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Botox

Natural-looking (and moving) Botox results are our specialty.

Natural-looking (and moving) Botox results are our specialty.

Botox is very popular in New Jersey for a very good reason – it’s a wonderful way to get rid of wrinkles and gently reshape the brow. Learn more about what this awesome treatment can do for you from Dr. Mitchell Chasin, Medical Director of Reflections Center for Skin & Body (Livingston and Bridgewater NJ)

These days, you can get Botox treatments all over New Jersey from the dentist, the gynecologist, or even when you take the kids for a check-up at your family practitioner. Botox practices vary widely in quality and experience levels, and there is no one-size-fits-all Botox treatment. You’ve probably seen or heard of some of the horror stories out there of low-quality treatments, but at Reflections Center, we guarantee quality results and peace of mind.

We consistently rank as a top 250 level injector in the nation. All of the cosmetic physicians at Reflections perform thousands of treatments annually and are highly skilled at the art of creating natural results with Botox by using proper injection techniques and having an eye for beauty. To find out more about Botox, please contact Reflections Center to schedule a complimentary consultation.

Botox Quick Facts

  • Always Performed by Doctors Only at Reflections
  • $17 per Unit
  • Smooths Out Wrinkles on Forehead, Between Brows, Crow’s Feet
  • Results for 3-6 Months
  • Quick, 15-Minute Injection Session
  • Natural-Looking, Soft results

Most Common Uses for Botox Injections

Botox is a minimally invasive facial rejuvenation treatment that can help to reduce the look of dynamic lines and wrinkles. These lines and wrinkles can be a result of sun exposure, age, or genetics1. When considering Botox injections, it is essential to choose a highly trained physician to ensure optimal results. At Reflections, you’ll only find doctors injecting Botox.

Our highly skilled physicians have performed tens of thousands of Botox injections, and we are one of the leading providers of Botox in the United States. Our physicians have extensive training in the use of Botox and even teach other physicians how to use advanced techniques to achieve the best and most long-lasting results.

At Reflections, we use Botox to treat various areas, such as:

Botox For Wrinkles & Skin Texture

Botox has many different uses. It is primarily used to prevent movement-based wrinkles in the face, which most commonly include frown lines, crow’s feet, forehead lines, lipstick lines, and other wrinkles or folds caused by a lifetime of muscle movement. By relaxing these muscles, Botox works to smooth the face and prevent wrinkles and lines from deepening. It can also create drastic results if your face naturally appears angry or tired due to a furrowed brow or frown lines.
Sometimes, however, we can reduce the effect of one muscle and in doing so, allow another muscle pulling in the opposite direction to overpower it, creating a desired change within the face7. Some good examples of this are a Botox browlift or a pouty lip flip.

  • Recovery & Downtime: None
  • Numbing: Not Needed
  • Cost: $17 per unit
  • Candidacy: Patients looking to combat or prevent dynamic lines and wrinkles
  • Duration: 3-5 months
  • Why We Love It: Effectively smooths lines and wrinkles for a more youthful look

Botox For Muscle Relaxation & Unwanted Muscle Movements


We also use small amounts of Botox to relax overactive muscles, even when they aren’t causing wrinkles, to create a sense of harmony and balance within the face. For example, jawline Botox is used to relax and balance overly gummy smiles and jaw-clenching that often leads to a square, masculine jaw in female patients (sometimes the result of TMJ, this has been popularly called “facial slimming” in the media). Patients with bells palsy and other muscle asymmetries may also benefit from these types of injections.

Botox is classified as a neuromodulator, meaning it can also effectively treat medical conditions caused by unwanted muscle movements, cramps, or spasms by blocking the receptors that receive movement signals from the brain. These conditions can include migraines, overactive pores, redness, unfavorable skin texture, and TMJ (temporomandibular joint disorder).

