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Botox in New Jersey

BOTOX® in New Jersey

Are you concerned about lines and wrinkles on the face as you age? Then you may have heard about Botox injections. Botox features a toxin known as botulinumtoxin A that temporarily makes small muscles stop moving, which can reduce facial lines and wrinkles.

When Botox is injected, for example, in the corners of the eyes, the crow’s feet will temporarily disappear as the muscles responsible for making those lines and wrinkles are frozen.

The most common parts of the face that are treated with Botox injections are:

  • Frown lines around the mouth
  • Crow’s feet around the eyes
  • Forehead creases
  • Jawline (to soften it)
  • Neckbands

What is Botox?

Botox blocks chemical signals from nerves, usually making muscles contract around the eyes, mouth, and forehead. Botox injections also may be used for the following health conditions:

  • Lazy eye
  • Chronic migraines
  • Eye twitching
  • Muscle contractures
  • Bladder dysfunction

Many people turn to Botox to temporarily reduce the signs of aging without surgery. While patients will need touch-ups every three to six months, Botox can be an essential tool to reduce the signs of aging affordably.

Dysport vs. Botox

There are other injections similar to Botox that your healthcare provider may recommend. One of them is Dysport, which is another muscle relaxer that can temporarily freeze facial muscles.

Dysport can be used in the forehead, corners of the mouth, corners of the eyes for crow’s feet, and near the nose. Dysport also fills in empty spaces around the small facial muscles and makes the face smoother.


Juvederm is a popular dermal filler that can reduce wrinkles and lines in the face. Other patients want Juvederm to create plumper, fuller lips. It can be used for medium and deep wrinkles, especially the nasolabial folds around the nose.

Juvederm Voluma can be used to increase the volume of the cheeks. As we age, the cheeks may hollow out and make us look older.

Your healthcare provider may give you a combination treatment of Botox, Juvederm, and Dysport to transform your face and make it look younger – all without surgery.

SMITA R. RAMANADHAM, M.D. – Female Plastic Surgeon
American Society of Plastic Surgeon's
American Board of Plastic
The Aesthetic Society

Smita R. Ramanadham, M.D.– Female Plastic Surgeon

Dr. Smita Ramanadham, originally from New Jersey, possesses an in-depth understanding of the unique objectives of both women and men in the New Jersey Area.  After achieving a successful academic career at Tufts University School of Medicine in Boston, MA, she is delighted to return to her home state.

 Dr. Ramanadham completed her plastic and reconstructive surgery training at the renowned University of Texas Southwestern in Dallas, TX, which ranks first nationally in plastic surgery programs, according to Doximity. During her training, she had the invaluable opportunity to learn directly from the world’s foremost experts.

She actively contributes as a dedicated member of The Aesthetic Society, a highly respected organization representing the most qualified group of aesthetic plastic surgeons. Furthermore, she actively participates as a member of the American Society of Plastic Surgeons (ASPS) and values the chance to enhance the field of plastic surgery on a larger scale. Within the ASPS, she serves on multiple national committees, including Women Plastic Surgeons, Young Plastic Surgeons Steering Committee, Curriculum Committee, Social Media Subcommittee, Wellness Task Force, and Coding and Payment Policy Committee.

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Botox Procedure

Botox injections are done at your health care provider’s office. The doctor uses a small needle to inject minute amounts of Botox into the treatment areas of the face. The number of injections you need depends on many things, including which areas of the face have lines and wrinkles.

Most patients don’t experience much discomfort during Botox injections. But the healthcare provider may numb the treatment area to reduce any pain. For example, your doctor may use topical anesthesia or ice on the treatment area.

It may take a few days for the Botox injections to freeze the muscles in the treatment areas. Depending on your anatomy, the effects may last three to six months. To maintain the results, you will need regular follow-up treatments.

There also are specific procedures for other Botox treatments:

Botox Facial

Some patients want a Botox facial to provide more nutrients to the skin to make them look younger and fresher.

A Botox facial uses microneedling that punctures many parts of the face with tiny needles to inject Botox and serum under the skin. The solution goes below the skin’s surface and infuses it but doesn’t freeze the facial muscles.

A Botox facial can be a good choice for patients who want a comprehensive facial rejuvenation but don’t want a facelift or other surgery yet.

If you want a more significant improvement to your face, such as remove five or 10 years of aging, you probably need a traditional facelift.

Dimpled Chin

Botox can be used to relax the chin muscle to reduce lines in this part of the face. Some patients have a chin that is excessively dimpled and can get worse when the chin muscle contracts. But Botox can smooth out the chin and make you look younger.

Botox For Excessive Sweating

Botox can be used under the arms to reduce excessive sweating. The chemical can block the chemicals that turn on the sweat glands in this part of the body.

Healthcare providers usually inject up to 100 units of Botox into each armpit to reduce excessive sweating.

Botox Brow Lift

People with deep lines and wrinkles in the forehead may need a traditional brow lift. But a chemical brow lift can reduce minor forehead lines and wrinkles by freezing some muscles months area.

Some healthcare providers also may inject Dysport into the forehead to reduce lines and wrinkles.

Dr. Smita R. Ramanadham is a double board-certified plastic surgeon specializing in a variety of facial procedures, including Botox injections. She will perform your Botox injections with the skill and artistic sense necessary for the best, natural-looking result. Dr. Smita also performs other facial and body cosmetic procedures in the New Jersey area.

Botox Benefits

Botox injections are popular because of their impressive anti-aging effects on the face. When the injections freeze the muscles around the eyes and mouth, for example, lines and wrinkles disappear temporarily and make you look years younger.

