- Overview
- Surgeon
- Q&A
About the treatment
Neurotoxin (Botox)
Neurotoxin, also known as Botox, is a minimally invasive cosmetic procedure that involves injecting a purified protein into the muscles of the face. It is used to temporarily reduce the appearance of wrinkles and fine lines.
Benefits of Neurotoxin
- Reduces the appearance of wrinkles and fine lines
- Can be used to treat a variety of areas of the face, including the forehead, crow's feet, and frown lines
- Results can last for up to 4 months
- Minimally invasive with minimal discomfort
- Can be combined with other cosmetic treatments, such as fillers and lasers
How the Neurotoxin Procedure Works
The neurotoxin procedure is performed by a trained medical professional, such as a dermatologist or plastic surgeon. The procedure typically takes about 15-30 minutes.
During the procedure, the medical professional will inject the neurotoxin into the muscles of the face using a very fine needle. The number of injections and the amount of neurotoxin used will vary depending on the individual patient's needs.
After the Neurotoxin Procedure
After the procedure, you may experience some temporary redness, swelling, or bruising at the injection sites. These side effects typically subside within a few days.
You should avoid rubbing or massaging the injection sites for 24 hours after the procedure. You should also avoid strenuous activity for 24 hours.
The results of the neurotoxin procedure will typically become visible within 3-7 days. The results can last for up to 4 months.
Risks of the Neurotoxin Procedure
The neurotoxin procedure is generally considered to be safe and effective. However, there are some potential risks associated with the procedure, including:
- Bruising or swelling at the injection sites
- Infection
- Allergic reaction
- Asymmetry
- Difficulty swallowing or speaking
It is important to discuss the potential risks and benefits of the neurotoxin procedure with your doctor before undergoing the procedure.
Candidate
Neurotoxins, such as Botox, have become increasingly popular for cosmetic and medical purposes. While these procedures can be safe and effective when performed by qualified professionals, it's important to understand the potential health risks and benefits associated with their use.
Regular exercise, a healthy diet, and adequate sleep are important for maintaining overall health and wellness. Avoiding excessive alcohol consumption and smoking can also contribute to a healthier lifestyle. With regards to Botox specifically, it's crucial to discuss any concerns or potential side effects with a healthcare professional before undergoing treatment.
Side & After Effects
Introduction
Neurotoxin, also known as Botox, is a neurotoxin produced by the bacterium Clostridium botulinum. It is used to treat a variety of medical conditions, including muscle spasms and wrinkles. However, it is important to be aware of the potential risks and after effects of Neurotoxin before undergoing treatment.
Risks
- Infection
- Bruising
- Swelling
- Numbness
- Eyelid drooping
- Facial paralysis
After Effects
- Headache
- Nausea
- Vomiting
- Fever chills
- Muscle weakness
- Difficulty breathing
Conclusion
Neurotoxin can be an effective treatment for a variety of medical conditions. However, it is important to be aware of the potential risks and after effects before undergoing treatment. If you have any questions or concerns, be sure to talk to your doctor.
Things to Know
Procedure Time
30 Minutes
Overnight Stay
No
Recovery Time
1-2 days
Surgeon

Luis Zapiach, MD
Board Certified Plastic Surgeon
Dr. Luis A. Zapiach is board certified in Plastic Surgery. He has trained in prestigious medical schools such as Emory University, often regarded as one of the top medical training institutions in the world. While at Emory, Dr. Zapiach trained under some of the most respected authorities in plastic surgery, including former presidents of the American Society for Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, and the American Society of Ophthalmic Plastic and Reconstructive Surgery. Dr. Zapiach is routinely sought out by other plastic surgeons for his skill and experience with a number of advanced aesthetic enhancement techniques, including natural breast augmentation, Phenol Croton Oil Peel, and mid-facelift surgery.
Education & Training
1990 - 1994 Rutgers University BS, Biology
1994 - 1998 New York Medicine Doctor of Medicine
1998 - 2004 UMDNJ General Surgery Resident
2004 - 2007 Emory University Plastic and Reconstructive Surgery Fellow
Board Certification(s)
American Board of Plastic Surgery (ABPS)
Location
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1 W Ridgewood Ave #302, Paramus, NJ 07652, USA
Questions and Answers
Dr. Zapiach does not have any Q&A at this time.
Schedule a consultation
Neurotoxin (Botox)

Luis Zapiach, MD
Board Certified Plastic Surgeon
Minimally Invasive
Quick Recovery
High Patient Satisfaction
Dr. Luis A. Zapiach is board certified in Plastic Surgery. He has trained in pre...
Neurotoxin (Botox) by Luis Zapiach, MD.
