Botox NYC: Expert Injections by a Board-Certified Dermatologist
Natural results from one of New York City's most experienced cosmetic dermatologists — with over 15,000 treatments
The Art and Science of Precision Botox
Why thousands of Manhattan's most discerning patients trust Dr. Arash Akhavan with their results
Medically reviewed by Arash Akhavan, MD, FAAD | Board-Certified Dermatologist | Founder, The Dermatology and Laser Group, New York City | Faculty, Mount Sinai Department of Dermatology
Last Medically Reviewed: March 11, 2026
Botox (onabotulinumtoxinA) is the most widely performed cosmetic procedure in the United States, with over 9 million treatments administered annually according to the American Society of Plastic Surgeons. At The Dermatology and Laser Group on Manhattan's Upper East Side, every Botox treatment is personally performed by Dr. Arash Akhavan — a board-certified dermatologist, Allergan Faculty Trainer, and Revance "Guru" Trainer who has completed over 15,000 successful treatments with an impeccable safety record and zero episodes of ptosis (eyelid drooping).
"I don't believe in a 'frozen' look," says Dr. Arash Akhavan. "Every face has its own architecture. My goal is to understand your unique anatomy and enhance your natural beauty — not erase your expressions. That's the difference between getting Botox and experiencing medical artistry."
What makes Arash different from most providers is not just his credentials — it's his role in training the next generation of injectors. As an Allergan Faculty Member, he teaches advanced injection techniques to other physicians nationally. As a Revance "Guru" Trainer for Daxxify (the newest FDA-approved neuromodulator), he is among a select group of practitioners trusted to train others on cutting-edge formulations. His academic appointment at The Mount Sinai School of Medicine, where he has served for 17+ years, means his techniques are grounded in clinical research, not just trends.
Patients consistently tell Arash that the consultation itself is different here. Rather than rushing through a treatment menu, Dr. Akhavan performs a comprehensive facial anatomy exam — evaluating muscle strength, skin quality, and facial dynamics in both repose and during active expression. This is what allows him to customize every treatment to each individual, rather than following a one-size-fits-all template.
As Featured In:
Over 300 media appearances as a national expert in cosmetic dermatology and body contouring.
Consistently Voted NYC's Top Dermatologist
Safety is not just a claim — it is a proven track record that spans over 15 years. Dr. Arash Akhavan has been recognized as a Castle Connolly Top Doctor for over a decade, a New York Magazine Best Doctor, and a New York Times-listed Super Doctor. While many Botox providers take a weekend course to learn injectables, Dr. Akhavan has spent 17+ years teaching them at The Mount Sinai Medical Center as an Assistant Clinical Professor of Dermatology. With hundreds of 5-star reviews across Google and other platforms and over 300 media appearances as a nationally recognized expert in cosmetic dermatology, when you see our wall of awards, you know you are in the safest hands in Manhattan.
Understanding How Botox Works: The Science Behind Smoother Skin
Botox is an FDA-approved injectable neuromodulator derived from botulinum toxin type A, manufactured by Allergan (an AbbVie company). It works by temporarily blocking the nerve signals that cause targeted muscles to contract, softening existing wrinkles and preventing new lines from forming. The procedure is the most studied cosmetic treatment in the world, with over three decades of clinical data supporting its safety and efficacy.
“One of the most common misconceptions I hear from new patients is that Botox will make them look expressionless,” explains Dr. Arash Akhavan. “In the right hands, Botox doesn’t eliminate expression — it refines it. The goal is strategic relaxation: softening lines in the areas that age you while preserving the muscles that give your face its character.”
Dr. Arash Akhavan uses the micro-droplet technique — a precision method that distributes Botox in tiny droplets across the treatment area rather than concentrated injections at a few points. This produces smoother, more natural results because it mirrors how muscles actually function: as interconnected sheets, not isolated points. Combined with the TSK “Invisible Needle” from Japan — one of the thinnest, sharpest medical needles available — the treatment is virtually painless and leaves no visible marks.
Pain Level: Minimal — most patients compare it to a light pinch
Procedure Type: Physician-administered micro-injections using TSK “Invisible Needle” technology
Indications: Wrinkle reduction, facial contouring, and lifting of face and neck
Onset of Results: 3–5 days for initial effect; full results at approximately 2 weeks
Results Duration: 3–6 months (longer-lasting options like Daxxify now available)
Recovery Time: Zero downtime — return to normal activities immediately
Customized Botox Treatment Areas
Upper Face: Rested & Refreshed
Every treatment area requires a different approach — and a deep understanding of the underlying anatomy. Botox is FDA-approved for three cosmetic indications: forehead lines, glabellar lines (“the 11s”), and lateral canthal lines (crow’s feet). However, experienced practitioners like Dr. Arash Akhavan also use Botox for numerous additional areas where it can produce exceptional results:
- Forehead Lines — Softening horizontal stress lines while preserving your ability to express surprise.
