To diminish the effects of aging and to prevent lines, wrinkles, and lax skin from forming on the forehead and upper face, our New York practice is proud to offer BOTOX to our patients. This facial rejuvenation procedure provides amazing results and is popular among both men and women. BOTOX can provide a dramatic enhancement to dynamic facial wrinkles, which are the result of expressions and movement with the muscles contracting on the forehead. The lines disappear as the face relaxes, but dynamic creases can still exist. BOTOX is a purified strain of botulinum toxin (type A) that temporarily blocks the movements of the underlying tissue and muscle. To diminish the appearance of these dynamic lines and wrinkles, BOTOX is injected to relax and soften the skin. This specific injection is most commonly placed by skilled plastic surgeon Dr. Michael Koch between the brows where the number "11" appears, on the Crow's feet, and throughout the forehead.
"Everything about Dr. Koch and his staff is perfect."- J. / Google / Aug 21, 2022
"Dr. Koch performed a tummy tuck reversion surgery for me yesterday and I am very satisfied with the result. He is an exceptionally talented and caring doctor. I highly recommend him to everyone!"- R.I. / Google / Apr 22, 2022
"I met Dr. Koch after a tragic rock climbing fall that resulted in 10 surgeries over a 3 week period. Dr. Koch was kind and caring; an incredibly empathetic listener. Understanding my need to return to sport he used his microvascular skills to cover the dead tissue area with a fee flap that healed functionally and beautifully. For a woman who was once asked to consider amputation, I am proud to say that I have both legs and am once again climbing. Dr. Koch is a rare breed of surgeon whose caring is matched with his talent. How lucky I am."- K.Y. / Google / Mar 09, 2022
"I was referred to Dr. Koch for reconstruction (reduction and lift) from my breast surgeon. I had met with several plastic surgeons only to leave the consults feeling unsure and uncomfortable. From the moment I met Dr. Koch I knew he was the 'ONE'. In our first meeting, he gave me a sense of ease and I had a definite sense that he not only understood my concerns but also listened. During the consult, he began to draw on paper the way he would approach my surgery. I was in awe as before me the blank piece of paper he used, was literally transformed into a piece of Art. He cared enough to take the time to draw in detail explaining his methodology specific to me, My body. It was then that I understood he was a cut above all the rest and that I knew he would be my plastic surgeon. I rave about Dr. Koch to everyone and yes, I even show his magnificent work to those who ask. I am literally thrilled and beyond happy with the way my breast look and feel. I no longer have terrible back pain and can fit into blouses without feeling top heavy. As for Post-op I had no issues and on a scale of 1 - 10 my pain level was - Drumroll please -- a ... Zero. Yes, you heard me right, a Zero. - DISCLAIMER - this may just be specific to me but I had absolutely no pain from my surgery. Of course, I would like to attribute this to Dr. Koch and his skillful workmanship but again, everyone is different. Discomfort yes, as I could only sleep on my back etc. but other than that, I felt nothing. I was happy with the follow up office visits and left feeling informed and understanding what to expect regarding my recovery. Dr. Koch is the next best thing to G-d's gift when it comes to women making a woman feel beautiful. I will forever be grateful and appreciative for his masterful and skilled workmanship. Thank you for making me feel and look beautiful! Ruth Clark"- R.C. / Google / Jan 14, 2022
"Look no further!! Dr. Koch & his entire team are outstanding! I am so grateful I found them! Starting with his administrative staff (Kristin & Alicia) both exceptional young women who were so kind, caring, capable & always helpful! I appreciated their attention to details, follow-up, and professionalism. It helped to alleviate my anxiety & me wondering if everything would work out administratively and it could not have gone any smoother! Dr. Koch is fantastic! When I met him, he immediately put me at ease. When I spoke, I felt he really listened to my concerns & treated me respectfully. He was kind, patient and caring. I was impressed with his expertise & knowledge in my specific area of need. After the consult, I just "KNEW" he was the one and felt completely at peace. Thank you ALL (including all the nurses and even the anesthesiologist at the hospital in Cortlandt Manor) once again for taking such excellent care of me. Thank you Dr. Koch for having a wonderful demeanor & so skillful at what you do. I am so grateful & feel so blessed. Many blessings to you all!"- T.W. / Google / Nov 05, 2021
BOTOX is used for individuals who hope to diminish and soften the appearance of dynamic wrinkles, lines, and moderate folds on their face in a nonsurgical way. BOTOX is often thought of as a preventive treatment even if static wrinkles have not yet formed — keep in mind how often you tend to make facial expressions. It is an effective nonsurgical solution if you have obvious forehead lines or frown lines between the brows. It's also a solution for Crow's feet around the eyes. If you have deeper lines, a combination of BOTOX and an injectable filler may be a better option. Also, if you are older with moderate to severe skin laxity, you may be a candidate for a facelift. This offers a more dramatic result and it is meant to last years. Dr. Michael Koch offers various facelifts, blepharoplasties, and brow lifts as great options.