About the Procedure
Introduction
Introduction
Neurotoxin (Botox) Procedure Neurotoxin (Botox) Procedure
Neurotoxin, also known as Botox, is a minimally invasive cosmetic procedure that involves injecting a purified protein into the muscles of the face. It is used to temporarily reduce the appearance of wrinkles and fine lines.
Benefits of Neurotoxin
- Reduces the appearance of wrinkles and fine lines
- Can be used to treat a variety of areas of the face, including the forehead, crow's feet, and frown lines
- Results can last for up to 4 months
- Minimally invasive with minimal discomfort
- Can be combined with other cosmetic treatments, such as fillers and lasers
How the Neurotoxin Procedure Works
The neurotoxin procedure is performed by a trained medical professional, such as a dermatologist or plastic surgeon. The procedure typically takes about 15-30 minutes.
During the procedure, the medical professional will inject the neurotoxin into the muscles of the face using a very fine needle. The number of injections and the amount of neurotoxin used will vary depending on the individual patient's needs.
After the Neurotoxin Procedure
After the procedure, you may experience some temporary redness, swelling, or bruising at the injection sites. These side effects typically subside within a few days.
You should avoid rubbing or massaging the injection sites for 24 hours after the procedure. You should also avoid strenuous activity for 24 hours.
The results of the neurotoxin procedure will typically become visible within 3-7 days. The results can last for up to 4 months.
Risks of the Neurotoxin Procedure
The neurotoxin procedure is generally considered to be safe and effective. However, there are some potential risks associated with the procedure, including:
- Bruising or swelling at the injection sites
- Infection
- Allergic reaction
- Asymmetry
- Difficulty swallowing or speaking
It is important to discuss the potential risks and benefits of the neurotoxin procedure with your doctor before undergoing the procedure.
Duration
30 Minutes
Overnight Stay
No
Recovery Time
1-2 Days
Effective Period
3-4 months
Neurotoxins, such as Botox, have become increasingly popular for cosmetic and medical purposes. While these procedures can be safe and effective when performed by qualified professionals, it's important to understand the potential health risks and benefits associated with their use.
Regular exercise, a healthy diet, and adequate sleep are important for maintaining overall health and wellness. Avoiding excessive alcohol consumption and smoking can also contribute to a healthier lifestyle. With regards to Botox specifically, it's crucial to discuss any concerns or potential side effects with a healthcare professional before undergoing treatment.
Benefits of Neurotoxin (Botox):
- Wrinkle reduction: Inhibits muscle contractions, smoothing away wrinkles and fine lines.
- Improved facial contours: Helps lift eyebrows, reduce jowls, and sharpen facial features.
- Migraine prevention: Blocks pain signals in the trigeminal nerve, reducing migraine frequency and severity.
- Hyperhidrosis treatment: Injects into sweat glands, reducing excessive sweating in areas like the underarms and palms.
- Muscle relaxation: Relaxes overactive muscles, providing relief from conditions like TMJ and muscle spasms.
- Eyelid twitch reduction: Injects into eyelid muscles to stop involuntary twitching (blepharospasm).
- Temporomandibular joint (TMJ) pain relief: Injects into jaw muscles, reducing pain and improving function.
- Recessed chin enhancement: Injects into chin muscles to create a more defined chin line.
- Non-invasive procedure: Done with injections without the need for surgery.
- Convenience: Relatively quick and painless treatment with minimal downtime.
- Long-lasting effects: Results can last several months before re-injection is necessary.
Risks of Neurotoxins (Botox)
- Local injection site reactions: Pain, redness, swelling, bruising, itching
- Facial asymmetry: Uneven treatment can lead to one side of the face looking different from the other
- Eyelid ptosis: Drooping of the eyelid
- Brow ptosis: Drooping of the eyebrows
- Dry eye: Reduced tear production
- Allergic reactions: Rare, but can include swelling, itching, and difficulty breathing
- Infection: At the injection site
- Muscle weakness: Temporary weakness in the treated muscles
- Headache: Mild to moderate headaches may occur
Safety of Neurotoxins (Botox)
- FDA-approved: Neurotoxins are approved by the Food and Drug Administration (FDA) for use in treating a variety of conditions, including wrinkles, muscle spasms, and migraines.
- Well-researched: Neurotoxins have been extensively studied for decades and have a well-established safety profile.
- Temporary results: The effects of neurotoxins typically last for 3-6 months, minimizing the risk of permanent side effects.
- Minimal downtime: Most people can resume their normal activities immediately after treatment.
- Low risk of side effects: When administered by a trained and experienced healthcare professional, the risk of serious side effects is low.
Minimizing the Risks of Neurotoxins
- Choose a qualified provider: Select a healthcare professional who is licensed and experienced in administering neurotoxins.
- Discuss your expectations and concerns: Clearly communicate your desired results and any concerns you have to your provider.
- Follow post-treatment instructions: Avoid rubbing or massaging the injection site, and protect it from heat and sunlight.
