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Botox® is a simple, non-invasive way to achieve a refreshed, rested, and more youthful appearance.

Thinking about having Botox®, but don't know if it's right for you? Talk it over with Dr. Preminger.


Experienced in the latest facial rejuvenation methods, Dr. Preminger is one of the top Manhattan plastic surgeons for Botox® in NYC. She understands that wrinkles, creases and deep furrows are unfortunately in everyone’s future, but with a few deftly placed injections, the look of youth and vitality are quickly within reach. Everyday expressions such as smiling, squinting, laughing and frowning cause facial lines to form, and over time these lines become deeper and more noticeable, giving the face a tired or even angry appearance.

Like other safe, FDA-approved age-fighting injectables, Botox® can transform your appearance almost instantly – from fatigued to refreshed, and the results last for up to 5 months! It works not by replacing lost volume (that’s where facial fillers like Juvederm® can help), but by relaxing the muscle contractions that cause wrinkles in the first place. Dr. Preminger only uses Botox® (onabotulinumtoxinA) in her practice, given its safety profile and incredible, life-changing results.

Quick Facts

Procedure Length

25 minutes


Skin numbing cream if desired

In/Out Patient



Eyelid droop, asymmetry, vision problems

Side Effects

Temporary bruising, redness at injection site


4-5 hours, results are evident in four to seven days

Duration of Results

3-5 months

Preparation and Risks of Botox®

Botox Cosmetic onabotulinumtoxinA

When you’re concentrating or frowning, your brow muscles contract, causing your skin to furrow between the eyes. So-called “crow’s feet” develop around the corners of the eyes from years of repeated squinting. These and other wrinkles such as horizontal forehead lines are unique to every patient, and as such, require a customized treatment plan that delivers just enough Botox® to the right areas. Dermatologists or plastic surgeons with a heavy hand may inject too much, leaving patients with the dreaded “frozen look,” or extremely heavy brows.

By choosing an expert in Botox® injections, you can rest assured that adverse side effects are avoided, and are left with natural-looking results. In the capable hands of Dr. Preminger, patients can truly turn back the clock a good many years, but in a subtle way that merely suggests good health and plenty of rest. During your private consultation in her Park Avenue office, Dr. Preminger will assess your facial areas of concern, and make sure that blood thinners like fish oil, Vitamin E and aspirin are avoided prior to the injections.

In addition, she will discuss your medical history and review all Botox® risks, which are rare but important to outline prior to the treatment. Problems speaking, swallowing or breathing can occur, but usually occur in patients who have a pre-existing muscle or nerve disorder.

Other, less serious risks include:

  • Allergic reactions: rash, welts
  • Bruising or swelling
  • Drooping eyelids (resolves with time)
  • Muscle weakness near injection site
  • Headaches
  • Dry mouth
  • Blurry vision
  • Redness at injection site
woman receiving facial Botox injection

Simple Procedure

This facial rejuvenation procedure is considered non-invasive and performed in the office in less than 25 minutes. Patients can expect a minor pinch from the needle, which can be avoided with a topical numbing cream applied beforehand.

While Botox® is wonderful for the crow’s feet and forehead furrows, it has many other applications including:

  • Deep frown lines between the brows
  • Lifting the brow and opening the eyes
  • Under-eye creases
  • Smoothing chin wrinkles
  • Raising drooping corners of the mouth
  • “Bunny lines” created by wrinkling your nose
  • Defining the jawline
  • Smoothing out neck bands

Men and women who already have pronounced wrinkles may need more units injected compared to those with minor signs of aging. Since this is a technique-sensitive procedure, Dr. Preminger is acutely aware of needle placement and dosage for optimum effects.

Perhaps one of the greatest benefits of Botox® injections is that they can actually prevent wrinkles from forming, and once the treatment is maintained over time, muscle memory begins to fade allowing longer intervals between injections.

"Many of my patients who choose Botox® are tired of being told how tired they look by others. A little Botox® wakes them up by promoting a more relaxed and refreshed expression."
B. Aviva Preminger, MD

Botox® Recovery & Results

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This lunch-hour, non surgical facelift is virtually painless and has an easy recovery.

Just follow these important tips:

  • Avoid rubbing the treated area
  • Do not lie down for at least 4-5 hours
  • Keep your head elevated
  • Avoid strenuous activity for 4-5 hours
  • Maintain your natural facial expressions

While it’s true that Botox® results are not instant, you’ll begin to notice a softening of your facial lines in as little as 24-48 hours. The final results will be evident in one week, and your new, youthful appearance will last anywhere from three to six months. If for any reason you are dissatisfied with the results after ten days, please contact our office for a follow-up appointment.

Most patients find they need a touch-up session about four months after treatment, and as time goes on, this time frame will lengthen. Many claim that Botox® is addictive, and for the majority it may well be—as the results can really boost your confidence and self-esteem.

See a NYC Plastic Surgeon

If you would like more information about Botox® in Manhattan with a highly experienced plastic surgeon, and would like to schedule a one-on-one consultation with Dr. Preminger, please call (212) 706-1900 or contact us online.

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Request a consultation today.

Whether you are ready to jump right in or still have questions, we can help.

If you are ready to make a change to your appearance, choose the best plastic surgeon and cosmetic team for your procedure. Aviva Preminger, MD Aesthetic Plastic Surgery offers intricate procedures to reshape the face, breasts and body, as well as rejuvenating treatments to look your best at every age.

Contact us today at our office in Manhattan to schedule a personalized consultation with Dr. Preminger and begin your journey to feeling and looking your best!

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