Botox Surgery in New York City

Botox has been injected millions of times all across the world and has proven to be very safe and very effective. The main side effects of a Botox session are possible slight swelling and redness at the injection sites. Some patients may develop a slight headache for the first day after their injections. While not a side effect, it’s important for patients not to rub the injection sites for 24 hours after their session with Dr. Romo. Rubbing these areas can make the Botox migrate to an unintended muscle and create an unwanted effect such as a droopy eyelid.

There is no downtime. Patients can return to work or their normal activities immediately after their appointment. That’s why Botox was deemed the original “lunchtime” procedure. It takes just 10-15 minutes and you can get back to your regular life immediately.

Botox is made from the botulinum toxin, and it doesn’t react with dermal fillers such as Juvederm or Restylane. So, if you’d also like to address areas such as sunken cheeks with Juvederm Voluma or nasolabial folds with Juvederm, that can easily be combined with a Botox session. Since facelift surgery only addresses the middle to lower face, Botox can be used in conjunction to address crow’s feet, the 11s, and forehead lines. Nose and eyelid surgery both create swelling around the eyes, however, so Botox shouldn’t be combined at the same time.

Botox works in a completely different fashion than dermal fillers. It even works on a different type of wrinkle! Botox erases what are known as “dynamic” wrinkles. These are wrinkles that are formed when we make certain expressions on the upper third of our faces. Expressions such as frowning or showing surprise engage the muscles on the upper third of the face, and over time, as our skin becomes less elastic, wrinkles form on the surface above the wrinkle. Botox erases these wrinkles by relaxing the muscle for a period of time. Dermal fillers work on the other type of wrinkle, known as “static” wrinkles. Static wrinkles form due to sun damage, declining collagen production, personal habits such as smoking, and natural aging. Static wrinkles show themselves at all times, not just when a muscle contracts. Dermal fillers work by returning volume beneath the wrinkle or area of volume loss, pushing the skin back upwards. Botox has no effect on static wrinkles, and dermal fillers don’t work on dynamic wrinkles.

Botox doesn’t provide instant results. This is because it takes a little time to relax the muscles it was injected into. Botox usually takes from 2-4 days to fully take effect.

Botox erases wrinkles for about four months. At that point, the body will absorb the now-inert botulinum toxin, the muscles will start contracting again, and the wrinkles will return. But another Botox session with Dr. Romo will maintain your results.

Thomas Romo III, MD, FACS is one of the most experienced and respected facial plastic surgeons in the world, known for his meticulous minimally invasive surgical techniques and for achieving the most natural-looking results for his patients. As a world-renowned innovator in surgical methods as well as an inventor of new endoscopic instruments for facial surgery, Dr. Romo’s practice draws patients from New York City, across the United States, and internationally for all of their surgical and non-surgical facial cosmetic needs.