Manhattan: 212.206.0023      Long Island: 631.499.1831

BOTOX® and Facial Fillers

Injected By Theodore Diktaban, MD, FACS

Our on-site facial filler & BOTOX injector is Theodore Diktaban, MD, FACS. James injects at Advanced Cosmetic Surgery of New York in our high-end BOTOX and Facial Filler offices in New York City and Long Island.

His experience, skill, and artistry bring a superior level of expertise to our injectable services performed on clients.

Our Manhattan and New York aesthetic centers perform dozens of BOTOX and dermal filler procedures each week. Our injectables are designed to offer our patients a non-invasive, non-surgical method of improving the appearance of facial wrinkles, lines and creases due to aging and sun damage.

We often use BOTOX and dermal fillers together for best results in order to achieve a more youthful look. Theodore Diktaban, MD also performs additional skin treatments such as liquid facelift, Vampire Facelift®, MesoGlow, Dermapen® microneedling, and more. Theodore can help you decide which combination of non-surgical anti-aging treatments is right for you.

Since every patient has different concerns about their facial features and how aging has affected their skin (as well as the underlying muscles), it is imperative that ALL patients considering facial plastic surgery meet with one of the Board Certified Plastic Surgeons at Advanced Cosmetic Surgery of New York.

If you have read the news lately, you probably have noticed some very scary stories about people who have, for the sake of saving money, received "Botox" treatments from an unqualified person and ended up with terrible and sometimes lethal consequences. Don't ever take chances with your health; make an appointment with our highly-qualified staff instead!

Science Behind BOTOX

  1. The scientific content of BOTOX Cosmetic® (and its competitor, Dysport®) will be explained below.
  2. Botulinum toxin injections are an excellent way to isolate specific muscles of the face that are causing laugh lines, frown lines and other telltale signs of aging that patients are looking to temporarily erase. The neuro-toxin must be directly injected with a needle into the muscles that are to be paralyzed.
  3. This neuro-toxin works to prevent the release of a chemical in the muscles called acetylcholine. Once this chemical has been blocked, the muscles are effectively unable to move.

Common Questions:

How Long Does BOTOX Treatment Last?

BOTOX is designed to be re-injected about every 3 to 4 months. It needs to be repeated because the body gradually removes the neuro-toxin from the muscle tissues over time. This results in a return to complete movement in the treated muscles.

Once you begin treatment by one of our anti-aging specialists, our office will automatically remind you when it is time or your next treatment. The cosmetic effects of BOTOX will begin to be seen right away as wrinkles on the face no longer appear when the patient smiles or frowns.

During the treatment, James Christian will ask you to frown, furrow your eyebrows and smile to see which specific muscle groups will need to be targeted in order to give you a smooth face that does not show wrinkles in the places that bother you.

What Areas of the Face Can Be Treated with BOTOX?

  • The areas around the eyes to lessen the appearance of "crow's feet".
  • The area around the mouth (perioral muscles).
  • Forehead muscles to stop horizontal creases from appearing when the eyebrows are raised.
  • The area between the eyes to eliminate the "elevens" (vertical lines when eyebrows are furrowed).

Side Effects of BOTOX Cosmetic®

Patients will notice that directly after the injections, the treated areas may be tender and slightly red. These are normal reactions that the body has to both the BOTOX solution as well as from the needle.

More serious side effects are extremely rare but can include allergic reactions, skin rashes, dizziness or trouble breathing. This is not a complete list of possible side effects; our BOTOX injector will provide you with that information prior to your treatment.


Cost of BOTOX Treatment

BOTOX costs are based upon a per unit fee. Depending upon the size of the area to be treated, a half dozen or more units may be used per area. When multiple facial areas are treated, the price increases appropriately.

Though the prices of BOTOX can go up or down based upon supply/demand as well as competition between providers, patients can expect to pay between $10 and $15 per unit used.

We offer competitive prices as well as seasonal specials running throughout the year so that our injectables patients receive the best treatments at the most affordable prices. We are glad to work with New York patients to reach an affordable treatment cost, especially when patients commit to a long term treatment plan for 12 months or longer.

No matter your aesthetic goals for a more youthful appearance, our skilled injector, James Christian, along with our highly-qualified New York Plastic and Cosmetic Surgeons can give you a complete treatment plan that will address each of your facial concerns. We are known for sitting with patients for as long as needed to answer questions and customize a treatment plan that will be most effective while working within your budget.

*BOTOX® Cosmetic is a registered trademark of Allergan, Inc.

Dermal Fillers

This category of non-invasive, non-surgical cosmetic procedures are designed to eliminate deep folds and wrinkles, fill in shallow areas of the face, plump up lips, restore cheek volume, and lessen facial creases such as laugh lines around the mouth (the naso-labial folds). Facial fillers can also be a wonderful way to fill in scars on the face that have a sunken appearance to raise the skin up to a normal position.

Often times, our patients combine their filler treatment with BOTOX, laser resurfacing or chemical peels for the best results without the need for invasive surgery. Facial fillers can be made of different components, each having their benefits and degrees of effectiveness.