- Report any adverse reactions promptly: If you experience any unusual symptoms or discomfort, contact your provider immediately.
Overall, neurotoxins are generally safe and effective when used properly. By choosing a qualified provider, following post-treatment instructions, and reporting any adverse reactions promptly, you can minimize the risks and enhance the safety of your treatment.
Pre-Treatment Preparation for Neurotoxin (Botox) Injections
Medical History and Examination:
- Consult with a qualified healthcare provider to discuss your medical history and current medications.
- Inform them about any allergies or previous reactions to neurotoxins.
- Undergo a physical examination to assess the areas to be injected.
Pre-Treatment Guidelines:
- Avoid alcohol and blood thinners: Alcohol and blood thinners can increase bruising and bleeding at the injection sites.
- Avoid strenuous exercise: Exercise can promote blood flow and increase the risk of bruising.
- Stop taking vitamin E and fish oil: These supplements can interfere with blood clotting and contribute to bruising.
- Hydrate well: Drink plenty of water before and after the injections.
- Arrive fresh-faced: Avoid makeup, creams, or lotions on the day of your appointment.
Day of Treatment:
- Cleanse the injection areas: Gently wash and dry the treatment areas before arriving for the injection.
- Wear comfortable clothing: Choose clothing that allows easy access to the injection sites.
- Be prepared for discomfort: Neurotoxin injections can cause mild discomfort. Numb cream or ice packs may be applied to reduce sensation.
- Inform your provider of any changes: If you experience any unusual symptoms or changes in your health before the appointment, notify your healthcare provider.
Post-Treatment Care:
- Avoid touching the injection sites: Keep your hands clean and avoid manipulating the treated areas.
- Limit alcohol and exercise: Alcohol and strenuous exercise can increase bruising and swelling.
- Elevate your head: Sleep with your head elevated to reduce swelling.
- Apply cold compresses: Apply cold compresses to the injection sites for 24-48 hours to reduce swelling.
- Avoid sun exposure: Protect the treated areas from direct sunlight to minimize bruising.
- Follow up with your provider: Attend follow-up appointments as scheduled to monitor your results and address any concerns.
Immediate Care:
- Seek medical attention immediately: Notify your doctor if you experience any severe side effects, such as difficulty breathing, swallowing, or speaking.
- Stay upright: Avoid lying down for the first four hours to prevent the neurotoxin from migrating to other areas of the face.
- Do not massage the injection site: Massaging can disperse the neurotoxin and increase the risk of side effects.
- Apply ice: Place an ice pack or cold compress on the injection site to reduce swelling and discomfort.
Long-Term Recovery:
- Neurotoxin effects typically wear off gradually: Results start to diminish after 3-5 months and completely fade by 6-8 months.
- Avoid strenuous activity: For the first few days, engage in light activities that do not involve excessive sweating or facial muscle use.
- Stay hydrated: Drink plenty of water to help flush out the neurotoxin from your body.
- Take anti-inflammatory medications: Over-the-counter pain relievers, such as ibuprofen or naproxen, can help reduce swelling and discomfort.
- Get plenty of rest: Sleep allows your body to recover from the procedure.
- Avoid alcohol and tobacco: Alcohol and tobacco can slow down the healing process.
- Follow up with your doctor: Schedule a follow-up appointment with your doctor to monitor your recovery and address any concerns.
Additional Tips:
- Consider a cool compress: A cold compress can help reduce swelling and discomfort after the procedure.
- Use eye drops: If you experience dry eyes, use over-the-counter eye drops to lubricate them.
- Protect your skin from the sun: Wear sunscreen to prevent sun exposure from exacerbating redness and swelling.
- Be patient: Recovery from neurotoxin injections typically takes several weeks.
Things to know before start
Pre-Treatment Preparation for Neurotoxin (Botox) Injections
Medical History and Examination:
- Consult with a qualified healthcare provider to discuss your medical history and current medications.
- Inform them about any allergies or previous reactions to neurotoxins.
- Undergo a physical examination to assess the areas to be injected.
Pre-Treatment Guidelines:
- Avoid alcohol and blood thinners: Alcohol and blood thinners can increase bruising and bleeding at the injection sites.
- Avoid strenuous exercise: Exercise can promote blood flow and increase the risk of bruising.
- Stop taking vitamin E and fish oil: These supplements can interfere with blood clotting and contribute to bruising.
- Hydrate well: Drink plenty of water before and after the injections.
- Arrive fresh-faced: Avoid makeup, creams, or lotions on the day of your appointment.
Day of Treatment:
- Cleanse the injection areas: Gently wash and dry the treatment areas before arriving for the injection.
- Wear comfortable clothing: Choose clothing that allows easy access to the injection sites.
- Be prepared for discomfort: Neurotoxin injections can cause mild discomfort. Numb cream or ice packs may be applied to reduce sensation.
