BOTOX® in Paramus, NJ

Botox Paramus NJ
What is BOTOX®?

Aging and wrinkles go together like peanut butter and jelly. As we age, the production of collagen, the protein responsible for supporting the skin, decreases by one percent each year after the age of 20. Throw in sun and environmental damage, and lifestyle choices and your skin can’t win.

How about adding wrinkles that occur from repeated behaviors such as squinting, laughing, or frowning? Ouch.

That’s the difference between static wrinkles and dynamic wrinkles. Static wrinkles show themselves at all times and are the direct result of sun damage and the natural effects of aging. Dynamic wrinkles, in contrast, are formed by muscle contractions beneath the skin creating a wrinkle on top.

Dynamic wrinkles are the domain of Botox. Botox stops the muscle from contracting, removing or seriously reducing the appearance of the wrinkle on the surface. Since its introduction to the aesthetic industry in 2002, Botox has taken the world by storm. Year in and year out it is far and away the most performed cosmetic procedure the world over.

Why all the success? Botox works.

What’s the secret behind BOTOX®?

Botox is actually created from the botulinum toxin, the same bacteria that cause botulism. But decades ago scientists discovered that Botox, when injected in very small amounts, could paralyze a muscle for a certain length of time. Botox became popular for treating involuntary eyelid spasms, certain TMJ symptoms, even migraine headaches.

But it was when the FDA approved Botox for aesthetic use in treating wrinkles in 2002 that the lid blew off.

Botox is called a neuromodulator. When injected into a facial muscle, say the muscle creating crow’s feet, Botox blocks the nerves in the muscle from communicating with the brain. And if the brain never receives a message to contract, it won’t contract. Without the contraction, the wrinkle formed by that muscle disappears or dramatically lessens in appearance. The dynamic wrinkles that Botox bosses around are found on the top third of the face: crow’s feet, the 11s between the brows, and forehead wrinkles.

Botox has no effect on static wrinkles, those wrinkles that are always on display.

What’s involved in a BOTOX® session?

Botox is delivered with a very small needle, injected directly into only the muscles responsible for creating the wrinkle. A session takes just a few minutes and you can return to work immediately afterwards. It’s important to not rub the injected sites for 12 hours after your injections because that can move the Botox into unwanted adjacent muscles. Otherwise, there may be some slight redness or bruising at the injection locations, but that’s it.

Dr. Ferraro Answers Patient Questions on BOTOX®:

RealSelf Q&A with Frank J. Ferraro, MD

Results from BOTOX®:

Unlike dermal fillers such as Juvederm, your Botox results are not immediate. It generally takes from three to seven days after your injections for Botox to fully block the muscle contractions. It will continue doing so for four to six months. At that point, you body absorbs the now-harmless Botox and the muscle activity will gradually return and along with it the wrinkles. When that happens, it’s time to schedule another Botox session to maintain your results. Research has shown, however, that after repeated Botox treatments, the targeted muscles tend to relax and not contract as aggressively.
RealSelf Patient Reviews of Frank J. Ferraro, MD


Juvéderm® Injectable Gel is a safe, effective gel that restores volume to the skin and smoothes away moderate to severe facial wrinkles and folds. Juvederm is the first FDA-approved dermal filler proven safe and effective for persons of color. The Juvederm gel is made of hyaluronic acid with a smooth consistency, allowing for easy injections and instant, natural-looking results. There is no pre-testing needed for this procedure.

Topical or injectable anesthesia may be used during this procedure to numb the treatment area and minimize any potential discomfort. The results of this procedure are available right away and can usually last for up to a year, the longest results available from any hyaluronic acid product.

Juvéderm® Voluma

Juvéderm® Volumais a new,  FDA-approved dermal filler formulated specifically to add volume to the face around  the cheeks and chin. This is the only injectable gel created to provide a  subtle, natural enhancement to the mid-face, addressing changes in definition  that occur over time. Juvéderm Voluma can help restore more youthful contours  by plumping up the area that so often loses volume as part of the aging  process. It can also return a firmer shape to the jaw line when some softening has  set in.


Radiesse® is a synthetic injectable filler that has been approved by the FDA to reduce moderate to severe wrinkles, folds and creases around the nose and mouth by stimulating the natural production of collagen in the skin. This product is made of microspheres composed of calcium hydroxylapatite within a water-based gel and is made from minerals similar to what makes up our bones. Radiesse can be injected directly into the skin with no need for pre-testing.

Radiesse is most effective in reducing the appearance of smile lines, nasolabial folds, marionette lines and other wrinkles around the nose and mouth. The results of this procedure are visible immediately after the injection and can last for up to a year or even longer.With continued treatment, patients will require fewer and fewer injections.


Full, natural-looking eyelashes can now be achieved through a prescription treatment called Latisse®. Latisse is the first and only eyelash treatment approved by the FDA to help grow longer, fuller and darker eyelashes and treat hypotrichosis, a condition that includes having inadequate or not enough eyelashes.

Latisse contains bimatoprost, an active ingredient that improves the appearance of your lashes and is often found in glaucoma medication. While the precise science of the treatment is not known, research suggests that the number of hairs and duration of the growth process are increased by bimatoprost.

This prescription medication is applied topically to the base of the eyelashes once a day, after makeup and contact lenses have been removed and any other skincare products have already been applied. While it does not replace mascara, Latisse offers an attractive complement to help further enhance full, long and beautiful lashes.

The results of Latisse are visible after 4 weeks, with full results appearing after 16 weeks. You can track the progress of your results through photographs. Side effects of Latisse are rare but may include itching, redness or dryness in the eye area. You should not use Latisse if you have an active eye infection or broken skin or irritated skin on the eyelid. Call your doctor today to find out if Latisse is right for you.

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