Botox is a purified substance that comes from a bacterium known as botulinum toxin type A, which blocks muscular nerve signals. Botox works beneath the skin’s surface to target specific underlying facial muscles. When these muscles contract, they cause your skin to furrow and fold resulting in the appearance of wrinkles.

Dr. Capuano will inject the toxin into these muscles, temporarily reducing their activity, and smoothing out the lines they cause. This routine procedure is safe and available near you.

Botox can also be used to raise your eyebrows giving you the effect of a mini brow lift.  By lifting the eyebrows, the upper eyelid skin is also elevated reducing the hooding that can occur from excess eyelid skin.  These injections can additionally be used to lift the corners of your mouth and reduce the appearance of frowning.  By weakening the Depressor Anguli Oris muscle, which normally pulls the corners of our mouth down, we get a natural elevation to the corners of our lips because of the pull from the lip elevator muscles.  It is also useful for treating migraine headaches.

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Am I A Good Candidate For Botox Therapy?

Botox treatment in NJ is right for you if you feel that the lines between your eyes and on your forehead make you look older or make you look like you are sad, tired or angry.  You may also consider Botox if:

  • You have wrinkles on the outside of your eyes when you smile or squint (crow’s feet),
  • If your eyelid skin seems to be hanging a little more over your eyes than it used to,
  • If you have noticed vertical lines on your neck or frown lines and wrinkles around your mouth.    

Injection with Botox is one of the safest and fastest ways to reduce facial and neck wrinkles available.

Botulinum toxin therapy can also be combined with other cosmetic skin procedures including injectable fillers, skin care systems, laser therapy, chemical peels, automated microneedling and microdermabrasion to further enhance your natural beauty.


Ask the Doctor

Frequently Asked Questions

How is the procedure performed?

When you arrive for your procedure, a potent topical anesthetic cream is placed on your face at the location where the botulinum toxin will be injected.  A tiny needle is then used to inject the toxin.  Dr. Capuano performs the injections himself, and he is remarkably experienced in the art of pinpointing the specific muscles within your face which need to be weakened to reduce wrinkles, while preserving your natural facial expressions.

Is a Botox injection right for me?

Schedule a consult with our Board Certified Plastic Surgeon, Dr. Aaron Capuano.  He will perform a comprehensive assessment and make recommendations to best meet your needs.

How do I make an appointment for a consultation?

Contact the office of the Northern Center for Plastic Surgery at (201)820-5280 to schedule an appointment.

What if I am interested in other treatments including surgery?

You may schedule an appointment with Board Certified Plastic Surgeon Dr. Aaron  Capuano, who will address your interests and goals.

Can you tailor Botox injections to the masseter based on how much you want to slim them down?

Thank you for the question.  Botulinum toxins can be injected into the masseter muscles to improve the contour of your jawline.  The optimum dose must be tailored to each patient based on the size of their masseter, and extent of contouring they desire.  Injections can be effective with doses as low as 15 units per side (typical starting range 15-25 units), especially if care is taken to inject into all portions of the muscle that contribute to the appearance of widening of the lower face.  Although the toxin will cause weakening of the muscle in 7-10 days, in my experience, it usually takes 6 weeks to three months to see a significant change in muscle mass.  For this reason, I recommend waiting at least 6 weeks before incrementally increasing the dose.  Effects can be quite dramatic, but the more toxin that is injected, the more likely patients are to have complications, like asymmetry of smile.  An in person consultation with Dr. Capuano who is Board Certified by the American Board of Plastic Surgery, and is experienced with selective masseter injection for jawline contouring is an essential first step to obtaining the results you desire.

Can you get Botox when you are pregnant?

The short answer is, no.  No you cannot get Botox when you are pregnant.  Though there have been no official studies to prove the effects Botox or its alternatives may have on an unborn fetus, there is simply no reason to find out.  It is also not recommended to have Botox injected while you are nursing.  The time that you are pregnant and nursing are not a long enough time frame to have any significant impact on permanent wrinkling.  In other words, Botox can wait, your wrinkles will still effectively be treated after this time.  We recommend drinking plenty of water during pregnancy, taking your prenatal vitamins and creating healthy shakes and a healthy lifestyle. If possible, taking plenty of time for yourself for rest and relaxation.  Congratulations and enjoy your pregnancy!

What is Baby Botox or Microtox?

Baby botox and microtox are names that have been given to a certain manner of injection that a patient prefers.  When a patient asks for either Baby botox or Microtox it means that they are not interested in being expressionless.  They only want certain areas of their face to receive botox, concentrated in areas that are deemed as "problem" areas.  This is a term that is used for people who don't want to have people question their use of a toxin.  It is a great first step if someone is concerned with being question yet interested in addressing "key" areas.  

Is Botox permanent?

When applied to the appropriate areas as a cosmetic treatment Botox and its counterpart toxins are not a permanent, the effects of a single treatment last for roughly three months.  Though this can vary from one patient to the next as each of our metabolisms break products and toxins down at a slightly different rate.  We have seen people become