BOTOX® Cosmetic

BOTOX Cosmetic logoAt our Rochester, NY, office both women and men benefit from BOTOX® injections. People concerned about wrinkles that can make them look older than they are — such as crow's feet, "worry lines," and forehead wrinkles — can minimize those early signs of aging with BOTOX. The no‐downtime procedure produces results within 7 to 14 days in most cases, creating a more youthful appearance that still looks natural.

Before & After Photos

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Individual results may vary.

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How It Works

The dynamic wrinkles targeted by BOTOX injections are caused by a lifetime of smiling, frowning, squinting, and a range of other facial expressions that occur daily. Facial muscles contract each time you change expression, and over time the skin develops lines and wrinkles. BOTOX temporarily weakens those muscles to prevent the lines from being reinforced.

Many of these muscles are around the eyes and in the forehead. Our injectors target the muscles with precision to ensure the BOTOX injections produce results that look natural. BOTOX is ideal for the glabellar area — the space between the eyebrows — where 2 vertical lines can make it appear that you're worried or angry all the time. Crow's feet at the corners of the eyes and horizontal wrinkles along the forehead can also be softened using BOTOX.

Dr. Vito Quatela Dr. Vito Quatela

Vito C. Quatela, M.D., FACS

Specializes in Facial Procedures

Compassionate and dedicated to personalized patient care, Dr. Quatela is a board-certified facial plastic surgeon recognized worldwide for his expertise in facial rejuvenation. He established the Quatela Center for Plastic Surgery in Rochester, New York to provide excellence in aesthetic surgery.

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Dr. Emese Kalnoki Dr. Emese Kalnoki

Emese Kalnoki, M.D.

Specializes in Body Contouring & Breast Procedures

A talented artist and board-certified plastic surgeon, Dr. Kalnoki specializes in plastic surgery after weight loss or pregnancy and other body contouring procedures. As a woman, Dr. Kalnoki brings a unique perspective to the Quatela Center for Plastic Surgery.

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Dr. Heather Lee Dr. Heather Lee

Heather Lee, M.D.

Specializes in Facial Procedures

Fellowship trained in facial plastic and reconstructive surgery, Dr. Lee is dedicated to improving the lives of adults and children by using her surgical talents. She specializes in procedure of the face and head including facelift, functional and cosmetic nose surgery, blepharoplasty, and injectable treatments.

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Dr. William J. Koenig Dr. William J. Koenig

William J. Koenig, M.D.

Specializes in Breast & Body Procedures

A board-certified plastic surgeon, Dr. Koenig's experience and gentle bedside manner help put patients at ease and build an uncommon level of trust. He meticulously customizes each procedure, and sculpts beautiful results that consistently exceed his patients' expectations.

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BOTOX vs. Injectable Fillers

BOTOX is an injectable neuromodulator that works by preventing specific muscles from contracting. We use it conservatively so patients avoid looking unnatural, or "frozen." Dermal fillers, such as JUVÉDERM® and Restylane®, are injectable gels that restore volume to smooth wrinkles and create a "lifted" appearance. Most fillers use hyaluronic acid, a sugar that occurs naturally in the body and binds with water to hydrate the skin.


It takes about 5 to 7 days to first notice results after getting BOTOX injections, although patient responses vary. The changes in your appearance gradually continue, and the peak outcome typically occurs about 2 weeks after the treatment. BOTOX results are temporary, with the effects lasting about 4 months. We encourage patients to come in for periodic treatments to maintain the results for a longer period of time.

You can return to work or normal social activities immediately following the treatment. We recommend your keep your head elevated for at least 4 hours after your treatment and avoid rubbing or touching the treatment area. This allows the product to disperse properly for more consistent results. Rarely, slight bruising or swelling may appear at the injection site. Using a cold compress can reduce this effect.

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Quatela Center
for Plastic Surgery

The Quatela Center's reputation as one of New York's finest cosmetic plastic surgery practices attracts patients to Rochester from throughout the state. Choose one of the locations below for driving directions to our practice.

Contact Us

The Lindsay House

973 East Avenue
Rochester, NY 14607
Phone: (585) 244-1000

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