Let’s take a look at the various types of fillers that can be used to enhance the appearance of youthfulness and lessen the signs of aging. Again, please be aware that many medspa centers and the like are jumping on the “fountain of youth” bandwagon and are treating patients with under-qualified providers.

For utmost safety and best results, visit the Manhattan and Long Island offices of Advanced Cosmetic Surgery of New York.

Hyaluronic Acid

This substance is a naturally occurring substance in our bodies that helps to cushion our joints and is also found in our eyes. For cosmetic purposes, it can be directly injected into the lips to boost volume and give the lips a fuller appearance. When manufactured for cosmetic use, hyaluronic acid is made either from laboratory bacteria or is extracted from the combs of roosters (source: Some of the common names for hyaluronic products used for cosmetic purposes includes: Elevess™, Hydrelle™, Hylaform™, JUVÉDERM®, Perlane®, Prevelle™, and Restylane® (source: American Society of Plastic Surgeons).

Polylactic Acid (Sculptra® Aesthetic)

Sculptra® Aesthetic is the only FDA approved brand for polylactic acid for non-invasive cosmetic surgery procedures. It works in a very unique way in that it prompts your body to produce collagen in the areas where it is injected. This is called a "stimulator" dermal filler product. One of the great advantages to Sculptra® Aesthetic is that is can be considered a semi-permanent solution to filling in laugh lines, wrinkles, naso-labial folds and to plump up the lips.

Unlike synthetic dermal fillers that are absorbed by the body over time, the collagen that the body produces in the Sculptra® Aesthetic-treated areas generally remain intact. There may be a need for minor touch-ups from time to time for some of our patients. Polylactic acid has been used in sutures for over 40 years and is an extremely safe substance with an excellent safety record.

Calcium Hydroxylapatite (RADIESSE®)

Out of all of the semi-permanent dermal fillers used in non-invasive cosmetic surgery procedures, this substance is the heaviest due to its high mineral-like content (calcium). Calcium hydroxylapatite, better known as RADIESSE®, is naturally found in our bones and it very useful in correcting the deepest of wrinkles in the face.

It is also used to fill in certain facial features that need plumping such as the cheeks and lips as well as erasing naso-labial folds, vertical lines between the nose and horizontal creases on the forehead. Calcium hydroxylapatite has been used in reconstructive cosmetic surgery as well as by dentists for several decades and is extremely safe.

PMMA "polymethyl-methacrylate" (Artefill™)

This semi-permanent dermal filler is best used for our New York patients with moderate to severe deep wrinkles, crease, folds, especially the naso-labial folds. It can also be injected into lips and scars to plump up thin lips and correct pitted scars on the face. Artefill is a mixture of the PMMA micro-spheres that have been suspended in a gel that is comprised of about 80% collagen. It works by filling in the treatment areas with collagen upfront and as the body absorbs the collagen in Artefill, the body begins to make its own natural collagen to replace it.

Qualified Cosmetic and Plastic Surgeons as well as properly trained service providers will usually use PMMA when a patient is looking for a more permanent solution to resolving deep wrinkles or creases. It is injected into the subcutaneous skin through very specialized techniques (usually under-filled by the plastic surgeon) to allow for up to three treatments to achieve the most natural and long-lasting effects. PMMA has been a part of cosmetic surgery procedures in permanent implants for many years and is an extremely trusted and safe substance.

Collagen (Evolence™, Zyplast™, Zyderm™, Cosmoderm™, Cosmoplast™, and Cymetra™)

These types of dermal fillers are made of natural collagen and can be from either animal (porcine/bovine) sources or human-based sources. Collagen is the most natural dermal filler beside your own fat to use for reversing the signs of aging such as wrinkles, creases and folds. Collagen is soft, supple, and bio-friendly which reduces the risk of rejection.

Fat Transfer and Fat Grafting

Using the body's own fat as a wrinkle and dermal filler is the purest and most natural way to fill the skin on any area of the face or hands where the signs of aging are becoming more obvious. Some of the specific parts of the face that are usually treated with a patient's own fat cells include thinning lips, sunken cheeks, forehead creases, naso-labial folds and frown lines.

We offer our New York cosmetic surgery patients the ability to harvest fat from areas of the body where they would like to have fat removed (via liposuction) and to have it either immediately injected or store the rest for future use with our certified cryo-storage provider, American Cryostem.

How Are Skin Treatments Performed?

If you are interested in getting facial injections or a chemical peel, it's always best if you know what to expect before you come in.

Select the type of procedure you are interested in the right on the right to see an animation that shows exactly how the procedure may be performed.

If you have any questions about what you see please contact us to schedule a no cost consultation. During your consultation we will answer all your questions and ensure you feel comfortable before going ahead with a procedure.

Please note that some procedures shown in the video may not be available.

Ready for a Consultation?

Click the button above to request a free consultation to see if BOTOX or wrinkle fillers are right for you. Alternatively, you can call us right now at our New York locations in Long Island at 631.499.1831 or in Manhattan at 212.206.0023