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botox before and after

Written by Dr. Ringpfeil

Botox® & Xeomin® In Philadelphia

Botox & Xeomin are among of 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.

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Botox and Filler Pricing List

Botox & Xeomin Calculator

0
Gender :
Male
Female

Desired Treatment Area

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

Level of Severity

Fine Lines
Moderate Lines
Deep Lines

Please note - the estimates above may vary by patient.
Calculator is based on $15/unit. Enjoy a 20% discount if booked on Botox or Xeomin Day.

Price List

price / syringe lasts (months)# treatments
Botox $15 / unit4-6 1
Botox Special $12 / unit 4-6 1
Botox special in Philadelphia

All Botox injections are performed by our dermatologists.
We do not employ injectors!

Haverford – Mainline Office

Franziska Ringpfeil, MD Photo

Franziska Ringpfeil, MD.
Board Certified Dermatologist

Dr. Ringpfeil: "Botox is so much more than a wrinkle chaser. It allows me to enhance the attractive features of a face and restore youthfulness."

Philadelphia Office

Jayne E. Bird MD. Photo

Jayne E. Bird MD.
Board Certified Dermatologist

Dr. Bird: "Looking carefully at the facial features, I mix art, knowledge, and experience to magically erase these lines and facial depressions that hide your younger look."

Botox injection in Philadelphia - Before & After Pictures

Next Botox Appointment: Wed, Dec 31 7:00PM

Xeomin vs. Other Neuromodulators

  • Doesn't contain protein additives
  • Doesn't trigger the develpment of anibodies
  • Achieves desired effects in 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%.

Study results published in March 2020 show that there is no risk of developing antibodies against Xeomin®. Furthermore, Xeomin® will be able to achieve desired effects in those who have become resistant to other neuromodulators latest by 10-14 months after last injection. The effects of Xeomin® occur within 3-14 days and the results last from 3 to 6 months, making it comparable to Botox for both onset and duration of action.


Botox Overview

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

A bacteria-derived toxin is injected into specific muscle groups to specifically relax them and restore a worry-free, youthful appearance. Only Botox, the US approved grade of botulinum toxin A, is used in our office. Moderate and severe static lines need several sequential botox treatments to melt away.

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

Avoidance of aspirin and ibuprofen for 1-2 days.

Duration of Desired Effects

The final results will be visible after 1 to 2 weeks and typically last 3-6 months. Most people who like the effects will repeat injections every 4 months to maintain their results.

Contraindications

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

What Areas Can Botox Treat?

A basic Botox treatment hides facial wrinkles created by repeated movement. Advanced use of Botox includes the shaping of facial features. If performed conservatively, your family and friends will appreciate that you look more relaxed and younger but they will not be able to figure out how you did it. Botox can treat the following areas and in some cases, it can be combined with fillers such as Radiesse, Belotaro, and Juvéderm:

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 undereyes - 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: Sculptra and Artefill can be used in place of Radiesse. Usually, several treatments are necessary to achieve desired volume correction. Their upfront cost is substantially higher, yet, 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 causes loss of skin volume, 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. Many times, it even reverses wrinkles that have already settled.

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

Many people are self-conscious about smiling because over time it can increase wrinkles. However, with every smile, our body releases endorphins which keep us happy. It would be unhealthy not to smile for fear of facial lines. Yet, with the help of Botox, we can now have a guilt-free smile without fearing that we deepen 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 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, advanced use of Botox allows the shaping of brows 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. The 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 it is the only one currently approved for medical diagnoses in this country. 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 by a slightly smaller molecule size and therefore slightly wider spread. Xeomin is almost identical to Botox but it is a bit purer, 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 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, 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 regarded as generally 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 to 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: 3878
Last updated: 6/16/2021 3:32 PM

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
0%

Overall doctor performance

excellent
94.2%
very good
4.89%
good
0.80%
poor
0.03%
very poor
0%

The doctor listened to you attentively

excellent
93.9%
very good
4.97%
good
1.05%
poor
0.05%
very poor
0%

The doctor took time to answer your questions

excellent
94.0%
very good
4.66%
good
1.27%
poor
0.02%
very poor
0%

The doctor explained treatment options

excellent
94.3%
very good
4.16%
good
1.25%
poor
0.14%
very poor
0.02%

The doctor explained treatment options

excellent
92.0%
very good
5.69%
good
2.18%
poor
0.11%
very poor
0.0%

Front desk performance

excellent
85.6%
very good
10.2%
good
3.66%
poor
0.31%
very poor
0.08%

Aesthetician performance

excellent
88.6%
very good
7.61%
good
3.39%
poor
0.24%
very poor
0.08%

Office comfort

excellent
90.9%
very good
6.93%
good
2.08%
poor
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very poor
0.05%

Parking

excellent
66.4%
very good
14.4%
good
15.7%
poor
2.49%
very poor
0.9%

Friendliness of the staff during appointment

excellent
90.9%
very good
7.23%
good
1.85%
poor
0.05%
very poor
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What WE DID WELL

(Answers:674)

The Medical Assistant, Doctor and Receptionist were very helpful and fast. Best doctors appointment I've ever had!

#12020-12-06

i liked the fact the doctor acutally explianed everything to me in a way that i as a child could understand. that was the part that i really enjoyed

#22021-04-26

Promptness of being seen by physician, excellent, friendly staff. Dr. really listened and offered a plan to resolve my problem.

#32011-10-17 11:50:17

Linda was very thorough and took time with me rather than rush me like she couldn't wait to get to the next patient. I've had that experience before so I appreciated that.

#42011-06-02 14:59:00

Dr. Ringpfeil is wonderful. I must say i've visited various dermatologist in the past and this is the first doctor that has touched my face. Very important to me so that was big believe it or not. Also very easy to talk to and you dont feel rushed.She explains well. i'm very satisfied with my visit.

#52021-01-04

The staff were very professional and service was above those i have had in the past.

#62011-03-29 09:40:00

Yes, I liked Dr. Ringpfeil's attentive, friendly demeanor and the fact that she expained things well, making available every sort of treatment, but also making clear what was needed/recommended and what could/should be skipped in a sensible, conservative approach.

#72021-03-03

EXCELLENT SERVICE, THANK YOU FOR YOUR ADVISE & ASSISTANCE. VERY CLEAN, NICE & CONFIRTABLE OFFICE SETTING. VERY KNOWLEDGEBLE DOCTOR. THANK YOU AGAIN. I WILL RECOMMEND YOU GUYS TO OTHERS. EXCELLENT JOB!!!

#82021-01-15

Friendly staff and doctore

#92020-10-09

everyone seemed genuinely friendly.

#102020-06-27

What can we do better?

(answers:373)

Friday appointments with Dr. Ringpfiel

#12011-01-17 16:36:22

don't see how you could improve anything

#22011-01-12 08:19:57

I was dissapointed when my appointment was cancelled because of the snow. I had to wait 6 weeks to get another appointment. I wish that I could have been worked in sooner.

#32011-03-11 14:29:03

Continue with the excellent treatment

#42021-05-17

Everything was excellent.

#52021-03-22

It's a little warm in the office.

#62021-06-05

More chairs in the waiting room. More parking spaces.

#72010-09-15 12:08:01

I wasn't aware that you can register online as a new patient. Can you guys make new patience aware

#82011-07-12 14:35:20

It was good

#92020-08-17

Everything was delightfully pleasant and comforting.

#102011-03-28 09:42:42
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