Neurotoxin injections in NYC

New York Neurotoxin Injections

Neuromodulators such are toxins that have grown in popularity due to their ability to treat wrinkles and slow down wrinkle formation.

Wrinkles can develop as a result of sun damage, genetics, dehydration and all those intense facial movements we make in the gym. When we move our face, the muscles under the skin cause the skin to fold. Over time this process leads to wrinkles that start as fine lines and then develop into deep lines. They tend to start in the forehead, frown lines, and around the eyes (crows feet).

Neuromodulator injections are the cornerstone treatment to reduce the appearance of wrinkles. At Neinstein Plastic Surgery, we tailor neuromodulator injections to allow for patients to still show their expressions but reduce the ability of the muscles to move enough to cause wrinkles. Instead of injecting large doses (that leave many patients worried), our approach is always conservative and aimed at preserving natural beauty that everyone will notice but nobody should know you had any treatments done.

Toxin Injections for Men

Enhancing and Preserving Masculine Features


If you are considering male neurotoxin injections it’s important to remember that not all faces are created equal. The shape and proportion of a male face is quite different than that of an aesthetically-pleasing female. An inexperienced neurotoxin injector, or one who injects only female patients, may inadvertently feminize a man’s face. Finding the right male filler injector is critical for men.

Many females seek injectors who can erase the deepening lines and wrinkles associated with older age. They desire a return to a more youthful appearance.

While men may want to maintain a youthful edge, most are predominantly seeking to enhance certain masculine characteristics. At the same time, many men would like to avoid surgery if possible. Filler injections can be used for such purposes and can be tailored to each man’s unique face.

How Does Neuromodulator Help with Wrinkles?

Neuromodulators are injected into the skin above the muscles to slow down the ability of muscles to contract or fold. This is beneficial for cosmetic purposes due to the fact that if the skin above the muscles is not folded, it is less likely to crack, decreasing the chance of wrinkle formation. In addition to the proactive benefits of neuromodulator injections, these treatments can also soften already present wrinkles.

When to Start Neurotoxin or Wrinkle Relaxer Treatments

The best time to start treatments is when you start to notice wrinkles develop. This can be as early as 20 something for some and 30 something for others. Depending on our genetics, sun exposure, degree of animation, and amount of exercise we do we will all develop toxins at different times. Its best to start early with your treatments as you will preserve beauty and a natural result and not feel like you are chasing it. We even have specific types of toxins for younger people. We typically use Xeomin also known as vegan neurotoxin for young people as it has no proteins attached to it so you are unlikely to build a tolerance to it. This is a great advantage for those looking to have treatments for years to come. When you start early you also will use less product less often.

Neurotoxin Injections with Neinstein Plastic Surgery in NYC

To begin the procedure, which is performed at our Upper East Side New York City office, we apply a topical numbing cream to the skin while we prepare the injection. Using the smallest needles possible, we lightly inject the clear fluid into the skin above the muscles in a pattern that is unique to your facial movements. Arnica, an over-the-counter anti-bruising gel, is then applied, which completes the procedure.

nps_bella-injectables-nycMost people feel no discomfort during the injection process. After the procedure, some patients may notice little red bumps where the injection was administered. These typically subside in about 20 minutes.

It’s important to understand that the effect of the injection will not happen instantly; it can take anywhere from 4-7 days (depending on the individual) before you begin seeing results.

When you do begin to see results, you will not feel it turn on or even turn off, so you don’t have to worry that you suddenly have a ‘frozen’ look. The effect comes in slowly and fades like a dimmer. Some people may experience a headache within the first day or two, but this is common and nothing to worry about as it’s just the muscles relaxing.

The effect should last 3-4 months depending on your age, facial movements, and metabolism. We find that most patients repeat treatments two or three times a year.

Key Elements of the Procedure

  • Painless in-office procedure (takes about 15 minutes)
  • Zero downtime
  • Lasts 3-4 months
  • Slowly turns on/ slowly turns off (no sharp change in appearance)
  • Neinstein Plastic Surgery uses a low dose to preserve facial expression but limit wrinkle formation

Types of Toxins

Basic Pre- and Post-Care Instructions

It is preferred that patients do not come to their neurotoxin appointment with make-up on.

