Botulinum Toxins

The placement and dosage of cosmetic injectables are both an art and a science. Our physicians are internationally acclaimed experts in the use and application of botulinum toxins such as Botox, Dysport, Xeomin and Jeuveau and are regularly featured in publications like Allure Magazine, The New York Times and The Wall Street Journal.

Our Medical Director, Dr. Anne Chapas, is a certified BOTOX® trainer to other physicians. She speaks at multiple conferences on cosmetic best practices annually and was featured in The Dermatology Times for her natural-looking neurotoxin results. In the January 2013 issue, Good Housekeeping judged Dr. Chapas’ “Ultimate Botox” best in a “wrinkle eraser” runoff by New York dermatologists.

Our physicians participated in the clinical trials that led to FDA approval for Dysport and Xeomin, and they are known for achieving natural results through customized treatment plans, combining botulin injections with fillers where appropriate, and without creating a look that reveals that cosmetic work was done.

With injectable treatments, you are relying not only on the physician’s intimate knowledge of the physiology of the skin and underlying muscle structure, but also on his or her aesthetic sense and ability to deliver an appropriate and natural result. Injectable treatments are often viewed unfavorably due to results from unqualified injectors.

In the video below, you can watch Dr. Chapas explain and demonstrate Botulinum Toxin injection on the Rachael Ray show.

Facts about Botulinum Toxin

Botox will not make you look frozen and will not remove your facial expressions.

Neurotoxins should never be overly noticeable or look frozen. Botox injections in the facial skin result in increased pliability and elastic recoil, which are the biomechanical changes that mimic those of more youthful skin.

Our board-certified dermatologists pride themselves in achieving natural results that simply smooth your fine lines, while allowing for expression. With a well-trained injector, your friends and family should not be able to put their finger on how you look different, but notice you look refreshed and well-rested. The effects of Botox last between 3-6 months depending on the area.

In addition to treating existing lines, Botox prevents further lines.

Everyone’s face ages differently and develops fine lines at different times depending on a number of factors, including genetics, sun exposure, gender, skin color, weight changes, stress, and lifestyle. We recommend patients consider using neurotoxins when they begin to notice fine lines at rest.

Numerous studies over 15 years have confirmed that neurotoxins prevent deepening of existing wrinkles and development of future wrinkles. If you have long term, deep-set burrowed wrinkles, neurotoxins may not be able to completely erase them, which is why it’s important to start these treatments before the wrinkles are deeply etched.

Botox relaxes muscles in several areas.

Botox, Dysport, Xeomin and Jeuveau can treat several concerns. Our physicians evaluate each area individually during a consultation because every area requires customized dosage and injection patterns.

  • Forehead lines. The relatively large facial muscle that overlies the forehead is called the frontalis muscle. When the frontalis muscle contracts, the brow raises and forehead lines appear. This is one of the most popular injection sites.
  • Glabellar lines. Glabellar lines are “frown lines” between the eyebrows, sometimes called “eleven lines.” It’s an old myth that frown lines are caused by frowning. In reality, frown lines are caused by repeatedly making any facial expression that causes your eyebrows to furrow. This can include squinting, smiling, and even laughing. Everyone’s face is unique, so different wrinkles form for different people, even when they’re making the same facial expression.
  • Crow’s feet. Periorbital lines or lateral canthal lines are wrinkles that branch from the outer corners of the eyes while smiling. Of note, crow’s feet are static thus occurring in both the presence and absence of facial expressions.
  • Gummy smile. Patients can reduce their visible upper gum when smiling by reducing the elevation of the upper lip. Utilizing a non-surgical approach by injecting small amounts of Botox into the hyperactive muscle of the upper lip, our board-certified dermatologists will give you a smile that is carefree and natural.
  • Neck band lines. Patients who see neck bands, cords, or the vertical lines that appear in the aging neck can reduce the appearance non-surgically. Botox helps smooth out the neck bands and creates a slender and attractive appearance.
  • Fine lip lines. Perioral or lipstick lines are vertical wrinkles above the upper lip. The formation of lipstick lines is likely multifactorial and photoaging, hereditary factors, puckering and smoking all contribute.
  • Marionette lines. Marionette lines are vertical wrinkles that originate at the corners of the mouth and branch downwards towards the chin. These lines resemble the borders of the jaw segment of a marionette. Marionette lines are usually treated with both botulinum toxin and dermal fillers. 
  • Bunny lines. Like crow’s feet, bunny lines show up when you make certain facial expressions, such as smiling or wrinkling your nose. These lines can appear straight or diagonally on either side of the nose, and as you age, they eventually form into permanent fine lines even when your expression is relaxed.
  • Chin dimpling. Chin dimpling gives the chin an orange-peel (peau d’orange) appearance. As with the treatment of marionette lines, smoothing chin dimples often requires both botulinum toxin and dermal fillers.
  • Wide jawlines. Patients seeking a softer facial shape can improve facial balance and change the shape of an overly square face. Masseter Reduction is where the lower muscle of the face termed the “masseter muscle” is reduced. Some patients can also experience pain and discomfort as a result of an overly large masseter muscle. Botox can help shrink the masseter muscle and both reduce its appearance and lessen discomfort of TMJ symptoms.
  • Wide calves. Patients seeking to slim the calves or correct asymmetries can do so with Botox, if the bulky calves relate to hypertrophic or enlarged muscles. Exercise, sports and high heels can all attribute to large calf muscles. Dr. Claire Chang is New York’s premiere expert in non-invasive calve reduction.

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