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Brooklyn Beauty & Botox

Discover the many benefits of BOTOX at RENATA Facial Cosmetic Surgery in New York

The word “Botox” has become associated with beauty, celebrity, looking youthful, and anti-aging treatment. But, what is “Botox” exactly, how can it help you specifically, and when is the right age to start getting Botox treatments? These and many more questions can be answered at RENATA Facial Cosmetic Surgery in Northern Brooklyn. Dr. Renata Khelemsky is a double board-certified facial cosmetic surgeon and offers comprehensive facial evaluations and skincare recommendations to every first-time patient.

What is Botox?

Powerful anti-aging neuromodulator

Botox Cosmetic is widely known as the foremost cosmetic injectable treatment for frown lines, crow’s feet, and forehead lines. As a neuromodulator, Botox first came onto the market in 2002 and was the first FDA-approved cosmetic product to treat severe wrinkles and lines. Botox contains an active ingredient known as botulinum toxin Type A, which is used to reduce the activity of your muscles from making repeated movements. Specifically, it works by temporarily preventing the nerve impulses from reaching the muscle, thus relaxing the targeted muscle even when you animate your face. Because the skin is attached to the muscles of the face, the skin appears smoother and free of fine lines and wrinkles when the muscle is in its relaxed state.

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The History of Botox

Derived from the botulinum toxin, Botox works to relax your dynamic lines but has also been recommended for the use of:

  • Alleviating chronic migraines
  • Treating excessive sweating
  • Lessening the clenching of the jaw and grinding of teeth
  • Treating involuntary muscle spasms, such as excessive eye blinking

In these conditions, Botox prevents your nerves from sending signals to muscles that trigger these symptoms. With repeated maintenance, Botox patients often experience long-lasting relief from these issues.

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“Dr. Khelemsky brings the “art” of medicine to a whole new level. She is a perfectionist that took her time with my procedure. I couldn’t be more pleased with my results. My surgery was on a Friday morning, and Dr. Khelemsky came in on both Saturday and Sunday to ensure that I was healing appropriately and my pain was being managed… I can’t tell you how pleased I am with the results even now.”

—Facelift patient | RealSelf

“Dr. Renata Khelemsky did an amazing job with my rhinoplasty. In the consultation, she identified what changes would be made to best work for my face and listened to my concerns. I am so happy with the results and would highly recommend her to anyone interested in this procedure.”

—Rhinoplasty patient | RealSelf

“Dr. Khelemsky is an amazing doctor and artist. She did my filler and I am so happy with it. I will recommend her to everyone I know. She explains everything so that you can understand.”

—Dermal filler patient | RealSelf

“Dr. Khelemsky is an outstanding physician... She herself is very calming and makes you feel at ease and confident in the decision you are making. I am overjoyed with the results of my facelift, and would definitely do it again. If someone is thinking about a facelift or any procedure and is apprehensive... Dr. Khelemsky will give you great reassurance… When I look in the mirror, in Zoom, in selfies - I now love my jawline and my whole face in general.”

—Surgical Facelift patient | RealSelf

“Awesome! She was patient and very quick with no pain. She explained everything thoroughly with me and definitely knows her skill set! I trusted her expertise in natural-looking adjustments and it turned out fantastic!”

—Dermal filler patient | RealSelf

“I love coming to see Dr. Kelemsky! She has the patient’s best interest in mind and I always feel Dr. Kelemsky addresses what look I am going for and is right on the money. I walk out of the office feeling much more confident than when I came in. I will always trust Dr. Kelemsky and she most definitely has a patient for life. She does both my Botox and lip fillers and both procedures have always been flawless.”

—Lip filler patient | RealSelf

“Dr. Khelemsky did an outstanding job on my nose. She explained everything in detail from the very first consultation. She’s professional, caring and her attention to detail makes her the absolute best surgeon! I’m extremely happy with my results and highly recommend her to anyone.”

—Rhinoplasty patient | RealSelf

“I had a wonderful experience from start to finish. She was extremely professional, answered all my questions before my Botox and injectable treatment. There was very little discomfort and hardly any bruising at all. I am thrilled with the results and will use her again for future treatment. I would highly recommend her.”

—Botox patient | RealSelf

“My experience was great! Dr. K is very good at explaining her vision for results with injectable fillers. She is warm and friendly and a delight to chat with. It has been years since I have had a “real” Doctor sit and talk and do an almost painless procedure.”