To avoid bruising,  one week before your cosmetic injection appointment, we recommend you stop taking: aspirin, ibuprofen, Excedrin, Motrin, ginkgo biloba, ginseng, flax oil, cod liver oil, fish oil, vitamin A, vitamin E and other essential fatty acids.

Avoid drinking alcohol a few days before your treatment. Do not stop prescriptions from your doctor. When used as directed, Arnica (an over-the-counter anti-inflammatory) may help prevent bruising and swelling, and is highly recommended. You may not receive injectable treatments if you are pregnant or breastfeeding.

Additional customized instructions will be given to you by your provider.

Frequently Asked Questions About Neurotoxin Injections

The most common facial areas to treat with toxin are the forehead, glabella (11 lines) and the crow’s feet. You may be a great candidate for toxin treatment if you’re looking to treat excessive sweating (hyperhidrosis), slimming of the jawline (masseter muscle), migraines/headaches, TMJ or jaw clenching/grinding, lip-lift, bunnies, gummy smile, and platysmal bands (the neck).
The treatment takes around 30 minutes and is performed in our office on the Upper East Side. The minimally invasive procedure is not considered painful and therefore no topical numbing is applied pre-injection. You may experience slight discomfort during the treatment but once the treatment is complete there is no pain and no downtime!
Sometimes our bodies makes antibodies against toxins, if that occurs we simply switch you to another type.
We ask that you give it at least 10 days before coming in for a toxin touch up. Our touch up policy is within the 10-14 day marker. Touch ups at Neinstein Plastic Surgery are considered a correction. Should a patient display movement in their face, they will need to purchase more product.
The results of toxin typically last around 3-4 months from the date of injection. Over time, the body will begin to metabolize the toxin leading to a moderate return of muscle movement where the treatment occurred.
In general, all of the toxins work to weaken the facial muscles, each has unique properties
Masseter neurotoxin injections treat both the cosmetic and functional concerns associated with masseter muscle hypertrophy. The masseter muscle contributes to our normal chewing movements. This muscle runs along the side of the face to the mandible (jawbone).

Hyperhidrosis is when the body produces more sweat than is needed for regulating our temperatures. This can occur in the armpits, hands, soles of the feet, or face. This can cause significant emotional and psychological distress as it can interfere with work and social activities. Other non surgical treatments include prescription anti perspirants and different types of surgery to remove or alter the glands. One way to treat this non surgically is to limit the ability of the glands to function with ONA. This in office procedure can be used in the armpits, hands, and feet with about 50 units per area.

A recent advanced use of neurotoxins has been to slim calves. We have had many woman tell us they are unable to wear certain boots because their calf muscles are too large. This is not because they over exercise the calf muscles but they just happen to be born with large calves. Since we have three different groups of muscles in the calf that we use for walking, running, and jumping we are able to safely and selectively slim over grown or hypertrophic calf muscles with neurotoxins in the office.

Our providers have been well trained in the anatomy of the face and the physical properties of all the different types of neurotoxins. One way to alter and enhance the feminine feature of an arched brow is to use different amounts of toxins in muscles that elevate the brow and depress the brow. When speaking with your provider you can discuss your ideal brow shape and we will specifically evaluate your muscle activity and selectively alter its function to give the best brow arc possible
At Neinstein Plastic Surgery the patient is our primary priority! Charging by the area verse unit greatly benefits the patient as the patient receives the correct dosage to effectively treat the area of concern rather than paying by the unit.

Neuromodulator Injections Cost NYC

We understand the cost of neuromodulators is a consideration for our New York City patients so we aim to responsibly price our neuromodulator injections. Our goal is to ensure the average price of the procedure is within reach for everyone who seeks treatment.

The price of neuromodulator treatments in our NYC office can be found here.

If you have any questions, or are ready to schedule your appointment with Dr. Neinstein, please contact us at your convenience.

"I can't say enough about Dr. Neinstein and his staff. I've now had 3 friends go see him on my recommendation (2 surgical 1 injectable) and we all agree there is no where like this from NY to LA!"
- N.D.