BOTOX® injections are an effective way to temporarily remove frown lines and crow’s feet lines in adults creating a younger, refreshed and more natural look. Dr. Steinbrech employs a conservative approach which creates a natural appearance. His experienced administration of BOTOX® injections avoids the ‘frozen face’ look. Within 24 to 48 hours after treatment you should begin to observe improvement and positive results from your treatments for moderate to severe frown lines. While results vary from person to person BOTOX® results usually last three to five months, and may last longer with repeated injections.
BOTOX® Consultation with Dr. Steinbrech
Located in Manhattan between Madison and Park on E. 56th, Dr. Douglas Steinbrech and his staff welcome an opportunity to discuss your overall enhancement goals. If BOTOX® injections are right for you, Dr. Steinbrech and his staff will inform you in detail what you may expect both during and after treatment. If you decide to move forward with the procedure it can be performed on the same day.
BOTOX® Cosmetic is the first and only FDA-approved prescription product that temporarily improves the appearance of both moderate to severe frown lines located on both men and women between the brows and moderate to severe crow’s feet in adults. BOTOX® is a purified toxin naturally produced by the bacteria clostridium botulinum. The neurotoxin used in BOTOX® interrupts the signals sent to the small muscles responsible for facial expressions. These dynamic muscles no longer receive the message to furrow your brow or squint your eyes.
BOTOX® Widely Used in the United States
The American Society for Aesthetic Plastic Surgery reports in 2015 there were over 4.2 million botulin toxin procedures performed in the United States. The American Society for Aesthetic Plastic Surgery provides most comprehensive collection of data available representing the number of cosmetic surgical and nonsurgical procedures performed in the United States.
*Each patient is unique and individual results may vary.
Frown Lines and Crow’s Feet Lines
BOTOX® injections are requested often to address the frown lines and crow’s feet lines of the facial area but other uses are requested often as well. Generally, the crow’s-feet region requires three to five injections per side while the forehead regions requires eight to 12 injections.
BOTOX® addresses those lines between your brow and around your eye. These lines, commonly known as crow’s feet and frown lines that accumulate around your eyes and face are not the result of wrinkles or cellular changes and collagen depletion. The muscles between your brows contract, cause your skin to furrow and fold. The muscles around your eyes contract with squinting resulting in crow’s feet. These are the muscles BOTOX impacts.
BOTOX® works beneath the skin’s surface and targets the underlying muscles causing frown lines and crow’s feet to form over time. BOTOX® is injected into the muscles that cause frown lines and crow’s feet lines, resulting in a temporary reduction of the activity of those muscles. By blocking the release of a substance called acetylcholine the muscle activity that causes moderate to severe wrinkles to form is blocked. The result is a reduction in the appearance of those lines.
Additionally, BOTOX® is now commonly used on patients seeking an improved appearance by the amount of gum included in their smile. This is known as a “gummy smile.” At Dr. Steinbrech’s office, BOTOX® is injected into the upper lip muscles, temporarily paralyzing the muscles. This treatment prevents the contraction of the upper lip when smiling to prevent smiles that go above the teeth to the gums.
BOTOX® injections can be effective for a condition formally known as “axillary hyperhidrosis.” This condition causes excessive sweating of the underarm region. BOTOX® works in the same way for sweating as it does for frown lines and crow’s feet. By blocking the communication between the nerve and the sweat gland the signal to produce sweat is diminished. Hyperhidrosis occurs usually on the underarms, palms, scalp and feet. Men have BOTOX® injected in their right palm of their hand to avoid sweaty handshakes.
BOTOX® is FDA-approved for use as a treatment for hyperhidrosis. Temporarily blocking the neurotransmitter known as acetylcholine the nerve signals that stimulate sweat glands and excessive sweating is temporarily blocked and sweating is significantly reduced. Without the chemical signals the severe sweating is alleviated.
BOTOX® used to treat hyperhidrosis when topical medicines do not work well enough. The signals from the nerves that stimulate the sweat glands are temporarily blocked.
Reviews from Patients
As a 52 year old CEO of a financial company I feel it is important to continue to look my best as I age. I sought out Dr. Steinbrech because he was one of the few doctors that focuses a large part of his practice on men. Dr. Steinbrech initially performed eye lid surgery on me and a couple years later performed a mini neck surgery to firm up my jaw and neck. In both cases the results were amazing. The procedures looked completely natural and his surgical skills allowed for a speedy recovery with minimal down time from work. I continue to see Dr. Steinbrech for botox and occasionally for fillers. I feel fortunate to have found someone with such a great eye for men’s faces. Beyond being a highly competent surgeon, he is really an artist who is able to look at a man’s face and see what subtle changes can be made to improve one’s looks without it becoming too obvious. I would “highly – highly” recommend him to any man trying to look his best and stay competitive as he ages. JS.
