What is Botox?
(botulinum toxin A)
Botox is an extensively studied, cosmetic medical procedure used to enhance the appearance and feel of your skin by temporarily improving frown lines and crows feet around the eyes and between the eyebrows. Botox is a neurotoxic protein, called botulinum toxin A, that causes the underlying muscles to relax, softening the appearance of the skin and smoothing wrinkles. Botox is the most effective method to combat wrinkles. Botox injections are relatively low risk with few side-effects other than light bruising and mild pain around the injection site.

Frown lines and crow’s feet are caused by the repetitive muscle contractions due to frowning and squinting in addition to cellular changes, like the loss of collagen or cell damage, that
occurs over time. In order to restore the skin’s smooth, wrinkle-free appearance, Botox temporarily paralyzes the muscles underlying these movements to reduce the strain on the
skin causing the skin to wrinkle in the first place. The effects of Botox will last anywhere from four to six months. The muscles will gradually regain activity and wrinkles will eventually reappear. With each Botox treatment, however, lines and wrinkles will become less severe as the muscles are trained to relax.
Average cost: $350-$500 per area injected

The Procedure
Step 1 – Map and mark the appropriate injection sites on your face.
Crow’s feet area: Botox is injected to three areas of the orbitcularis oculi, which is the muscle that borders the side of the eye. Frown lines area: Five injections into the muscles of your forehead between your eyebrows, 1 in the procerus muscle and 4 in the corrugator muscles.
Step 2 – Sanitize the injection site with an antibacterial agent. No anesthetic required.
Step 3 – Botox is injected with a small needle to the target areas.
Step 4 – Temporary paralysis of the injected muscles to reduce the appearance of wrinkles.


Patient Testimonials:

Dr. Koumanis is truly amazing. Our son, Noah, was eight when he was bitten on the face by our dog in June 2015. A piece of his top left lip was ripped out, his cheek was torn open, and he had a slice in his bottom lip. Dr.Koumanis arrived in the emergency room, so calm and sure of just what needed to be done. He reattached the piece of lip in exactly the right position by matching the direction of the tiny hairs on his upper lip. over the last 18 months, he has done a follow-up surgery and seen Noah multiple times to check on how his face is healing. We could not be happier or more amazed with the results. Noah is ten now, and if you saw him on the street, you would not be able to tell the severity of his injuries based on how amazing he looks today. Noah has never been embarrassed or distressed about his lip (he was cracking jokes in the ER). That is just who he is as a person, but his continued confidence in spite of what could have been debilitating is a testament to just what a spectacular job Dr.Koumanis did on reconstructing his beautiful face. Our family cannot recommend Dr.Koumanis highly enough. Thank you so much. – Melanie P., Ballston Spa, NY

Dr.Koumanis you are incredible! I’m very grateful to have you as my doctor. I feel like a new woman who feels sexy again. After years of taking care of everybody else, I finally did something for me. My results are better than expected. I actually miss seeing you and your wonderful staff. Thank you for the beautiful work you did on me! – Lynne, Burnt Hills, NY

Very professional, compassionate and knowledgeable surgeon. Dr.Koumanis restored me to better than natural after the scary nightmare diagnosis of breast cancer. I found him to be the most humanistic, caring and talented surgeon in the Northeast. He has the utmost concern for your feelings as well as an expert artistic vision for your best outcome. He really is a reconstructive genius after breast cancer! At the onset of the treatment ( a double mastectomy), he said that in a bit of time I wouldn’t think about the reconstruction at all … he was right! Thank you Doctor Koumanis and your wonderful staff for walking me through a darker place. I came out of the other side with my head held high and a new sense of self-worth!  Sincerely,  L.M., Altamont NY

See more patient testimonials here