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 am very happy with the results."

“Prior to the consultation, I was very uneasy about getting fillers in my cheeks because I didn’t want to look unnatural or feminine. Dr. Zimm senses my concerns and was very patient…before leaving his office, I knew exactly what to expect over the next few days after the injection. All in all, I am very happy with the results and I’m glad I found Dr. Zimm’s office.”

"My breathing is significantly improved and the cosmetic portion was beautifully done."

“…As a healthcare provider myself, I have worked with many physicians over the years and I can attest to his competence and professionalism. His practice is extremely well run and his excellent bedside manner, astute medical knowledge and involvement in the latest research put me at ease and allowed for me to completely trust his abilities… His passion for his field of work is evident, and I am extremely satisfied with the outcome of my sinus reconstruction and rhinoplasty -- my breathing is significantly improved and the cosmetic portion is beautifully done.”

"World-class Surgeon with a Small-town Manner"

“I was really impressed by how much he knew about state-of-the art surgical techniques and practiced them. He is clearly an extremely skilled surgeon. He is also a very intelligent and kind person. As someone who doesn't love the idea of surgery, I felt comfortable and confident… As someone who works as a professor and an artist, I can say that Dr. Zimm sets a high bar for engaging with people and teaching them about their condition, for putting people at ease and building trust, and for clearly being passionate about both the artistry and the technical dexterity of his work. I couldn't recommend him more.”

"He won me by his demeanor, his experience, strive for perfection and honesty."

“Need a perfect, natural-looking nose? Go nowhere else but to Dr. Zimm!...Being involved in the industry myself, I went to 13 different rhinoplasty consultations in NYC to find the right surgeon. After hearing lots of opinions, prices and seeing different images of the "perfect" nose, I chose Dr. Zimm. He won me by his demeanor, his experience, strive for perfection and honesty. He also didn't have a "signature" nose he puts on every one of his patients (walk around the UES and you'll know what I'm talking about). He is truly an amazing surgeon and anyone who works with him at the hospital will tell you the same.”

"Dr. Zimm made me feel as though he was treating a friend or family member."

“Working in the industry I have had the opportunity to work with many surgeons and am always very particular when choosing a physician myself, family, friends and so forth. Dr. Zimm recently performed a Blepharoplasty on me in his office. I consulted with 10 surgeons before moving forward and scheduling this surgery. Without hesitation, I have to say I could not have made a better choice in surgeons!!!! Dr. Zimm was confident and competent, he also had a wonderful bedside manner and made me feel as though he was treating a friend or family member of his own. Fantastic! Not to mention the results are amazing!!!! Completely natural, but amazing Thank you Dr. Zimm!!!!!!”

"Warm and extremely professional"

I am not one to write reviews, but Dr. Zimm deserves one. I had numerous consultations with other top rhinoplasty surgeons across the country but as soon as I had my consultation with Dr. Zimm, I immediately felt he was the right surgeon for me. I am very thankful I chose him. Heather and his entire staff have been warm and extremely professional. He is a brilliant surgeon. I can’t say enough positive things about my experience and would recommend him to anyone looking for a kind, patient, artistic surgeon.

"If I was asked to describe Dr. Zimm in two words I would say: 'GREAT HEALER!'"

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Proin fermentum, neque non laoreet dapibus, massa nulla imperdiet nisi, sit amet aliquam magna dolor ut lacus. Vestibulum malesuada risus vel turpis semper sodales. Aliquam dignissim turpis sed ligula tempor, eu efficitur urna lacinia. Integer id facilisis libero, semper ultricies neque. Morbi scelerisque nibh sed purus mattis, id tempor ante ullamcorper.

FAQs

Frequently asked questions

The ideal age varies depending on the procedure. Some surgeries, like rhinoplasty, are often performed in late teens or early twenties, while others are more common among older adults seeking anti-aging treatments.

When performed by a board-certified plastic surgeon in a accredited facility, plastic surgery is generally safe. However, all surgical procedures carry inherent risks, and individual factors also play a role in safety.

Recovery time varies depending on the procedure and individual healing abilities. Some treatments may have minimal downtime, while others may require several weeks of recuperation.

Skilled surgeons strive to provide natural-looking outcomes. Open communication with your surgeon about your expectations and goals is crucial for achieving the results you desire.

Most surgeries result in some scarring, but plastic surgeons aim to minimize scarring through careful incision placement and suturing techniques. Scar management post-surgery can also help.

The cost varies by procedure and location. We do not accept insurance.

It's crucial to select a board-certified plastic surgeon with extensive experience in the specific procedure you're interested in. Reading reviews, checking credentials, and scheduling consultations can help with this decision.

Risks include infection, scarring, anesthesia complications, and dissatisfaction with results. An open discussion with your surgeon about potential risks and how they can be minimized is essential.

 

SCHEDULE A CONSULTATION

Scroll to Top