BOTOX® & Neurotoxins

At our Rochester, NY office, 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.

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BOTOX® & Neurotoxins

How It Works

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The dynamic wrinkles targeted by BOTOX, Dysport, Xeomin and Daxxify 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. Neurotoxins temporarily weaken 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 injections produce results that look natural. BOTOX, Dysport, Xeomin and Daxxify are ideal for the glabellar area, crow’s feet at the corners of the eyes and horizontal wrinkles along the forehead.

Neurotoxins vs. Dermal Fillers

BOTOX, Dysport, Xeomin and Daxxify are injectable neuromodulators that work 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 contain hyaluronic acid, a sugar that occurs naturally in the body and binds with water to hydrate the skin.

Quatela Center for Plastic Surgery surgeons Dr. Quatela, Dr. Koenig, Dr. Lee, Dr. Amalfi, Dr. Montague
Quatela Center for Plastic Surgery
Choosing the Right Plastic Surgeon
Vito C. Quatela, M.D., FACS
Specializes in Facial Procedures
Vito C. Quatela, M.D., FACS

Dr. Vito C. Quatela is a double board-certified facial plastic and reconstructive surgeon with over 30 years of experience performing facial rejuvenation procedures. Dr. Quatela is a past president of the American Academy of Facial Plastic and Reconstructive Surgery and is highly respected by his peers as a recognized expert in all areas of facial plastic surgery, including rhinoplasty, facelift, and other facial procedures.

William J. Koenig, M.D.
Specializes in Breast & Body Procedures
William J. Koenig, M.D.

Dr. William J. Koenig is a double board-certified plastic surgeon with over 26 years of experience. He specializes in breast and body procedures and has performed over 6,000 breast augmentations throughout his years of practice.

Heather Lee, M.D.
Specializes in Facial Procedures
Heather Lee, M.D.

Dr. Heather Lee is a double board-certified facial plastic surgeon and otolaryngologist who has trained extensively with Dr. Quatela. She specializes in both aesthetic and functional procedures and is known for her meticulous surgical results and compassionate care.

Ashley N. Amalfi, M.D.
Specializes in Breast & Body Procedures
Ashley N. Amalfi, M.D.

Dr. Ashley N. Amalfi is a board-certified plastic surgeon who specializes in cosmetic surgery of the breast and body. With her experience and innate attention to detail, Dr. Amalfi achieves personalized surgical outcomes that help patients look and feel their best.

Alex Montague, M.D.
Specializes in Facial Procedures
Alex Montague, M.D.

Dr. Alex Montague is a double board-certified facial plastic surgeon and otolaryngologist who trained under Dr. Quatela for a facial plastic and reconstructive surgery fellowship. He has exemplary skills in both technique and patient care and specializes in aesthetic and functional procedures.

Results

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, Dysport, Xeomin and Daxxify 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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