—Dermal filler patient | RealSelf

“I recently had eyelid surgery performed by Dr. Khelemsky… From the moment I saw her in the surgery center I felt at ease and knew everything was going to be OK. The surgery went well… Referred by my eye doctor, my eyesight is better already. I look forward to recommending my family and friends to Dr. Khelemsky, she has the qualities that everyone seeks out in a true medical professional.”

—Blepharoplasty patient | RealSelf

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What Aesthetic Issues Does Botox Address?

Botox effectively addresses various aesthetic concerns related to aging and facial expression. Some of the common aesthetic issues treated by Botox include:

  • Fine Lines and Wrinkles: Botox is highly effective in reducing the appearance of fine lines and wrinkles caused by repetitive facial movements, such as crow’s feet around the eyes, forehead lines, and frown lines between the eyebrows.
  • Dynamic Wrinkles: These are wrinkles that form due to muscle contractions during facial expressions. Botox targets these dynamic wrinkles by temporarily relaxing the underlying muscles, resulting in smoother and younger-looking skin.
  • Facial Asymmetry: Botox can be used to correct facial asymmetry by strategically injecting it into specific muscles to create a more balanced appearance.
  • Excessive sweating: Botox injections can also help alleviate hyperhidrosis, or excessive sweating, by blocking the nerve signals that stimulate sweat glands.
  • Jaw Clenching and Teeth Grinding: Botox can provide relief from bruxism (teeth grinding) and jaw clenching by relaxing the muscles responsible for these actions.

How do I know if Botox is right for me?


Your facial movements define your emotions - smiling, frowning, laughing. However, the chronic and repeated use of certain muscles in the upper face causes wrinkles to appear at rest over time. In some patients, these wrinkles can be strikingly visible due to thicker and stronger facial muscles. Additional factors to consider are genetics, sun damage, environmental pollutants, and dietary health — all of which can make your skin appear more aged.

Which areas can be treated with Botox?

Botox can be used to treat several areas of the face to address specific aesthetic concerns. Some of the common areas treated with Botox include:

  • Forehead: Botox injections can smooth horizontal lines and wrinkles on the forehead, resulting in a more youthful appearance.
  • Glabella (the area between the eyebrows): Botox can reduce the appearance of vertical lines, also known as "11s" or frown lines, between the eyebrows.
  • Crow's Feet: Botox injections around the outer corners of the eyes can soften the appearance of crow's feet, which are wrinkles that form when smiling or squinting.
  • Bunny Lines: These are lines that appear on the nose when smiling or scrunching the nose. Botox can be used to minimize the appearance of bunny lines.
  • Chin: Botox injections can help smooth chin dimples or "pebble" chin by relaxing the muscles in the area.
  • Jawline: Botox can be used to slim and contour the jawline by targeting the masseter muscles, resulting in a more defined appearance.

What are dynamic lines?

With repeated facial contractions, the lines on your forehead, between the eyebrows, and around the eyes, begin to imprint along the surface of the skin, which become more and more visible over time. After the age of 20, one percent of collagen is lost each year—leaving your skin with less elasticity and more prone to wrinkles. Botox is effective in treating the following:

  • Crow’s feet (wrinkles along the sides of the eye)
  • Forehead lines (horizontal wrinkles along the forehead)
  • The 11s (Glabellar lines, or vertical wrinkles between the brows)
  • Vertical lip lines (vertical lines encircling the upper and lower lip)
  • Lateral eyebrow shape (Botox can subtly raise the lateral brow)

Additional Reading

During your consultation, Dr. Renata will assess which areas are affected by dynamic lines and outline your treatment plan for natural-looking, transformational results. Dr. Renata would like to see you through the entire cycle of your nonsurgical facial rejuvenation, from injectable treatments to skincare treatments. By maintaining a long-lasting and trusted relationship with patients, Dr. Renata gets to know each patient’s developing tastes and wishes through time, which promotes an incremental and natural approach to facial rejuvenation.

When should I start Botox?

If you are bothered by lines and wrinkles along the forehead, between the brows, or around the eyes, you may consider Botox as a cosmetic solution. There is no “right” time to start Botox; rather, there may be the right time for you. Today, younger patients in their 20s and 30s seek gentle and low-dose treatments with Botox to relax dynamic wrinkles that are just starting to be visible. The benefit for younger patients is that the smoothness of the skin is maintained throughout the early aging process when wrinkles would otherwise become increasingly visible.

