Cosmetic Injectables at Coolspa

In recent years, a person’s physical image has become increasingly central to their identity. There has been a rise in social media, and even at work one is expected to maintain a constant online presence that involves facing the world in a far more personal way than ever before. Additionally, as life expectancy has risen, we find we are more active as older people, both personally and professionally, giving rise to a need for more advanced anti-aging technology. Coolspa aims to offer a variety of potent solutions for the image-conscious client who wishes to look and feel their very best. Injectables provide a safe, non-invasive and non-surgical approach to facial rejuvenation and youthfulness among both women and men.

Dr. Rapaport is a board-certified plastic surgeon with over 24 years administering injectables as part of his New York practice. His approach ensures minimal downtime, limited discomfort and subtle, natural results.

These procedures are also availableunder IV sedation

What to expect from treatment

We tend to think about cosmetic injectables in two categories, neuromodulators and fillers.

Neuromodulators are used to relax muscles, and include Botox, Dysport and Xeomin. They are used to soften the effects of contracting muscles, such as those between the eyes that produce vertical lines when scowling. By reducing the action of muscles over time, they also effectively reduce the development of wrinkles which are caused by repetitive muscle contraction. Therefore someone who receives Dysport for example to the glabellar area between the eyes, will scowl much less (or not at all, depending on their preference), but will also over time be far less inclined to develop the permanent wrinkles caused by scowling.

Then there are the fillers such as Restylane, Juvederm and Radiesse, which are used to add volume to areas under the skin which suffer from volume deficiency. Unfortunately, loss of volume, particularly fat, is an extremely common part of the aging process, which tends to begin to be noticeable with increasing frequency as people are in their thirties.

Our master injectors will devise a personalized treatment plan based on a variety of factors, including your goals, an evaluation of your physical form, and in some cases, photography (it can be helpful see photographs of clients from 10 years prior to the consultation). They will thoroughly assess your anatomy, and make recommendations for improvement at that time, based on your individual concerns and goals.

Our philosophy at Coolspa favors gradual, incremental changes that appear natural and beautiful. Most injectable sessions last a mere 10-20 minutes, although some visits may take as long as 45 minutes if multiple injectables are being used for a more comprehensive result.

Your skin may be numbed with a soothing ointment or gel prior to treatment, so you will feel completely comfortable the whole time. Ice packs may also be used. You will enjoy relaxing music and slideshows during your visit in a stress-free and peaceful environment.

Although bruising is rarely an issue thanks to our doctors’ advanced injectable techniques, make sure to avoid blood-thinners such as aspirin, or Motrin for at least 3 days prior to the procedure to further minimize the possibility of visible bruising.

Before & After

Injectables & Fillers



These four neuromodulators (muscle relaxers) are among the most popular treatments for wrinkles and fine lines in the country. They all work to relax muscles which are felt to be relatively overactive. In addition to scowl lines between the eyes, these muscles may include the crows feet area on the side of the eyes, overactive forehead muscles, chin or lip muscles, and many more. The effect is temporary, however, with results typically lasting anywhere from 3-5 months on average. These muscle relaxers are perfect for addressing crow’s feet, forehead furrows, glabella folds, as well as other creases around the nose and jaw.

Jeuveau is a revolutionary new neuromodulator injectable treatment that gives a softer and longer lasting finish. Similar to BOTOX, Jeuveau treats the visible signs of aging by temporarily halting the constant motions of specifically targeted facial muscles, and creates a smoother, younger look while also preventing the formation of new lines. To learn more and find out if you are a candidate for Jeuveau, contact us today and schedule a consultation.

Dr. Rapaport and Dr. Smith use a careful, conservative approach to preserve spontaneous facial expression and to make sure the patient receives the most precise improvements possible. Outcomes usually cause friends, family members and co-workers to remark on how well-rested and rejuvenated you appear, without them necessarily being able to pinpoint the reason for your transformation.

Hyaluronic acid-based fillers

Hyaluronic acid-based fillers:

Hyaluronic acid is the key ingredient in fillers such as Restylane, Restylane Kysse, Juvederm, Voluma, Belotero, and Revanesse® Versa. It is a naturally occurring substance in the human body that aids in cell hydration and suppleness. These fillers are used to restore dwindling facial volume, and to reshape the midface, add definition to the cheekbones, enhance the lips, and eradicate the wrinkles and folds around the nose.