  • Recovery & Downtime: Little to none
  • Numbing: Available on request
  • Cost: $17 per unit
  • Candidacy: Those looking to shape their jaw or improve TMJ
  • Duration: 3 months
  • Why We Love It: Effectively relaxes the targeted muscles to shape the jawline and improve TMJ symptoms

Botox For Hyperhidrosis

An exciting development is the FDA-approved use of Botox to treat hyperhidrosis, or excessive sweating. Botox can disable the sweat glands for six to nine months, and sometimes longer, and helps you regain a normal life free of the stress and anxiety associated with excessive sweat. Botox temporarily blocks the nerve signals that stimulate the sweat glands. When the sweat glands don’t receive these signals, the severe sweating stops.

The positive benefits of Botox treatments lasts typically at least six months. With FDA approval, the United States joins more than 20 other countries that have already approved the use of Botox for excessive sweating. The use of Botox for treating hyperhidrosis is most effective when performed by a cosmetic physician who has received specialized training and has extensive experience with this particular Botox procedure.

  • Recovery & Downtime: Little to none
  • Numbing: Available on request
  • Cost: $17 per unit
  • Candidacy: Those with hyperhidrosis
  • Duration: 3-12 months
  • Why We Love It: Temporarily blocks nerve signals that stimulate sweat glands

Botox For Gummy Smile

Botox for gummy smile is a gamechanging and inexpensive procedure that makes a world of difference for anyone who feels they look better when they restrain their smile a bit, so less of their gums show. This concern, an overly gummy smile, is something that generally cannot be solved by any other means than with this treatment of Botox injections. Other brands of ‘Tox could theoretically be used here, but because this is an area that needs to function well, and because this is a very precise treatment, we almost exclusively stick to Botox for this treatment.

  • Recovery & Downtime: Little to none
  • Numbing: Available on request, really not necessary
  • Cost: $17 per unit
  • Candidacy: Those with lip that pulls up too high when smiling, or pulls asymmetrically
  • Duration: 3-6 months
  • Why We Love It: Temporarily blocks nerve signals that stimulate sweat glands

Patient Stories About Botox

View All Patient Stories

“About two weeks after her injections, she saw softened lines and wrinkles without the “Spock brows” of her previous treatments. “He hit a home run,” she says of Dr. Chasin’s Botox injections. “I’m so happy with it already, and it’s only been two weeks.” (please note: Botox takes 2 weeks to take full effect).”

View My Story

“In a small injection, not even ten seconds, my smile has been completely changed. I feel beautiful and I’m so grateful.”

View My Story

Why Choose Reflections Center For Botox?

Inexperienced practitioners like dentists and other doctors who don’t specialize in Botox injections have been found to suffer a much higher rate of complications8, due to their lack of knowledge and skill. One of the most common complaints we hear from patients who have seen other doctors is overtreatment – when too much Botox is injected into the skin, resulting in drooping eyelids, sagging brows, or a frozen forehead.

The physicians at Reflections perform Botox injections all day long and believe in a less-is-more approach. This has led to many happy patients, who appear younger and revitalized but are still fully expressive9. It has also created a loyal patient following who realize that all Botox providers are NOT created equal! To achieve a younger, smoother, wrinkle-free appearance, New Jersey area patients should schedule a consultation at Reflections Center today. When you come in for your appointment, our experience level gives us the ability to treat you on the same day of your consultation.

Consultations are always free with Botox in New Jersey. During your appointment, you’ll meet with one of our board-certified physicians and discuss your goals and the areas that bother you most. We’ll create a customized treatment plan for your unique concerns, and you can be in and out of our office within an hour. To schedule your complimentary consultation today, please contact our office.

Frequently Asked Questions About Botox

  • How does Botox Work?

    As we age, repetitive facial movements such as frowning and squinting cause lines and creases that become exaggerated when we use our facial muscles to make certain expressions.

