Botox & Xeomin on Long Island:
A Patient's Guide to Wrinkle Relaxers

Botox and Xeomin are FDA-approved botulinum toxin type A injections that temporarily relax the facial muscles responsible for dynamic wrinkles — the lines that form from repeated expressions like squinting, frowning, and raising your brows. At Belaray Dermatology, all cosmetic injections are physician-supervised, ensuring precise placement and natural-looking results.

Botox vs. Xeomin: What's the Difference?

In clinical practice, the results of Botox and Xeomin are comparable when dosed appropriately. Your Belaray provider will discuss which product is best suited to your treatment history and goals.

What Areas Can Be Treated?

• Forehead lines — horizontal creases that appear when you raise your brows
• Glabellar lines (frown lines / "11s") — vertical lines between the brows
• Crow's feet — lateral eye wrinkles from squinting and smiling
• Brow lift — subtle elevation of the lateral brow arch
• Bunny lines — diagonal creases on the nose
• Lip lines / lip flip — vertical upper lip lines and subtle lip eversion
• Chin dimpling — "peau d'orange" texture on the chin
• Jaw slimming / TMJ — masseter reduction for face-slimming or bruxism
• Neck bands (platysmal bands) — vertical cords in the neck
• Hyperhidrosis — excessive sweating of the underarms, hands, or feet

Neuromodulators address dynamic wrinkles caused by muscle movement. For static creases and volume loss, dermal fillers are often combined in the same visit, and heavy upper eyelid skin that hoods the lashes may be better served by blepharoplasty (eyelid surgery) than by injections alone.

What to Expect: Your Treatment Visit

1. Consultation: Your provider will review your goals, assess muscle anatomy, and recommend the appropriate product and dosing.
2. Preparation: The treatment area is cleaned. Topical numbing is available but rarely needed since the needles used are extremely fine.
3. Injections: The procedure takes 10–15 minutes. Most patients describe a slight pinch.
4. Immediate aftercare: Avoid lying flat for 4 hours, vigorous exercise for 24 hours, and do not rub the treated area.
5. Onset: Results appear gradually over 3–7 days and reach full effect at 2 weeks.

How Long Do Results Last?

First-time patients typically enjoy results for 3–4 months. With consistent treatment, many patients find results extend to 4–6 months as the muscles gradually become less active. Dosing, metabolism, and the specific muscle treated all influence duration.

Frequently Asked Questions

Does Botox look natural?

In experienced hands, yes. The goal at Belaray is never a "frozen" look — it's softening movement while preserving natural expression. Proper dosing and precise injection technique are the key variables. Our physicians adjust dosing to your anatomy and desired level of correction.

Is there downtime after Botox?

There is no meaningful downtime. Small bumps or mild redness at injection sites resolve within an hour. Occasional small bruises can occur but are uncommon and resolve in a few days. Most patients return to work or daily activities immediately.

Can Botox be combined with fillers?

Yes — and this is very common. Botox relaxes dynamic wrinkles (caused by muscle movement), while dermal fillers add volume to static wrinkles and areas of volume loss. Combining both in the same visit is safe and efficient. See our guide on dermal fillers for more.

Does insurance cover Botox?

Cosmetic Botox for wrinkles is not covered by insurance. However, Botox for hyperhidrosis (excessive sweating) and certain medical indications may be covered. Ask our team about your specific situation.