BOTOX COSMETIC TREATMENT BY DR. ZUCKERMAN IN NEW YORK CITY


Botox Cosmetic, informally known as Botox, is the brand name of an injectable product made by the company Allergan of a toxin produced by the bacterium Clostridium botulinum. Small, diluted amounts of this toxin can be directly injected into specific muscles, causing controlled relaxation of the muscles temporarily. It is the most widely used injectable globally and in Dr. Zuckerman’s practice and has long been FDA-approved for the treatment of fine lines and wrinkles in several areas of the face. The temporary paralysis induced by Botox forces the affected area to fully relax eliminating existing fine lines and preventing the formation of future wrinkles.


Frontal view of Botox treatment for transverse (horizontal) lines on the forehead. Images taken before treatment and seven days after.

A patient of Dr. Zuckerman’s in New York City who underwent forehead treatment with Botox Cosmetic. Patient treated with 13 units in corrugator muscles, 2 units in procerus muscles, 10 units in upper forehead. Images taken just prior to treatment and then seven days afterward.


Treatments & Uses of Botox® Cosmetic

As a board-certified plastic surgeon, Dr. Zuckerman has hundreds of hours of injectables experience and
is an expert injector of Botox® Cosmetic. In his practice in New York City, the most commonly requested treatments using this injectable include:

Forehead Antiwrinkle Treatment

This treatment involves injections on the forehead to address the formation of transverse lines and is the most common type of Botox Cosmetic treatment.
Learn more about Dr. Zuckerman’s Forehead Antiwrinkle Treatment

Glabella “11’s” Treatment

Some patients develop vertical lines between the brows as they age. Botox Cosmetic injections will address these lines.
Learn more about Dr. Zuckerman’s Glabella “11’s” Treatment.

Crow’s Feet Treatment

Some patients suffer from fine lines radiating out from the eyes, often due to squinting. Dr. Zuckerman can address these lines with Botox Cosmetic.
Learn more about Dr. Zuckerman’s Crow’s Feet Treatment.

Non-Surgical Brow Lift

A more advanced technique using Botox Cosmetic, Dr. Zuckerman can inject a muscle around the eyes to decrease the force pulling down the brows.
Learn more about Dr. Zuckerman’s Non-Surgical Brow Lift.

Bunny Lines Treatment

Dr. Zuckerman can inject Botox Cosmetic to address fine lines on either side of the bridge of the nose.
Learn more about Dr. Zuckerman’s Bunny Lines Treatment.

Facial Slimming Treatment

For patients with a square or angular jaw, Dr. Zuckerman can inject Botox Cosmetic to decrease the prominence of certain cheek muscles.
Learn more about Dr. Zuckerman’s Facial Slimming Treatment.

Neck Rejuvenation

Dr. Zuckerman can inject Botox Cosmetic in the neck to address platysmal bands, informally known as turkey neck, or to ameliorate transverse lines.
Learn more about Dr. Zuckerman’s Neck Rejuvenation.




Botox Cosmetic product, product box and logo. Dr. Zuckerman performs non-surgical injectable antiaging cosmetic treatments using Botox in his practice in New York City. Made by Allergan.

Botox Cosmetic® injectable product and packaging. Source: Allergan. Please see the manufacturer’s Indications and Important Safety Information for further information.


Treatment Longevity, Downtime & Preoperative Care with Botox® Cosmetic

See below for an estimate of how long your treatment result may last, recovery time if any, cost range, and more.

Treatment Longevity

Treatment takes approximately one week to set in and lasts three to four months.

Downtime / Recovery

Botox Cosmetic treatments involve little to no downtime, and patients often return to work immediately after treatment. There may be slight bleeding or redness at the injection sites, but these will resolve within a few hours.

Pretreatment Guidelines

A few precautions before undergoing musculoparalytic injections are techniques to minimize bruising: no NSAIDs such aspirin or ibuprofen within a couple days before and a day after; don’t drink alcohol to excess a day before and a day after, refrain from lying flat or working out within 2 hours after injection.

Approximate Cost 

$22 per unit ($200 – $500 per area)



In this video, Dr. Zuckerman performs Botox Cosmetic injections on a patient’s forehead and between her brows.


Frequently Asked Questions About Botox® Cosmetic


How safe is Botox Cosmetic?
Botox Cosmetic is extremely safe. It was initially approved by the FDA in 2002 and has since become widespread and been approved for additional uses. The only risks involved with Botox are unintended drooping or the brows or looking “frozen”. You can avoid these minor risks by visiting Dr. Zuckerman, an expert injector as a board-certified plastic surgeon.