On the other hand, patients who already have a more consistent appearance of fine lines and wrinkles are able to have Botox injections for smoothing and rejuvenation. Usually, patients in their 40s and 50s require higher doses of Botox than younger patients to fully relax and alleviate the associated wrinkles.

Is Botox Safe During Pregnancy?

Botox Safety

If you are pregnant or nursing, it is not advised to undergo injectable treatments such as Botox or JUVÉDERM® fillers. Unfortunately, there have not been clinical trials demonstrating the safety of Botox or fillers during pregnancy, and thus, their effects remain largely unknown. While such treatments have an excellent safety record among adults, there is limited information about such treatments affecting a fetus or newborn baby, and are thus not recommended for expecting or nursing mothers.

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Is There a Botox Alternative?

Your Botox Alternatives

You do have options with neuromodulators similar to Botox. Here are other FDA-approved options similar to Botox and that are used for minimizing the appearance of dynamic lines and wrinkles. These products are all made with the same active ingredient — botulinum toxin Type A, which relaxes the contraction of muscle tissue. However, it is important to note their slight differences.


Xeomin is an excellent primary option, as well as one for patients who no longer respond to Botox or Dysport treatments. Xeomin is FDA-approved and offers effective results. Made with the same active ingredient as Botox, Xeomin has one key difference in its molecular structure - it is manufactured without the use of protein additives and is thus known as the purest form of botulinum toxin Type A.

Additional Reading

Proteins have been implicated in the development of antibodies against injectables, which may reduce their efficacy over time. This lack of proteins in the Xeomin formulation may help to prevent the onset of resistance. Before choosing a specific brand of neuromodulator, it is important to review any prior experience you may have had with Botox or other injectables.


This neuromodulator has gained popularity in recent years and is referred to as “NEWTOX.” It was FDA-approved in 2019 and has the same active ingredient as Botox - botulinum toxin Type A, making it another excellent Botox alternative. Jeaveau undergoes a proprietary purification process that may lead to a clinically more effective response over Botox for some patients.

Additional Reading

However, Botox and Jeaveau are both neuromodulators that relax muscle tissue to minimize wrinkles, and when used by an experienced provider, they both have the ability to produce similar results.


An excellent alternative for patients who are new to wrinkle reduction injections. One of the major differences between Dysport and Botox is how their dosages work. A single unit of Botox equates to three Dysport units. We will appropriately dose your treatment depending on which product is used.

Additional Reading

Dysport has other differences in the molecular structure of its formula. Dysport tends to produce results faster than Botox. It also tends to spread more easily in the treatment area, which can mean fewer injections needed to achieve results. However, Dysport and Botox work similarly to relax the muscles into which they are injected, causing a decrease in movement and thus a decrease in wrinkling of the overlying skin. For this reason, both products can each achieve similar aesthetic results.

Botox Procedure


Before your Botox your skin must be clear of make-up, debris, or any infection. You will receive pre-treatment instructions to ensure a safe and satisfactory cosmetic treatment, like avoiding blood-thinning medication such as aspirin, ibuprofen, and certain herbal supplements that may increase your chance of bruising. Your Botox treatment will take about 10 to 20 minutes. A fine needle is used to treat the areas discussed in your treatment plan. Many patients find the slight sensation of the injection very tolerable, while others request the use of numbing medication for more comfort.

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Botox Recovery and Results


Botox has little to no downtime, and most patients resume their normal activities after their treatment. However, it is crucial to refrain from touching or massaging the areas, laying down, applying pressure to treated areas, or strenuous exercise for approximately six to eight hours after treatment. Your results become noticeable in about three days and get more visible as the week progresses. With treatments of Botox, patients may experience a noticeable enhancement in their appearance up to three to four months and can be repeated as needed to maintain optimal results.

Why choose RENATA Facial Cosmetic Surgery?

We offer surgeon-based care focused on highlighting your unique beauty. Possessing a keen eye, gentle touch, and deft technical skill, Dr. Renata stays at the forefront of aesthetic medicine to bring you the highest level of care available, tailoring every service to your unique needs.

Our state-of-the-art facial aesthetic clinic is located in DUMBO, Brooklyn, in New York City. We cater to the local areas, including Downtown Brooklyn, Brooklyn Heights, Park Slope, Williamsburg, Long Island City, and Cobble Hill, as well as Manhattan and New York City at large. Patients can expect a premium experience in our luxury office setting, where attention to privacy and one-on-one care create a professionally tranquil and high-quality visit.

