
BOTOX
The Gold Standard in Wrinkle Prevention & Facial Rejuvenation
- ExpertiseTop 1%Injector in the country
- ExperienceOver 11,000Patients treated
- Excellence590+Five star reviews
Why Choose Dr. Avaliani for BOTOX in NYC?
BOTOX® Cosmetic (onabotulinumtoxinA) is the #1 neuromodulator worldwide, trusted by millions since its FDA approval in 2002. Dr. Avaliani is an expert injector and national trainer who brings over a decade of precision BOTOX experience to every treatment. Her personalized “Age Prophylaxis” approach uses conservative, carefully measured doses to prevent wrinkles before they form, not just treat them after they appear. Every injection is guided by AccuVein® vein visualization technology for a virtually bruise-free experience.
Expert Injector
Dr. Avaliani is a national trainer and advanced injector who has treated thousands of patients with BOTOX, ensuring precise dosing and natural results
Board-Certified Physician
11+ years of aesthetic medicine experience, every BOTOX treatment designed and administered personally by Dr. Avaliani
Bruise-Free Experience
AccuVein vein visualization technology provides near-perfect precision, virtually eliminating bruising at injection sites
A Reputation Built on Results
5.0-star rating with 565+ verified patient reviews and proven BOTOX results that deliver natural, refreshed appearance
Personalized Approach
Customized dosing based on muscle strength, facial anatomy, and aesthetic goals, never a one-size-fits-all approach Schedule your BOTOX consultation with Dr. Avaliani for a personalized treatment plan tailored to your facial anatomy, muscle activity, and aesthetic goals.
What Is BOTOX Cosmetic?
BOTOX (onabotulinumtoxinA) is an FDA-approved neuromodulator that temporarily relaxes targeted facial muscles to smooth wrinkles and prevent new lines from forming. Originally approved in 2002, it remains the world’s #1 cosmetic treatment. BOTOX works by blocking nerve signals to specific muscles, softening dynamic wrinkles caused by repetitive facial expressions.
At Dr. Avaliani’s practice, every BOTOX treatment is precisely customized. She uses AccuVein technology to visualize blood vessels beneath the skin, virtually eliminating bruising. Her micro-dosing technique ensures natural movement is preserved, never a frozen or expressionless look.
How BOTOX Treatment Works
The BOTOX treatment process is quick and comfortable:
- Dr. Avaliani evaluates your facial muscles, expressions, and areas of concern to design a personalized treatment plan
- AccuVein technology maps blood vessels beneath the skin to ensure bruise-free precision
- Ultra-fine needles deliver precisely measured doses of BOTOX into targeted muscles
- The neurotoxin blocks acetylcholine release, gradually relaxing muscle activity over 3-7 days
- Full results appear within 10-14 days and last 3-4 months, with consistent treatments potentially extending duration
BOTOX Treatment Areas
Forehead Lines
Horizontal lines across the forehead from raising eyebrows. BOTOX relaxes the frontalis muscle for a smooth, refreshed forehead while maintaining natural expression.
Frown Lines (11s)
Vertical lines between the eyebrows caused by squinting and frowning. The glabella is the most commonly treated BOTOX area, softening the “angry” or “tired” look.
Crow’s Feet
Fine lines radiating from the outer corners of the eyes, deepened by smiling and squinting. BOTOX smooths these lines while preserving your natural smile.
Jawline Slimming
An enlarged masseter muscle creates a square, heavy jaw. BOTOX relaxes this muscle over several weeks, creating a slimmer, more contoured jawline without surgery.
Neck Bands
Visible platysmal bands running vertically down the neck. BOTOX relaxes these muscles, smoothing the neck for a more youthful, elegant appearance.
Hyperhidrosis
Excessive underarm, palm, or forehead sweating. BOTOX blocks the nerve signals that trigger sweat glands, providing 6-12 months of dryness per treatment.
Our BOTOX Technologies
Dr. Avaliani uses advanced tools and techniques to deliver exceptional BOTOX results. Here’s what sets her practice apart:
BOTOX® Cosmetic
The world’s #1 neuromodulator (onabotulinumtoxinA), FDA-approved since 2002 for moderate to severe wrinkles. Precisely relaxes targeted muscles to smooth existing lines and prevent new wrinkles from forming. Results in 7-14 days, lasting 3-4 months.
AccuVein® Technology
Advanced vein visualization system that maps blood vessels beneath the skin in real time. Dr. Avaliani uses AccuVein for every injection procedure, virtually eliminating bruising and ensuring precise needle placement around delicate facial structures.
Micro-Dosing Technique
Dr. Avaliani’s signature precision approach uses conservative, carefully measured doses to achieve natural results. This technique prevents the “frozen” look while effectively smoothing wrinkles, preserving your natural expressions and facial movement.
Call us today to schedule your BOTOX consultation with Dr. Avaliani and take the first step toward smoother, younger-looking skin!
Does It Hurt?
