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While aging is a normal and natural life process and cannot be completely reversed or prevented, we need not always passively accept its undesirable effects on our skin and facial features. Wrinkles, fine lines, furrows, creases and folds can significantly change the way others perceive us, distorting our defining features and robbing us of our youthfulness before we’re ready. This in turn can lower self-confidence, leading to frustration and unhappiness.

The skin’s aging is in large part due to our particular genetics, but smoking, poor diet and excessive exposure to the sun and the elements can also play a role. Luckily, injectables such as Botox, Dysport, Xeomin, and Jeuveau can radically improve our aesthetic presentation, and do so without surgery, incisions or anesthesia.

Botox, Dysport, Xeomin, and Jeuveau are the four neurotoxins (muscle relaxers) that are currently available for use in the United States and are also available at our New York City plasic surgeons office. These FDA approved products are injected to reduce wrinkles in the face, especially around the forehead and eyes.

Botox has been around longer than the other neurotoxins and is therefore the most well known. Just as many people refer to all facial tissues as "Kleenex," many people refer to all neurotoxins as Botox. Indeed, all three neurotoxins are various forms of botulinum toxin type A and they are all far more similar than different from one another.

There are small differences between the three types of injectable treatments and advantages to each product in particular circumstances. At the time of consultation, Dr. Rapaport will advise which neurotoxin he recommends for any given area to be treated. Dr. Rapaport is a New York based board certified plastic surgeon and an expert in the use of injectable treatments.

How Botulinum toxin is used

Depending on patient preference, Botox can be used to either completely freeze a muscle, or in lower doses they can just weaken the muscle or parts of the muscle. This is a matter of patient anatomy and patient preference, and is discussed with each patient individually by Dr. Rapaport at our New York City office.

Neurotoxins tend to remain effective for 3-6 months. When very small doses are used, the effect may be even more short lived. One area commonly treated with neurotoxin is the glabella. This is the area between the eyebrows that creates the 11 shaped vertical folds when a person scowls. Many patients simply do not want to appear angry in front of their co-workers or children, and take great pleasure in relaxing this area.

The horizontal lines across the forehead can also be treated with Botox, Dysport, Xeomin, and Jeuveau, either to "freeze" the entire forehead, or with a variety of refined techniques to create an arch in the eyebrows.

Expectations for the procedure

Before treatment begins, Dr. Rapaport’s medical assistant will numb the treatment area with ice to any discomfort relating to pinpricks, or expose you to an alternative anesthetic as decided during your consultation. After carefully marking the strategically chosen entry points on the face, an ultra fine needle will be used to comfortably inject the product into the skin.


Jeuveau is a brand new neuromodulator that provides a softer finish and lasts longer. Jeuveau treats the visible signs of aging by temporarily halting the constant motions of specifically targeted facial muscles, and creates a smoother, younger look while also preventing the formation of new lines. Jeuveau is an incredible alternative treatment now offered at Rapaport Plastic Surgery.

While BOTOX and Jeuveau work in similar ways, there are some patients who no longer respond to BOTOX as they did in the past. Jeuveau has a softer finish than that of BOTOX and may last longer, often up to six months. Dr. Rapaport will carefully evaluate your unique needs and goals to identify which neuromodulator will best help you achieve your aesthetic vision of facial rejuvenation.

Taking the next step

If you are eager to learn more about what Botox, Dysport, Xeomin, and Jeuveau can do to reduce the signs of aging, please contact our office in Manhattan to schedule a confidential consultation with Dr. Rapaport today.

He will examine your skin, review your medical history, and create your personalized plan for achieving your aesthetic wishes. The doctor will invite you to view our extensive library of before and after photography, which is a primary tool in helping you to visualize your exciting results to come.

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We are excited to announce that as of June 8th, 2020, our office will be open for ALL appointment types including Surgery, Cosmetic Injectables, Earlobe Repairs, Mole Removals, CoolSculpting, CoolTone, Morpheus8, miraDry, Skincare services, and more!

During this time, we are still encouraging virtual consultations & follows up as an initial step prior to an in-person appointment. We are requesting that established patients virtually consult/review their treatment plans with Dr. Rapaport or a medical aesthetician in advance of their scheduled treatments/procedures. We will be providing you with specific procedure-related instructions prior upon scheduling. If you left a deposit for a treatment and have not yet been contacted by our staff, please call, or e-mail our office so that we may get you scheduled.

Dr. Rapaport & his team have been working diligently to get our office prepared for our re-opening. Our main priority is the health and safety of our patients and staff. Thank you for following our guidelines and being so patient. See below for our re-opening guidelines:

  1. Please take the time to thoroughly read and complete our updated Appointment Policies, COVID-19 Patient Protocols, ASAPS COVID-19 Consent, and COVID-19 Patient Screening Questions. These forms will be sent via email and must be completed prior to your appointment. This will help to screen patients and ensure social distancing in the office.
  2. When we contact you, please let us know if you are or have been sick in the last 3 weeks, have been in close or prolonged contact with anyone who has been sick during that time, or have travelled outside the United States, or have returned from the following states within the last 14 days that have been added to the high covid risk government list including Alabama, Arizona, Arkansas, Florida, North Carolina, South Carolina, Texas, and Utah. Specific symptoms of COVID-19 may include fever, cough, loss of sense of smell and taste, chest pressure, or shortness of breath
  3. Alert us if you have any other health problems that make you more susceptible to developing COVID-19 or are at increased risk. Although our office has implemented additional measures to keep you safe during this time, we encourage you to consult your primary care physician for further instructions on how to remain safe. Typically, patients over age 65 who also have respiratory ailments, heart disease, hypertension, diabetes, or are immunocompromised are at greater risk.
  4. Medication refill and product requests: Routine requests for medication refills must be requested electronically through your pharmacy. Should you need to purchase skin or haircare products and would like them mailed to you, please e-mail office@DrRapaport.com or phone us at 212-249-9955.
  5. We ask that you come alone to office visits, if possible. To limit exposure and practice social distancing, we are doing our best to minimize the number of people in the office at one time. If you require someone to accompany you to your visit, he/she will need to be with you at all times throughout the duration of your appointment or they will be asked to wait outside.
  6. Please make sure to bring a mask with you to your office visit. If you do not have a mask, we will provide one for you. 
  7. Please abstain from handshake greetings and keep a “social distance” of 6 feet or more from other individuals when in the office whenever possible. 
  8. As soon as you enter the office you will be asked to use hand sanitizer provided to you upon arrival and departure from the practice. Coat both the front and back of your hands and wrists and let them air dry. Wash your hands often with soap and water for at least 20 seconds and avoid touching your face.  
  9. Please reply to all email and texts that we send you. We are working with limited personnel and resources, so responding to these messages will enable us to keep in touch with you safely. 
  10. We will provide ongoing care remotely using telemedicine. Our telemedicine system will allow us to speak with you, evaluate your face/body/breasts, prescribe treatment, and/or give you advice. We will be contacting you about your existing appointment to determine whether a virtual or in-person appointment is best. 
  11. You can obtain good and reliable information about local conditions regarding the pandemic at https://coronavirus.health.ny.gov/home

For any questions and/or concerns, please call our office at 212-249-9955 or email us at office@DrRapaport.com. We know each of you are eager to get back to your treatment regimens, so we will be extending our hours to accommodate everyone as best we can while maintaining health & safety protocols!

We thank you for your continued support & confidence in Dr. Rapaport and our staff the past few months. We look forward to welcoming you back to our office!

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