The Ins & Outs of Injectables

What makes Cosmetique Unique?

At Cosmetique, all cosmetic treatments are provided by a board-certified dermatologist and plastic surgeon. Dr. Sarnoff and Dr. Gotkin are internationally known for training other doctors, they are the crème de la crème – the experts who teach the experts.

We cater to all of the senses,from mocha espresso and macaroons being served, to French music, to the gorgeous Versailles surroundings – everything is soothing and calming to make your experience of receiving injectable treatments pleasurable.

What’s the difference between Botox® and fillers?

Botox is a clear, colorless liquid that is injected into the superficial muscles of the face and neck which relaxes the muscle. Once the muscle is relaxed, the overlying skin wrinkles smooth out. It is mainly used for dynamic wrinkles, such as crow’s feet, worry and frown lines. Fillers are substances that are injected just below the skin to “spackle” and fill in fine lines and superficial wrinkles. Fillers can also be injected deeply to add volume to those areas of the face that appear gaunt or sagging.

Like soup and sandwich – Botox and fillers go together, they work in tandem, in synergy. In fact, it’s been shown that when used together, the whole is better than the sum of the parts. We like to say that 1 + 1 = 3 – the use of Botox prolongs the duration of fillers.

How long does a Botox treatment last?

Botox is the trade name for Botulinum toxin. At Cosmetique, we also administer Dysport® and Xeomin®. All of these are called neuromodulators and they all relax the muscles of the face to smooth out overlying wrinkles. Once injected, it takes approximately one week for any of them to take effect. On average, the duration of their effect is approximately four months.

How long does a filler treatment last?

That depends on the injectable selected and the location where it is placed. Recently, the FDA cleared Voluma™ for cheek augmentation. In studies, it lasted two years. Our experience is that many times fillers will stimulate the creation of your own collagen. Consequently, even though the filler may be resorbed and disappear, the cosmetic correction can last much longer. Many times, if thin lips are corrected with one or two syringes of filler, the cosmetic improvement can go on for years.

I’ve always been afraid of needles. Are injectable treatments painful?

At Cosmetique, we literally take the pain out. We use topical anesthetic cream and cooling to numb the overlying skin. The needles are very tiny and the doctors’ themselves truly dislike pain, therefore they use every technique possible to ensure client comfort. Between the soothing French music, macaroons, and wonderful espresso, many clients feel like they truly had a visit to Paris.

Will I be bruised after Botox or filler?

We bend over backwards to try to prevent bruising. A week or so prior to your visit, you should try to avoid taking:

  • Aspirin, Advil or Aleve (Tylenol is OK)
  • Vitamin E
  • Fish oil
  • The herb, ginkgo biloba
  • If you take blood thinners, such as Coumadin, or Warfarin, you will want to discuss this with Dr. Sarnoff or Dr. Gotkin prior to having any treatment.

During treatment, the doctors will mark the skin overlying any superficial blood vessels they can see, so that they are careful not to traumatize them.

Should bruising occur, we have a wonderful laser that can speed up the healing process. We also provide customized makeup should you have any marks from treatment that you wish to cover.

At Cosmetique, we have found that the homeopathic herb, Arnica Montana, is useful in preventing bruising. The doctors will advise you how much to take and when to start prior to treatment.

Of all the fillers on the market today, which one is the best?

Dr. Sarnoff and Dr. Gotkin are fascinated by faces and think about what they can do to improve them – contouring, rebalancing and adding volume. Ultimately, the doctors believe it’s not the choice of filler, i.e., the substance one selects to inject, as it is the right “filler,” the talented, experienced person with an artistic eye and a track record for delivering great results.

Can I combine a Botox or a filler treatment with a laser resurfacing treatment?

Absolutely. In fact, the effects are synergic. At Cosmetique, we have state-of the-art laser technology that improves the quality of the skin and enhances the results. Injectable treatments and laser can be done on the very same day.

Do I Need a Skin Test First Before my Filler?

In the past, when we were injecting collagen, which was derived from cows, skin tests were necessary because people were allergic. Today, with the advent of hyaluronic acid (e.g., Juvederm, Belotero, Restylane), calcium hydroxylapatite (e.g., Radiesse) and poly-l-lactic acid (Sculptra), these substances are not animal derived, therefore, no skin tests are required.

How much younger can I look with Botox and fillers?

In a clinical study which Dr. Sarnoff co-authored, dermatologists reported an average of up to 7.3 years of reduction in apparent age after a single filler treatment session. This did not include Botox or laser. When all three modalities are combined, it is possible to look up to 10 years younger.


Call 212.794.4000 today to make an inquiry or schedule a confidential appointment at our Manhattan Office.
For Long Island, please call 516.484.9000.

"I was pampered and treated to the highest quality care. And I was able to look great for my meeting later that afternoon."


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