212.920.6800
Daniel Y. Maman, MD FACS

Botox

As we age, the body’s production of collagen and elastin decreases significantly. Without ample amounts of these proteins, skin begins to lose its youthful elasticity and fullness. As a result, damage from years of facial expressions like smiling, laughing, and frowning combines with sun damage and other environmental factors to form permanent wrinkles and folds.

What is Botox?

Botox is an FDA-approved injectable treatment used by plastic surgeons to reduce fine lines and prevent wrinkle formation. Created from botulinum toxin, Botox injections safely block the nerve signals that cause tiny muscles in the face to contract.

Paralyzing these facial muscles can make patients look much younger by restoring the appearance of smooth, wrinkle-free skin.

Botox alone cannot completely eliminate droopy skin or deeply furrowed wrinkles. It is very common for patients to combine Botox injections with other non-surgical treatments like dermal fillers, chemical peels, and laser skin resurfacing to reach their hoped-for result.

In some cases, the desired end result cannot be achieved without facial rejuvenation surgery.

Is Botox safe?

Because Botox is made from a neurotoxin, some patients have concerns about whether or not it is safe to use. The truth is that Botox injections have been used by doctors for decades to treat a wide range of medical conditions and the diluted microdoses used for aesthetic treatments are very safe when delivered by licensed, reputable physicians.

When should you get Botox?

There are two types of Botox treatment:

  • Cosmetic Botox is a facial rejuvenation treatment to diminish fine lines and wrinkles
  • Medical Botox is used for hyperhidrosis (excessive perspiration) in areas such as the armpits and hands. Botox can also treat certain migraine conditions.

Preventative Botox

Early use of Botox stops muscle contraction in the face before the wrinkling and fold patterns are established and reinforced.

The FDA has approved Botox for people 18 and older, but we recommend waiting to begin Botox until forehead lines, smile and frown lines, crow’s feet, and the “eleven lines” between the eyebrows are visible even when your face is at rest, which usually happens around age 25.

Who can inject Botox?

Injecting Botox is not invasive, but it is also not a risk-free procedure. Improper use of Botox can deliver unnatural results that make the skin look plastic or frozen. Other complications include:

  • Asymmetry in the eyes, eyebrows, and smile
  • Excessive tearing or dry eyes
  • Rash, redness, and swelling
  • Breathing issues
  • Muscle weakness

Although many states allow estheticians and medical spa employees to inject Botox, a skilled plastic surgeon who has undergone years of rigorous training is more qualified to help patients avoid potential complications and deliver the best possible results.

The Procedure

We make sure you have the information you need to feel good about your decision throughout the entire process, from your inquiry to our practice, through the consultation, and beyond.

We provide:

  • In-depth initial consultations with a complete medical history review and physical assessment by Dr. Maman
  • Multiple pre-procedure visits (if needed) to answer your questions and make sure you are comfortable
  • Specialized surgery coordinators to help you navigate scheduling, financial, and insurance processes

Once you have moved forward with surgery, we make sure you are just as cared for. Patients receive:

  • Convenient and safe operating facilities in NYC
  • Complimentary scar-treatment regimens 
  • Attentive and routine aftercare visits

     

    Personalized, Holistic Patient-Centered Approach

    Understanding each patient’s personal and clinical needs is central to our practice. We customize treatment plans for each patient, and each patient receives Dr. Maman’s personal contact information along with direct round-the-clock access to our nurse and surgical coordinator.

    “I look and feel ten years younger. Dr. Maman and his staff were amazing from the consultation through follow-up.”

    Results and Recovery

    We take every measure to provide the highest degree of comfort for our patients throughout their time in our care. 

    We believe that all patients should be fully informed. We stay in close contact before and after treatment to ensure each patient receives prompt and personalized care.

    Recovery timelines vary depending on your procedure, but we offer thorough aftercare to ensure your optimized recovery and results.

    For more information, read our FAQs below.

    Meet Dr. Daniel Maman

    Dr. Daniel Maman is a Harvard fellowship-trained and board-certified plastic surgeon specialized in cosmetic and reconstructive surgery of the breast, body, and face.

    Botox FAQs

    What is the cost of Botox?

    Our treatment plans are carefully individualized to each patient based on their long-term goals and medical history. Because we customize treatment for each patient, pricing can vary. During your initial consultation, Dr. Maman will conduct a detailed assessment. Afterward, you will receive an itemized price quote to help you make your decision.

    Am I a good candidate for Botox?

    The best candidates for Botox are generally healthy non-smokers with moderate wrinkles who have no history of neuromuscular diseases. Some conditions and medications can adversely affect your results, and Botox is not recommended for patients who are pregnant, nursing, or who have an anaphylactic egg allergy.

    Meeting with Dr. Maman is the best way to determine whether Botox is the right treatment option for you or whether another technique will be better able to deliver your desired results.

    What amount of Botox will I need?

    Botox is administered in units and the number of units needed will depend on the number of treatment areas and the severity of the wrinkles.

    What else can Botox be used for?

    Botox can also be used to safely and successfully treat:

    • Frequent, regular migraines
    • Hyperhidrosis (excessive sweating)
    • Strabismus and amblyopia (lazy eye)
    • Urinary incontinence
    • Involuntary muscle contractions associated with various medical conditions
    Where will my procedure be performed? How long will it take?

    Dr. Maman usually delivers injectable Botox at an in-office, AAAASF-certified facility or an outpatient ambulatory surgery center (ASC). He also has operating privileges at Mount Sinai Hospital, Lenox Hill Hospital, New York Eye & Ear Infirmary, and Englewood Hospital. We work with you to select the best facility for your needs.

    Injecting Botox takes between 10 and 30 minutes in our office.

    Can I leave right after my Botox appointment?

    Yes. Botox treatments require no downtime.

    Does Botox hurt?

    Injecting Botox is not particularly painful, but pain can be reduced using topical anesthetics and ice.

    How long is the recovery period for Botox?

    Botox treatments do not require any downtime, but patients should expect to avoid heavy exercise, saunas and other warm environments, and excessive sunlight for 24–48 hours after injection.

    It is normal to see minor bruising for up to 7–10 days after your procedure. These symptoms can be reduced with the use of ice packs. Botox takes some time to settle, and it may take up to one week to see the final results.

    How long do I have to wait to work out after receiving Botox?

    Exercise increases the likelihood of Botox failing or migrating beyond the desired treatment area. We recommend patients remain upright for several hours after their procedure and avoid intense exercise for at least 24 hours.

    How long will my Botox last?

    Botox generally lasts between three and six months.

    Will I have to pay for follow-up visits after my procedure?

    Because we value our patients’ health and satisfaction above everything else, we do not charge for post-procedure follow-up visits.

    If you have general questions about consultations and the practice, please click here

     

    Request A Consultation

    Call Today 212.920.6800

    To schedule a consultation with Dr. Maman or to get more information, kindly submit your details using the adjacent form and a member of our patient concierge team will promptly be in touch. We look forward to welcoming you to Maman Plastic Surgery.

    1165 Park Avenue, New York, NY 10128