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.
"Professional and personable - As a patient in the midst of breast reconstruction due to cancer, Dr. Koch and his team have been so incredibly helpful from the start with drawing and notes that made it easier to understand during a very hard time. Dr. Koch helps to clarify at each step of the way and has been available to answer questions, respond to calls, and work through my confusion as the cancer process unfolded and the reconstruction work is now in progress. I am so grateful that he is my surgeon and absolutely recommended him."- Anonymous / Vitals / Apr 19, 2019
"I have a history of breast cancer and have had over 20 surgeries all with complications to follow. I wish I had known about Dr. Koch 15 surgeries ago because I wouldn’t be writing my story. My previous surgeon was neglectful and didn’t take the precautions to ensure a safe and healthy recovery. I am so grateful I have found Dr Koch through another surgeon. Dr Koch is by far the most gifted surgeon. He performed a 9.5 hour surgery that was complicated. I am so excited to finally have hope because of this amazing surgeon."- D.B. / Healthgrades / Oct 28, 2020
"Gifted, Brilliant Surgeon - Dr Koch is an amazing gifted surgeon I’ve had over 20 surgeries due to complications from a previous doctor I have a history of breast cancer and lost all hope until I met Dr Koch. He performed a 9.5 hour surgery that was complicated and he gave me hope. I am so grateful I found him. He is beyond gifted. Thank you Dr Koch!"- K. / RealSelf / Oct 27, 2020
"When I first came in for my initial consultation with Dr.koch I felt extremely welcomed. I recently had a breast reduction with him and he did an amazing job. He did everything that I wanted done and plus some. Now I’m seeing him again for another surgery, and I can’t wait to see the outcome. I would definitely recommend dr Koch! He is thorough, he listens and is very knowledgeable! If you need any cosmetic work done go to him!!"- Anonymous / RateMDs / Mar 06, 2020
"Dr, Koch approached me as if we are friends. His body language, smile,and easy manner put me at ease at this difficult time. He explained every thing he was going to do in the simplest way with drawings, a smile and holding my hand. He included my boyfriend through all my visits. He answered all of our questions, and concerns. I will recommend him to anyone. They will be satisfied with him and the magic he creates with his hands."- T.M. / Healthgrades / Feb 29, 2020
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.