BOTOX® Cosmetic
Dysport
Xeomin
BOTOX® Cosmetic/ Dysport/Xeomin
Manhattan Botox & Dysport Injections
BOTOX® COSMETIC TREATMENT
Over time, repeated contractions of facial muscles can contribute to the formation of wrinkles and folds in the forehead, around the eyes, on the nose and neck, and near the mouth and chin. These dynamic wrinkles become deeper and more pronounced as our skin loses elasticity during the natural aging process. BOTOX® Cosmetic treatments work to soften and improve the appearance of facial lines by temporarily relaxing the muscles that cause wrinkling.
What is BOTOX® Cosmetic and how does it work?
BOTOX® Cosmetic is a natural, purified protein that is injected into muscles that cause facial wrinkling. The medication relaxes muscles by temporarily blocking nerve impulses. Once the muscles are at rest, the skin becomes smoother, creating a more natural and relaxed appearance.
What areas can be treated with BOTOX® Cosmetic?
BOTOX® Cosmetic is FDA-approved to relax vertical frown lines between the eyebrows, known as glabellar lines. BOTOX® treatment has also been successful in off-label use for smoothing wrinkles and creases in the forehead, as well as improving the appearance of “crow’s feet” around the eyes and lines around the mouth. Other specialty areas— including the nose, jaw, chin, and neck— can be treated with botulinum products. BOTOX® may also be used to treat excessive sweating (hyperhidrosis) in the underarms, hands, and feet. Drs. Levine are experts in treating a wide variety of indications with BOTOX®, Dysport®, and other similar products.
What other botulinum products do you offer?
There are several FDA-approved botulinum products that work in a similar way. We offer BOTOX® Cosmetic, Dysport®, and Xeomin®.
What is the difference between BOTOX® Cosmetic, Dysport®, and similar products?
BOTOX® Cosmetic (onabotulinumtoxinA), Dysport® (abobotulinumtoxinA), and other botulinum products are all very similar, each using a form of botulinum toxin type A. Though they all work to relax muscles that cause facial wrinkling, there are subtle differences in compound composition, injection techniques, dosage strengths, and storage requirements. Dr. Levine will recommend the best treatment for your specific needs.
Is BOTOX® safe and are there any possible side effects?
BOTOX® Cosmetic was the first botulinum toxin product to be FDA-approved to treat glabellar lines. Since its introduction in 2002, nearly 12 million BOTOX® Cosmetic procedures have been performed in the United States. BOTOX® Cosmetic injections are generally safe when administered by a qualified dermatologist or plastic surgeon.
Side effects from BOTOX® are typically mild and rare. Temporary redness and swelling at the injection site is possible. These effects usually resolve within a few days and can be covered with makeup if desired.* In rare cases, the medication may spread from the treatment area and cause temporary drooping elsewhere. Drs. Levine are careful to place the medication into the appropriate muscle and to educate patients on proper aftercare in order to reduce the likelihood of this occurring. Before your treatment, Dr. Levine will discuss with you any possible side effects and answer any questions that you may have about safety.
Who should administer BOTOX®?
BOTOX® injections are best administered by a qualified dermatologist or plastic surgeon with an understanding of proper technique and safety. Both Dr. Jody Levine and Dr. Elie Levine have years of experience in administering BOTOX® and would be happy to answer your questions about whether BOTOX® is right for you.
How soon will I see the results from BOTOX® treatment?
BOTOX® generally begins to take action 3 days after injection and reaches its full effect at 2 weeks post injection. Dysport® will start to work sooner, at around 2 days, and will reach its full affect at around 5 days. The visible improvement in facial wrinkling can be seen within days of treatment and the treated areas may continue to improve for up to a month. Results typically last up to 4 months. For some very deep wrinkles, visible improvement is even greater after subsequent BOTOX® treatments.*
How long will the results last?
Results from BOTOX® treatments typically last 3 to 4 months, and the procedure can be repeated in this time frame to best maintain results.* There certainly are people who prefer to wait 6 months after BOTOX® for subsequent injections since the effects on their wrinkles are still evident this far out.
What happens if I discontinue treatment?