    By relaxing overactive muscles and preventing repetitive motions, Botox reduces the signs of aging2 and smooths out wrinkles and fine lines.3

    No other non-surgical procedure can duplicate the positive effects of Botox aside from plastic surgery. Botox injections are the most popular aesthetic procedure in the world today4, with millions of treatments done each year. This proven cosmetic solution will make you look refreshed, revitalized, and younger in no time at all.

  • What will my Botox results be like?

    After only one treatment, our patients realize Botox is not merely about treating wrinkles. Botox services can gently reshape and lift the brows and open the eyes, giving you a refreshed and naturally youthful appearance. These amazing results create a refreshed, more youthful appearance.

    The results of Botox have been clinically proven to be fully effective for 3 months5 in new patients. However, there is anecdotal consensus among cosmetic surgeons that using Botox regularly can increase each treatment’s longevity. It is best to have the next treatment before the effects of the last one fully wear off. That way, the muscles never get a chance to fully recover and your smoother, more youthful complexion can be maintained.

    Friends and family members will remark that you look terrific, but won’t know exactly what has changed!

  • What qualifications do the doctors at Reflections hold for injecting Botox?

    The experience and knowledge of an injector are the number one predictors of the outcome of any injectable procedure. The problem is, it can be very difficult for a patient to accurately discern these things when selecting their provider.

    First of all, it’s helpful to know that board certification in no way qualifies these things about any provider. Dermatologists and plastic surgeons typically do not receive training in cosmetic injectable procedures as part of their school or professional training. That leaves all providers seeking out their own training for how to inject patients. For some doctors, this means a weekend course. The best injectors know their learning is never complete and actively seek to be a part of the community of injectors by exchanging ideas and techniques with other top physicians.

    There are some objective ways to gauge a provider’s skill level. One way is to carefully study their before and after gallery. Skilled doctors not only provide ample examples of their work, but a wide variety of injection techniques on a wide variety of ages, genders, and types of patients.

    When it comes to experience, you can seek out reviews and awards to accurately gauge how long a provider has been injecting and how many patients they’ve seen. For example, long-standing providers should have older reviews, and will often have reviews where patients say things like, “I’ve been coming here for 15 years and wouldn’t trust anyone else.” Awards are also issued by Allergan and Galderma to the top practices. These awards tell you who is buying the most products from these companies, and presumably injecting the most (as it would be prohibitively expensive not to be injecting everything you purchase). For Allergan, makers of Botox, Juvederm, and Voluma, the top distinction used to be Diamond but has changed names to Top 250. Our practice has been Diamond or Top 250 for nearly 10 years now.

  • What's the pricing for Botox?

    In general, Botox is priced at $17 per unit at our practice. The number of units used is highly individual, but injections for wrinkles typically range from $250 to 650. Hyperhidrosis and migraine treatments require more Botox, and are thus more expensive. Botox for lip lines, lip flip, and gummy smiles are the most affordable, typically ranging between $50 to $250.

    Because we value our loyal patients, Reflections Center offers a Reflections Rewards Plus Program, which includes Allē (formerly Brilliant Distinctions) enrollment in addition to our own exclusive rewards program, so you receive not only the amazing rebates and coupons from the manufacturer of Botox, but also earn points which can be redeemed for nearly any service at our practices.

    Experience the best of Botox at Reflections. With Reflections approach to Botox you will look and feel years younger. We promise natural-looking results that you’ll love!

  • Can I go for a walk after Botox?

    It is fine to go for a walk after Botox, but youll want to avoid power-walking, running, and any exercise that gets your heart pumping (raises blood pressure) for at least 2 hours (to minimize any risk of bruising).

  • Can Botox age you?

    Botox does not age you – in fact, it makes you look much more youthful when properly injected by a skilled physician.

  • Can Botox cause weight gain?

