Introduction
Dynamic wrinkles are the lines and creases that appear on the face due to repeated facial expressions such as smiling, frowning, and squinting. As we age, these wrinkles can become more pronounced and affect our overall appearance. In New York City, there are several excellent hospitals and clinics that offer injection treatments to remove dynamic wrinkles. This article will explore the top options and provide detailed information about the treatments, doctors, and considerations for patients.
Understanding Dynamic Wrinkles and Injection Treatments
Dynamic wrinkles are different from static wrinkles, which are present even when the face is at rest. They are caused by the repeated contraction of facial muscles over time. Injection treatments, such as those using botulinum toxin or other neuromodulators, work by relaxing the muscles responsible for these contractions, thereby reducing the appearance of wrinkles.
Types of Injectable Treatments
- Botox: Botox, short for botulinum toxin type A, is one of the most well - known and widely used injectable treatments for dynamic wrinkles. It was first developed for medical purposes and later gained popularity in cosmetic dermatology. When injected into specific facial muscles, it blocks the nerve signals that cause muscle contractions, smoothing out wrinkles. Botox is commonly used to treat frown lines, crow's feet, and forehead lines.
- Dysport: Dysport is another neuromodulator derived from botulinum toxin. It is similar to Botox in its mechanism of action but may have a slightly different diffusion pattern. Dysport is effective in treating wrinkles in areas such as the forehead, eyebrows, eyes, and neck.
- Xeomin: Xeomin is a purer form of botulinum toxin type A. It has fewer additional proteins compared to Botox, which can be beneficial for patients who may develop an immunity to Botox over time. Xeomin is often used to treat moderate to severe frown lines.
- Daxxify: Daxxify is a newer neuromodulator that offers longer - lasting results compared to Botox and Dysport. It has a proprietary peptide formulation that stabilizes the treatment and can last up to 6 - 9 months in some patients. It is approved to treat glabellar lines, crow's feet, and forehead wrinkles.
Top Hospitals and Clinics in New York City for Injection Treatments
1. Dr. Michele Green's Private Dermatology Office
Dr. Michele Green is an internationally renowned board - certified cosmetic dermatologist with over two and a half decades of experience. She is an Allergan platinum injector of Botox and a leader in cosmetic injectables and non - invasive facial treatments. Dr. Green is known for providing the “best Botox in New York” and uses a “less is more” philosophy to achieve natural - looking results.
- Treatments Offered: She offers a wide range of injection treatments, including Botox, Dysport, Xeomin, and other dermal fillers such as Sculptra, Restylane, and Juvederm. Her unique techniques, such as “baby Botox” injections, preventative Botox, and “Botox sprinkles,” can help patients achieve a younger - looking appearance.
- Procedure Process: Patients start with a consultation where they can discuss their skin concerns and aesthetic goals. Dr. Green will obtain a thorough medical history, review any previous cosmetic procedures, and assess the patient's facial anatomy. Medical photography is taken to determine the best treatment plan. The cost of the treatment is based on the areas being treated. For sensitive patients, a topical anesthetic can be prescribed. After the injection, an ice pack is applied to reduce swelling, and patients are advised to remain upright for four hours and avoid aerobic exercise for 24 hours.
- Success Stories: Many patients have reported significant improvements in their appearance after receiving treatments from Dr. Green. Her patients appreciate her expertise, attention to detail, and the natural - looking results she achieves.
2. Gotham Plastic Surgery
At Gotham Plastic Surgery, New York facial plastic surgeon Dr. Philip Miller and licensed physician assistant Kaylyn Plum have the experience, training, and technique to expertly administer Dysport injections. They are focused on minimizing wrinkles and giving patients a more youthful appearance.
- Treatments Offered: Their main focus is on Dysport injections, which are effective for correcting frown lines, crow's feet, bunny lines, and neck bands. Dysport works by relaxing the targeted muscles under the skin, resulting in smoother, wrinkle - free skin.
- Procedure Process: The experts at Gotham Plastic Surgery use an ultra - fine needle to inject Dysport into the targeted area. The treatment can be customized to meet the patient's needs, schedule, budget, and aesthetic goals. The procedure typically takes 15 - 30 minutes, and there is minimal downtime. Patients may experience some swelling, tenderness, and bruising for 7 - 10 days, but these side effects are usually mild.
