Botox Specialist
Dr. Cook-Bolden and the skin experts at Skin Specialty Dermatology have extensive experience using Botox® to treat dynamic wrinkles in her New York City patients, including wrinkles on the forehead, between the brows and at the corners of the eyes, as well as in the jowl area to help prevent sagging.

Botox Q&A

What is Botox®?

Botox® is a neuromuscular agent that's used to treat so-called dynamic wrinkles – wrinkles that form when we make facial expressions, like laughing, smiling or frowning. Dynamic wrinkles include crow's feet (the little lines at the corners of your eyes), frown lines (the vertical lines that form where your nose meet your forehead) and horizontal forehead lines (sometimes called “worry lines”). When you make an expression, signals are sent between your brain and facial muscles, telling the muscles to contract. Over time, these contractions cause wrinkles. Botox® works by blocking these signals so muscles are not “told” to contract.

How is Botox® applied?

Botox® is injected beneath your skin and into the muscle using a very fine needle. Only a very few drops are used in each area. As the muscle stops contracting, the skin above it begins to smooth out, reducing or eliminating the appearance of lines and wrinkles.

How long will my results last?

Initially, you can expect your results to last from about four to six months. But over time as you have more injections, your skin will become smoother and lines will become softer, enabling results to last for as long as eight months in some people.

Does Botox® treatment hurt?

The needle used for Botox® injection is extremely fine, and most people experience very little – if any – discomfort. There may be a mild stinging sensation as the Botox® is injected, but once the treatment is complete, most people have no discomfort at all. If you do feel some mild discomfort, it's important not to rub the area, since that can cause the Botox® to migrate outside the treatment area so it will not be as effective.

Can Botox® be used with fillers?

Yes, many patients have Botox® and fillers to treat both dynamic and static wrinkles.

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