Aging and wrinkles often go hand in hand. Over time, the body produces less collagen — the essential protein that helps you maintain firm, youthful skin. Combined with environmental exposure, sun damage, and facial expressions such as smiling or squinting, your skin begins to form fine lines and deeper wrinkles.
At Plastic Surgery Specialists of New Jersey, Frank J. Ferraro, MD offers Botox® injections to smooth these lines and restore a refreshed, more relaxed appearance. Trusted worldwide for its safety and effectiveness, Botox remains the most performed non-surgical cosmetic procedure.

Static vs. Dynamic Wrinkles
Facial wrinkles fall into two categories: static and dynamic. Static wrinkles are visible even at rest and often develop from sun exposure, collagen loss, and natural aging. Dynamic wrinkles, however, appear when muscles contract during facial expressions such as frowning or laughing.
Botox specifically targets dynamic wrinkles by temporarily relaxing the underlying muscles. When these muscles stop contracting, the overlying skin softens, and lines such as crow’s feet, forehead creases, and frown lines between the brows become noticeably smoother.
Benefits of Botox
Patients appreciate Botox because it:
- Softens wrinkles without surgery
- Offers quick, predictable results
- Has minimal to no downtime
- Can be repeated for long-term improvement
- Provides a refreshed, natural-looking appearance

Dr. Ferraro’s approach focuses on achieving subtle, balanced results that maintain natural facial expression while minimizing visible signs of aging.
How Botox Works
Botox is a neuromodulator made from a purified form of botulinum toxin. In small, controlled doses, it safely blocks the nerve signals that tell facial muscles to contract. This relaxation effect softens existing wrinkles and prevents new ones from forming.
Originally developed for medical conditions such as eyelid spasms and migraine relief, Botox received FDA approval for cosmetic use in 2002. Since then, millions of patients have benefited from its ability to reduce signs of aging without surgery or downtime.
When to Expect Results
Botox does not work instantly; results generally appear within three to seven days. The treated areas gradually smooth out as the muscles relax, and full results are typically visible after about two weeks. The effects last approximately four to six months. With regular maintenance sessions, you should find that your lines become less noticeable over time as the muscles adapt to a more relaxed state.
What to Expect During Treatment
A Botox session at Dr. Ferraro’s office typically takes less than 15 minutes. Using a very fine needle, Botox is carefully injected into specific facial muscles responsible for wrinkle formation. Most patients describe the injections as quick and tolerable, with minimal discomfort.
After treatment, you can return to normal activities immediately. It’s best to avoid rubbing the injection sites for about 12 hours to prevent the product from spreading into nearby muscles. Some mild redness or swelling may occur temporarily, but these effects fade quickly.
Botox Before And After



Why Choose Dr. Ferraro for Botox
As a board-certified plastic surgeon with decades of experience, Dr. Ferraro combines his surgical background with a refined aesthetic eye to deliver results that look natural — not overdone. Every Botox treatment is performed personally by Dr. Ferraro, ensuring precision and consistency.
Plastic Surgery Specialists of New Jersey, operates in a state-of-the-art private surgical facility equipped with advanced technology and supported by a highly trained team. Dr. Ferraro’s reputation for excellence, professionalism, and attentive patient care has earned him recognition as an NJ Monthly Top Doctor and numerous five-star reviews from satisfied patients.
Botox FAQs
Schedule a Consultation
Botox is an easy, proven way to rejuvenate your appearance and reduce unwanted lines. Frank J. Ferraro, MD, a board-certified plastic surgeon, performs every Botox treatment with precision and attention to detail. To schedule your Botox consultation in Paramus, NJ, contact us or call (201) 664-8000 today.
What Our Patients Have To Say
Dr. Ferraro Answers Patient Questions On Botox
To schedule a consultation, click here or contact our office at 201-664-8000