BOTOX® Cosmetic FAQ
Year after year at our Westchester County, NY practice, BOTOX remains incredibly popular among both women and men. But whether you're a regular patient or a newcomer to this revolutionary wrinkle smoother, it's likely that you have questions. Here, read the answers to some of the ones we hear most commonly at The Center for Dermatology and learn more about why BOTOX may be a great choice for you.
If you're curious about how BOTOX treatments can create natural-looking results that take years off your appearance, request a consultation online, or call our practice at
How safe is BOTOX Cosmetic?
Very safe. Our BOTOX patients have the benefit of Dr. Bank's extensive experience, which includes his time as a principal investigator in FDA trials for both BOTOX and Dysport®.
BOTOX was approved by the FDA for cosmetic use in 2002 and was used to treat other medical conditions for many years before then. Because of its muscle-relaxing properties, BOTOX was originally used to treat eyelid twitches, overactive bladder, and other conditions caused by muscle spasms. Thanks to its FDA approval, the safety and reliability of BOTOX is well documented. Thousands of men and women around the world undergo treatments every day, and the product remains one of the nation's most popular non-surgical aesthetic treatments.
Do I need BOTOX Cosmetic or an injectable filler?
Although BOTOX and fillers are both injectable products intended to reduce wrinkles, they work in very different ways and are used for different types of wrinkles. The active ingredient in BOTOX (as well as Dysport and XEOMIN®), botulinum toxin type A, temporarily relaxes facial muscles that cause wrinkles. Therefore, it's best for lines such as crow's feet, horizontal forehead lines, and vertical lines between the eyebrows (the 11's), which are caused by repetitive movements when we make facial expressions.
Fillers use other ingredients, such as hyaluronic acid gel, to physically plump wrinkles from beneath the skin, reducing their appearance and smoothing them out. Fillers are generally more appropriate for treating wrinkles caused by the natural aging process, tissue loss, and gravity, such as the nasolabial folds. If you're unsure which product is better for you, we can help you decide during your consultation.
Meet Dr. Bank
In the Media
David E. Bank, M.D.
Founder and director of The Center for Dermatology,
Cosmetic & Laser Surgery, Dr. Bank has achieved many impressive accomplishments, including:
- Yale and Columbia University graduate
- Certified by the American Board of Dermatology
- Over 25 years of experience in nonsurgical facial rejuvenation
- Principal investigator for numerous FDA clinical trials
- Nationally recognized BOTOX expert
- Frequently featured in the local and national media
Will my results look natural?
One of the most common concerns among our patients is that they won't be able to make their normal facial expressions. Rest assured, we take a very careful, conservative approach to BOTOX injections, with the philosophy that you look your best when you look the most natural.
When administered by a trained medical professional, such as those at The Center for Dermatology, Cosmetic & Laser Surgery, BOTOX creates a noticeably refreshed appearance and reduction in the lines and wrinkles of the upper face without unfavorable side effects.
Is there any way I can make my results last longer?
After several months, BOTOX is harmlessly metabolized by the body and filtered away. However, there are some things you can do to ensure you get as much enjoyment from your results as possible. The best way to prolong your results is by closely following your practitioner's instructions after your injections. With repeated injections over time, many patients experience a "biofeedback" effect, such that the muscles "learn" to stay more relaxed, even after the BOTOX itself is gone.
During your consultation, your physician will give you a more precise prediction for the longevity of your results. The rate at which your BOTOX wears away depends on several different factors, including where on your face it was used and your own physiology. Once you notice your results beginning to fade, you will want to schedule your next treatment. Some patients notice that once they undergo several treatment sessions, their results tend to last longer, requiring treatments less frequently.
What does the treatment feel like?
A typical BOTOX Cosmetic treatment is quick and comfortable. Most patients are finished within 30 minutes, making it a popular option for working professionals or anyone short on time. Each injection feels like a quick pinch or insect bite, so patients don't usually require any sort of anesthetic. Although there may be some residual soreness after the treatment, patients almost always feel comfortable enough to return to their regular activities.
Before & After BOTOX Cosmetic
Before & After BOTOX Cosmetic
Can BOTOX Cosmetic replace cosmetic surgery?
Although BOTOX is useful for smoothing away lines and wrinkles, it can't completely replicate the results of plastic surgery. For patients with significant skin laxity and very deep wrinkles, surgical options such as facelift surgery may create the results they want. During your consultation with Dr. Bank, you'll discuss your desired goals and how to best achieve them.
Are there any side effects of BOTOX Cosmetic?
As with any clinical procedure, side effects are possible. However, BOTOX is generally tolerated well. The most common side effects are minor and temporary and can include redness, swelling, tenderness, itchiness, and bruising around the injection site. These usually resolve themselves within a day or so and don't interfere with daily activities.