Botox is affordable with minimal downtime and can treat these areas to reduce the signs of aging:

  • Forehead lines
  • Frown lines
  • Crow’s feet
  • Neck bands and lines
  • Increase the size of the lips

Ideal Candidates For Botox

Botox may be a good fit for patients who show signs of facial aging but don’t want plastic surgery yet. If you are in good health and don’t smoke, you could be a good candidate for this procedure.

Also, people with the following symptoms and conditions may be good candidates for Botox injections:

  • Crow’s feet, general face wrinkles, bunny lines, and frown lines
  • Enlarged jaw muscles
  • Nose that is larger than you want
  • Undesirable contours on the lower legs
  • Underarm sweating
  • Involuntary eye spasms

Note that Botox will not alter the bone structure of the treated area and isn’t recommended for people under 18. It’s also not appropriate for women who are pregnant or nursing.

If you have medical conditions that affect the muscles or have allergies to Botox ingredients, please talk to your doctor.

Preparation For Botox

Botox treatments are simple for most patients because no surgery is required. However, tell your healthcare provider if you have had Botox injections in the last few months.

Also, tell them if you take any muscle relaxants, allergy medications, or sleeping aids. If you are on blood thinners, you may need to stop taking them for a few days to reduce the chance of bleeding or bruising.

Botox Risks and Complications

Botox New JerseyMost people tolerate Botox injections well, but there are a few things to know about before your first treatment.

Many patients experience skin redness and dryness after Botox injections, and some may have minor swelling and bruising at the injection site.

Rare side effects of Botox injections include muscle weakness, double vision, hoarse voice, and muscle spasms.

Botox Recovery

Botox injections usually have few side effects, so most patients tolerate them well. Botox is popular because it offers impressive results that reduce facial lines and wrinkles, and you can go right back to your routine the same day.

Some patients have Botox injections during their lunch hour and go back to work. However, you may want to take the rest of the day off if you have any discomfort or swelling.

Some tips to improve your results and recovery are:

  • Only get Botox treatments from a professional: Botox injections are relatively simple, but they must be done safely and effectively. Therefore, only choose a medical professional with extensive training doing Botox injections.
  • Tell your healthcare provider about any medications or supplements you take. These can interfere with Botox injections.
  • Don’t touch the treatment site for at least 24 hours.
  • Drink water: Staying hydrated before and after Botox injections will ensure you get the best results.
  • Stay out of the sun: Being in the sun accentuates lines and wrinkles.
  • Don’t lie down: You should stay upright for four to six hours after the Botox injections, so the Botox doesn’t migrate from the treatment site.
  • Eat a healthy diet: Consume plenty of fresh fruit and vegetables after having Botox injections to help the chemicals do what they are supposed to in the treatment areas.

Complementary Procedures

If you have Botox injections, you may consider other facial procedures simultaneously to enhance your transformation. Doing so allows you to have all of your recovery completed at one time, which is both cost- and time-effective.

Popular procedures that patients sometimes choose with Botox injections are

Botox FAQ

Thinking about Botox injections? Below are some of the most common questions about this procedure.

What Are Some Things I Shouldn’t Do After Botox Injections?

Most people tolerate Botox well, but some things you shouldn’t do for the first day to improve your results are:

  • Rub your face
  • Lie on your face
  • Strenuous exercise
  • Drink alcohol
  • Take blood thinners
  • Spend time in the sun

How Long Will It Take For Botox Injections To Work?

Botox may take between one and seven days to take full effect in the treatment area.

How Long Will Botox Last?

Botox injections usually last between three and six months. If you have one or two touch-ups per year, you should be able to maintain your results.

How Can I Make Botox Last Longer?

First, it’s important to choose a skilled doctor or surgeon to inject the Botox. Skilled healthcare professionals know how and where to inject Botox for the best results.

Also, you should use your facial muscles in the first few hours after treatment. Moving the muscles where the Botox was injected will get the chemical dispersed in the treatment area.

Next, don’t rub your face for at least 24 hours after Botox because this can move the chemical out of the treatment area.

Last, stay out of the sun for at least two days.

Will Botox Help With Crow’s Feet?

Yes. Botox injections in the corners of the eyes relax the muscles in those areas, which will temporarily reduce the appearance of lines and wrinkles.

Are Botox Injections Worth It?

Botox injections are a popular way for people to reduce facial lines and wrinkles without surgery. It’s one of the most popular cosmetic procedures in the US, so talk to your healthcare provider about Botox today.

Does Botox Hurt?

Most patients don’t experience pain. There may be a slight stinging sensation when the needle is inserted, but this can be reduced with topical anesthetic.

When Is The Best Time To Begin Getting Botox?

Some patients wonder if they should get Botox injections when they are young. Others think they may be too old for Botox.

There isn’t a perfect age to have this treatment. But it can be beneficial to get injections just as wrinkles and lines start to form on the face in your late 20s or early 30s. Having injections before major lines and wrinkles begin can prevent them from occurring for years.

Will Caffeine Affect Botox?

Yes. Caffeine and alcohol should be avoided for the first two days after Botox treatments because they can increase swelling and bruising.

Will Exercise Affect My Botox Injections?

Yes. Exercising often will make Botox wear off faster. You should not exercise for at least a day after these injections because additional blood circulation may diffuse the chemical.

Why Shouldn’t I Bend Over After Botox?

It’s essential to keep your head above the heart for the first day. This is because bending over will increase blood circulation to the face, which may move the Botox from the treatment area.

How Should I Sleep After My Botox Injections?

You should not lie down for at least four hours after your injections. And don’t lie on your face when you go to sleep for the first night.

Contact Us

Botox has transformed the landscape of cosmetic and medical treatments, offering a safe and effective solution to address various concerns. Its ability to reduce the appearance of wrinkles, treat medical conditions, and enhance one’s self-confidence has made it a sought-after treatment option worldwide.

Book With Dr. Smita Today!

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