There is no harm in stopping BOTOX® treatments. If you elect to discontinue BOTOX®, facial wrinkling will gradually return to the state it was before your procedure.
Will I still be able to make facial expressions?
Yes. BOTOX® simply reduces muscle activity, so you can still make facial expressions naturally, but without the prominent wrinkles and creases. Dr. Levine will tailor your treatment, leaving you more or less mobility, depending on your specific goals.
Can BOTOX® be combined with other procedures?
Yes. Using BOTOX® concurrently with other dermal fillers allows us to treat a variety of facial areas in order to maximize results. In addition, BOTOX® may be used in combination with laser treatments or other procedures for even better results. Dr. Levine will discuss with you what procedure or combination of procedures may best suit your specific needs.
How can I prepare for BOTOX® treatment?
During your initial consultation, Dr. Levine will thoroughly discuss your goals and expectations, including possible risks and the best way to prepare for your treatment. As much as possible, patients should avoid taking aspirin and ibuprofen-containing products (such as Advil and Motrin), St. John’s Wort, high doses of vitamin E supplements, and other blood thinners (unless medically necessary) for 1 week prior to treatment in order to minimize the risk of bruising. Patients should also avoid red wine and multivitamins for 2 days prior to treatment.
What should I expect during BOTOX® treatment?
BOTOX® Cosmetic treatment is performed on an outpatient basis in our offices. The procedure is quick and simple, with minimal discomfort. During the procedure, BOTOX® will be injected into the treatment areas using an ultra-fine needle. No anesthesia is required, although topical numbing cream is offered when needed.
Is BOTOX® treatment painful?
BOTOX® treatment is completed in a matter of minutes, and any discomfort is usually minimal. Some patients describe a slight stinging sensation like a bug bite. No anesthesia is necessary, although topical numbing cream can be offered for more sensitive patients.
What should I expect after BOTOX® treatment?
Post-care instructions are given to all patients. Patients are asked not to touch the treated area, bend forward, or lie down for four hours after treatment. A small, occasional bruise is possible, but rare. Discomfort after BOTOX® is rarely an issue. You may take Tylenol for discomfort if there is any, but don’t take aspirin or ibuprofen, which may increase bruising. Anti-bruising products containing Arnica Montana and Bromelain are offered and topical care will be discussed. Dr. Levine will determine which aftercare product is right for you.
How can I find out more about BOTOX® Cosmetic®?
Dr. Levine will be happy to meet with you to discuss BOTOX® Cosmetic treatment. Please call our office at 212-988-1800, or make an appointment online for a personal consultation in our New York City offices.
DYSPORT® TREATMENT
Vertical creases between the brows (glabellar lines) can form as a result of the repetitive contractions in the muscles that control certain facial expressions, such as frowning. Known as “dynamic” wrinkles, these lines and creases may become more prominent over time, making us appear older. Dysport® is an FDA-approved treatment that works by temporarily relaxing the facial muscles that cause wrinkling, much like BOTOX® Cosmetic.
What is Dysport® and how does it work?
Dysport® is a purified form of botulinum toxin type A (the same neurotoxin as BOTOX®), which is injected into muscles that cause facial wrinkling. Like BOTOX®, Dysport® works by blocking signals from the nerves to the muscles that cause dynamic wrinkles. Dysport® injections temporarily reduce muscle activity, softening dynamic wrinkles and folds.
What areas can be treated with Dysport®?
Dysport® can be used to treat the same areas as BOTOX® Cosmetic. Dysport® is FDA-approved to temporarily improve the appearance of moderate to severe frown lines (glabellar lines). Dysport® may also be used off-label to treat wrinkles on the forehead, around the eyes (crow’s feet), and lines around the mouth. Other specialty treatment areas include the nose, jaw, chin, and neck, as well as excessive sweating(hyperhidrosis) in the armpits, palms, and feet. Drs. Levine are experts in treating a wide variety of indications with Dysport®, BOTOX®, and XEOMIN®.
What other botulinum products do you offer?
There are several FDA-approved botulinum products that work in a similar way. We offer BOTOX® Cosmetic, Dysport®, and Xeomin®.
What is the difference between Dysport®, BOTOX® Cosmetic, and similar products?