- Patient Testimonials: Patients have praised the team at Gotham Plastic Surgery for their professionalism, expertise, and the noticeable reduction in their wrinkles after Dysport treatments. Many patients are able to resume their normal activities quickly after the treatment.
3. Dermatology and Laser Group
The Dermatology and Laser Group in New York City is another top choice for injection treatments. All Botox treatments at their office are administered by board - certified dermatologist Dr. Arash Akhavan, who has personally performed well over 15,000 successful Botox treatments.
- Treatments Offered: They offer Botox, as well as premium brands like Botox Cosmetic and Daxxify. They also infrequently use Xeomin. The commonly treated areas include frown lines, forehead wrinkles, crow's feet, platysma bands on the neck, and the masseter muscle for TMJ treatment and facial slimming.
- Procedure Process: During the consultation, Dr. Akhavan will guide the patient through specific muscle movements to map out and mark the muscles for precise targeting. He uses the most advanced, ultra - fine needle known as “the invisible needle” to minimize discomfort. After the injection, patients can return to most regular activities, but are advised to avoid laying face down for at least 4 hours and exercise for the rest of the day. The first signs of Botox activity can be seen within a few days, with full results by 14 days, and a complimentary touch - up session is offered if necessary between 14 - 21 days after the initial injection.
- Expertise and Reputation: Dr. Akhavan is a nationally recognized expert in Botox injections, an Allergan faculty member, and has been recognized as a New York magazine top doctor and a Castle Connolly top doctor. The office is known for its natural - looking results, patient comfort, and transparent flat - rate pricing.
4. Laser & Skin Surgery Center of New York
100% of the treatments at the Laser & Skin Surgery Center of New York are performed by board - certified physicians with extensive experience in injectables. They offer a variety of wrinkle - smoothing treatments.
- Treatments Offered: Their offerings include Botox, Dysport, Xeomin, and Daxxify. Daxxify is a particular highlight, as the center's board - certified dermatologists have been involved in its clinical trials. Daxxify can treat dynamic wrinkles and expression lines like crow's feet, forehead lines, and frown lines, with results lasting up to 6 - 9 months in some patients.
- Procedure Process: For Daxxify treatments, the medication is injected into the desired areas using tiny needles. A topical anesthetic is available for patients' comfort. The procedure requires very minimal downtime, and most patients can immediately return to their normal daily activities. Initial results can be seen immediately after treatment, with complete results visible within one week.
- Research and Innovation: The center's involvement in clinical trials shows its commitment to providing the latest and most effective treatments. Their physicians are at the forefront of cosmetic dermatology, ensuring that patients receive the highest level of care.
5. Spring Street Dermatology
Spring Street Dermatology in SoHo and Uptown, NYC, offers Daxxify treatments. Their board - certified dermatologists are experts in the field and can help patients achieve the aesthetic results they desire.
- Treatments Offered: Their main focus is on Daxxify, an injectable neuromodulator that can reduce the appearance of dynamic wrinkles and fine lines, including frown lines, crow's feet, and forehead wrinkles. Daxxify has an average result duration of 6 - 9 months, which is longer than many other neuromodulators.
- Procedure Process: The dermatologists or physician's assistants will clean the treatment area and then place the Daxxify injections directly into the targeted muscles. Topical anesthetic is available for patients concerned about pain. The entire process takes about 15 minutes, and most patients can return to their normal activities immediately. Full results are visible within 1 - 7 days, and side effects such as minor redness, swelling, or bruising usually disappear within a few hours.
- Patient Convenience: The clinic offers same - day appointments, making it convenient for busy patients. They can also create a treatment schedule to help patients maintain their positive results over time.
6. Mount Sinai - New York Department of Dermatology
The Department of Dermatology at Mount Sinai offers a wide variety of cosmetic injectables to reduce the signs of aging.
- Treatments Offered: They use several types of botulinum toxin injections, including Botox, Dysport, and Xeomin, to reduce lines and wrinkles on the face. These injections are effective around the forehead, eyebrows, eyes, mouth, nose, neck, and chin. They also offer injectable fillers such as hyaluronic acid fillers (Juvederm, Restylane), Bellafill, Radiesse, and Sculptra for various facial concerns.
