Aesthetic & Cosmetic Surgery in New York
BOTOX in NYC and Staten Island
Allure Plastic Surgery
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BOTOX Cosmetic at Allure Plastic Surgery
BOTOX softens the lines that show up when you move your face: the horizontal bands across the forehead, the vertical lines between the brows, the creases at the outer corners of the eyes. It works by quieting the specific muscle doing the creasing, so the skin above it stops folding in that spot. Nothing is cut and nothing is filled.
Dr. Elliot Heller, MD has practiced in New York for 20 years and has performed more than 10,000 procedures. He injects patients himself at our Manhattan office on East 61st Street, in Staten Island, and in Edison, New Jersey. A treatment takes about fifteen minutes and you go back to your day afterwards.
See real before and after Botox photos from our patients, or watch Botox procedure videos before you book.
How It Works
How BOTOX Softens a Line Without Filling It
There are two different reasons a facial line exists, and they need two different treatments. A dynamic line appears when a muscle contracts and disappears when it relaxes. A static line sits there whether you move or not, because the skin itself has lost volume or elasticity.
BOTOX treats the dynamic kind. A very small amount of purified botulinum toxin type A is placed into the muscle that creates the fold, which reduces how hard that muscle can pull. The overlying skin stops being creased on every expression and gradually smooths out.
Static lines need volume instead, which is what dermal fillers do. Many patients turn out to need a little of each, Which one you need is decided by looking at your face at rest and then in motion during the consultation.
If the lines you dislike are there when your face is completely still, dermal fillers in NYC are the treatment that addresses them.
Where BOTOX Is Injected on the Face
Forehead lines
The horizontal bands that appear when you raise your eyebrows. One of the two most requested areas.
Frown lines between the brows
The vertical creases sometimes called elevens. These respond well because the muscle group causing them is small and easy to target.
Crow's feet
The fan of fine lines at the outer corner of each eye. Dosing here is conservative so that your smile still reaches your eyes.
Bunny lines
The small diagonal creases on the sides of the nose that show up when you scrunch or laugh.
Neck bands
The vertical cords that stand out on the front of the neck. Treating them softens the pull downward on the jawline.
Jaw and masseter muscle
Injected into the chewing muscle for patients who clench or grind. It narrows a heavy-looking lower face and eases the jaw tension at the same time.
For a heavy or square lower face, patients often compare this with non-surgical jawline contouring. For loose neck skin rather than muscle bands, the answer is usually a neck lift.
Hyperhidrosis
BOTOX for Excessive Underarm and Hand Sweating
The same medication is used to treat hyperhidrosis, which is sweating far beyond what temperature or activity explains. Injected just under the skin of the underarms or palms, it interrupts the signal to the sweat glands in that area. This is the use most patients have never heard of and the one that changes daily life the most: shirts that stay dry, a handshake you do not think about.
Results in the underarms typically last longer than facial treatment does. If sweating rather than wrinkles is what brought you here, say so when you book, because the assessment and the dosing are different.
★★★★★
Dr. Heller and his team made the entire experience easy from the first consultation to recovery. He is honest, talented, and never pushes you toward anything you do not need.Rebecca L., Google Review
Starting BOTOX in Your Twenties or Thirties
Patients increasingly ask about starting before there is a line to treat. The reasoning is that a crease becomes permanent through years of repeated folding, so reducing the folding early means the permanent version arrives later or more faintly. That logic is sound, and it is also the reason the doses used are small.
It is not right for everyone and it is not urgent. What matters more than your age is whether the lines you dislike are already there when your face is still. Dr. Heller will tell you if you do not need treatment yet, which is a conversation worth having before you spend money on one.
BOTOX for Men
Men make up a growing share of the patients treated here, most often for forehead and frown lines. The approach is different rather than simply lighter: male brows sit lower and flatter and the forehead muscle is usually stronger, so dosing and placement aim to soften the lines without lifting the brow into an arch that does not belong on your face.
Our men's procedures section covers the surgical options.
Your Appointment
What the Appointment Is Actually Like
- The visit starts with you making the expressions that bother you, so the muscles causing them can be seen working rather than guessed at.
- Injections are done with a very fine needle. Most patients describe a brief pinch per site. No anesthetic is needed and none is usually offered.
- The whole appointment runs about fifteen to twenty minutes. You can drive yourself and go straight back to work.
- Stay upright for about four hours and skip strenuous exercise that day. Avoid rubbing the treated areas.
- Small red marks at the injection sites settle within a few hours. Bruising is uncommon and easy to cover when it happens.
When You Will See It, and How Long It Lasts
Nothing changes on the day. Softening begins around day three, becomes clear by the end of the first week, and reaches its full effect at about two weeks. That two-week mark is when a treatment should be judged, and when any small adjustment is made.
Facial results generally hold for three to four months, after which movement returns gradually rather than all at once. Patients who treat consistently often find the interval stretches, because the muscle has spent months not pulling as hard.
