What Does Botox® Do?

Botox® and other neuromodulators reduce the appearance of fine lines and wrinkles that are caused by your muscle movements. By reducing the activity of these muscles, Botox® softens wrinkles and helps prevent new ones from forming.

What Can Botox® Treat?

  • Fine lines and wrinkles
  • Frown lines
  • Forehead wrinkles
  • Sagging brows
  • Marionette lines
  • Crow’s feet
  • Smokers lines
  • Neck bands

Why Botox®

  • FDA-approved
  • Extremely safe and rigorously tested
  • Quick and easy treatment
  • Minimally invasive
  • No downtime
  • Personalizable treatment outcomes

Botox® is an agent that has been used as a safe and effective method for reducing dynamic wrinkles for decades, with millions of treatments successfully performed worldwide. Though Botox® is the most well-known brand of neuromodulators, others may work just as well or even better for you, depending on how your body processes them. By speaking to one of our aesthetic specialists at a detailed consultation, you can decide together on the best possible treatment course for your specific concerns.

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Botox® Results

Before After
Before After

*Individual results may vary.

Learn More About Botox®

Neuromodulators inhibit nerve transmission through an agent called botulinum toxin. They work by temporarily reducing the activity of targeted muscles in your face, which, in turn, diminishes the appearance of wrinkles that form from repeated muscle contractions. The effect of Botox® typically lasts three to five months, depending on your personal metabolism and the amount of substance injected. 

In addition to Botox®, we also offer:


Results in 7-10 days

Results last 3-5 months

The original brand. Used cosmetically for over 20 years.


Results in 2-3 days

Results last 3-4 months

Smaller proteins than Botox® and lower molecular mass for higher diffusion.


Results in 3-5 days

Results last 3-6 months

No stabilizing proteins; it doesn’t need to be refrigerated.


Results in 2-7 days

Results last 3-4 months

“Newtox” has a formula similar to Botox®, but it is only for aesthetic uses.


Results in 1-3 days

Results last 6-9 months

Uses a peptide stabilizer instead of human or animal byproducts.


This popular neuromodulator option produces natural-looking results, reducing fine lines and wrinkles. Dysport® is fast-acting, and many patients see a noticeable improvement within two to three days after treatment. With Botox®, on the other hand, results may take a few more days to reach their optimal level. Dysport® and Botox® can both last up to five months. 


Xeomin® is sometimes called a “naked neurotoxin.” This refers to the fact that Xeomin’s formulation only contains one ingredient, botulinum toxin A, while the competing neuromodulators contain a small concentration of other proteins. 

While the exact incidence is unknown, a small percentage of patients develop resistance to botulinum toxin, which is believed to be caused by the associated proteins. Therefore, some people who do not show much effect from Dysport® or Botox® may do well with Xeomin®. Xeomin® treatments are just as effective as Botox® overall, but some patients may find that one works better for them than another. 


Jeuveau® is a neuromodulator injectable option that may give some patients a softer and longer-lasting finish. It has a similar composition as Botox® with proteins attached to the toxin, but it’s the only neuromodulator developed only for aesthetic uses. Like Botox®, Jeuveau® treats the visible signs of aging by temporarily halting the motions of specifically targeted facial muscles. This creates a smoother, younger look while also preventing the formation of new lines.


Daxxify® is a newly FDA-approved neuromodulator injectable that can provide longer-lasting results than other neuromodulators on the market. Unlike alternatives, Daxxify® does not contain animal substances or human serum albumin. Rather, it utilizes peptide exchange technology to maintain rejuvenating effects for a median period of six months. Additionally, while other injectables can take several days to show noticeable results, the effects of Daxxify® will most likely be visible within just one day. 

At Coolspa, our plastic surgeons, expertly trained nurses, and physician assistants administer neuromodulators. During your consultation with your Coolspa provider, they will determine the effect you seek. 

