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Non-Surgical Procedures

Meet The Surgeons

Dr. James Romanelli, Dr. David Pincus, and Dr. John Layliev make up the uniquely qualified team of plastic surgeons at Romanelli Cosmetic Surgery.

Dr. James Romanelli Dr. David Pincus Dr. John Layliev

BOTOX® Cosmetic

Men and women visit Romanelli Cosmetic Surgery for BOTOX® Cosmetic treatments on Long Island to smooth out crow's feet, frown lines, and neck bands in a safe, medical environment. When you choose one of our plastic surgeons, Dr. James Romanelli, Dr. David Pincus, or Dr. John Layliev, or Marissa Rosgaard, PA-C, for your BOTOX procedure, you're choosing to be treated by a skilled medical professional with plenty of experience. Our team strives to provide results that help you look naturally refreshed while maintaining your natural expressions.

Request a consultation, or give us a call at (631) 424-3600 to find out how BOTOX Cosmetic can give you subtle, beautiful results.

Good Candidates for BOTOX Cosmetic

If people often ask you if something's wrong, even though you feel fine, you may benefit from BOTOX injections. Forehead wrinkles and vertical "worry" lines that appear just above the bridge of the nose — in addition to crow's feet at the corners of the eyes — can result in an angry or worried appearance.

The best candidates for BOTOX injections are non-smokers who want to minimize "dynamic" wrinkles caused by repetitive contractions of facial muscles. Most BOTOX patients are at least 30, but younger adults are starting to get injections to prevent premature aging. Because BOTOX limits the movement of muscles that produce certain wrinkles, these treatments may postpone their development.

Botox Treatment Areas

Your BOTOX Procedure

A BOTOX treatment usually takes between 10 and 30 minutes. Your practitioner first cleans the injection site and then administers a topical anesthetic to minimize discomfort. Using a small needle, the surgeon injects BOTOX Cosmetic into the treatment areas.

Most patients are able to return to work or normal activity immediately after their BOTOX treatments. Because BOTOX can quickly restore a rested and rejuvenated appearance with little to no downtime, it is one of the most requested services at our office. Common areas we address with BOTOX include:

  • Horizontal forehead lines
  • Frown lines between the brows (also known as the "11's")
  • Crow's feet around the eyes
  • Vertical platysmal bands on the neck
  • Bunny lines on the nose

Some swelling or bruising occasionally occurs at the injection site, and ice or a cold compress can alleviate this. A patient may report a headache following treatment, but this side effect is rare. To ensure ideal results, keep your head elevated for at least 4 hours after your appointment, and avoid rubbing or touching the injection sites. We will discuss potential side effects and provide you with an information sheet prior to the procedure.

Common Questions

How long do BOTOX Cosmetic results last?

The results of a BOTOX Cosmetic treatment are generally visible within 4 to 6 days, and the results can last for up to 4 months. With continued treatment, the effects of BOTOX Cosmetic may last longer, and patients often find that they can go longer between appointments. For long-term results, we often recommend a face lift or other facial surgical procedure. Patient experiences vary, and your results may be different.

How does BOTOX Cosmetic work?

Since BOTOX was approved for cosmetic use in 2002, it's helped countless women and men improve their appearance and feel better about themselves.

When we smile, frown, laugh, or cry, our facial muscles contract. These contractions cause the skin to wrinkle, and over time, those temporary wrinkles can turn into persistent lines. When BOTOX, a purified form of the botulinum A toxin, is administered to these sites, it temporarily disables the facial muscles, allowing the skin to lie flat and smooth. With continued use, BOTOX can significantly reduce the appearance of crow's feet, forehead lines, frown lines, neck bands, and other stubborn wrinkles.

Will BOTOX give my face a "frozen" appearance?

When BOTOX is administered by a trained professional, the results are subtle and natural looking, not fake or frozen. By trusting your face to our skilled, experienced plastic surgeons or physician assistant, you can be sure you're getting the most out of every BOTOX treatment.

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