Safety, Risks, and Who Should Not Have It
BOTOX has one of the longest track records in aesthetic medicine and the risks at cosmetic doses are small, but they are real and you should hear them before you agree to treatment.
- Temporary drooping of an eyelid or eyebrow, if the medication reaches a neighboring muscle. It resolves as the effect wears off.
- An uneven result, usually correctable at the two-week review.
- Headache in the first day or two.
- Bruising or tenderness at an injection site.
- An expression that feels heavier or flatter than you wanted, which is a dosing question and is adjustable next time.
It is not appropriate if you are pregnant or breastfeeding, if you have a neuromuscular condition such as myasthenia gravis or ALS, if you have had a reaction to a botulinum product before, or if there is an active skin infection where the injections would go. Tell us about every medication you take, because some antibiotics and muscle relaxants interact with it.
Why Patients Choose Allure for Injectables
Your surgeon does the injecting
Dr. Heller performs the treatment himself. You are not handed to a rotating injector who has never seen your face before.
A surgeon's read of your anatomy
Twenty years of operating on these same muscles informs where the needle goes and, just as often, where it does not.
Direct access to Dr. Heller afterwards
Dr. Heller gives surgical patients his personal cell phone number, and the same accessibility applies if something about your result concerns you.
Three offices
Manhattan on East 61st Street, Staten Island, and Edison, New Jersey.
An honest answer about whether you need it
If filler, a laser, or nothing at all is the better answer for what is bothering you, that is what you will be told.
FAQ
Common Questions About BOTOX
How much does BOTOX cost in NYC?
Cost depends on how many units your treatment needs, and that depends on which areas are being treated and how strong the muscles are, so a per-area price would be misleading. Frown lines between the brows take fewer units than a full forehead. You get an exact figure at the consultation before anything is injected, and we offer financing through Affirm, Cherry and CareCredit.
Does BOTOX hurt?
Most patients say it is a brief pinch at each site and less uncomfortable than they expected. The needle is very fine and no numbing is normally needed. The whole thing is over in about fifteen minutes.
How long does BOTOX take to work?
You will start to notice softening around day three, see a clear change by the end of the first week, and reach the full result at about two weeks. If you have an event, book at least two weeks ahead.
How long does BOTOX last?
Three to four months for facial treatment. Underarm treatment for sweating usually lasts longer. Movement comes back gradually, so there is no sudden day when it stops.
Will BOTOX make my face look frozen?
A frozen look is a dosing and placement problem. The aim here is to soften the lines while leaving your expressions recognizably yours, which means starting conservatively and adjusting at the two-week review instead of overtreating on day one.
What is the difference between BOTOX and fillers?
BOTOX relaxes a muscle so it stops folding the skin, which treats lines caused by movement. Fillers add volume back where it has been lost, which treats lines and hollows that are there when your face is still. Many patients benefit from both, and which you need is decided by looking at your face at rest and in motion.
Can BOTOX be used for excessive sweating?
Yes. Injected into the underarms or palms it interrupts the nerve signal to the sweat glands in that area. It is a well established treatment for hyperhidrosis and the effect in the underarms typically outlasts facial treatment. Mention sweating when you book so the right amount of time is set aside.
Can BOTOX help jaw clenching or a wide jawline?
Yes. Injected into the masseter, the muscle you chew with, it reduces clenching and grinding and over time slims a heavy-looking lower face. Patients often come for one of those two reasons and are pleased to get the other.
Is it too early for me to start BOTOX?
The question is not your age, it is whether the lines that bother you are visible when your face is completely still. If they only appear when you move, small doses now can delay the permanent version. If you do not need treatment yet, Dr. Heller will say so.
Who should not have BOTOX?
Anyone pregnant or breastfeeding, anyone with a neuromuscular condition such as myasthenia gravis or ALS, anyone who has reacted to a botulinum product before, and anyone with an active skin infection at the injection site. Bring a full list of your medications, because some antibiotics and muscle relaxants interact with it.
Where are your offices?
Manhattan at 150 East 61st Street, Staten Island, and Edison, New Jersey. Call (866) 477-2023 to book at any of the three.
Flexible Financing
Pay Over Time with Cherry, Affirm, or CareCredit
We work with Cherry, Affirm, and CareCredit so you can spread the cost of your procedure into manageable monthly payments. Approval usually takes minutes, and there is no penalty for paying off early.
The Next Step
Book a BOTOX Consultation
Come in, show us the lines that bother you, and get a straight answer about whether BOTOX is the right treatment for them. Consultations are free. Call (866) 477-2023 or request an appointment online.
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Ready to talk about your goals?
Meet our team for a consultation in Manhattan, Staten Island, or Edison, NJ.
Disclaimer: This information is provided for educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Please schedule a consultation with our team to discuss your individual needs.