BOTOX® Frequently Asked Questions
Is BOTOX® an FDA-Approved Product?
BOTOX® is the number one non-surgical cosmetic treatment in the United States with over 4.2 million injections in 2015 as reported by American Society for Aesthetic Plastic Surgery. FDA approvals for BOTOX® include the treatment of cervical dystonia (neck and shoulder spasms) and was approved in 2002 for frown lines and crow’s feet. BOTOX® was approved by the FDA for the treatment of severe underarm sweating formally known as “hyperhidrosis” in 2004.
BOTOX® injection is an ideal cosmetic procedure. It is safe with few side effects and includes a rapid recovery, and is inexpensive and reversible if the results are unsatisfactory.
What is BOTOX®?
BOTOX® contains small amounts of a highly purified botulinum toxin protein. This protein is refined from the bacterium, Clostridium botulinum. It was first used in the 1980’s to treat strabismus (crossed eyes) in children.
Do BOTOX® treatments hurt?
Discomfort is brief and minimal for most patients, and treatment usually lasts only about 10 minutes. The treatment area can be numbed with a cold pack or with a topical anesthetic. After the procedure localized tenderness or pain may be experienced but this should be temporary.
How long does BOTOX® last?
BOTOX® treatments are not permanent and must be repeated for continued effect on average every four months. However, the effect may last longer with each repeat injection. Rarely a person’s body can build up immunity to the formula used in BOTOX® in which case the treatment will lose its effectiveness.
When can I expect to see results from BOTOX®?
Each person’s results will be different and varied. A visible reduction in frown lines should be observed within three to five days. The brow lines and crow’s feet will continue to decrease. The final results may sometimes take up to two weeks for full impact.
Is BOTOX® for Wrinkles?
Wrinkles result from a combination of many factors but generally they are attributable to cellular changes that can occur over time with a reduction of collagen or damage caused by free radicals in the sun and the environment. BOTOX® addresses brow lines and crow’s feet. These are not ‘wrinkles.’ Frowning concentrates the muscles between your brows which in turn causes your skin to furrow and fold. Squinting your eyes causes the muscles around your eyes to contract causing crow’s feet.
What about cost?
Your cost not only includes the price of the product, but more importantly, the training, skill and experience of Dr. Steinbrech with BOTOX®.
Does it hurt?
Some patients report that being injected with BOTOX® Cosmetic feels like a pinch. Care and experience minimizes pain with a topical numbing cream administered before your treatment.
What about recovery?
Treatments last approximately fifteen minutes. Afterward you will be able to go about your normal routine.
Is BOTOX® permanent?
If you discontinue treatment, the moderate to severe frown lines and crow’s feet will gradually return to appear as they did before injections.
BOTOX® with its long history of success. It is one of the most studied medical aesthetic treatments and approved for cosmetic use in 78 countries. BOTOX® has a record of experience that aesthetic specialists know and trust. BOTOX® has been reviewed in multiple peer-reviewed articles in scientific and medical journals.
Why Dr. Steinbrech?
Dr. Douglas Steinbrech has extensive experience in BOTOX® treatment. You will find our staff supportive ready to answer any concerns in an open and nurturing environment. We work hard to provide the complete care required to address all your enhancement goals. We are conveniently located in Manhattan between Madison and Park on E. 56th Dr.
Dr. Douglas Steinbrech is a Plastic Surgeon certified by the American Board of Plastic Surgeons under the American Board of Medical Specialties. Dr. Steinbrech specializes in Minimally Invasive Aesthetics. He incorporates this philosophy into all of his surgical and non-surgical techniques. He has been selected as one of America’s Top Plastic Surgeons by the Consumers’ Research Council of America.
Dr. Steinbrech underwent eight years of surgical training at New York University in General Surgery and Plastic and Reconstructive surgery. He was trained in Plastic and Reconstructive Surgery at the prestigious NYU Institute of Plastic and Reconstructive Surgery. This included training at Manhattan Eye, Ear and Throat Hospital by the icons of the latter part of the 20th century including mentors McCarthy, Aston, Baker, Tabbal, and Pittman.