- Inform your provider of any changes: If you experience any unusual symptoms or changes in your health before the appointment, notify your healthcare provider.
Post-Treatment Care:
- Avoid touching the injection sites: Keep your hands clean and avoid manipulating the treated areas.
- Limit alcohol and exercise: Alcohol and strenuous exercise can increase bruising and swelling.
- Elevate your head: Sleep with your head elevated to reduce swelling.
- Apply cold compresses: Apply cold compresses to the injection sites for 24-48 hours to reduce swelling.
- Avoid sun exposure: Protect the treated areas from direct sunlight to minimize bruising.
- Follow up with your provider: Attend follow-up appointments as scheduled to monitor your results and address any concerns.
Immediate Care:
- Seek medical attention immediately: Notify your doctor if you experience any severe side effects, such as difficulty breathing, swallowing, or speaking.
- Stay upright: Avoid lying down for the first four hours to prevent the neurotoxin from migrating to other areas of the face.
- Do not massage the injection site: Massaging can disperse the neurotoxin and increase the risk of side effects.
- Apply ice: Place an ice pack or cold compress on the injection site to reduce swelling and discomfort.
Long-Term Recovery:
- Neurotoxin effects typically wear off gradually: Results start to diminish after 3-5 months and completely fade by 6-8 months.
- Avoid strenuous activity: For the first few days, engage in light activities that do not involve excessive sweating or facial muscle use.
- Stay hydrated: Drink plenty of water to help flush out the neurotoxin from your body.
- Take anti-inflammatory medications: Over-the-counter pain relievers, such as ibuprofen or naproxen, can help reduce swelling and discomfort.
- Get plenty of rest: Sleep allows your body to recover from the procedure.
- Avoid alcohol and tobacco: Alcohol and tobacco can slow down the healing process.
- Follow up with your doctor: Schedule a follow-up appointment with your doctor to monitor your recovery and address any concerns.
Additional Tips:
- Consider a cool compress: A cold compress can help reduce swelling and discomfort after the procedure.
- Use eye drops: If you experience dry eyes, use over-the-counter eye drops to lubricate them.
- Protect your skin from the sun: Wear sunscreen to prevent sun exposure from exacerbating redness and swelling.
- Be patient: Recovery from neurotoxin injections typically takes several weeks.
Surgeon

Luis Zapiach, MD
Board Certified Plastic Surgeon
Owner at ART Plastic Surgery
Bergen County, New Jersey
50 views today
Speaks: English
Dr. Luis A. Zapiach is board certified in Plastic Surgery. He has trained in prestigious medical schools such as Emory University, often regarded as one of the top medical training institutions in the world. While at Emory, Dr. Zapiach trained under some of the most respected authorities in plastic surgery, including former presidents of the American Society for Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, and the American Society of Ophthalmic Plastic and Reconstructive Surgery. Dr. Zapiach is routinely sought out by other plastic surgeons for his skill and experience with a number of advanced aesthetic enhancement techniques, including natural breast augmentation, Phenol Croton Oil Peel, and mid-facelift surgery.
Education & Training
- 1990 - 1994 Rutgers University BS, Biology
- 1994 - 1998 New York Medicine Doctor of Medicine
- 1998 - 2004 UMDNJ General Surgery Resident
- 2004 - 2007 Emory University Plastic and Reconstructive Surgery Fellow
Board Certification(s)
- American Board of Plastic Surgery (ABPS)
1 W Ridgewood Ave #302, Paramus, NJ 07652, USA
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Surgeon

Luis Zapiach, MD
Board Certified Plastic Surgeon
Owner at ART Plastic Surgery
Bergen County, New Jersey
50 views today
Dr. Luis A. Zapiach is board certified in Plastic Surgery. He has trained in prestigious medical schools such as Emory University, often regarded as one of the top medical training institutions in the world. While at Emory, Dr. Zapiach trained under some of the most respected authorities in plastic surgery, including former presidents of the American Society for Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, and the American Society of Ophthalmic Plastic and Reconstructive Surgery. Dr. Zapiach is routinely sought out by other plastic surgeons for his skill and experience with a number of advanced aesthetic enhancement techniques, including natural breast augmentation, Phenol Croton Oil Peel, and mid-facelift surgery.
Education & Training
- 1990 - 1994 Rutgers University BS, Biology
- 1994 - 1998 New York Medicine Doctor of Medicine
- 1998 - 2004 UMDNJ General Surgery Resident
- 2004 - 2007 Emory University Plastic and Reconstructive Surgery Fellow
Board Certification(s)
- American Board of Plastic Surgery (ABPS)
1 W Ridgewood Ave #302, Paramus, NJ 07652, USA
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Questions and Answers
Q&A
Dr. Luis Zapiach does not have any Q&A at this time.
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