Today’s HA filler market is abundant, so your doctor will be able to select just the right product for your specific needs and issues.



Radiesse relies on calcium hydroxylapatite as its active ingredient rather than the hyaluronic acid found in Juvederm and Restylane. Radiesse is excellent for filling in lost volume in the hands, at the temples, and around the jaw, an area hard hit by the aging process. Radiesse works to restore depleted levels of collagen in the body, a protein responsible for the skin’s youthful resilience and radiance. It is also being increasingly used to improve the signs of severe fat loss in the faces of patients under long-term treatment for HIV.

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View Update Virtual Consultation In-Office Consult


We are excited to announce that as of June 8th, 2020, our office will be open for ALL appointment types including Cosmetic Injectables, CoolSculpting, CoolTone, Morpheus8, miraDry, Skincare services, and more!

During this time, we are still encouraging virtual consultations & follows up as an initial step prior to an in-person appointment. We are requesting that established patients virtually consult/review their treatment plans with one of our physicians or medical aestheticians in advance of their scheduled treatments/procedures. We will be providing you with specific procedure-related instructions prior upon scheduling. If you left a deposit for a treatment and have not yet been contacted by our staff, please call, or e-mail our office so that we may get you scheduled.

The Coolspa team has been working diligently to get our office prepared for our re-opening. Our main priority is the health and safety of our patients and staff. Thank you for following our guidelines and being so patient. See below for our re-opening guidelines:

  1. Please take the time to thoroughly read and complete our updated Appointment Policies, COVID-19 Patient Protocols, ASAPS COVID-19 Consent, and COVID-19 Patient Screening Questions. These forms will be sent via email and must be completed prior to your appointment. This will help to screen patients and ensure social distancing in the office.
  2. When we contact you, please let us know if you are or have been sick in the last 3 weeks, have been in close or prolonged contact with anyone who has been sick during that time, or have travelled outside the United States, or have returned from the following states within the last 14 days that have been added to the high covid risk government list including Alabama, Arizona, Arkansas, Florida, North Carolina, South Carolina, Texas, and Utah. Specific symptoms of COVID-19 may include fever, cough, loss of sense of smell and taste, chest pressure, or shortness of breath.
  3. Alert us if you have any other health problems that make you more susceptible to developing COVID-19 or are at increased risk. Although our office has implemented additional measures to keep you safe during this time, we encourage you to consult your primary care physician for further instructions on how to remain safe. Typically, patients over age 65 who also have respiratory ailments, heart disease, hypertension, diabetes, or are immunocompromised are at greater risk.
  4. Medication refill and product requests: Routine requests for medication refills must be requested electronically through your pharmacy. Should you need to purchase skin or haircare products and would like them mailed to you, please e-mail or phone us at 212-249-4990.
  5. We ask that you come alone to office visits, if possible. To limit exposure and practice social distancing, we are doing our best to minimize the number of people in the office at one time. If you require someone to accompany you to your visit, he/she will need to be with you at all times throughout the duration of your appointment or they will be asked to wait outside.
  6. Please make sure to bring a mask with you to your office visit. If you do not have a mask, we will provide one for you. 
  7. Please abstain from handshake greetings and keep a “social distance” of 6 feet or more from other individuals when in the office whenever possible. 
  8. As soon as you enter the office you will be asked to use hand sanitizer provided to you upon arrival and departure from the practice. Coat both the front and back of your hands and wrists and let them air dry. Wash your hands often with soap and water for at least 20 seconds and avoid touching your face.  
  9. Please reply to all email and texts that we send you. We are working with limited personnel and resources, so responding to these messages will enable us to keep in touch with you safely. 
  10. We will provide ongoing care remotely using telemedicine. Our telemedicine system will allow us to speak with you, evaluate your face/body/breasts, prescribe treatment, and/or give you advice. We will be contacting you about your existing appointment to determine whether a virtual or in-person appointment is best. 
  11. You can obtain good and reliable information about local conditions regarding the pandemic at

For any questions and/or concerns, please call our office at 212-249-4990 or email us at We know each of you are eager to get back to your treatment regimens, so we will be extending our hours to accommodate everyone as best we can while maintaining health & safety protocols!

We thank you for your continued support & confidence in Coolspa and our staff the past few months. We look forward to welcoming you back to our office!

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