BOTOX®, Dysport®, Jeuveau, Daxxy & Xeomin in NYC

Name: BOTOX, Dysport & Xeomin
Brand: Westreich
Rating: 4.7 (127 reviews)

If you have considered undergoing a cosmetic procedure to improve the appearance of aging skin, you probably know that sorting through the seemingly endless treatment choices can be overwhelming.

Neuromodulator Overview

Distinguishing Between Fillers and Neurotoxins

In recent years, non-surgical injectable therapies, such as dermal fillers, and Neurotoxins, such as BOTOX and Dysport, have increased in popularity. At first glance, it may seem that all injectable treatments achieve results in a similar way. However, these non-invasive options can vary significantly. Unlike dermal fillers, which plump the skin, BOTOX halts the formation of lines by temporarily paralyzing the facial muscles. As a result, dynamic wrinkles and expression lines are smoothed out, giving a more youthful look. The appropriate use of wrinkle relaxers is an art; a precise balance between movement and wrinkle reduction should be achieved. When this balance is present, patients will avoid the artificial frozen look and appear more naturally refreshed.

Today, BOTOX procedures are considered a safe and favored option for people with etched-in wrinkles associated with everyday facial movement. Dr. Westreich specializes in achieving a naturally softer appearance through the subtle use of wrinkle relaxers. Using his intimate knowledge of facial anatomy, Dr. Westreich makes injections into selective areas of the muscle, resulting in a more targeted and refined outcome. His technique ensures the muscles are not overworked, thus preventing the unwanted frozen look. During your consultation, Dr. Westreich will evaluate your skin and determine if Dysport, Xeomin, or BOTOX in NYC can help you recapture a smoother, more refreshed face.

The Difference Between Botox and Dysport

About BOTOX, Dysport & Xeomin

At his New York office, Dr. Westreich uses the three leading wrinkle-relaxing treatments, BOTOX Cosmetic, Xeomin, and Dysport, to reduce the appearance of dynamic lines, specifically:

Crow’s feet or smile lines
Furrowed brow (the 11s)
Horizontal creases in the forehead
Banded creases in the neck
Low eyebrows
Other movement-associated lines, such as chin dimpling, lines at the sides of the nose, under-eye bulges, and downturned mouth corners.

BOTOX Cosmetic, Juveau, and Dysport treatments contain botulinum toxin type A, the active agent that prompts muscular relaxation. Although the mechanism of action is similar, subtle differences in clinical effects may occur. Dr. Westreich will choose the wrinkle relaxer most appropriate for the patient based on the patient's aesthetic goals, preferences, or sensitivities, and other criteria. All treatments are highly effective and can provide similar results.

BOTOX was originally developed for therapeutic uses–such as migraine relief and the control of eyelid spasms. BOTOX Cosmetic has since secured a place for cosmetic use. Today, BOTOX Cosmetic is among the most widely used cosmetic treatments. After treatment, patients can see improvements within 3-4 days and, in general, enjoy the benefits of a single treatment for approximately 3-4 months, sometimes longer.
Dysport is a related but newer wrinkle-relaxing product than BOTOX Cosmetic. In some patients, Dysport® may be better tolerated and give marginally faster results than BOTOX Cosmetic. Like BOTOX Cosmetic, Dysport can last for 3-4 months.
Juveau is another product that has been available for use in the last few years. Its clinical effect and onset are similar to BOTOX Cosmetic and Dysport.
At this time, related products, such as Xeomin and Daxxify, are not offered by the practice. Dr. Westreich thoroughly evaluates every product for effectiveness and value before offering it to patients.

During treatment, Dr. Westreich will inject the wrinkle relaxer into the muscle tissue with a very fine needle. To control the outcome, he administers the substance in small doses, precisely calibrating the dose needed to induce muscle relaxation. Dr. Westreich has been using this technique long before microbotox became a widely used term. The injections cause little discomfort and can be performed during a brief office visit. Because the wrinkle-relaxing procedures are non-invasive, no downtime is required.

Dr. Westreich specializes in achieving a naturally softer appearance through the subtle use of wrinkle relaxers. Using an artistic approach, Dr. Westreich makes injections into selective areas of the muscle, resulting in a more targeted and refined outcome. His technique ensures the muscles are not overworked, thus preventing the unwanted frozen look. During your consultation, Dr. Westreich will evaluate your skin and determine if wrinkle relaxers can help you recapture a smoother, more refreshed face.

BOTOX, Dysport & Xeomin Before & After Photos

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The Difference Between a MedSpa and a Facial Plastic Surgeon's Office

When considering BOTOX in NYC, it may seem tempting to cut costs by receiving the injections at a medical spa rather than at a plastic surgeon’s office. After all, these spas can be convenient and offer other beautifying services such as facials and massage, and they often run specials or discount deals, offering BOTOX at a much lower cost than an accredited plastic surgeon. However, although non-physician providers at a medical spa may be licensed to administer BOTOX, patients are generally much happier with results from a proper application by an accredited plastic surgeon.

Having BOTOX at a MedSpa in NYC

Medical spas offer treatments that qualify as “medical procedures.” This means that the law mandates that these medical procedures be performed or supervised by a doctor. However, though providers at a medical spa may be licensed to apply BOTOX, patients are usually happier with the results they achieve from a physician with many years of experience and training. Quality control can be a problem with some medical spas. The definition of “supervision” can vary widely from state to state. Patients at these medispas can be receiving treatments from a provider who has little to no training or experience, and the “supervising doctor” can be miles away, with no availability to help in case something goes wrong.