- Frown Lines (“The 11s”) — Relaxing the vertical lines between the brows to restore a rested, approachable look.
- Crow’s Feet — Smoothing fine lines around the eyes caused by smiling and squinting, without changing your natural smile.
- Brow Lift — Strategic micro-dosing to subtly lift the brow arch for a more open, youthful eye area.
Advanced Contouring, Lower Face, Neck, and Body
- Lip Flip — Relaxing the orbicularis oris muscle to subtly flip the top lip outward, creating a fuller appearance without filler. Included at no extra charge.
- DAO (Downturned Mouth) — Targeting the Depressor Anguli Oris muscle to lift downturned corners of the mouth, restoring a happier resting expression.
- Masseter / Jaw Slimming — Reducing the masseter muscle to slim the lower face, relieve TMJ tension, and create a more contoured jawline. One of the most popular treatments at our practice.
- Nefertiti Lift — A specialized technique treating the jawline and platysma simultaneously to sharpen jawline definition and tighten the lower face.
- Platysma Bands (“Tech Neck”) — Relaxing vertical neck bands to smooth the neck texture and reduce visible banding. Increasingly popular among patients who notice neck aging from device use.
- Trapezius (“TrapTox”) — Relieving shoulder tension and creating a longer, more elegant neck line. Increasingly popular among NYC professionals who carry stress in their shoulders.
- Chin Dimpling — Smoothing the “orange peel” texture on the chin caused by an overactive mentalis muscle. Included at no extra charge.
- Gummy Smile — Relaxing the levator labii superioris muscle that pulls the upper lip too high when smiling. Included at no extra charge.
- Hyperhidrosis (Excessive Sweating) — Clinical-grade treatment to stop excessive sweating, FDA-approved for underarm use and used off-label for palms, soles, and other areas.
Botox Before and After Images
Transparent Botox Pricing at The Dermatology and Laser Group
Flat-Fee Pricing — No Per-Unit Surprises
The cost of Botox at The Dermatology and Laser Group in New York City is $750 for the first treatment area and $200 for each additional area. This is a flat fee — not a per-unit charge. You receive all the units necessary for your specific muscle strength and anatomy to achieve an optimal, natural result, with no surprise upcharges.
Pricing for the Basic Four Areas (Frown Lines, Forehead, Crow’s Feet, and Neck):
- First Treatment Area: $750
- Each Additional Area: $200
- Most Common Package (3 areas — forehead, frown lines, crow’s feet): $1,150
- Bonus: Areas requiring small amounts of Botox — such as lip flip, gummy smile, and chin — are included at no extra charge.
*Other areas may have special pricing. Click below for a customized estimate.
“Patients sometimes ask us why our Botox costs more than what they see advertised at discount med spas,” says Arash Akhavan, MD. “The difference is this: our flat fee means you get exactly the dosage your anatomy requires for an optimal result. Per-unit pricing at high-volume clinics often means you leave undertreated — or face an unexpected bill when you need more. Here, the price you see is the price you pay, and the result speaks for itself.”
Beyond the pricing itself, every Botox treatment at The Dermatology and Laser Group is performed by Dr. Arash Akhavan — a board-certified dermatologist who is nationally recognized as an expert in non-invasive and minimally invasive cosmetic procedures of the face, neck, and body. That level of expertise and physician-only care is included in every treatment.
