Introduction
Dynamic wrinkles are a common concern, especially as we age. These wrinkles form when facial muscles contract to make facial expressions and can become etched into the skin, visible even when the face is at rest. In New York City, there are several hospitals and clinics offering high - quality injection treatments to remove dynamic wrinkles. In this article, we will explore the top three and top five such establishments, along with detailed information about the injection treatments themselves.
Understanding Dynamic Wrinkles and Injection Treatments
What are Dynamic Wrinkles?
Dynamic wrinkles are fine lines and creases that develop due to repetitive muscle movements in the face. When we smile, frown, squint, or make other facial expressions, the muscles contract. Over time, these repeated contractions cause the skin to fold and form wrinkles. Common areas where dynamic wrinkles appear include the forehead, around the eyes (crow's feet), between the eyebrows (frown lines), and around the mouth.
Popular Injection Treatments for Dynamic Wrinkles
There are several injectable treatments available for dynamic wrinkles. The most well - known are Botox and Xeomin, both of which are derived from botulinum toxin type A. Botox, produced by Allergan, was the first neurotoxin on the market and quickly became a popular “liquid wrinkle eraser.” Xeomin, created by Merz Pharmaceuticals, is a purer form of the toxin, as it is produced without additives or accessory proteins, often referred to as “naked Botox.”
These injectables work by blocking the signals from nerves to muscles, allowing the muscles to relax and making unwanted wrinkles and fine lines disappear. They are FDA - approved to treat various conditions related to dynamic wrinkles, such as frown lines, cervical dystonia, blepharospasm, and upper lip spasticity. Botox is also approved to address forehead lines, crow's feet, chronic migraines, strabismus, and primary axillary hyperhidrosis, while Xeomin is uniquely approved to treat chronic drooling.
Other injectable neuromodulators include Dysport, made from abo botulinumtoxin A, and Jeuveau/Nabota, made from pra botulinumtoxin a. Dysport has been shown to take effect more quickly and last longer than Botox in some cases, but more units are needed to achieve a comparable effect. Jeuveau is FDA - approved for glabellar lines.
Additionally, RHA dermal fillers are another option. They are the first and only HA fillers FDA - approved to treat dynamic facial wrinkles and folds. These fillers contain hyaluronic acid, a natural substance in the skin, and can restore volume while smoothing away lines and wrinkles. RHA fillers adapt to facial movements, providing a more natural look.
The Top Three Hospitals/Clinics for Injection to Remove Dynamic Wrinkles in NYC
1. Dermatology and Laser Group
At the Dermatology and Laser Group in New York City, all Botox treatments are administered by board - certified dermatologist Dr. Arash Akhavan. Dr. Akhavan has personally performed well over 15,000 successful Botox treatments and is a nationally recognized expert in Botox injections. He is an Allergan faculty member, chosen by Allergan to train other physicians and providers in delivering safe and effective Botox treatments.
The office uses only premium Botox cosmetic and Daxxify brands for treatment, ensuring longer - lasting and consistent results. They stress patient comfort by using a highly specialized needle called the “invisible needle” by TSK and also offer prescription numbing creams and specialized cooling devices. They offer transparent flat - rate pricing for Botox, ensuring patients get all the units they need for a natural, effective, and long - lasting result.
Common treatment areas at the Dermatology and Laser Group include frown lines, forehead wrinkles, crow's feet, platysma bands, masseter muscle (TMJ treatment), and trapezius Botox. Dr. Akhavan's excellent knowledge of anatomy, precise injections, and “less is more” philosophy allow them to provide the safest Botox treatments, and in over 17 years of practice and over 15,000 Botox treatments, he has not had a single episode of the feared side effect of drooping eyelids.
2. Wall Street Dermatology
Wall Street Dermatology offers expertly administered Botox in NYC under the guidance of triple - board - certified dermatologist Dr. Julia Tzu. Dr. Tzu has over 15 years of experience in cosmetic dermatology, graduating at the top of her class at Stanford and completing her medical training at Johns Hopkins School of Medicine. She specializes in minimally invasive cosmetic injectable treatments like Botox.
Botox at Wall Street Dermatology is used to treat a variety of dynamic wrinkles, including crow's feet, frown lines, forehead lines, bunny lines, chin dimpling, wrinkles around the mouth, and for facial slimming, lip flip, and brow lift. The approach combines cutting - edge techniques with a personalized touch to ensure natural - looking results. Dr. Tzu's expert injection techniques incorporate a sophisticated understanding of surgical muscular anatomy along with a keen eye for aesthetics and an appreciation for natural - appearing results.
The cost of Botox at Wall Street Dermatology typically ranges between $500 - 600 per area and treatment session, with costs varying depending on the location, treatment area, and complexity of the technique. Botox injection is a simple and nearly painless procedure, and there is no recovery necessary. Results are visible within a few days but take up to 1 - 2 weeks for full enhancement, lasting around 2 - 4 months.
3. Millennial Plastic Surgery
Millennial Plastic Surgery, under the care of Dr. David Shokrian, offers Xeomin injections in NYC. Xeomin is an FDA - approved treatment for smoothing out wrinkles or fine lines on the face. It is a diluted form of botulinum neurotoxin type A, similar to Botox but without additional ingredients that some people may be allergic to.
Dr. Shokrian has an exacting touch and an aesthetic eye. He prioritizes patient safety while helping them reach their cosmetic goals. Xeomin works best on dynamic wrinkles and can be used to treat areas such as frown lines between the brows, crow's feet around the eyes, horizontal lines on the forehead, saggy eyebrows, an overly gummy smile, unattractive chin dimples, and lines under the eyes. The procedure takes between 10 and 20 minutes, and results can last for three to six months.