BOTOX injectable treatments are performed as an outpatient procedure. If it is your first time to visit us in New York for BOTOX, we typically perform the injection within the same appointment as your consultation with Dr. Koch. You will be asked to make several facial expressions using the upper face, such as squinting, frowning, etc., which will allow us to visualize where the injections should be placed. The skin will be cleansed and BOTOX will be injected under the skin using a fine needle, followed by a cold compress to help minimize discomfort and bruising. You can request a numbing cream to make the procedure more comfortable, but it generally is not needed. BOTOX injections typically take about 10 – 15 minutes, after which you can return to your normal daily activities.
What to Expect
After the BOTOX injection, you are allowed to return to your regular schedule, but strenuous activities like exercise should be postponed for at least a day. You will be asked to sleep with your head propped up for the first night and to not touch your face, which may accidentally spread the treatment to other areas. The treated areas of the face may become swollen, bruised, or red for a couple of days, but you will not have any lasting or serious side effects. In the majority of cases, it typically takes about 5 – 7 days before the full effects of BOTOX become visible. The results generally last 3 – 4 months. You should speak to your injector about how often to schedule a follow-up appointment at our practice to refresh your results.
Frequently Asked Questions
How much does BOTOX cost?
The total cost for BOTOX injections will depend on how much product is used. This will vary based on your needs and goals. During your consultation, Dr. Koch will create your personalized treatment plan prior to estimating your total costs. BOTOX can produce beautiful results when performed by a skilled plastic surgeon like Dr. Koch, but it can be unsafe if performed by someone without training, which is why it's better to avoid places offering cheap or knock-off injections.
How long will my results last?
Improvements from BOTOX can last up to four months. Most patients schedule a visit every season to sustain their results, but you may come back sooner. If you are getting BOTOX while you are younger as a preventive treatment, you may be able to schedule visits further apart. After listening to your goals and forming your treatment plan, Dr. Koch will be able to estimate when you should schedule your next appointment.
What's the difference between wrinkle relaxers and fillers?
Wrinkle relaxers (like BOTOX) and wrinkle fillers (like Juvéderm) are both treatments that improve the appearance of wrinkles and smooth fine lines. BOTOX relaxes overused facial muscles that cause dynamic wrinkles, like frown lines (between the eyebrows), Crow's feet (in the outer corners of the eyes), forehead wrinkles, and smile lines. Dermal fillers add volume under the skin to correct hollow areas and decrease fine lines throughout your face. Based on your goals, Dr. Koch may recommend BOTOX, fillers, or a combination of both for a liquid "facelift."
What's the difference between BOTOX, Dysport, and Xeomin?
BOTOX, Dysport, and Xeomin are brands of injectable wrinkle relaxers that use botulinum toxin (type A). They all relax facial muscles to smooth dynamic wrinkles, but each formula is designed to suit specific areas and needs. There are subtle differences between them including the the amount in each dose, treatment spread, and length of results. Dr. Koch will choose the best one to achieve your goals.
Is BOTOX safe?
When applied properly, BOTOX rarely causes any complications. With that said, it is important to choose someone who has experience and training in handling this medication, such as Dr. Koch. Overinjecting BOTOX can give you an undesirable outcome. A skilled injector will use just enough of the medication to effectively freeze the muscles that cause wrinkles while leaving nearby muscles unaffected. One of the most popular cosmetic treatments on the market today, BOTOX is safe and approved by the Food and Drug Administration (FDA). In addition to cosmetic uses, BOTOX is also used to treat medical issues including facial spasms, excessive sweating, uncontrollable blinking, and migraines.
Plan Your Procedure
Smile Without Worry
No more worrying! You can frown, laugh, smile, and make any expression you want without creating lines or wrinkles thanks to BOTOX treatments. To smooth out lines throughout the face, we invite you to schedule a consultation appointment with Dr. Koch in New York to discover more about this revolutionary nonsurgical injectable.