Philadelphia and Mainline Center of Dermatology and Cosmetic Surgery
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

Gender :

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.


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.

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.

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.

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.

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.

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.

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.

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

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
Botox vs fillers in Philadelphia

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.


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?


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


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attentivness all around. Concern for my comfort during biopsy. Complete follow up instructions given.


Did not have to wait long.


I have been extremly impressed with this practice.

#32011-04-13 12:25:11

frendliness of entire staff doc is terrific


Doctor was very direct and specific on probable course of treatment and potential effectiveness.


interaction with staff


Every one is very nice and attentive!!! The doctor and the assistent took their time to explain my options and answer my questions and concerns...Thanks a lot....

#72010-12-01 14:40:20

choice of music - French, Brazilian, etc appreciated being called when a cancellation opened up an appointment for me that was sooner than my originally scheduled appointment


I really liike the office space . I get a good feeling when i first cam in here. I alos like the doctor , shes seem very intelligent.


Everything was great!


What can we do better?


my visit was great


Maybe directions as "across from the Lexus place." Have the assistant say there may be a name recall test later, as she introduces herself.

#22010-12-07 10:07:04

Medical newsletters or updates are helpful and informative. If it is advisable to have an annual mole check, for example, friendly reminders are always appreciated.


If you continue the same level of care that I received today, I will be thrilled.


I would have liked to pay in cash but the receptionist had no change.


I have zero complaints--top notch service from booking of appointment to treatment to checkout.

#62011-07-26 14:19:25

my visit was great


Keep doing what you are doing now..make sure no one slips, then I will make sure I write about it.


I am new here, so I don't have any suggestions at this time


Today I had to wait 45 min. to see the Doctor. I understand that sometimes other appointments run over but I took time off work to come here and I felt like I spent most of my time here waiting to see her.


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