Some patients seek complete relaxation of the area with no movement at all, while others prefer a small amount of movement, creating a more natural effect. When treating the forehead, for example, some people desire a slight amount of natural movement of the eyebrows. Others want the forehead to be completely frozen. This is a matter of personal aesthetic taste, and we create a unique treatment to fit each person’s aesthetic goals. 

Finally, some wish to change their eyebrow position with Botox® treatments. Expertly relaxing parts of a muscle can often accomplish this, making the other parts of the muscle move more. The result is a natural-looking brow lift with an anti-aging effect that makes the patient look less tired.

A typical treatment with a neuromodulator should take less than 30 minutes. Our providers place a large emphasis on patient comfort throughout the entire process. We use a vibrating device that greatly diminishes the patient’s sense of discomfort during injectable treatments.

Usually, we do not use a numbing ointment for Botox®, but it is an option for patients who are extremely sensitive to even the pinch of a tiny injection. For patients with extreme anxiety, we can customize the treatment using a variety of techniques to minimize discomfort (this could even include pre-treatment relaxing medication or laughing gas administration during treatments). 

Because the botulinum toxin contains saline, there is a small bump at each injection site, which will disappear in less than 30 minutes. As with any injection, it is possible to get a bruise, and this could take several days to resolve. Our expert injectors use excellent lighting on top of their experience to help minimize the chance of bruising.

Most people begin to see a reduction in the appearance of their wrinkles after a few days. Botox® treatment results typically last three to five months. 

The benefits of Botox®, Dysport®, Xeomin®, and Jeuveau® include the following:

  • Noticeable results within days
  • Quick treatment time 
  • Many cosmetic and medical uses
  • Personalized treatment options are available at Coolspa to achieve your specific aesthetic goals

Neuromodulators are an excellent option to reduce dynamic fine lines and wrinkles without surgery or downtime. Potential neuromodulator candidates will be in relatively good health, not pregnant, and have realistic expectations for their results. 

Different neuromodulators may be better suited for you depending on how your body processes the specific formulations. We offer a range of neuromodulator treatments, and our experts will work with you over time to discern which formulation works best for you. Your Coolspa provider may recommend Botox®, Dysport®, Xeomin®, or Jeuveau® depending on your past experiences and desired outcome. 

We also offer a full spectrum of other anti-aging treatments that we can combine with neuromodulators to create a more youthful overall appearance. For example, patients often receive dermal fillers simultaneously for comprehensive facial rejuvenation.

At Coolspa, we do not use a cookie-cutter approach to facial injections, including botulinum toxin. We personalize every treatment and tailor it to the patient’s aesthetic preferences. Additionally, after your first botulinum toxin treatment, we will want to see you for a follow-up in 10 to 14 days or at least review a selfie from that time. During this follow-up, we ensure that we have achieved the desired effect. 

This review is very important because some patients may have a result that we would not consider ideal, even though they do not notice the imperfections themselves. By reviewing the result after 10 to 14 days, we can sometimes improve the final outcome with a touch-up. 

This follow-up is also beneficial to learn better what exact dosage is optimal for that specific patient. This way, their future treatments will more precisely give them the result that they want. Of course, we do not charge for touch-up treatments of botulinum toxin when performed within 30 days after treatment. 

Our documentation is also extremely meticulous and unique. Most places simply note how much product was administered to a given area. At Coolspa, we will actually indicate on the face at each point of injection how much product is being used. This allows us to get the dosage precisely right, and because we take a photo of these markings, we have them for future treatments. This attention to detail and personalization is part of what separates Coolspa from other medspas.

Take the
Next Step

Your Coolspa journey begins with a private, one-on-one consultation with one of our body contouring specialists, who will deliver a detailed, customized treatment plan that addresses all of your areas of concern. Our specialists pride themselves on carefully listening to the goals and wishes of each client, and we prize communication among our practice’s most cherished assets. 

If you have questions about Botox® and the cutting-edge procedures offered at our state-of-the-art Manhattan location, contact Coolspa today by calling (212) 535-COOL (2665) or sending our team a message here.

Ready to book a consultation or treatment? Just click the Book Now button below to schedule online.