    No, we dont believe Botox causes weight gain. In medicine, when a prescribed substance is believed to have caused an adverse effect (such as weight gain), its reported – meaning its publicly registered so physicians and scientists can learn about it and be on the lookout for similar problems. When there are enough similar stories, a clinical study is run to determine if there is a true link between the two. There have been no reports of weight gain registered as related to Botox – meaning not even 1 person has had that reported as an adverse effect thus far. Now the reason we say we dont believe Botox causes weight gain is because until there is a study proving it, we cannot be 100% certain – no one can. But there is no reason to believe Botox would or could cause weight gain at this time.

  • Can Botox help sinuses?

    There are a few studies that indicate Botox may be helpful for relieving allergy symptoms for those with treatment-resistant allergies, in particular for those with sinus-related symptoms. However, this is a newer treatment, with a very different injection technique than cosmetic Botox injections, and one best left to an ENT or Allergist with the proper training. Cosmetic injections for wrinkles do not have the same effect.

  • Can Botox lift eyebrows?

    Yes – Botox can be used to lift your eyebrows, but it doesn’t have to be. Speak to your injector about your ideal results in detail, so that they can help you achieve a natural and youthful look.

  • Does Botox make you look older after it wears off?

    Botox isn’t responsible for an aged appearance when it wears off – it’s actually the lack of Botox that’s responsible for you looking older! However, there is a misconception that you’ll look older after it wears off, so let us explain what we believe is happening there: say you’re 35 when you start Botox, and you get it regularly until your 50th birthday, when you decide you want to go natural. Well, the Botox has been keeping your skin wrinkle-free and your brows nicely arched and lifted for 15 years. Suddenly, after it wear off, your brows are sagging and you’re covered in wrinkles – it must be proof Botox ages us, right? No, you’ve just stopped working against aging and it’s caught it up with you, as it naturally will. Those who keep regular with their Botox can expect to look great for their age, but nothing can suspend time. We recommend regular Botox, skin resurfacing, and a great skincare routine to keep you looking your absolute best!

  • Does Botox make you shiny?

    When Botox is overdone and the skin looks stretched or frozen it can give a shine. Choosing the right provider is key in creating a natural, more youthful appearance and improving skin quality to give a healthy glow.

  • How long does Botox last?

    Botox is one of the common injectables that is used in a wide range of medical and cosmetic applications. It is a safe, flexible and non invasive procedure that is becoming increasingly popular. The treatment can take effect as soon as 3 to 5 days after the treatment, with the final results becoming visible after about 2 weeks. For first time users of Botox injections, it is important to understand that the first treatment may not lead to optimal and long lasting results. After multiple treatment sessions, your muscles get conditioned and respond well to Botox injections. With each session, the results will begin to last longer since your muscles can be trained to make less or smaller movements when emoting. When used for cosmetic purposes, results from Botox injections may last from 4 to 6 months. However, after your first treatment, you may need a touch up session within 3 months itself. Some of the factors that contribute to how long your Botox injections last include:

    • How much the product is diluted
    • The targeted area
    • The dosage of Botox units used
    • Your age

    When the wrinkles on your skin are etched too deeply or when Botox injections are used on aged patients, Botox may not smooth wrinkles as expected. You must always consult a trained cosmetic physician before choosing a treatment to receive optimal results.

  • Is 50 too old for Botox?

    Botox may be used for cosmetic purposes in an adult patient of any age. It’s not uncommon to begin treatment at age 50. The results are dependent on many factors and vary from person to person.

  • What age should I start Botox?

    Botox can be started as early as age 18. The advantage to starting earlier is that it’s easier to prevent the signs of aging, then it is to reverse them.

  • What are the bad side effects of Botox?

    Botox complications are very rare. Side effects like forehead heaviness, droopy eyelids, or imbalanced smile are greatly decreased when using a skilled provider. These potential side effects may be corrected or resolved on their own.

  • Can I have wine after Botox?

    There are no restrictions for food or alcohol after Botox.

  • Can you drink coffee after Botox?

    There are no restrictions for food or alcohol after Botox.

  • Does Botox affect the brain?

    Botox is not associated with any disorders of the brain.

  • Is Botox poison?

    Botox is a highly purified biochemical agent produced by a specific type of bacteria and has been used in medicine for decades with an unsurpassed safety record.

  • Is Botox a steroid?

    Botox is not a steroid, nor is it related to the steroid family of medications.

  • Is Botox good for under eye wrinkles?

    In the hands of a skilled provider administering Botox to the right candidate can soften under eye wrinkles. It’s important to choose a provider who knows when to say no to prevent aggravating puffiness or sagging of this delicate area.

  • Should I move my face after Botox?

    The manufacturers of Botox do not recommend any special face exercises after Botox.

  • What should you not do after Botox?

    For 2 hours immediately following your Botox injections, do not run, work-out, do yoga or rub your face.

  • Who should not get Botox?

    People who have a history of these 3 cited medical conditions must have a discussion with their Primary Care Physician prior to a Botox consultation/treatment:

    1. A.L.S.
    2. Myastenia Gravis
    3. Lambert-Eaton Syndrome.
  • Why can't you lay down after Botox?

    You may lay down after Botox, but for 2 hours refrain from lying on your face. Putting pressure on your face can cause the Botox to move around under the skin, causing it to spread and take affect differently than intended.

  • What is Botox used for?

    Because Botox works by blocking chemical signals to muscles and glands, it can also be useful in treating conditions like migraines or hyperhidrosis (excessive sweating). In cosmetic uses, Botox can effectively relax wrinkles, folds, and neck bands

  • What do I need to know before getting Botox?

    Side effects and complications are very uncommon at our practice, due to our highly skilled and experienced physician injectors. The most commonly reported are a temporary decrease in brow height or an asymmetry in the brow. Localized pain, infection, inflammation, tenderness, swelling, redness, and bleeding or bruising have been reported nationally, but these effects are extremely rare among our patients.

  • What are the risks of Botox?

    Side effects and complications are very uncommon at our practice, due to our highly skilled and experienced physician injectors. The most commonly reported are a temporary decrease in brow height or an asymmetry in the brow. Localized pain, infection, inflammation, tenderness, swelling, redness, and bleeding/bruising have been reported nationally, but these effects extremely rare among our patients.

  • How much is Botox?

    Botox has several uses but is most commonly used for cosmetic purposes. Since it is a neuromodulator, it blocks the nerve signals to your muscles temporarily. This is used effectively in the cosmetic industry to give you a wrinkle-free facial appearance. A lifetime of muscle movement gives you a tired or angry look when the furrows on your brow or the laugh lines around your lips deepen. Botox reduces these lines, taking years off your appearance. You can get help with excessive sweating and migraines as well at a Botox center. If you are wondering how much Botox near me costs, you must understand that it depends on your individual treatment requirement. Botox usually costs $16 per unit and when used for your facial wrinkles and lines, the treatment will typically be about $250 to $600. An experienced cosmetic physician will give you the best results since they know how much and where to administer it. Physicians with good knowledge of the neuromodulator use small amounts in different muscles that are overactive to ensure a harmony is created in your face. This is what differs the natural results from that ‘pulled’ appearance some people end up with after their Botox treatment. This is why you must ensure that your focus remains on seeing a good injector rather than the cost at the Botox center you visit.

  • How long does Botox take to work?