Patient Testimonials and Reviews
FDA-Approved Neuromodulators: A Clinical Comparison
Botox (onabotulinumtoxinA) is the most well-known neuromodulator, but it is not the only FDA-approved option available. At The Dermatology and Laser Group, Dr. Arash Akhavan offers multiple neuromodulators and selects the best option based on each patient’s anatomy, goals, and lifestyle. Here is how the four FDA-approved neuromodulators compare:
| Feature | Botox (Allergan) | Daxxify (Revance) | Dysport (Galderma) | Xeomin (Merz) |
|---|---|---|---|---|
| FDA Approval | 2002 | 2022 | 2009 | 2010 |
| Active Ingredient | OnabotulinumtoxinA | DaxibotulinumtoxinA | AbobotulinumtoxinA | IncobotulinumtoxinA |
| Onset | 3–5 days | 1–2 days | 2–3 days | 3–4 days |
| Peak Results | ~14 days | ~14 days | ~14 days | ~14 days |
| Duration | 3–4 months | Up to 6 months | 3–4 months | 3–4 months |
| Unit Equivalence | Standard (1:1) | Standard (1:1) | ~2.5:1 vs Botox* | Standard (1:1) |
| Key Differentiator | Gold standard; most studied | Longest duration; peptide technology | Faster onset; broader spread | Pure toxin; no complexing proteins |
| Available at DLG | Yes | Yes | By request | Yes |
*Dysport uses a different unit measurement system; dosing is not 1:1 with Botox. Your provider adjusts accordingly.
Who Is a Good Candidate for Neurotoxin Treatment?
Botox works best for patients with dynamic wrinkles — lines that form from repeated facial expressions like frowning, squinting, or raising the eyebrows. Whether you are interested in preventative treatment, corrective Botox for existing lines, or advanced contouring like jaw slimming or "TrapTox," you may be a great candidate.
Ideal Candidates:
- Adults ages 25–65 seeking natural wrinkle reduction or preventative treatment
- Preventative Botox ("Baby Botox"): Younger patients in their mid-20s to early 30s starting conservative doses to prevent deep wrinkle formation before it begins
- Advanced Contouring: Patients seeking facial slimming (masseter), neck smoothing (platysma), or shoulder refinement (trapezius)
- Medical Uses: Underarm Botox for hyperhidrosis (excessive sweating), TMJ jaw clenching relief, and chronic migraine management
You may not be a candidate if you are: pregnant, allergic to botulinum toxin, or have certain neuromuscular conditions. During your consultation, Dr. Arash Akhavan will assess your candidacy and discuss realistic expectations for your specific goals.
The Patient Experience: From Your First Consultation to Your Final Result
The difference between "Botox that looks like Botox" and "Botox you can't tell" comes down to injection technique and dosage strategy. Dr. Arash Akhavan uses the micro-droplet technique — a precision method that distributes Botox in tiny droplets across the treatment area rather than concentrated injections at a few points. This preserves micro-expressions and prevents the "frozen" appearance that patients fear most.
Additionally, Dr. Akhavan follows a "low and slow" philosophy: conservative initial doses with the option to add more at a complimentary 2-week follow-up if desired. This approach ensures you never look overdone and always maintain natural facial mobility. It's a philosophy grounded in his belief that the best cosmetic work is the kind that no one can tell you've had.
Arash Akhavan, MD, FAAD explains: "I would rather have a patient come back for a small touch-up than leave my office with too much on day one. You can always add — you can't take away."
What to Expect During Your Visit
The Botox treatment experience at The Dermatology and Laser Group is straightforward and comfortable:
- Step 1 — Consultation & Facial Analysis: Dr. Arash Akhavan performs a comprehensive anatomy exam, evaluating your facial structure in both repose and during active expression. He maps your unique muscle patterns and discusses your aesthetic goals.
- Step 2 — Preparation: The treatment area is cleansed. Prescription-grade numbing cream is available but rarely needed — the TSK "Invisible Needle" makes the procedure virtually painless.
- Step 3 — Injection: Using the micro-droplet technique and the TSK Invisible Needle from Japan, Dr. Akhavan administers precise, calibrated injections. The entire treatment typically takes 10–15 minutes.
- Step 4 — Immediate Return: There is zero downtime. You can return to work or dinner plans immediately, with only minor restrictions (no gym until the next day and no pressure on the treated areas for 4 hours).
- Step 5 — Follow-Up: Dr. Akhavan offers a complimentary 2-week follow-up assessment to evaluate results and make any refinements. This is part of the "low and slow" philosophy — ensuring your results are exactly right.
Results start to appear within 3–5 days and fully develop by day 14.
Want the deep dive? Listen to Dr. Akhavan explain the full science of neuromodulators in this episode of "Dr. A Explains It All".
Aftercare: How to Maximize Your Results
To ensure optimal results, avoid strenuous exercise and facial massage until the following morning. Do not lie flat for at least 4 hours after your injections. Results appear within 3–5 days and fully develop by week 2. Effects last 3–6 months, after which maintenance treatments are recommended to preserve your results.
For detailed aftercare instructions, visit our full Botox Aftercare Guide.
