BOTOX® injections are designed to produce remarkable results without the downtime associated with surgery and other invasive procedures. When you come to Fred R. Himmelstein MD for BOTOX®, we’ll take the time to analyze your problem areas and devise a treatment plan that works for you. BOTOX® injections have been known to treat and reduce the appearance of:

  • Worry lines on the forehead
  • Lines between the eyebrows
  • Laugh lines
  • Crow’s feet

Dr. Himmelstein has more than 18 years’ experience in Medical Aesthetics. We welcome patients from the Downingtown, West Chester, Exton, and Phoenixville area. Whether you are a first time Botox patient, or a long time Botox patient, you will feel right at home in our welcoming medical spa. We offer flexible hours, reasonable rates, fast response times, and personalized Botox treatment plans.

Frequently Asked Botox Questions

1. HOW PAINFUL IS GETTING BOTOX?

There is minimal if any discomfort with Botox injections. The way we prepare our Botox, further reduces the possibility of discomfort. We use extremely small needles. We have received no complaints of pain after Botox injection.

2. HOW DOES BOTOX WORK?

Botox interrupts the signal from the nerve to the muscle, so the muscle can no longer contract. With Botox, we specifically target the facial muscles that cause wrinkles and unattractive facial expressions.

3. HOW LONG DOES BOTOX LAST?

When injected properly, the effects of Botox will usually last 3 ½ to 4 ½ months. Botox is usually needed about 3 times a year to maintain a pleasing aesthetic.

4. ONCE I START, MUST I CONTINUE GETTING BOTOX?

You may stop at any time, but to maintain a pleasing aesthetic, repeat treatments will be needed. If you stop, you will appear as you did before you started Botox.

5. WHAT IS THE DIFFERENCE BETWEEN BOTOX AND FILLERS?

Facial muscles pull on the skin causing lines and wrinkles. And as we age, these lines and wrinkles become more pronounced. Botox is what we use to address this. The appearance of an aging face largely results of volume loss. We need to replace volume and for this, we use fillers.

6. HOW MUCH DOES BOTOX COST?

The cost to the patient for Botox varies depending on the number of areas to be treated as well as the strength of the muscles we need to treat; this affects how much Botox we will need to use to achieve a good and lasting result. As an example, treating the “11s” (wrinkles between the eyebrows) generally costs between $240 and $325.

Laughter, sadness, anger and surprise – your face shows all of your emotions to the world. And a lifetime of emotions means that your facial muscles have been put to the test, leading to wrinkles, crow’s feet, and laugh lines. If the signs of aging are finally starting to catch up to you, come to Fred R. Himmelstein MD in Downingtown, PA to learn more about BOTOX® treatment.

7. HOW MUCH TREATMENT WILL I NEED?

We customize our treatments for each patient. After a consultation to clarify your needs and desires, we can proceed with as much or as little treatment as you would like. Together we will develop your custom treatment plan. All of your questions will be answered fully before we start a treatment.

8. WHAT CAN GO WRONG WITH BOTOX/ ARE THEIR SIDE EFFECTS?

Very very rarely, Botox can affect a muscle we were not targeting for treatment. If this happens, it can result in a droopy eyebrow or eyelid. This is only temporary, and will wear off as Botox always does. It can frequently be treated with eyedrops. In our hands, this has happened only 3 times in 12 years of injecting thousands of patients with Botox.

9. IS ANYONE ALLERGIC TO BOTOX AND FILLERS?

Allergic responses to Botox have been reported, but they are rare. Hyaluronic acid (HA) is the primary component of fillers and is also a natural component of skin. Although HA is unlikely to result in an allergic reaction, you could be allergic to other components of a filler, such as lidocaine. Be sure to inform your doctor of all allergies before you receive treatment with Botox or fillers.

10. HOW BIG ARE THE NEEDLES?

We use the smallest needles possible to treat you. Botox is injected using an extremely small needle and very few people experience pain with Botox injection in our hands. Fillers are thicker and require a larger needle as a result. We often use cannulas to inject fillers; these require fewer injection points through the skin.

11. WHAT DOWNTIME IS ASSOCIATED WITH BOTOX AND FILLERS?

There is very little downtime with Botox. You will be able to do most of the things you usually do shortly after treatment. There can be some bruising with fillers; this can usually be covered with makeup and you can resume your normal activities. Alcohol, hot tub/sauna, and vigorous exercise should be avoided until the next day.

12. WILL I BRUISE?

It is extremely unlikely that you would bruise after Botox. Bruising after fillers is not uncommon. This can usually be disguised with makeup. You should inform your doctor if you are taking any blood thinners such as aspirin, ibuprofen, warfarin, coumadin, etc.

13. WHAT CAN BE DONE AFTER BOTOX AND FILLER TREATMENT IF I DON’T LIKE THE RESULT?

Botox will wear off within 4 months. Your doctor can inject a compound to break down the filler if you don’t like the effect. Results take some time for full resolution. It is extremely rare that anyone requests reversal of the treatment we provide. We think this is because we are conservative in our treatments and our results are natural-looking.

We invite you to visit our warm, welcoming Downingtown, PA medical spa to learn more about BOTOX® treatment and to see if it’s right for you. We also welcome patients from the West Chester, Exton, and Phoenixville area. Call today to schedule your appointment.