Laughter, sadness, anger, and surprise – your face shows all of your emotions to the world. A lifetime of emotions leads to wrinkles, crow’s feet, and laugh lines. We have a solution for you, Botox® Cosmetic and Xeomin Treatments in New York City, NY.
All these signs of emotion can leave you looking older than your years – but thanks to today’s technology, we can significantly reduce their appearance on your face. With Botox® Cosmetic and Xeomin treatment at Laser and Mohs Dermatology in NYC, you will be able to see a visible improvement in the wrinkles on your face – and you’ll have smoother skin for up to four months.
What is Botox® Cosmetic?
Botox® Cosmetic is a prescription medicine (onabotulinumtoxinA) that the doctor injects into your muscles to improve the look of moderate to severe frown lines between the eyebrows. People 18 to 65 years of age are eligible. At our practice, Dr. Quintana administers Botox® Cosmetic as a simple, nonsurgical treatment into the area you’d like to improve. If you’re concerned about pain or have sensitive facial areas, we’ll be happy to apply an ice pack or anesthetic cream to the area.
The purified protein from the injection goes to work immediately on the facial muscles that are causing wrinkles. You will begin to notice visible improvements over the next month.
What is Xeomin?
Botox is one of the world’s most famous brand names, but some people have a reaction to the extra proteins that are found in the Botox formulation. For those patients, Xeomin is a good alternative. Like Botox and Dysport (both of which we offer, as well), Xeomin is a neuromodulator made from the botulinum toxin type A. The difference is that Xeomin consists of nothing but the botulinum toxin.
Xeomin works by temporarily stopping muscles from contracting. The FDA originally approved Xeomin in August 2010 for two conditions: blepharospasm (eyelid spasms) and cervical dystonia (severe contractions of the neck muscles). One year later, the FDA approved Xeomin for the same uses as Botox, namely the treatment of glabellar lines, the lines that form between the eyebrows.
How Is Xeomin Different Than Botox®?
Xeomin is sometimes called “the naked injectable” because it has nothing but the botulinum toxin in its formula. Botox, in contrast, is formulated with some additional proteins along with the botulinum toxin. Certain people can have a reaction to these other proteins; these people may not have the same reaction to Xeomin.
Where Are the Best Places for Injections?
Like all neuromodulators, Botox® and Xeomin work on “dynamic wrinkles.” These are the wrinkles caused by muscle contractions, in contrast to “static wrinkles” that are caused by sun damage and aging. Dynamic wrinkles generally occur on the upper third of the face, the expressive area.
- Worry lines in forehead
- Lines between the eyebrows
- Smile lines
- Laugh lines, from nose to mouth
- Crow’s feet
- Neck Area
What to Expect with Botox® and Xeomin Treatment
After identifying your trouble areas, your doctor may ask if you prefer to numb the area before the injections. If you choose to do so, the doctor can inject local anesthesia into your skin, otherwise, you can use a numbing cream or cold spray. Once Dr. Quintana numbs the area sufficiently, she will begin to inject tiny amounts of your chosen neuromodulators directly into the skin or the underlying muscles where your wrinkles are most evident. The number of injections will depend upon the extent of the area that will be treated. Botox and Xeomin is essentially an outpatient procedure that can be done in minutes in the doctor’s office.
To be able to effectively eliminate the appearance of facial wrinkles, Botox and Xeomin temporarily paralyze muscle activity, specifically on the areas that are prone to wrinkle formation. The botulinum toxin is able to block certain chemical signals that cause muscle contraction from the nerves, which results in the temporary relaxation of the facial muscles that lie directly under your wrinkles.
Botox® and Xeomin Results
The effects of your injections usually begin to show a few days after the treatment. You will notice the wrinkles on your forehead, the frown lines in between your eyebrows, and the crow’s feet from the corners of your eyes begin to fade as the paralyzing effect of the treatment starts to take effect on the underlying muscles.
How Long Will My Results Last?
Results vary by the patient, depending on your individual metabolism. At a certain point, the body absorbs the now-inert botulinum toxin. Visible results have been shown to last for about three to six months. Be sure to talk to your healthcare provider about what you can expect and when to schedule your next appointment.
Is Treatment Painful?
Discomfort is usually minimal and brief. Before injection, your physician may choose to numb the area with a cold pack or anesthetic cream. The entire procedure takes approximately 10 minutes. Most patients are in and out of the physician’s office without downtime following Botox® Cosmetic and Xeomin treatment.
Will I Still Be Able to Make Facial Expressions?
Although the results are visible, treatment with Botox® Cosmetic or Xeomin will not radically change your facial appearance or make you look as if you’ve “had work done.” The muscle activity that causes frown lines between the brows is temporarily reduced, so you can still frown or look surprised without the wrinkles and creases between your brows.
Botox® and Xeomin Side Effects
When injected by experienced injectors, such as the team at Laser & Mohs Dermatology, side effects with Botox® and Xeomin are rare are mild. The most common side effects are redness, bruising and swelling. These local reactions are temporary and can be diminished by applying ice to the area. Botox® Cosmetic and Xeomin can cause a temporary eyebrow or eyelid ptosis (drooping) or asymmetry. This reaction is also temporary. Side effects are minimized when the recommended dose is injected and administered by a qualified healthcare professional. Dr. Quintana discusses all benefits and possible side effects during your one-on-one consultation.
Can I Use Botox® and Xeomin When I’m Pregnant?
Although there are no studies concerning the relationship between neuromodulators and pregnancy, it is thought that since the botulinum toxin stays in a very isolated location that it wouldn’t affect a pregnancy. But generally pregnant women should not have injectables during their pregnancy.
Best dermatologist ever. Wouldn’t go anywhere else in new york city. They did an incredible job with my botox. So much so that I went back for laser hair removal. – Anonymous
Dr. Quintana can help you decide if Botox or any of the following anti-wrinkle procedures are right for you: