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botox before and after

Written by Dr. Ringpfeil

Botox® & Xeomin® In Philadelphia

Botox & Xeomin are among the most popular cosmetic treatments. They work. They are safe. They are predictable and provide noticeable results with virtually no downtime. To learn more about our Botox & Xeomin treatments, contact Ringpfeil Dermatology and book a consultation today.



Botox & Xeomin Calculator

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Gender :
Male
Female

Desired Treatment Area

Forehead Lines
Frown lines
Brow Lift & Upper Lids
Vertical Upper Lip
Lower Lid
Crows Feet
Pebbly Chin
Vertical Bands

Level of Severity

Fine Lines
Moderate Lines
Deep Lines

Please note: Estimates above may vary according to each patient.
Calculator is based on $15/unit. Enjoy a 20% discount if booked on Botox or Xeomin Day.

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As one of the largest facilities in Philadelphia, we are able to get better rates from the vendors. This allows us to provide you competitive pricing.
Botox injection in Philadelphia - Before & After Pictures

Price List

price / syringe lasts (months) # treatments
Botox $16 / unit 4-6 1
Botox Special $12.8 / unit 4-6 1

Botox Price In The Philadelphia Area

Botox price in the Philadelphia area is $13-$27 per unit.

The cost of Botox may be different in the various facility types that offer the procedure.

Most plastic surgeons charge $16-$25 per unit. Almost all plastic surgery offices employ nurse injectors who actually perform the procedure.

Med Spas normally charge between $13-$18 per unit and employ part-time nurses.

Most dermatology offices charge between $15-$22 per unit. Normally, dermatology offices do not employ nurse injectors.

charge by the treated area - Some practices charge by the treated area. Treated areas may include Glabella, forehead, crow's feet, chin, nasolabial folds, and the jawline. This pricing strategy obscures the cost per unit in order to make a comparison harder. Effectively, patients often end up paying more than in other practices.

Our price is $16 per unit or $12.80 per unit during our weekly or monthly BOTOX Special Events. All injection are performed by our Board Certified Dermatologists and Dermatology PAs


Botox special in Philadelphia

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Plastic surgeon & Med Spas - Normally employ (temporary) nurses

Dermatology Practices - Employ dermatologists & dermatology-trained PA

Haverford – Mainline Office

Franziska Ringpfeil, MD Photo

Franziska Ringpfeil, MD.
Board Certified Dermatologist

Dr. Ringpfeil: "Botox is so much more than just a wrinkle relaxer. It can help to enhance the attractive features of a face and restore youthfulness."

Philadelphia Office

Marissa Milchak MD. Photo

Marissa Milchak MD.
Board Certified Dermatologist

Dr. Milchak: "I combine art, knowledge, and experience to carefully examine a person's facial features and erase wrinkles and lines that reveal the youthfulness hidden behind them. This can help people look their best and feel more confident."

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Xeomin vs. Other Neuromodulators

  • Does not contain protein additives
  • Does not trigger the development of antibodies
  • Achieves desired results for those who have become resistant to other neuromodulators

Xeomin® is the only pure wrinkle relaxer on the neuromodulator market and has been FDA-approved since 2010.

Its active molecule, botulinum toxin type A, is same as the one in Botox®, yet Xeomin® does not contain protein additives, which are responsible for partial or full resistance to all other neuromodulators over time. In other words, these proteins might prevent the desired effect of Botox®, Dysport®, Jeuveau® and other neuromodulators in 6-7% of individuals, or reduce the desired effect in a subset that is estimated to be far greater than 7%.

Studies published in March 2020 showed that there is no risk of developing antibodies against Xeomin®. This means that patients who have become resistant to other neuromodulators in the past should still experience successful results from Xeomin® injections 10-14 months after their last injection. The effects of Xeomin® injections usually become evident within 3-14 days and can last for 3-6 months. This makes Xeomin comparable to Botox in terms of both onset and duration of action.


Botox Overview

Botox is best for dynamic and mild static lines on the upper face, as well as decreasing pebbly chins, vertical lip lines, and vertical bands that form on some aging necks. It typically lasts between 3-6 months, and the number of units required is determined by the strength of the targeted muscle.

The bacteria-derived toxin is injected into specific muscle groups to relax them and restore a youthful appearance. Only Botox, the US-approved grade of botulinum toxin A, is used in our office. Moderate and severe static lines require several sequential botox treatments to be erased. By erasing these wrinkles, you can enjoy a more youthful and refreshed appearance.

Expected Results

Relaxation of the dynamic face and neck rhytids (wrinkles), which results in a more youthful appearance and smooth, firmer skin.

Post Treatment Instructions

Avoid aspirin and ibuprofen for 1-2 days

Duration of Desired Effects

The final results of the treatment will be visible after 1-2 weeks and typically last for 3-6 months. Those who are satisfied with the effects of the treatment will usually repeat injections every 4 months in order to maintain their results.

Contraindications

Myasthenia gravis, allergies to egg white and kanamycin, pregnancy, and breastfeeding are all contraindications to this treatment.

What Areas Can Botox Treat?

A basic Botox treatment can help to temporarily reduce the appearance of facial wrinkles. More advanced uses of Botox may involve the shaping of certain facial features. If performed conservatively, your family and friends may notice that you look more relaxed and younger, without being able to figure out how you achieved this. Botox treatments can target the following areas and in some cases may be combined with dermal fillers such as Radiesse, Belotaro, and Juvéderm. This can help to create a more comprehensive and long-lasting result.

1
Forehead Lines | Botox - 8-12 units for women or 10-18 units for men treat dynamic and mild static lines. Deeper static lines will respond after 3-4 injections if spaced 4 months apart. Results last 3-6 months.

2
Frown Lines | Botox - 15-25 units for women or 20-35 units for men treat dynamic lines and mild static lines. Deeper static lines will respond after 3-4 injections if spaced 4 months apart. Results last 3-6 months. Belotero 1/2 syringe treats moderate to deep static lines, or bridges results until Botox takes effect.

3
Brow lift & Upper Lids | Radiesse 1/2 syringe to each temple lifts the upper lids gently. Botox - 10-16 units for women and 12-20 units for men will gently lift the brows.

4
Crows Feet | Botox - 10-20 units for women or 12-20 units for men treat dynamic lines and mild static lines. Results last 2-3 months.

5
Lower Lid Crepiness/Sunken Under Eyes | Botox 2-4 units reduce fine lines on the lower lids. Results last 4-6 months. Restylane / Belotaro Balance® 1-2 syringes will elevate deep hollows and lighten dark circles.

6
Vertical Upper Lip Lines | Juvederm / Restylane / Belotaro Balance® 1 syringe treats moderate to deep lines. Botox - 4-8 units treat mild static lines. Results last 3-6 months.

12
Pebbly Chin | Botox4-6 units treat this forceful muscle. Results last 3-6 months.

13
Vertical Bands | Botox 10-40 units will relax platysmal bands for a period of 3-6 months.

Note: Several treatments of Sculptra and Artefill can be used in place of Radiesse for the desired volume correction. Although their upfront cost is higher, fewer treatments are needed in the long run.

To address volume and wrinkles in areas indicated by 7,8,9,10, and 11 see similar illustration on the Dermal Filler Page.

Botox vs Fillers

Unlike fillers, which treat areas of the face where aging has caused volume loss, Botox targets facial wrinkles that are created by dynamic movement. As we age, loss of skin elasticity allows repetitive muscle movement to create a visible crease in the skin. Botox weakens this muscle movement and prevents lines from forming and often reverses wrinkles that have already formed.

Botox vs fillers in Philadelphia
BeforeAfter
Botox vs fillers in Philadelphia
BeforeAfter

Many people are self-conscious about smiling as it can increase wrinkles over time. However, with every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile for fear of facial lines. Now, with the help of Botox, we can have a guilt-free smile without fearing that we are deepening the dreaded crow’s feet. With Botox treatments, we can untrain the forehead muscles and those between the brows to no longer look constantly strained or angry.

Botox works best to prevent wrinkles. Once wrinkles are visible at rest it will take some time until the skin returns to its original shape. Deep static lines may need extra help from a filler if they have not resolved after 3 Botox injections 4-6 months apart.

botox reduce crow's feet on the outside of the eyes - photos before and after

Cosmetic Conditions That Can be Addressed with Botox

The most common areas targeted for wrinkle relaxation are the frown lines between the brows, crow's feet on the outside of the eyes, forehead lines, and vertical lines above and below the lips where lipstick may bleed.

In addition to wrinkle relaxation, the advanced use of Botox allows the shaping and lifting of brows and eyelids. We can up-turn corners of the mouth and soften a puckered chin. We can also reduce prominent vertical bands in the upper neck, minimize a gummy smile and turn a square face into a more triangular one.

Botox is currently FDA-approved for cosmetic use for frown lines between the brows and for the treatment of lines on the outside of the eyes that occur with smiling and squinting. Use in all other areas is off-label, similar to the use of aspirin for the prevention of heart attack or stroke.