A double-board-certified facial cosmetic and reconstructive surgeon, Dr. Renata Khelemsky specializes in enhancing natural beauty. A Fellow of the American Academy of Cosmetic Surgery and diplomate of the American Board of Facial Cosmetic Surgery, her personalized approach begins with a comprehensive analysis of your facial features, ensuring each transformation celebrates your unique individuality.

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New York Surgeon, Dr. Khelemsky

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Call (646) 558-3757 or complete our online form to schedule your consultation for Botox. Our tailored approach to nonsurgical facial aesthetic treatments and surgeon-level care set us apart from other providers, ensuring a top-notch experience that unveils your natural beauty. Schedule your personalized consultation with New York Facial Cosmetic Surgeon, Dr. Renata Khelemsky, today.

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Frequently Asked Questions

FDA-approved Botox is widely used in over 96 countries and has a long-standing history of safety and effectiveness. RENATA Facial Cosmetic Surgery is a top-tier boutique facial cosmetic surgery center led by double board-certified facial cosmetic surgeon Dr. Renata Khelemsky. You can be assured that you are receiving authentic Botox Cosmetic products and the highest quality service.

Complications with this treatment are rare with an experienced facial cosmetic surgeon like Dr. Renata. Still, some treatment side effects can occur, including bruising, swelling, soreness in the treated area, or a minor headache. Patients might experience some mild asymmetry with results, which we can then easily adjust at a follow-up appointment.

Botox and dermal fillers effectively treat fine lines and wrinkles; however, they are very different treatments. Dermal fillers are designed to add volume to areas of the face that experience volume loss, whereas Botox prevents muscle contraction for an overall smoother appearance. While they both minimize lines and wrinkles, Botox is largely used in the upper third of the face, where facial expressions create dynamic wrinkles. Fillers, on the other hand, can be used to reduce fine lines and wrinkles in the lower two-thirds of the face by directly filling the hollow in the skin. Dr. Khelemsky will discuss the best treatment for your concerns during your personalized consultation.

You can expect to see initial results from your Botox treatment within a few days, typically around three to five days after the injections. However, the full effects of Botox may take up to two weeks to become fully apparent. During this time, the targeted muscles gradually relax, resulting in smoother and more youthful-looking skin.

It's essential to have realistic expectations and understand that individual results may vary. Factors such as the severity of wrinkles, muscle strength, and metabolism can influence how quickly you notice improvements from Botox treatment. Dr. Renata Khelemsky will provide you with detailed post-treatment instructions and schedule a follow-up appointment to assess your progress and ensure satisfaction with your results.

The duration of Botox results can vary from person to person, but on average, the effects typically last a few months. Over time, the muscle-relaxing effects of Botox gradually diminish, allowing muscle activity to return, and wrinkles may begin to reappear.

To maintain optimal results, periodic touch-up treatments are recommended. With regular maintenance treatments, many patients find that the longevity of their Botox results can be extended, and they can enjoy a consistently refreshed appearance.

Dr. Renata Khelemsky will discuss your aesthetic goals and develop a treatment plan tailored to your needs, including recommendations for maintaining your results over time.

In your consultation, Dr. Khelemsky assesses your facial concerns and creates a customized treatment plan for you. The number of Botox units will vary from patient to patient, as well as individualized aesthetic goals such as maintenance treatments to optimize your results.

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Life can be demanding, and we understand. For patients who may be traveling, preparing for a last-minute occasion, or simply looking for a more exclusive experience without any inconvenience or delays, we are pleased to offer preferred patient scheduling. Patients may undergo a personal consultation as well as tailored cosmetic treatments during evening hours or weekends. Appointments are required and premium rates apply. Please call our office to inquire about preferred patient scheduling and allow us to create an exceptional experience just for you.

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At RENATA Facial Cosmetic Surgery, patients receive excellent customer service, communication, personal attention, and scheduling flexibility. Located in the historical and breathtaking waterfront neighborhood of DUMBO, Brooklyn in New York City, our office serves local neighborhoods including Brooklyn Heights, Park Slope, Williamsburg, and Cobble Hill, as well as Manhattan and New York City at large.

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58 Prospect Street, Brooklyn, NY 11201

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