Although BOTOX® Cosmetic, Dysport®, and other botulinum products all work in a similar manner, there are subtle differences in compound composition, injection technique, dosage strengths, and storage requirements. For example, since Dysport® spreads slightly further from the injection site than BOTOX® Cosmetic, injections must be carefully placed, but fewer injections may be needed with Dysport®. Additionally, Dysport® will take effect quicker than BOTOX® will, reaching maximum results within one week rather than two. Results from both products will last, on average, around four months. Dr. Levine will recommend the best treatment for your specific needs.*
Is Dysport® safe and are there any possible side effects?
Used since 1991 to treat neuromuscular disorders, Dysport® was first approved for aesthetic use outside the United States in 2002. In 2009, the FDA approved Dysport® for use in the U.S. for the treatment of glabellar lines. Side effects from Dysport® are typically mild and rare. Temporary redness and swelling at the injection site is possible. These effects usually resolve within a few days and can be covered with makeup if desired. In rare cases, the medication may migrate from the injection site and cause drooping in other areas. This effect is completely temporary. Drs. Levine are careful to place the medication into the appropriate muscle and to educate patients on proper aftercare in order to reduce the likelihood of this occurring. Before your treatment, Dr. Levine will discuss with you any possible side effects and answer any questions that you may have about safety.
Who should administer Dysport®?
Dysport® injections are best administered by a qualified dermatologist or plastic surgeon with an understanding of proper technique and safety. Both Dr. Jody Levine and Dr. Elie Levine have great expertise in administering Dysport® and would be happy to answer your questions about whether Dysport® is right for you.
How soon will I see results from Dysport treatment?
On average, you will see results in about three days, although some people notice improvement as early as one day, or as late as one week, after treatment.*
How long will the results last?
Like BOTOX®, the results from Dysport® treatment may last up to four months.*
What happens if I discontinue Dysport® treatments?
There is no harm in stopping Dysport® treatments. If you elect to discontinue using Dysport®, facial wrinkling will return gradually to the same state it was before your treatment.
Will I still be able to make facial expressions?
Yes. Dysport® temporarily improves the look of your frown lines without changing the look of your whole face. Muscle activity is reduced, but you are still able to make facial expressions naturally. Dr. Levine can tailor your treatment, leaving you more or less mobility, depending on your specific goals.
Can Dysport® be combined with other procedures?
Yes. Using Dysport® concurrently with other dermal fillers allows us to treat a variety of facial areas in order to maximize results. In addition, Dysport® may be used in combination with laser treatments or other procedures for even better results. Dr. Levine will discuss with you what procedure or combination of procedures may best suit your specific needs.
How can I prepare for Dysport® treatment?
During your initial consultation, Dr. Levine will thoroughly discuss your goals and expectations, including possible risks and the best way to prepare for your treatment. As much as possible, patients should avoid taking aspirin and ibuprofen-containing products (such as Advil and Motrin), St. John’s Wort, high doses of vitamin E supplements, and other blood thinners (unless medically necessary) for 1 week prior to treatment in order to minimize the risk of bruising. Patients should also avoid red wine and multivitamins for 2 days prior to treatment.
What should I expect during Dysport® treatment?
Dysport® treatment is performed on an outpatient basis in our offices. The procedure is quick and simple, with minimal discomfort. During the procedure, Dysport® will be injected into the treatment area using an ultra-fine needle. No anesthesia is required, although topical numbing cream is offered when needed.
Is Dysport® treatment painful?
Dysport® treatment is completed in a matter of minutes, and any discomfort is usually minimal. Some patients describe a slight stinging sensation like a bug bite. No anesthesia is necessary, although topical numbing cream can be offered for more sensitive patients.
What should I expect after Dysport® treatment?
Post-care instructions are given to all patients. Patients are asked not to touch the treated area, bend forward, or lie down for four hours after treatment. A small, occasional bruise is possible, but rare. Discomfort after Dysport® is rarely an issue. You may take Tylenol for discomfort if there is any, but don’t take aspirin or ibuprofen, which may increase bruising. Anti-bruising products containing Arnica Montana and Bromelain are offered and topical care will be discussed. Dr. Levine will determine which aftercare product is right for you.