Does Botox work less well over time?
No, if anything the opposite. Your body does not build up “resistance” to Botox. In fact, over successive treatments, the targeted muscles that would otherwise form wrinkles become weaker. This leads to a slightly longer lasting treatment and helps prevent wrinkle formation long-term.

Can I go back to work after a daytime appointment?
Yes, many of Dr. Zuckerman’s patients do return to work immediately post-treatment. You may experience slight redness at the injection sites in your forehead, but this will resolve within one to two hours. In addition, these sites are very small and overall level of redness or irritation will be minor. Many of Dr. Zuckerman’s patients do cover any redness at the injection sites with makeup post-treatment. The needle Dr. Zuckerman uses for Botox injections is a 32 gauge needle, the smallest gauge needle on the market for medical use.

Can I wear makeup before and after treatment?
Dr. Zuckerman will clean the treatment area, removing any makeup, pretreatment. You are free to reapply makeup immediately after treatment. Many of Dr. Zuckerman’s patients do cover any redness at the injection sites with makeup post-treatment.

How do I avoid looking completely “frozen”?
It is important that your injector understand facial anatomy to avoid overdosing or injecting in suboptimal locations. Dr. Zuckerman often has first-time or second-time Botox patients visit the office for a small follow-up treatment 8-14 days after the initial treatment for a touch up, so he can very accurately determine how many units a patient requires in a particular area. Especially for younger patients in their twenties or thirties, Dr. Zuckerman will also limit forehead injections to high up on the forehead, well away from the brows. This technique will result in the patient still being able to move their brows and be expressive.

I’m afraid of needles. Can I still undergo Botox?
Unfortunately, Botox is only made in an injectable form (via a needle). However, this needle is extremely small: a 32 gauge, which is the finest needle available for medical use. Dr. Zuckerman is able to perform the treatment within a couple of minutes, and most patients only feel small pinpricks during. If needed, he is happy to apply numbing cream to the targeted areas. Finally, patients do not see the needle generally as the injections are being performed given the targeted locations on the face.

Should I visit a doctor for Botox injectable treatments in New York City?
If you visit Zuckerman Plastic Surgery for your injectable treatment, you can be certain that Dr. Zuckerman will recommend and perform the best treatment option for you in a safe and comfortable manner. In general, the use of injectable fillers has become so widespread that unfortunately not only may your injector not be a board-certified physician, if you undergo injections in a non-medical setting, an injector may have little formal medical training. Dr. Zuckerman recommends you visit a board-certified plastic surgeon or dermatologist for these injections (if you aren’t able to visit Zuckerman Plastic Surgery!). In New York City, there many options for injectables treatments, and many medical offices also offer injections by a registered nurse or physician’s assistant (PA), often at a lower price. These injectors are required to be overseen by a physician, so if you are considering these practitioners due to price, Dr. Zuckerman recommends that you confirm with the office ahead of time that there is a physician on the premises and inquire to what degree the physician oversees the injector’s activities.


Dr. Zuckerman speaks with a cosmetic surgery patient.

OTHER LINKS


ABOUT DR. ZUCKERMANYOUR VISITTESTIMONIALS

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row, recognizing him as one of the best plastic surgeons in New York.

Dr. Zuckerman has been selected as a SuperDoctor and profiled in The New York Times Magazine SuperDoctors issue three years in a row.


Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.

Dr. Zuckerman was quoted on the use of Kybella to eliminate submental, under the chin, fat. He also opined on how an angular jaw line is essential to societal classical perceptions of facial beauty.


Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.

Dr. Zuckerman appeared on an episode of The Doctors TV show on CBS for a preoperative evaluation of a severe burn victim who requires a complex plastic surgery reconstruction.


A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office undergoing cosmetic Botox and Juvederm treatments.

A mother and daughter pair of Dr. Zuckerman’s patients were interviewed by the New York Post about how much they enjoy their experience at Dr. Zuckerman’s office, undergoing cosmetic Botox and Juvederm treatments.


Dr. Zuckerman was interviewed on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.

Dr. Zuckerman opined on the trend of “Trophy Husbands” where men undergo plastic surgery for Fox5 News.


Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.

Dr. Zuckerman was interviewed on nipple piercings, their implications for breastfeeding, and why plastic surgery intervention may be required to remove them.


Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.

Dr. Zuckerman was selected as a SuperDoctor for New York state for plastic surgery. This selection is Dr. Zuckerman’s third year in a row and recognizes him as one of the best plastic surgeons in New York.


For ReadersDigest.com, Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.

Dr. Zuckerman discussed the fact that liposuction is not a shortcut to weight loss. It is a sculpturing tool best used to shape and contour targeted problem areas with excess, stubborn fat.


Copyright 2017 Joshua D. Zuckerman, MD, FACS, P.C. All rights reserved.