    Botox is a minimally-invasive rejuvenation procedure that aims to reduce the dynamic lines and wrinkles in the upper face. However, it’s important to choose a trained cosmetic physician to administer Botox to ensure you get your desired results. With age, repetitive facial movements like squinting and frowning can cause creases and lines on your face that can make you look angrier or more tired than you feel. Botox treatment helps relax your active facial muscles, allowing the wrinkled skin to repair itself and smooth out lines. It’s an effective treatment for moderate to severe frown lines, as well as crow’s feet near the eyes. In comparison to other invasive methods for facial rejuvenation, your Botox treatment will only take a few minutes. Fine needles are used to inject Botox into your facial muscles and, contrary to popular belief, every wrinkle does not have to be separately treated. Botox is primarily a neuromodulator that temporarily blocks the signals from the nerves to the muscles, allowing them to relax. This is what smooths out lines and creases formed by muscular movement over time. Botox is a safe treatment approved by the FDA, as long as it is administered by an injector who has sufficient experience and the expertise to achieve good results by customizing the amount and area of treatment for specific patients. Your success with Botox depends on the clinical condition, dosage of Botox, and the frequency of treatment. Your Botox treatment will usually show results within 24 hours and you will see its maximum effects within 30 days after your procedure. With repeated treatment sessions, your response to Botox also improves. Mostly, the results achieved from Botox last for around 3 to 6 months, after which you can opt for additional treatments to maintain your results.

  • How many units of Botox are needed for the forehead?

    Botox is a neuromodulator that is used for facial rejuvenation, among several other uses. It temporarily blocks the nerve signals to your facial muscles, smoothing out fine lines, creases, wrinkles, and crow’s feet. In order to get optimal results, it is imperative that you consult an experienced cosmetic physician or injector who is aware of the right dosage of Botox to be used. One of the most common areas for rejuvenation using Botox is the forehead. Over years, constant frowning or squinting leaves deep creases in the forehead and, unfortunately, it can cause you to look constantly angry or tired. Patients wanting to correct this are usually concerned with how many units of Botox are required for forehead rejuvenation, and this is because Botox is priced per unit and, on average, it costs between $15 to 20. There are two kinds of forehead lines you might be experiencing. The glabellar region, or vertical lines commonly called ‘11s’, on your forehead may need about 20 to 35 units, depending on their severity. You could be looking for correction of the frontalis muscle, which leads to horizontal lines on your forehead, which requires about 6 to 20 units. This means if you get about 20 units in your forehead, it will cost you between $200 to $300. Your effects from Botox treatment will last for about 3 to 6 months and, as the muscle movement returns gradually, the wrinkles and lines will begin to return as well. You will require additional treatment for retaining your results. With time and repeated treatments, you will find that the severity of the lines on your forehead begins to decrease. This allows you to enjoy your facial rejuvenation for a longer period.

  • How long after Botox can I work out?

    There is not a very long recovery period for Botox. The first day is the most important as the Botox starts to take effect. After Botox is injected, the proteins start to diffuse in the treated area. Strenuous activity increases blood pressure and may make bruising more pronounced, so if you notice a bruise forming, we recommend skipping working out for that day. The only restriction you need to worry about after Botox injections is not to rub the treated areas for at least 90 minutes. We also recommend you don’t apply makeup over the injection sites, or really touch them, for at least a few minutes (while the wound is still open).

  • What are the uses of Botox?

    Because Botox works by blocking chemical signals to muscles and glands, it can also be useful in treating conditions like migraines or hyperhidrosis (excessive sweating). In cosmetic uses, Botox can effectively relax wrinkles, folds, and neck bands.

Complementary Botox Treatments To Consider

Our AquaGold Fine Touch system is a technique we offer to those looking for a better, more complete facial rejuvenation. With our microneedling infusion method, we offer MicroBotox and MicroRejuve.

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Dr. Mitchell Chasin is a Cosmetic & Laser Physician at Reflections Center. Dr. Chasin believes strongly that the best cosmetic physicians are those who are dedicated to mastering their craft through continuing education and collaboration with the industry’s top doctors.

Dr. Michelle Ellern’s skillful hands, artful techniques, and warm and caring personality as a cosmetic physician make her a wonderful addition to Reflections. She is certified in Aesthetic Medicine by the American Academy of Aesthetic Medicine, and is Board Certified in Internal Medicine.

Dr. Renata Wix-Harris has extensive experience as a general surgeon and work in the plastic surgery department has helped to her to become an excellent laser liposuction surgeon. She is also skilled at laser and energy-based skin therapies, injectables, and non-invasive body contouring.