WNY Plastic Surgery: Andrew P. Giacobbe, MD, FACS
7 Hopkins Road
Williamsville, NY 14221
Phone: (716) 634-5555
Locations Hours: Monday, Thursday: 9 a.m.– 5 p.m.
Tuesday, Wednesday, Friday: 9 a.m.– 7 p.m.

BOTOX® Cosmetic

BOTOX® Cosmetic is very popular with women and men in Buffalo and Williamsville, NY, who want to erase signs of aging, especially around the eyes. At the medical spa at WNY Plastic Surgery, our highly trained injectors use this remarkable, safe product to create smoother skin and a younger look, all without surgery or downtime.

Is BOTOX for You?

BOTOX is very well-tolerated by most people and is very effective when injected by specialists such as the professionals at WNY Plastic Surgery. The active ingredient in BOTOX is a neuromodulator, which means it intercepts nerve signals. When used for cosmetic indications, BOTOX reduces the muscle activity that causes “dynamic wrinkles”–those caused by repeated facial expressions. These include:

  • Crow’s feet,
  • Vertical frown lines
  • Horizontal forehead furrows

BOTOX is not appropriate for patients who are pregnant or breastfeeding. Additionally, if you have a medical condition, such as heart disease, you may not be a candidate for treatment. During your initial consultation with Dr. Giacobbe, we discuss your eligibility for BOTOX, as well as other options, such as injectable dermal fillers, that may be suitable.

Request a Consultation

Your Customized Options

Your injector will discuss your concerns and goals and will go over your treatment options with you. The amount of product used and the placement of the injections will vary depending on the degree of correction and the results you’re seeking.

Certain wrinkles may respond better to dermal fillers. In some cases, we perform both dermal filler injections and BOTOX injections, administering both in a single appointment, for comprehensive facial rejuvenation without surgery. This is often referred to as a “liquid facelift.”

Earn Rewards with Brilliant Distinctions

Our Brilliant Distinctions rewards program gets you discounts on some of your favorite med spa procedures and skincare products. Rack up points each time you come in for BOTOX® Cosmetic, JUVÉDERM®, or JUVÉDERM® VOLUMA XC products.

Sign Up Online And Start Saving!

Newsletter Sign-Up

Your Experience

BOTOX is administered here in our office by our highly trained injectors. The procedure itself typically takes about 15 minutes, which makes it a wonderful choice for busy men and women who want to look their best without downtime.

During treatment, your injector begins by cleansing your skin to minimize any adverse reactions during treatment. He or she may also mark your skin to ensure accuracy. Using a very thin, small needle, your injector makes injections around your face according to your aesthetic goals. Thanks to the expertise of our injectors, treatment is quite comfortable.

Dr. Giacobbe

Board-Certified Plastic Surgeon

Board-certified plastic surgeon Dr. Andrew Giacobbe is proud to be your partner in aesthetics. He and his remarkable team offer a variety of surgical and nonsurgical options to help you look and feel your best.

Dr. Giacobbe View Before & After PHotos
  • american society plastic surgeons
  • american society for aesthetic plastic surgery
doctor giacobbe

Dr. Giacobbe

Meet Dr. Giacobbe

Board-Certified Plastic Surgeon

Board-certified plastic surgeon Dr. Andrew Giacobbe is proud to be your partner in aesthetics. He and his remarkable team offer a variety of surgical and nonsurgical options to help you look and feel your best.

Dr. Giacobbe View Before & After PHotos
  • american society plastic surgeons
  • american society for aesthetic plastic surgery

Recovery and Results

After your appointment, you may return to your regular activities immediately. The results of BOTOX take some time to develop, and you should begin to see improvement within 3 to 7 days. Your results can last for up to 4 months, at which point you may be retreated to maintain your new look.

We want to work with you to bring out your personal best. Request your consultation online, or call us at (716) 634-5555 to arrange your first appointment.

Pre-Treatment Instructions

3 DAYS BEFORE treatment: AVOID topical products such as Tretinoin (Retin-A), Retinols, Retinoids,   Glycolic Acid, Alpha Hydroxy Acid, or other “anti-aging” products. Also AVOID waxing, bleaching, tweezing, or the use of hair removal cream on the area to be treated.

7 DAYS BEFORE treatment (to prevent bruising): AVOID blood thinning over the counter medications such as Aspirin, Motrin, Ibuprofen, and Aleve. Also avoid herbal supplements, such as Garlic, Vitamin E, Ginkgo Biloba, St. John’s Wort, and Omega-3 capsules.

Inform your provider if you have a history of Perioral Herpes to receive advice on antiviral therapy prior to treatment.

Do not use BOTOX® or FILLERS if you are pregnant or breastfeeding, are allergic to any of its ingredients, or suffer from any neurological disorders. Please inform your provider if you have any questions about this prior to the treatment.

Day of Treatment

  • Arrive to the office with a “clean face”.  Please do not wear makeup.  You may bring your own makeup to apply after your treatment.
  • You may experience a mild amount of tenderness or a stinging sensation following injection.
  • Redness and Swelling are normal. Some bruising may also be visible.
  • You may experience some tenderness at the treatment site(s) that can last for a few hours or a few days. You may have bruises in the areas treated.

Immediately After Treatment

  • Stay in a vertical position for four hours following injection. Do Not ”rest your head” or lie down. Sit upright.
  • You may apply an ice or cold gel pack to the area(s) as instructed and any pinpoint bleeding from the injection site(s) has subsided, you may begin wearing makeup.
  • AVOID placing excess pressure on the treated area(s) for the first few days: when cleansing your face or applying makeup, be very gentile.
  • AVOID exercise or strenuous activities for the remainder of the treatment day; you may resume other normal activities/routines immediately.
  • You may take Acetaminophen/Tylenol if you are experiencing any mild tenderness or discomfort.
  • Avoid extended UV exposure until any redness/swelling has subsided. Be sure to apply an SPF 30 or higher sun screen.