Other Brands - Botox vs. Dysport and Xeomin

Botox was the first neuromodulator approved for cosmetic use in the United States and is the only one currently approved for medical diagnoses. Dysport and Xeomin are equivalent neuromodulators that have since been approved by the FDA for wrinkle reduction on the upper face.

Dysport differs from the Botox brand with a slightly smaller molecular size and therefore slightly wider spread. Xeomin is almost identical to Botox but with a slight increase in purity, which reduces the risk of tolerance formation.

Risks and Safety

Cosmetic Botox has an excellent safety profile. You should not receive Botox during pregnancy or while nursing a baby. It is contraindicated in anyone with neuromuscular disorders or with a first-degree relative with a neuromuscular disorder. You should not receive Botox when you are sick. In addition to this, Dysport should be avoided by those with a cow milk allergy.

Why Choose Ringpfeil Dermatology for Botox in Philadelphia?

At Ringpfeil Advanced Dermatology, our team of skincare experts takes the time to understand our patients’ goals in order to produce the best results. Furthermore, our Botox treatments and other therapies are performed by our expertly trained, in-house dermatologists, and dermatology-trained certified physician assistants, ensuring the highest quality of service for our patients.

If you want to learn more about our Botox treatments, contact us and book a consultation today.

FAQs

Is Botox safe?

Botox is an FDA-approved treatment to help combat wrinkles in the face, neck, and other areas. This compound is generally regarded as safe and carries very little risk, as long as the treatment is performed by a certified specialist.

How long does Botox last?

The results obtained through Botox can last anywhere between 3-6 months, after which a patient may require a touch-up session. With this in mind, touch-up sessions will not require as much Botox as the initial treatment.

Is Botox a poison?

Botox is derived from a neurotoxic compound produced by a microorganism called clostridium botulinum. However, as long as it’s administered by a board-certified dermatologist, Botox is completely safe and has a minimal chance of producing adverse side effects.

Does Botox make you look older after it wears off?

After the effects of Botox have completely worn off, patients will return to their prior state. Many patients feel like the treatment results in increased signs of aging, however, there is no evidence to support this idea. Keep in mind that the skin continues to age even while under the effects of Botox, so it’s normal to see a few more wrinkles than before if you have been receiving treatment for a long time.

What is a good age to get Botox?

There is no minimum age to get Botox, but patients in their mid-30s to mid-50s tend to see the best results.

How can we help you?

SKIN

# of surveys: 4187
Last updated: 1/02/2024 11:10 AM

PATIENT RATINGS

Would you recommend us?

definitely
93.1%
probably
6.16%
maybe
0.58%
not likely
0.08%
no
0.02%

Compare our service to other similar practices

excellent
87.9%
very good
10.1%
good
1.8%
poor
0.06%
very poor
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Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
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The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
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The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
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The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
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poor
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very poor
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The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
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Front desk performance

excellent
85.6%
very good
10.2%
good
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poor
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very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
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very poor
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Office comfort

excellent
90.9%
very good
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Parking

excellent
66.4%
very good
14.4%
good
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Friendliness of the staff during appointment

excellent
90.9%
very good
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good
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What WE DID WELL

(Answers:674)

The whole visit

#12023-07-16

the fact that the garbage cans in the bathroom opened electronically.

#22012-10-16 11:13:16

Everyone is extremely nice and professional. I like the fact that the office is utilizing technology for things such as consent forms and patient information forms rather than paper. Good for the environment!

#32010-12-01 12:08:05

Everyone was helpful. The appointment time was met and the service was wonderful.

#42012-12-04 12:12:44

the doctor was very nice and all the staff was very nice and answered all my questions i had.

#52023-12-08

original paintings are wonderful

#62010-12-15 11:34:02

Dr. Ringpfeil has a great bedside manner and is very patient. Loved the art work!

#72011-04-11 16:33:05

Dr and Med Assist. listened patiently and answered all questions thoroughly.

#82023-06-08

The appearance and presentation of the office.

#92023-05-20

Little to no waiting

#102012-09-19 10:54:21

What can we do better?

(answers:373)

Everything was wonderful

#12024-03-05

everything was fine

#22011-02-24 15:01:34

I did not have any issues. The service was great.

#32024-01-27

Keeping me from dying of skin cancer would be good (I will behave and do the checks and annual exam to help out!!!)

#42010-11-29 11:47:11

receptioist is a little stiff and unwelcoming, but attentive proffessional.

#52023-10-19

just keep giving me good news and no cancer.

#62023-11-17

I did not have any issues. The service was great.

#72023-12-16

move closer to home

#82010-11-08 09:51:29

totally satisfied with everything

#92023-12-07

Keep me informed of specials on products that might be good for my skin.

#102011-01-05 16:01:31

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