Subtle Shifts for Powerful Results

Neurotoxin injections are an elegant way to smooth dynamic wrinkles and prevent deeper creases from forming. On the Upper East Side, Dr. Allison Coombs offers neurotoxin treatments with surgical precision and aesthetic restraint. Whether you're new to injectables or maintaining previous results, Dr. Coombs ensures every dose is thoughtfully placed for a look that’s refreshed, not frozen.

As a board-certified oculofacial plastic surgeon and ophthalmologist, Dr. Coombs understands exactly how facial muscles interact and how to tailor your treatment to preserve your natural expressiveness.

What Are Neurotoxins?

Neurotoxins are injectable medications that temporarily relax targeted muscles, allowing overlying skin to appear smoother and more rested. They’re most commonly used in the upper face, but they can also refine jawlines, soften neck bands, and reshape facial contours with subtle but meaningful results. If you’re looking for natural, precise results, Upper East Side patients see Dr. Coombs, who offers unmatched expertise.

Dr. Coombs offers the following FDA-approved neurotoxins:

  • BOTOX® – The gold standard for wrinkle treatment, known for predictable, consistent results
  • Dysport® – Diffuses slightly more, ideal for larger areas like the forehead
  • Xeomin® – A “naked” formulation without accessory proteins—ideal for patients who want fewer additives
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What Neurotoxins Can Address

Neurotoxins are incredibly versatile. In the right hands, they can reduce signs of aging, improve facial balance, and even prevent future wrinkles.

  • Forehead lines
  • Glabellar lines (11 lines)
  • Crow’s feet
  • Bunny lines (nose wrinkles)
  • Downturned corners of the mouth
  • Chin dimpling
  • Neck bands
  • Masseter muscles (for face slimming or clenching)
  • Eyebrow shaping/lift
  • Excessive sweating (hyperhidrosis)

Why Choose Dr. Coombs for BOTOX on the Upper East Side?

Dr. Coombs brings a surgeon’s eye and steady hand to every injectable treatment. Her deep understanding of facial anatomy allows her to adjust your dosage and placement for more natural, customized outcomes. Unlike med spas, you’ll never be rushed or over-treated, and you’ll always see Dr. Coombs herself for your injections.

Patients seeking BOTOX Upper East Side providers come to Dr. Coombs for her balanced approach: nothing trendy or extreme—just smart, refined rejuvenation that fits you. Whether you're using BOTOX preventatively in your 30s or refining deeper lines later in life, Dr. Coombs personalizes every plan to your skin, muscle strength, and goals.

Schedule A Consultation

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Your Consultation

Every neurotoxin treatment begins with a consultation, where Dr. Coombs evaluates your facial movement, skin quality, and muscle strength. She’ll explain how different neurotoxins behave and how your treatment can be timed and dosed for subtle, effective improvement. You’ll receive a tailored plan based on your needs, not a menu of standard units.

Treatment Process Overview

  • A numbing cream may be applied for comfort.
  • Dr. Coombs makes a series of tiny injections with a fine needle in targeted areas.
  • The procedure takes about 15–20 minutes.
  • You’ll receive simple post-treatment instructions and can resume most normal activities right away.

After the Procedure

  • Minor redness or swelling typically resolves within 15 to 30 minutes.
  • Full results develop in three to seven days.
  • Effects last three to four months on average, with some variation by product and patient.

Cost of Neurotoxins

Neurotoxin treatments are priced by area or by unit, depending on your goals. Average cost ranges from $350 to $750 per area, with total cost varying by how many areas are treated. A full quote will be provided during your consultation.

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Complementary and Alternative Treatments

Neurotoxins can also complement other treatments like fillers or skin resurfacing for a more complete result.

  • Facial fillers – Restore volume and contour
  • Laser skin resurfacing – Improve texture and tone
  • Microneedling or RF – Boost collagen and firmness
  • BOTOX for hyperhidrosis – Reduce excessive sweating in the underarms or hands
  • Facial balancing treatments – Combine neurotoxin and filler for refined symmetry
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FAQ Neurotoxins

What’s the difference between BOTOX, Dysport, and Xeomin?

All are neurotoxins that relax muscles. The main differences lie in how they spread and how quickly they work. Dr. Coombs selects the best option for your needs.

Will I look frozen?

Not with Dr. Coombs. She uses precise dosing and placement to preserve your natural expressions while softening lines.

How long does BOTOX last?

Results typically last three to four months, depending on the area and your individual metabolism.

Are there side effects?

Mild swelling or bruising is possible. Rare risks include temporary eyelid drooping or asymmetry, but these are extremely uncommon when treated by a qualified expert.

What areas respond best to BOTOX?

The forehead, glabella (11s), and crow’s feet are most common, but other areas like the jawline or chin can also benefit.

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