THE PROCEDURE

WHAT IS BOTOX?

BOTOX® Cosmetic is a simple, nonsurgical, physician-administered treatment that can temporarily smooth moderate to severe frown lines between the brows in people from 18 to 65 years of age. It is the only treatment of its type approved by the Food and Drug Administration (FDA).

One 10-minute treatment—a few tiny injections—and within days there's a noticeable improvement in moderate to severe frown lines between the brows, which can last up to 4 months. Results may vary.

BOTOX® Cosmetic is a purified protein produced by the Clostridium botulinum bacterium, which reduces the activity of the muscles that cause those frown lines between the brows to form over time.

Why Skin Ages

One day you looked in the mirror and studied those lines that furrowed your brow, and you wondered: Where did they come from?

Is it just aging? Too much sun? Too much stress? In general, how skin ages and wrinkles is a complex process. It isn't just about cellular changes, collagen depletion, hormone loss, damage caused by free radicals, and so on; it's a combination of many factors.

What to Expect?

Here's what you might expect at the doctor's office from the moment you arrive until your procedure is done. (Please note that although this experience is typical, the routine at your doctor's office may be different.)

The day of your appointment. Allow time before your appointment for filling out forms and for consulting with the doctor or a member of his or her staff. If it's your initial visit, you may first meet with your doctor personally or a staff member. Many doctors have on-staff licensed aestheticians or nurses who are trained in skin care and skin care procedures who can answer many of your questions.

You may also be asked about your expectations for treatment and if you have any allergies or any condition that wouldn't make you a good candidate for BOTOX® Cosmetic. (See the full prescribing information for more details.) Before the procedure

You'll probably be seated in a reclining chair, much like you find in a dentist's office. No anesthesia is required, although your doctor may choose to numb the area with a cold pack or anesthetic cream.

The procedure. Your doctor will determine where to administer the injections by examining your ability to move certain muscles in your brow area. The entire BOTOX® Cosmetic injection procedure takes approximately 10 minutes.

The Anatomy of the Wrinkle

The lines that appear between your brows (glabellar lines) actually result from muscle movement and the passage of time. You may have heard the expression "wearing your emotions on your sleeve," but in reality you wear them on your face. If you're angry or annoyed, for example, you knit your brows together. Underneath your skin, your facial muscles contract, cause a pleating of the overlying skin, and then, as anyone can see, you're frowning.

After years of crinkling and wrinkling, those glabellar lines start to linger longer and can become more pronounced. For women, whose faces tend to be more animated than men's, and whose skin is typically more delicate, these lines may appear exaggerated and more permanent.

Fortunately, there is a way to temporarily reduce moderate to severe glabellar lines. Treatment with BOTOX® Cosmetic can visibly smooth and soften moderate to severe frown lines between your brows. An improvement can be seen within days and may last up to 4 months, although results may vary. In clinical trials, nearly 90% of men and women surveyed rated the improvement in the appearance of frown lines between their brows as moderate to better 1 month after treatment.

Before you try and schedule your first BOTOX® Cosmetic treatment consultation, you probably have some questions, such as: How long will it take? How long will the results last? Will it hurt? Will I still be able to make facial expressions?

After the procedure

There's no recovery time needed. You're ready to get on with your day! The most common side effects following injection include temporary eyelid droop and nausea. Localized pain, infection, inflammation, tenderness, swelling, redness, and/or bleeding/bruising may be associated with the injection. Patients with certain neuromuscular disorders such as ALS, myasthenia gravis, or Lambert-Eaton syndrome may be at increased risk of serious side effects.

Seeing results. Within days, you may notice an improvement in the moderate to severe frown lines between your brows that can last up to 4 months. Results may vary.

REVIEWS

FEATURED testimonials

"I left feeling confident and refreshed."

"I had an amazing experience with Terry during my Botox appointment! From start to finish, her attention to detail was unmatched. She took the time to really listen to my concerns and made sure I was comfortable throughout the entire process. Unlike my past experiences with other injectors, Terry’s precision and expertise made the results look natural and exactly what I was hoping for. I left feeling confident and refreshed, and I couldn’t be more pleased with the outcome. Highly recommend her to anyone looking for a skilled, professional injector!"

"With Dr. Zimm's expertise I was able to achieve the look I was going for."

"Had such an amazing and personalized experience with Dr. Zimm. He listened to what I wanted to achieve, made suggestions, and took his time to perform the treatments. I came in for fillers and botox to improve my facial structure and with Dr. Zimm's expertise I was able to achieve the look I was going for. His office is conveniently located on the UES and his office staff is wonderful! Thank you for making the experience smooth and pleasant. I will definitely be back for my next treatment."

"Dr. Zimm assists me in putting my best self forward."

"My core belief is that aesthetics is not just about vanity, but instead, it creates empowerment that helps you to put your best self forward. It’s just not for television personalities and movie stars but every individual, at any stage in their life-span. The combination of brilliance, artistry with compassion, and integrity define the ideal physician and surgeon, which epitomizes Dr. Zimm. His ability to create an atmosphere of ease and comfort are vital to me as a patient and essential as a medical professional. I recently had Botox and Fillers treatments and am elated with the results. I have scars on my face from traumatic childhood injuries, and to have a physician like Dr. Zimm assists me in putting my best self forward, allowing me to be more confident with my patients. Dr. Zimm and his staff do more than aesthetics; they empower you to live your best life."

"My face appearance has improved so much and I had not bruising after fillers were applied."

"I am so lucky I found Dr. Zimm and I am extremely pleased with the results of my Botox and Fillers treatment. His assistant Jennifer and his nurse Evita are such sweethearts, very polite, kind and attentive. They truly made this experience very smooth and hassle free. Doctor Zimm has excellent bedside manners and he is very honest while giving treatment recommendations, which is very unusual nowadays. I am seriously considering him for eyelid surgery in the near future. While applying the Botox and the fillers Dr Z and Evita did everything they could to make sure I was very comfortable. My face appearance has improved so much and I had not bruising after fillers were applied. I highly recommend Dr. Zimm he is a skillful, well mannered and honest doctor."

"Dr. Zimm is an artist in every sense of the word."

"As a patient of Dr.Zimm, I have received tear trough fillers/cheek fillers and Botox. Simply put, Dr. Zimm is an artist in every sense of the word. I feel he has made me look at least 5-10 years younger. It's rare to find a Dr who has an uncanny sense of precision and truly seeks perfection in his work. Dr. Zimm also has a great bedside manner and a way of his patients at ease. Unequivocally, Dr. Zimm is the finest plastic surgeon around for all of ones cosmetic needs."

"People have commented I look a lot younger than I am."

"I can't say enough good things about Dr. Zimm and his staff. He was recommended to me by a well known celeb who I happened to be seated next to on a long flight back in 2016. I've been seeing Dr Zimm ever since and have received Botox, fillers and ultherapy - all with stellar results. He has always ensured I have a natural look (saving me from myself a few times) and people have commented I look a lot younger than I am. I'm not trying to look like a mannequin - just VERY well rested and thanks to Dr. Zimm I do."

FAQs

Frequently asked questions

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