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Botox works by preventing wrinkle causing muscles from contracting and thereby making wrinkles. It does this by blocking the all important nerve impulses in the treated area which actually stimulate the muscle to contract, making the wrinkle. It’s a non-surgical, injectable treatment that has been proven safe and effective in softening, reducing and even eliminating fine and medium lines and wrinkles that may seem etched into your skin. It can smooth crow’s feet, forehead furrows, frown and lip lines. It can diminish neck bands and improve the appearance of skin dimpling of the chin. It can lift the downturned corners of your mouth, soften a square jawline, and even correct a gummy smile.

Overall, Botox is simple, easy and incredibly effective. And the best part? There’s no downtime. So before you consider surgery, Botox is a great option for gaining back the youthful-looking skin you think you’ve lost.

When you have Botox done, you can expect your skin to be smoother, better and more youthful-looking. You’ll feel and look like you’ve taken years off your age (maybe even 10!) and you’ll fall in love with your skin again. But, in addition to all of the immediate results of Botox is a secondary benefit that is just as important: the prevention of the development of future etched lines especially on your face in areas like your forehead, between your eyebrows, lipstick bleed lines and your crow’s feet.

Developing wrinkles like crow’s feet is incredibly easy since smiling, squinting, and sleeping all contribute to forming crow’s feet. Dr. Schultz explains, “To get an idea of how wrinkles form from innocent repetitive motion, think of a paperclip. If you bend it back and forth, after a short period of time, the paperclip will be damaged and breaks. This is the same process with your skin! Repetitive motions that cause any creasing in your skin can break your skin’s collagen and elastic fibers, thereby causing wrinkles anywhere on your face, not just around the eyes.” When the collagen in your skin breaks, that’s how you get permanently etched lines. The most common form of those etched wrinkles are the horizontal lines across your forehead, deep crow’s feet around the eyes, and “11” lines between your brows.

Prevention is the most valuable function of Botox because it stops the skin from forming new wrinkles and deepening existing ones caused by the repetitive motion of underlying muscles, which fold and thereby break your collagen and elastic fibers . Dr. Schultz says, “If you do Botox regularly for ten years then, you set the clock back ten years!” It’s as simple as that. Once you stop Botox, you’ll resume the skin wrinkling process again.

The amazing benefit of Botox is the fact that your skin is firmer, smoother, and even looks brighter and younger. You reduce the look of wrinkles and end up looking years younger. But Dr. Schultz says there’s even more: “Most people think of Botox as something to make them look relaxed, but that’s secondary in importance: it’s really about prevention of more wrinkles and deepening existing ones.”

No, it’s not. Filler restores the volume that’s been lost from broken collagen fibers so it reduces the appearance of an existing, deeply etched wrinkles that Botox cannot. Botox, on the other hand, stops muscles from moving and creating the lines, wrinkles and contours that come from that movement. The greatest value of Botox is to stop the creasing in the skin that creates wrinkles later in life. The earlier it’s started, the less likely you’ll end up with etched lines and creases as you get older. And then, when you do find a fine line or wrinkle here or there, you can always use filler to restore the lost volume.

Botox is an incredible technique for reducing and even eliminating appropriate wrinkles. But as Dr. Schultz always reminds us, “Wrinkles only account for five percent of aging-related skin issues, and if you really want to look youger and better you’ve got to treat the other 95%!” While Botox helps reduce and prevent further wrinkles, combining this treatment with other skin procedures that smooth the skin by removing accumulated dead cells such as Glycolic “No Downtime” Peels, Fillers, or laser treatments can give you the radiant, youthful-looking glow you desire. And because Botox is a fairly simple, quick treatment, it’s the perfect complement to most other skin care regimens.

A very wide range of people come into our office for Botox. Dr. Schultz will typically administer about 5-10 Botox treatments a day. There are very few people who can’t have Botox or for whom Botox won’t help to reach their skin care goals. And the effects, while not as immediate as when you have fillers done, are very quick. Most patients will see 90% of the results of their Botox treatment between 4-7 days after their appointment, and 100% within ten days.

Dr. Schultz says, “Botox is the single most addicting thing you can do in my office.” That’s because there’s very little risk to the procedure and the results are simply transformative. But rest assured that if for any reason you don’t like the results, in three months it will wear of. About twenty percent of people may have results that last a bit longer. As it starts to wear off, you’ll want to refresh it with another treatment, so as not to resume significant motion in the treated areas. This is because if you don’t keep up with your Botox treatments, you are defeating its potential to prevent etched lines and wrinkles.