- Procedure Process: Since they use very small needles, most patients experience little or no pain during the botulinum toxin injections. Depending on the medication used, improvement can be seen as soon as two to eight days after the procedure. Side effects are rare, but patients may have bruising for up to a week. Any asymmetry can be fixed at a follow - up appointment.
- Comprehensive Approach: The department's comprehensive approach to cosmetic injectables allows them to address multiple signs of aging and tailor treatments to each patient's specific needs. Their team of experts can provide personalized advice and treatment plans.
7. Dr. Dennis Gross Dermatology
Dr. Dennis Gross Dermatology proudly offers Xeomin treatments for patients in New York City. Xeomin is a great alternative for patients who may have developed a resistance to Botox.
- Treatments Offered: Their main focus is on Xeomin injections to treat moderate to severe frown lines, especially the glabellar lines between the eyebrows. Xeomin is a more pure form of botulinum toxin type A and is less likely to cause resistance compared to Botox.
- Procedure Process: After a consultation, Dr. Dennis Gross will customize a treatment plan based on the patient's needs. The injection procedure is relatively quick, and patients can usually resume their normal activities shortly after. The results of Xeomin injections can last for up to three to four months, and some patients notice the effects starting quicker than with other neurotoxins, usually within three to four days.
- Alternative Solution: For patients who have found that Botox is no longer as effective, Dr. Dennis Gross Dermatology provides an alternative option with Xeomin to achieve similar results.
Comparing the Injection Treatments
Treatment | Duration of Results | Common Treatment Areas | Potential Side Effects | Cost Considerations |
---|---|---|---|---|
Botox | 3 - 4 months | Frown lines, crow's feet, forehead lines, bunny lines, chin, neck bands, smoker's lines | Localized swelling, bruising, headache, flu - like symptoms, dry eyes, drooping eyelid, double vision | Cost varies based on the injector's experience, number of areas treated, and units used |
Dysport | 4 - 6 months | Frown lines, crow's feet, bunny lines, neck bands | Swelling, tenderness, bruising for 7 - 10 days | Similar cost range as Botox, may vary |
Xeomin | 3 - 4 months | Glabellar lines, forehead frown lines | Similar to Botox, but may have fewer issues with resistance | Often less expensive than Botox |
Daxxify | 6 - 9 months | Glabellar lines, crow's feet, forehead wrinkles | Slight redness immediately post - treatment, possible swelling, bruising | May be higher due to longer - lasting results |
Considerations Before Getting an Injection Treatment
1. Consultation and Medical History
Before getting any injection treatment, it is crucial to have a consultation with a qualified doctor. The doctor will review your medical history, including any allergies, medications you are taking, and previous cosmetic procedures. This information helps the doctor determine if the treatment is safe for you and which type of treatment is most suitable.
2. Realistic Expectations
It is important to have realistic expectations about the results of the injection treatment. While these treatments can significantly reduce the appearance of dynamic wrinkles, they are not a permanent solution. Results are temporary, and you may need to have follow - up treatments to maintain the desired effect.
3. Side Effects and Risks
All injection treatments carry some risk of side effects. Common side effects include swelling, bruising, and headache. More serious side effects, although rare, can include muscle weakness, trouble breathing, and allergic reactions. Make sure to discuss the potential side effects with your doctor and understand how to manage them if they occur.
4. Cost and Insurance
The cost of injection treatments can vary depending on the type of treatment, the number of areas treated, and the doctor's expertise. In some cases, insurance may cover the treatment if it is for a medical condition, such as migraines or excessive sweating. However, for cosmetic purposes, insurance usually does not cover the cost. It is important to discuss the cost with the doctor and understand the payment options.
Conclusion
In New York City, there are several top - notch hospitals and clinics that offer injection treatments to remove dynamic wrinkles. From the experienced Dr. Michele Green's private practice to the innovative offerings at the Laser & Skin Surgery Center of New York, patients have a wide range of options to choose from. Each treatment, whether it's Botox, Dysport, Xeomin, or Daxxify, has its own unique features and benefits. Before undergoing any treatment, it is essential to have a thorough consultation with a qualified doctor, understand the potential risks and side effects, and have realistic expectations about the results.
If you are interested in removing dynamic wrinkles through injection treatments, we encourage you to research these hospitals and clinics further. Contact them to schedule a consultation and discuss your specific needs and goals. Don't hesitate to take the first step towards a more youthful and confident appearance in 2025.