Your comfort options (we tailor this to you)
BOTOX injections are virtually painless. Dr. Avaliani uses ultra-fine 32-gauge needles, thinner than a human hair, for maximum comfort. Most patients describe a brief pinch lasting less than a second per injection. The entire treatment takes just 5-15 minutes. No anesthesia is needed.
There is zero downtime after BOTOX. You can return to all normal activities immediately. Dr. Avaliani recommends avoiding strenuous exercise, hot yoga, saunas, and lying flat for 4 hours after treatment. Minor redness or small bumps at injection sites resolve within 30 minutes.
Feel Calm. Stay in Control. Look Amazing.
Learn about your comfort options ›- Reduced anxietySettle into a calm, relaxed state before and during your treatment, with no stress and no tension.
- Less discomfortEnhanced comfort for your treatment, so you can focus on your results.
- No downtimeWalk out feeling great and drive yourself home. No recovery time required.
Is BOTOX Right for Me?
Ideal Candidates
You may be a good candidate if you:
- Have visible forehead lines, frown lines, or crow’s feet you want to smooth
- Want to prevent wrinkles from deepening with a proactive “Age Prophylaxis” approach
- Desire jawline slimming, neck band smoothing, or gummy smile correction
- Suffer from excessive sweating (hyperhidrosis) in the underarms, palms, or forehead
- Are in generally good health without neuromuscular disorders
- Want quick, proven results with zero downtime and no surgery
What Does BOTOX Cost?
Pricing Information
The cost of BOTOX depends on the areas treated and the number of units required. Dr. Avaliani prices BOTOX per unit for complete transparency. Price Range: Pricing discussed during your personalized consultation Dr. Avaliani evaluates your facial anatomy, muscle strength, and aesthetic goals to recommend the precise dose for natural, beautiful results. The Brilliant Distinctions/Allē rewards program helps reduce costs with every treatment.
View before & after gallery
Results vary from patient to patient. The gallery shows real outcomes from treatments performed by Dr. Avaliani.
Before and after imagery to be added for this treatment.
BOTOX frequently asked questions
What is BOTOX and how does it work?
BOTOX Cosmetic (onabotulinumtoxinA) is an FDA-approved neuromodulator that temporarily relaxes targeted facial muscles by blocking acetylcholine release at the nerve-muscle junction. This smooths existing dynamic wrinkles and prevents new lines from forming. It has been safely used cosmetically since 2002.
How long does BOTOX last?
Results typically last 3 to 4 months. With consistent treatments, many patients find their results begin lasting longer as the targeted muscles gradually weaken over time. Dr. Avaliani recommends returning when approximately 75% of muscle activity returns for optimal maintenance.
Does BOTOX hurt?
BOTOX injections are virtually painless. Dr. Avaliani uses ultra-fine 32-gauge needles and AccuVein technology for precise, bruise-free treatment. Most patients describe a brief pinch lasting less than a second. No anesthesia is needed.
How soon will I see results?
You may notice initial softening within 3 to 5 days. Full results develop over 10 to 14 days as the neurotoxin takes complete effect. A 2-week follow-up is included with every treatment to assess results and make any adjustments.
What areas can be treated with BOTOX?
Common areas include forehead lines, frown lines (11s), crow’s feet, bunny lines, lip lines, jawline slimming, neck bands, chin dimpling, brow lift, gummy smile, and hyperhidrosis (excessive sweating). Dr. Avaliani customizes every treatment to your specific concerns.
What is the difference between BOTOX and Dysport?
Both are FDA-approved neuromodulators that relax facial muscles. BOTOX (onabotulinumtoxinA) has a larger molecular size and tends to stay more localized at the injection site. Dysport (abobotulinumtoxinA) has smaller molecules and may spread slightly more, which can be advantageous for larger areas like the forehead. Dr. Avaliani will recommend the best option for your anatomy.
Is there any downtime?
There is zero downtime. You can return to work and social activities immediately. Avoid strenuous exercise, hot yoga, saunas, and lying flat for 4 hours after treatment. Minor redness at injection sites resolves within 30 minutes.
Can BOTOX prevent wrinkles?
Yes. Dr. Avaliani’s “Age Prophylaxis” approach uses preventative BOTOX to relax muscles before deep wrinkles form. Starting treatment when faint lines first appear can prevent them from becoming permanent static wrinkles.
What is Baby BOTOX?
Baby BOTOX refers to micro-dosing, using smaller, precisely placed units for a subtle, natural result. This technique is popular among patients who want wrinkle prevention without any visible change in facial expression. Dr. Avaliani specializes in this conservative approach.
Are there any side effects?
Common side effects are mild and temporary: slight redness, small bumps, and minor tenderness at injection sites, all resolving within 30 minutes. Bruising is extremely rare with Dr. Avaliani’s AccuVein-guided technique. Serious side effects like eyelid ptosis occur in less than 2% of cases and are temporary.
Luxury treatments. Flexible payment options.
Exceptional aesthetic care should be available when you are ready. We offer financing that lets you begin treatment now and manage the cost over time.