Conveniently Located on Manhattan's Upper East Side
The Dermatology and Laser Group is located at 110 East 60th Street, perfectly positioned to serve patients from Midtown East, Midtown West, Lenox Hill, Sutton Place, Central Park South, and the Upper East Side. Whether you are coming from work in Midtown or home uptown, our office offers a discreet, luxury medical environment just steps from the subway. The perfect location in NYC for your first, or next, Botox treatment.
Frequently Asked Questions About Botox
The cost of Botox at The Dermatology and Laser Group is $750 for the first treatment area and $200 for each additional area. This is a flat fee — not a per-unit charge — which means you receive all the units necessary for an optimal result with no surprise upcharges. Areas requiring small amounts of Botox, such as lip flip, gummy smile, and chin treatment, are included at no extra charge. Contact us for a personalized quote tailored to your specific treatment areas.
NYC Botox pricing ranges from approximately $400 to $1,200+ per area depending on provider credentials, clinic reputation, products used, and geographic location within the city. Dr. Akhavan's faculty trainer expertise and personalized, physician-only approach position his pricing in the premium category but offer unmatched value for natural, artistic results. Most first-time patients at The Dermatology and Laser Group spend $1,150 for three areas (forehead, frown lines, crow's feet).
Botox results typically last 3 to 4 months for most patients. However, duration varies based on the treatment area, dosage, individual metabolism, and muscle strength. Patients who maintain regular treatment schedules often find their results last progressively longer over time as the targeted muscles gradually weaken with repeated treatment. For patients seeking longer-lasting results, Dr. Arash Akhavan also offers Daxxify, a newer FDA-approved neuromodulator that can last up to 6 months.
Most patients describe Botox injections as a quick, mild pinch. Dr. Arash Akhavan uses the TSK "Invisible Needle" from Japan — one of the thinnest, sharpest medical-grade needles available anywhere in the world. This significantly reduces discomfort compared to standard injection needles. Prescription-grade numbing cream is available if desired but is rarely requested.
No. Dr. Akhavan's micro-droplet technique and "low and slow" dosing philosophy are specifically designed to preserve your natural facial expressions. The goal is subtle softening of lines, not elimination of all movement. At your complimentary 2-week follow-up, Dr. Akhavan can adjust if you would like slightly more correction. After 15,000+ treatments, his patients consistently report that friends and colleagues comment that they look "well rested" — not that they had Botox.
Botox is FDA-approved for adults 18 and older who wish to soften or prevent dynamic wrinkles. Ideal candidates include adults ages 25-65 seeking wrinkle reduction, younger patients interested in preventative "Baby Botox," and patients seeking medical applications such as hyperhidrosis (excessive sweating) or TMJ relief. You may not be a candidate if you are pregnant, allergic to botulinum toxin, or have certain neuromuscular disorders. Dr. Akhavan will review your full medical history during your consultation.
Before treatment, Dr. Akhavan recommends avoiding blood-thinning medications and supplements (such as aspirin, ibuprofen, fish oil, and vitamin E) for 7 days to minimize bruising risk. After treatment, avoid strenuous exercise until the following morning, do not lie flat for 4 hours, and avoid facial massage or pressure on the treated areas until the following morning. Do not consume excessive alcohol on the day of treatment.
The best Botox provider depends on your priorities. If you prioritize expertise, customization, safety, and natural-looking results, The Dermatology and Laser Group with Dr. Arash Akhavan is consistently recognized as one of the top choices for Botox in Manhattan. Dr. Akhavan's credentials as an Allergan Faculty Trainer, combined with 15,000+ successful treatments, his Mount Sinai faculty appointment, and Castle Connolly Top Doctor recognition for over 13 consecutive years, make The Dermatology and Laser Group a top choice for patients who want the very best.
Masseter Botox involves injecting Botox into the masseter muscle (the jaw muscle) to relieve tension from teeth clenching and jaw tightness (TMJ), while also creating a subtle slimming effect on the lower face. It is one of the most popular treatments at The Dermatology and Laser Group. Dr. Akhavan frequently combines masseter Botox with upper face and lower face treatments for comprehensive facial refinement.
Baby Botox (also called preventative Botox) uses smaller doses on younger patients — typically in their mid-20s to early 30s — to prevent deep wrinkles from forming in the first place. Instead of waiting until lines deepen and become static (visible even when the face is at rest), starting with conservative doses creates a 'maintenance' effect that keeps the skin smooth over time. It is increasingly popular among NYC professionals seeking to preserve their youthful appearance long-term.
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