To ensure the safety and effectiveness of Xeomin injections, Dr. Shokrian asks patients about their medical history, known allergies, and any medications they are currently taking. Patients who are allergic to botulinum toxin or its ingredients, those who have recently had facial surgery or plan to have it soon, pregnant or nursing women, and those with certain medical conditions such as ALS, Lambert - Eaton syndrome, or myasthenia gravis should avoid Xeomin treatment.
The Top Five Hospitals/Clinics for Injection to Remove Dynamic Wrinkles in NYC
4. SINY Dermatology
SINY Dermatology, with offices in Brooklyn, the West Village, the Upper East Side in Manhattan, Forest Hills, Queens, and Southold on Long Island, is a leading provider of injectable treatments for dynamic wrinkles. They offer a full spectrum of medical, cosmetic, and laser dermatology services.
The dedicated team at SINY Dermatology uses injectables to treat crow's feet, frown lines, forehead lines, and bunny lines. All of their injectables leverage a very small amount of a neurotoxin to freeze certain muscles in the face, reducing wrinkles over the targeted muscle. The treatments are quick, easy, and relatively painless, with most appointments taking just 15 minutes and no social downtime. They offer touch - up treatments to keep the skin smooth, refreshed, and youthful looking.
The team at SINY Dermatology talks with patients about their skin goals and puts together a treatment program that is right for them. They are dedicated to helping patients look and feel their best while protecting their natural beauty.
5. Dr. Dennis Gross Dermatology
Dr. Dennis Gross Dermatology offers Dysport injections in New York City. Dysport, officially known as botulinum toxin A, is a non - invasive treatment that temporarily decreases muscle movement in the target areas and softens the appearance of glabellar lines between the eyebrows and the forehead. It has been FDA - approved since 2009.
Dr. Dennis Gross discusses patients' goals prior to treatment because some patients prefer to gently soften the wrinkles and maintain the natural movements of the face, while others prefer no animation. Dysport is most commonly used to treat moderate to severe glabellar lines and can also be used for severe muscle spasticity of the limbs in adults or children.
The injection procedure is quick and simple, usually taking only a matter of minutes. Results typically start to show after two to three days and can last for as much as four months. The cost of Dysport depends on the number of units necessary to achieve the desired results, and the team creates a personalized treatment plan after a consultation.
Factors to Consider When Choosing a Clinic for Injection Treatments
Expertise of the Provider
It is crucial to choose a provider who is experienced and qualified. Board - certified dermatologists or plastic surgeons with a proven track record in administering injection treatments for dynamic wrinkles are ideal. For example, Dr. Arash Akhavan at the Dermatology and Laser Group has over 15,000 successful Botox treatments under his belt, and Dr. Julia Tzu at Wall Street Dermatology has over 15 years of experience in cosmetic dermatology.
Range of Treatments Offered
Look for a clinic that offers a variety of injection treatments. Different patients may respond better to different injectables, such as Botox, Xeomin, Dysport, or RHA fillers. For instance, the Dermatology and Laser Group offers premium Botox cosmetic, Daxxify, and infrequently uses Xeomin, providing patients with more options to address their specific needs.
Patient Comfort and Safety
Patient comfort and safety should be a top priority. Clinics should use techniques and tools to minimize pain and discomfort during the procedure. The Dermatology and Laser Group uses a specialized “invisible needle” and offers prescription numbing creams and cooling devices. Providers should also have a thorough understanding of anatomy to minimize the risk of side effects.
Cost and Pricing Transparency
Understand the cost of the treatment and ensure that the clinic has transparent pricing. Some clinics, like the Dermatology and Laser Group, offer flat - rate pricing based on the number of areas treated, avoiding the risk of under - treatment and premature return of wrinkles. Others, like Wall Street Dermatology, provide a cost range per area and treatment session and can give a more accurate estimate after a consultation.
Potential Side Effects of Injection Treatments
Common Side Effects
Common side effects of injection treatments for dynamic wrinkles include redness from injection, bruising at the site of injection, swelling, and temporary eyelid ptosis (drooping eyelids) or asymmetry. These side effects are usually temporary and subside within a few days to weeks.
Less Common and Serious Side Effects
Less common side effects that occur in 2 - 7% of patients may include dry eyes, dry mouth, headache, muscle weakness, respiratory tract infection, trouble swallowing, and vision impairment. More serious side effects can include blurred vision, double vision, and allergic reactions. In rare cases, the botulinum toxin can spread from the injection area, leading to paralysis, respiratory failure, and even death. It is essential to have the treatment administered by an experienced professional to minimize these risks.
Conclusion
In New York City, there are several top - notch hospitals and clinics offering high - quality injection treatments to remove dynamic wrinkles. The top three clinics - the Dermatology and Laser Group, Wall Street Dermatology, and Millennial Plastic Surgery - and the top five clinics when including SINY Dermatology and Dr. Dennis Gross Dermatology - all provide excellent services with experienced providers, a range of treatments, and a focus on patient comfort and safety.
If you are considering injection treatments to remove dynamic wrinkles, take the time to research these clinics, consult with the providers, and make an informed decision based on your specific needs and goals. Remember to discuss any concerns you may have about side effects, cost, and the treatment process with your provider. Take the first step towards smoother, more youthful - looking skin by scheduling a consultation at one of these reputable establishments.
