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How Does Botox Actually Work? The Science Behind the Smoothness New York, NY

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How Does Botox Actually Work? The Science Behind the Smoothness

A young woman with curly hair and freckles looks directly at the camera against a plain, neutral background. She has a calm, neutral expression and bare shoulders.

Botox® has become one of the most popular non-surgical cosmetic treatments in the world—but have you ever wondered how it actually works? At Creative Facial Aesthetics, located in the heart of NYC near Madison Square Park, we offer expertly performed Botox injections that go beyond the hype, delivering precise, natural-looking results based on real science.

What Is In Botox?

Botox is the brand name for botulinum toxin type A, a purified neurotoxin. When injected in very small amounts, Botox blocks signals from the nerves to the muscles. This temporarily relaxes the muscles, preventing them from contracting and forming wrinkles—especially in areas like the forehead, between the brows, and around the eyes.

The Science Behind Smoother Skin

Wrinkles are often the result of repetitive muscle movements over time—think squinting, frowning, or raising your eyebrows. Botox targets these dynamic wrinkles by inhibiting the neurotransmitter acetylcholine, which is responsible for triggering muscle contractions. Without that signal, the muscle stays relaxed, and the skin above it appears smoother and more youthful.

How Long Does Botox Last?

The effects of Botox typically begin within 3 to 5 days after injection, with full results visible by day 14. On average, results last 3 to 4 months, although some patients may enjoy benefits for up to 6 months with regular treatments. With continued use, muscles can weaken slightly, which often leads to longer-lasting results over time.

Botox Is FDA-Approved and Safe

Botox was FDA-approved for cosmetic use in 2002 and has since been used by millions worldwide. It is one of the most studied aesthetic medicines, with over 500 peer-reviewed articles confirming its safety and efficacy. In 2023 alone, more than 9.4 million neuromodulator procedures were performed in the U.S., according to the American Society of Plastic Surgeons.

Where Can Botox Be Injected?

At Creative Facial Aesthetics, Botox is most commonly used to treat:

  • Horizontal forehead lines
  • Glabellar lines (frown lines between the brows)
  • Crow’s feet (around the eyes)
  • Bunny lines (on the nose)
  • Downturned mouth corners
  • Chin dimpling
  • Neck bands (platysmal bands)

Botox is also used off-label for eyebrow lifts, jaw slimming, and even to reduce excessive sweating (hyperhidrosis).

Will I Look Frozen?

Not at our clinic. The key to great Botox is precision. At our NYC office near Union Square, we use advanced techniques and a conservative approach. Our goal is never to freeze your expression, but rather to soften harsh lines while preserving your natural movement and expressive personality.

Is Botox Right for You?

Botox is ideal for patients who want a non-invasive, fast, and effective way to reduce fine lines and wrinkles. It’s perfect for busy New Yorkers who want to return to work or daily activities immediately after treatment—no downtime required.

Why Choose Creative Facial Aesthetics in NYC?

Located in the vibrant Flatiron District, Creative Facial Aesthetics is a trusted provider of Botox and other facial rejuvenation services. Dr. Khosh and PA Rivard bring extensive experience in facial anatomy, ensuring every injection is carefully placed for the most flattering results.

Patients from Chelsea, Gramercy, Midtown, and beyond choose us for our artistry, professionalism, and personal attention to detail. Whether you’re new to Botox or looking to refine your look, we’re here to help you put your best face forward.

Your First Step: A Personalized Consultation

Every face is unique, and so is every Botox treatment plan. During your consultation, we’ll evaluate your facial structure, discuss your goals, and create a tailored plan that reflects your features and preferences. Botox doesn’t erase your expression—it enhances your confidence. Contact us today to schedule your Botox consultation.

Posted on behalf of Creative Facial Aesthetics

928 Broadway, Suite 505
New York, NY 10010

Phone: (332) 223-6655

Monday & Tuesday 8:30 AM – 7:00 PM
Wednesday & Thursday 8:30 AM – 5:00 PM
Friday 8:30 AM – 2:00 PM

What our patients are saying

4.9 / 5.0

Based on 106 reviews

Stephen P.

I've been to Michele for a numbers of years for various procedures and she's fantastic, a true artist. Michele never pushes procedures, always takes her time and the final results are superb. I'm in the entertainment industry and need to look my best. I'm thrilled that she's now moved offices and I was able to track her down, I wouldn't trust my face to anyone else. My advice, put yourself in her hands and trust and you'll be amazed at the results: not only is her work exceptional but very natural.

Robin M.

I have gone to Michele for more than 10 years, following her to her new location. It's so long ago but I think I heard of her expertise in a magazine article or blog. I trust Michele completely and have done botox and filler on many occasions during this time, The results are always perfect, so natural.

Scott S.

As someone who was very hesitant to try Botox, as I am a performer/dancer and expression is a huge part of my career, I could not be happier with the treatments I have received from Michele! I have gotten so many "You look so young!" and "You skin looks incredible!". Michele took her time to explain to me the benefits of different treatments and was very responsive to my concerns. I have recommended friends to her who are so grateful to me! As a person who came to aesthetic medicine through an incredible journey of her own, Michele is unparalleled in her compassion, skill and knowledge. Go see her! You will be in the BEST hands!

Melodie D.

Michele Rivard is the best I have had for my injections of botox and fillers. She is meticulous, exact and knows what needs to be done to make my face be the best it can be. I highly recommend her for whatever you want done and you will be happy with the results.

Meredith G.

Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!

Jackie C.

Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results

Kaitlin M.

Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.

Leah G.

Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!

Creative Facial Aesthetics

928 Broadway, Suite 505
New York, NY 10010

Phone: (332) 223-6655

Monday & Tuesday 8:30 AM – 7:00 PM
Wednesday & Thursday 8:30 AM – 5:00 PM
Friday 8:30 AM – 2:00 PM