10 E 53rd St, New York, NY 10022
212 888 7770

Botox in New York

About Botox®

Botox Cosmetic is the #1 treatment for dynamic wrinkles around the eyes (crow’s feet), between the eyebrows (the “11’s or worry lines) and the forehead. Other treatment areas include the masseter or jawline muscle, the upper lip, the nose and even the armpits to reduce sweating.

Botox Cosmetic is the most popular Brand. Other brands include Dysport and Xeomin. At Shafer Plastic Surgery, we stock all three brands and will discuss with you which one is best for your treatment.

Since its introduction in the 1990s, the uses of Botox have expanded rapidly. However, at the same time, the number of people injecting Botox has risen exponentially.

It is essential to clarify who will be injecting your Botox.

While an understanding of the underlying anatomy is required to achieve excellent results, many clinics and spas have technicians with little or no formal training injecting Botox for their patients.

For 2009, Dr. David Shafer wrote an important chapter and produced an instructional DVD on Botox injections. Starting with his plastic surgery training at the world famous Mayo Clinic and continuing at the prestigious Manhattan Eye, Ear & Throat Hospital, Dr. Shafer stands on the forefront of facial aesthetics.

Dr. Shafer is a MASTER trainer in Botox – this means that he trains other doctors. He has traveled the country and even Japan to teach other doctors his techniques.

It is important for you to know how much Botox is being injected.

Most clinics and spas sell Botox by “area.” However, this allows them to significantly dilute the Botox for a higher profit at the expense of inferior results. It also increases the chance of cross-contamination between patients. Additionally, the clinics and spas may store the diluted Botox for long periods which decreases its effect.

Most patient use an average of 50 Units. 10 units by each eye, 20 units between the eyebrows and 10 units on the forehead. However, your treatment is customized to your specific wrinkle pattern.

Dr. Shafer only uses genuine Botox Cosmetic from Allergen.

Dr. Shafer injects Botox by unit, so the patient gets exactly what they pay for. He then keeps an electronic record of your injection to use as a reference for further injections. Additionally, Dr. Shafer opens a new vial of Botox for every patient. This eliminates the risk of cross-contamination and ensures that you are always getting “fresh” Botox.

It is important for you to understand the possible complications of Botox.

The most common but very unlikely complications is temporary swelling (30 minutes) and possible bruising (less than 1%).

Dr. Shafer uses very fine needles with highly concentrated Botox to help avoid these unintended consequences.

Spend time discussing with your plastic surgeon if Botox is indicated for you.

Some confusion exists between the use of Botox and the use of facial fillers such as Radiesse, Juvederm & Voluma. Botox decreases muscle contraction which helps reduce dynamic wrinkles – wrinkles caused by movement. Botox is usually most effective around the eyes and forehead. Facial fillers help “fill” volume deficits and smooth out static wrinkles – wrinkles caused by volume loss and gravity. Fillers are generally most useful around the mouth and in the mid face, but can be used to define the jawline and nose as well.

Often, a combination of Botox and facial fillers are required to achieve the best results.

Many of our Botox patients come from out-of-town and see us during their vacations and business meetings. Please call the office or email info@DrShafer.com to check on availability of last minute appointments.

RealSelf Q&A with David Shafer, MD

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10 E 53rd St, New York, NY 10022