You may wonder if a Botox treatment is safe or uncomfortable.. When Botox treatments are done properly, there is a very, very low rate of side effects and, Dr. Schultz adds, “The dose you are receiving CAN”T harm your body.

For instance, you may receive 20-70 units in a treatment, but it would take 3000-4000 units to cause any harm to your body. So there just isn’t enough Botox used in any given treatment that would ever threaten you healthwise.” You may see a small bruise or have some very mild discomfort, but this should resolve itself quickly and easily when your Botox is administered properly.

When you use Botox, you’re temporarily stopping the muscle activity causing you deep wrinkles. But even regular treatment with Botox will not damage your muscles or cause atrophy despite erroneous concerns about this that arose when Botox was first introduced decades ago. It’s important to remember that the effects of Botox last approximately three months, so if you decide not to continue your Botox treatments, your muscles will regain their contractile ability and begin making wrinkles again!

The FDA has only studied Botox in patients 18 years of age and older. While that may seem young, remember that Botox not only reduces your existing lines and wrinkles, but it’s also used for prevention of lines and wrinkles later in life. In fact Botox is used safely “off label” in people under 18 years of age for appropriate indications.

Botox wears off in three months, so certainly, when you stop Botox after your first treatment, your skin will reset back to where it was before you were treated.

However, if you’ve been using Botox for a couple of years, beyond getting rid of etched wrinkles, you’ve also stopped the worsening of those lines and of course also prevented the formation of new ones. So if you use Botox for several years and eventually stop, you’re actually way ahead of the curve because the lines you would have been creating haven’t didn’t form and the existing ones haven’t gotten any deeper.

No, it’s not! When Botox is injected into the skin or into the muscle (the two most common places where it is injected), it’s almost immediately absorbed onto the surface of the nerves. There’s a great chemical attraction between the Botox molecule and the outside lining of the nerves. Once it’s attracted there and absorbed onto the outside of the nerve, it then goes inside the nerve, which is irreversible. It will not be able to then leave the nerve and migrate somewhere else. That binding occurs within an hour to an hour and a half of the time the medicine is injected. And, at that point, the Botox just can’t do anything else.

You can receive Botox at any dermatologist’s office in New York City. So why would you choose our office? Because the result you’ll get is that you look great and the results look so natural that you look like you don’t have Botox! Our simple philosophy and understanding of good cosmetic work is that it should look like it wasn’t done!

Our goal is not to freeze people with Botox, but to slow down the muscles enough so you’re not making the undesirable lines causing etched wrinkles, while still being able to show facial expression. The best cosmetic work looks like no cosmetic work was done at all. This is one of the reasons our office does so many Botox treatments daily. Because of the collective experience we have, our understanding that less is more, and our technique and knowledge of where to put the Botox in order to give you the best, most natural-looking outcome, you can’t beat the results you’ll receive from your appointment with us.

When you come in for Botox, there is no preparation necessary. If possible, try to avoid ibuprofen, aspirin, or other types of blood thinners for several days leading up to your appointment as those items may increase your chance of small bruises. Your Botox appointment can last anywhere between ten to twenty minutes.

At the start of your appointment, we will discuss the results you’re looking for and choose the best areas to treat in order to get your desired results. We’ll treat the desired areas and then after your appointment, you’re free to go about your day normally. You can even apply makeup before you leave — just be careful to not put your head down flat for about two hours after your treatment. Most people see their results from Botox within 4-7 days. Your results will last about three months, at which time, if like most people, you just love your Botox, you’ll come back for another treatment to maintain the look you love.

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Frequently Asked Questions

  • What is Botox?

    Botox is an injectable treatment that safely and effectively softens, reduces, and Read More

  • Does getting Botox hurt?

    No. This popular procedure is performed by using tiny needles to make Read More

  • How long does Botox last?

    For most people, results wear off in about three months.

  • How does Botox work?

    Botox works by preventing the muscles that are causing your wrinkles from Read More

  • What is Botox made of?

    According to the National Institutes of Health, Botox is a drug that Read More

  • How long does it take for Botox to work? When will I start seeing results?

    Typically over the next seven to ten days, but some patients may Read More

  • Is it true that I need to keep my head up for two hours after getting Botox?

    We typically recommend that patients do so.

  • Is Botox safe?


  • Does getting Botox done actually cause you to develop more lines and wrinkles sooner?


  • If I treat wrinkles in one area, will they appear in another area of my skin?


  • What age can you start using Botox?

    There is no age requirement or limit. Botox can be used when Read More

Rejuvenate Your Skin

Make your skin care a priority with leading-dermatologist and New York Magazine’s “Top Doctor”: Dr. Neal Schultz.