Allergen is the only FDA-approved maker of BOTOX in the U.S., and its vials never go on sale. In fact, they increase in price every year. Botox does not get discounted, so how can medical spas offer much lower prices to their patients? International products are less expensive but illegal to use in the United States, and some legally available alternatives to Botox cost significantly less but don’t give you the same results. If you do get treated at a Medical Spa, ask to see the packaging and verify that you are getting the product you are paying for.

Having BOTOX Treatment by an NYC Facial Plastic Surgeon

The nature of BOTOX injections also requires experience and an understanding of facial anatomy to yield the best, most natural-looking results. A facial plastic surgeon such as Dr. Westreich has dedicated years to studying facial anatomy and understanding how best to achieve the natural, youthful look his patients desire. With that knowledge, he will be able to produce much better results than an injector with less training and experience.

Moreover, improperly or inexpertly applied BOTOX can not only cause that tight, “done” look many patients want to avoid, but it can also prevent the eyelid from opening or cause a droopy eyebrow.

Dr. Westreich has a gentle technique that allows his patients to maintain certain muscle movements and preserve facial expressions.

While low-cost BOTOX deals at a medical spa can be tempting, is it worth the gamble? A properly supervised and applied BOTOX procedure can help you rejuvenate your face, while an improperly applied BOTOX procedure can leave you feeling much worse. If you are in the NYC area, come in for a consultation with top New York City facial plastic surgeon, Dr. Westreich.

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How Long Does BOTOX Last?

Like many other cosmetic procedures, BOTOX in NYC is not permanent and will last for about three to four months. After that period, the targeted muscles will lose their paralytic effect and will once again begin to move. Further injections will be required to maintain the wrinkle-free, youthful appearance. If you are planning on having BOTOX administered to you, it is essential that you consider the cost of having the procedure performed more than once every year. Allowing movement to return will also allow the lines to return or deepen. During your consultation, Dr. Westreich will explain the difference between ‘Restorative Botox’ and ‘Maintenance Botox.’

With that said, it is also important to point out that continuous use of BOTOX can weaken the muscles, which causes wrinkles. This may seem like a negative characteristic of BOTOX, but in fact, this is something that can help you maintain your smooth and clear skin for several more months. Doctors have evidence to believe that the long-term benefits of BOTOX include longer retention of treatment results and better skin texture. Many patients do not require the same dose of BOTOX over time, with some requiring more but others requiring less.

Moreover, with repeated treatments, static wrinkles can be eliminated for longer periods. These are thin wrinkles that appear in certain locations, like the forehead, even when the face is relaxed. Over long periods of dosing with BOTOX, the muscles behind static wrinkles can become inactive, leading you to get rid of the creases.

However, to obtain these long-term benefits, it is crucial that you do not wait too long after the first injection’s effect wears off. In fact, it is actually better to have further injections as soon as you notice the previous treatment is losing its strength and wrinkles are starting to appear once again.

Lastly, many patients will change their habitual pattern of facial expressions, many of which contributed to the wrinkles in the first place. For example, some people move their eyebrows a lot when they talk or frown when they are concentrating. After several rounds of BOTOX, that subconscious behavior tends to stop, causing a decrease in the forehead and frown lines, even when BOTOX is inactive. Patients in this situation can often lower their dosing and switch to a maintenance strategy.

About Our Philosophy

Meticulous records of each patient’s treatment strategy are kept so that treatments can be reproduced or modified over time-based on their experience with the previous treatment(s). New patients will usually have a conservative initial treatment and are invited to return (free of charge) 2 weeks later for evaluation of their results and, potentially, the addition of more wrinkle injections. We often tell patients, “You can add, but you can’t subtract BOTOX for four months.” This way, the treatment is individualized for each person’s specific anatomy and aesthetic goals, while keeping dosing at the lowest possible level required for results.

The result is often less BOTOX or Dysport used. For example, if a patient wants forehead, frown, and crow’s feet injections, typical patterns will require 40-50 units of BOTOX. Using a more individualized technique typically requires only 25-30 units to treat the upper face. Since Dr. Westreich prices the treatment by the amount injected, this typically results in a dramatically lower cost for patients.

Why Choose Dr. Westreich for Your BOTOX, Dysport, or Xeomin in NYC?

Choosing a skilled provider for injectable treatments is essential for achieving smooth, natural-looking results. Dr. Westreich is dual board-certified in Facial Plastic and Reconstructive Surgery and Otolaryngology–Head and Neck Surgery, reflecting extensive expertise in facial anatomy and aesthetic balance. He works with a highly trained clinical team experienced in advanced injectable techniques, ensuring treatments are carefully tailored to each patient’s facial structure, goals, and desired level of refinement.

Dr. Westreich:

Has been recognized as a Castle Connolly Top Doctor in Facial Plastic Surgery for ten consecutive years
Graduated magna cum laude from the University of Pennsylvania and earned his M.D. with honors from NYU School of Medicine
Serves as an assistant professor at SUNY Downstate and participates in resident education through Mount Sinai’s Facial Plastic Surgery fellowship
Is affiliated with leading New York City hospitals, including Lenox Hill
Is an active member of professional organizations such as the AAFPRS and ACS, with editorial experience at the American Journal of Rhinology

Dr. Westreich and his team combine advanced medical training with a personalized approach to care, making them a trusted choice for patients seeking BOTOX, Xeomin, or Dysport in NYC. Contact our office to schedule a consultation and learn more about your options.