dysport, Daxxify, and Xeomin are all injectable neurotoxins used primarily for cosmetic purposes such as reducing the appearance of wrinkles and fine lines, although they have medical uses as well. We offer all of these Botox products in our New York City dermatology office. Despite the differences in branding, each of these products is derived from the same substance: botulinum toxin type A, which is produced by the bacterium Clostridium botulinum. The key differences between them are primarily the result of the purification processes and the formulation specifics employed by their respective manufacturers.

Botox Cosmetic, the brand name for onabotulinumtoxinA, was the first of these products to be commercially available and is probably the most well-known. It was developed by Allergan and was first approved by the FDA for cosmetic use in 2002. Botox Cosmetic works by blocking the transmission of nerve impulses to the injected muscles, thereby reducing muscle activity and softening the appearance of wrinkles. It is most commonly used to treat frown lines between the eyebrows (glabellar lines), crow's feet, and forehead lines.

Dysport, or abobotulinumtoxinA, is a similar product developed by Ipsen Biopharm and was approved by the FDA for cosmetic use in 2009. While it contains the same active ingredient as Botox, it is often noted for having a slightly quicker onset of action and a slightly broader area of diffusion. This broader diffusion can be advantageous in treating larger areas, such as the forehead, but it may also require a more skilled injector to avoid spreading to unwanted areas.

Xeomin, or incobotulinumtoxinA, produced by Merz Pharmaceuticals, was FDA approved for cosmetic use in 2011. Xeomin is often referred to as the "naked" neurotoxin because it doesn't contain any additives—only the botulinum toxin type A. This means there's less risk of developing resistance to Xeomin due to antibody formation. This is primarily a concern for people who receive frequent neurotoxin treatments. Similar to Botox and Dysport, Xeomin works by blocking the release of chemicals that cause muscle contractions, thus reducing wrinkles and lines.

Daxxify, or daxibotulinumtoxinA-Ianm, is produced by Revance Aesthetics, and is the first FDA approved product with a median duration of 6 months. Powered by a unique specialized peptide that stabilizes the active ingredient, Daxxify can potentially last twice as long as other wrinkle treatments for some patients.   We were one of the first practices to use Daxxify in NYC.  Daxxify is the only FDA approved frown line made in the United States,

When comparing these treatments, it's important to understand that while they are chemically very similar, the units of measure for each are not interchangeable. This is because each product has a unique manufacturing process that affects the potency of the product. For example, 20 units of Botox may not provide the same results as 20 units of  Daxxify, Dysport, or Xeomin. The conversion ratios between the products can vary, and precise conversions should be left to medical professionals.

In terms of efficacy and side effects, clinical studies have found all three products to be similarly safe and effective for cosmetic use, with slight variations in onset and duration of effect, as well as spread. Side effects for all three are typically minor and temporary and may include bruising, pain at the injection site, headache, or drooping eyelids. More serious side effects, while rare, can occur and should be discussed with a healthcare provider.

In conclusion, Botox Cosmetic, Dysport, and Xeomin each offer unique advantages and slight differences in formulation and diffusion. However, their underlying mechanism of action as neurotoxins is essentially the same. The choice between them typically depends on patient preference, the area being treated, and the expertise of the injector. It is crucial to remember that the success of these treatments lies in the hands of the injector and their understanding of facial anatomy

We currently offer Dysport, Xeomin, and the newer product- Daxxify, in addition to Botox in NYC.

The great majority of our patients prefer the brand Botox Cosmetic but we have patients that prefer some of the other products.

Botox can also be used to treat hyperhidrosis (excessive sweating). Botox works by blocking the release of the neurotransmitter acetylcholine, which is responsible for stimulating the sweat glands. When injected into the skin, Botox can help reduce excessive sweating, a condition known as hyperhidrosis, by temporarily blocking signals from nerves that control the sweat glands.

Botox for hyperhidrosis typically involves a series of small injections into the affected areas, such as the armpits, palms, or soles of the feet.

The treatment only takes a few minutes to complete and has maximum activity 2 weeks after injections. Relief from excessive sweating lasts several months and then injections need to be repeated.

TMJ Disorder (temporomandibular joint disorder) is a condition characterized by tightness accompanied by pain and discomfort in the jaw area. It is caused by tension and overuse of the jaw muscles.

Botox can be used to weaken one of these jaw muscles called the masseter muscle leading to a relaxation of the jaw and relief from TMJ discomfort.

Patients who suffer from grinding of their teeth have also found that relaxing the masseter muscle with Botox can be helpful.

Another common use of Botox in NYC where we see many international patients is for slimming in the lower face. Many ethnicities find the aesthetics of a slimmed down jaw line to be desirable.

Our consultation cost is $250 but if you decide to proceed with your Botox appointment in NYC the entire $250 is deducted from the cost of your procedure.

Botox Cosmetic is a highly effective and rejuvenating procedure when performed by a trained expert. Only Board Certified Dermatologists and Plastic Surgeons have years of medical school followed by many years of rigorous training that involves mastering cosmetic medical procedures.

Poor Botox outcomes can include asymmetries and drooping eyelids, which can be serious and disturbing side effects of poor Botox treatment. But much more common negative outcomes we see for patients who have seen less qualified providers are patients having an unnatural appearance or having their Botox placed in areas that will accelerate aging rather than prevent it.

In our opinion, in a place like New York City where there is access to many Board Certified Dermatologists and Plastic Surgeons that are experts at Botox injections and other aesthetic medical procedures it is a mistake to see anyone else.