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Botox Injections

Botox is the name many patients use for cosmetic botulinum toxin treatment. It is a “neurotoxin” or “neuromodulator.” Dr. Ambani likes to use neuromodulators to temporarily relax selected muscles, thereby softening expression lines and wrinkles, while preserving a natural, expressive face.

Medically reviewed by Shoshana Ambani, MDLast reviewed August 26, 2026

Introduction

What are Botox injections?

Botulinum toxin is a neuromodulator. It freezes muscle movement, so it is suited to dynamic lines created by repeated expression, and in doing so, softens static lines and wrinkles. It does not replace lost volume, and it cannot remove loose skin.

Dr. Ambani evaluates your face at rest and in motion, then decides whether a neuromodulator, filler, surgery, or no treatment fits the concern. Brand selection is confirmed at consultation based on what the practice carries and what suits the plan.

Technology in consultation

See the plan more clearly.

These tools support discussion and evaluation. They do not replace the examination or guarantee an outcome.

3D consultation

Crisalix 3D

Dr. Ambani is a verified Crisalix practitioner. The simulation can help you compare options and discuss possible changes during consultation.

View Dr. Ambani's Crisalix profile

Honest guidance

Are you a good candidate?

YOUR CONSULTATION CONSIDERS

  • Expression lines, rather than volume loss, are the main concern.
  • Your medical history and medications do not create a reason to postpone treatment.
  • You want a temporary result and are comfortable with maintenance visits every 2-4 months.

A SHARED DECISION

Candidacy is personal. Dr. Ambani reviews your goals, anatomy, health, medications, prior procedures, healing history, and timing before recommending treatment.

She will also tell you when another procedure, further evaluation, waiting, or no treatment is the better plan.

A useful consultation is a discussion about what treatments, if any, are right for you.

Dr. Shoshana Ambani

Why choose Dr. Ambani

ABPS board-certified plastic surgeon with more than twenty years of experience

MEDICAL SCHOOL

Duke University School of Medicine

RESIDENCY

Plastic Surgery, University of Michigan Affiliated Hospitals

FELLOWSHIP

Microsurgical Reconstruction, University of Pittsburgh Affiliated Hospitals

BOARD CERTIFICATION

American Board of Plastic Surgery

EXPERIENCE

Attending surgeon since 2017

Supported at every stage

What recovery involves

01

Early healing

Treatment is performed in the office and most patients return to routine quickly.

02

Returning to routine

Temporary redness, swelling at the injection sites, tenderness, and bruising can occur immediately after injection. Asymmetry and headaches can also occur after the neuromodulator starts taking effect and are often only temporary.

03

Long-term care

Effects begin over 5-7 days and settle further over the following one to two weeks. Duration varies by patient, treatment area, and dose injected.

Risks to discuss: Possible risks include bruising, discomfort, headache, temporary asymmetry, unwanted muscle weakness, a drooping brow or eyelid, dry eyes, allergic reaction, and rare effects beyond the treated area.

Clear, personalized planning

Cost and self-pay care

Shoshana Ambani Plastic Surgery is a cosmetic, self-pay practice. Cost depends on the procedure, complexity, setting, anesthesia, supplies, and time required.

A price is useful only when it matches your actual plan. You receive an itemized estimate after consultation.

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Thoughtful answers

Common questions

These answers are general. Your consultation is where Dr. Ambani applies them to your anatomy, health, and goals.

Is Botox the same as filler?

No. A neuromodulator reduces selected muscle movement. Filler adds volume beneath the skin.

How long do results last?

Results are temporary and often last 2-4 months, depending on the individual and the dose injected. In other words, the interval varies by product, area, dose, and individual response.

Will I still look expressive?

Dr. Ambani’s aesthetic leans towards maintaining facial expressions while minimizing or removing the static lines and dynamic wrinkles. However, some clients do not want to have any facial expressions after treatment. Dr. Ambani will consider the client’s goals either way. Dose and placement are judiciously planned as such.

Does Dr. Ambani treat migraines or TMJ with Botox? How about other indications for Botox?

The practice provides the cosmetic injection of Botox and other neuromodulators. Botox can be applied to the glabellar region which not only improves brow furrows or the “11” lines; this can secondarily improve migraines that start from the brow area. Botox can also be applied to the masseters for jawline slimming, which secondarily improves clenching symptoms. You can also ask Dr. Ambani about using neuromodulators for neck slimming (“Barbie tox”), neck or platysmal bands, and hyperhidrosis or profuse sweating from the palms or armpits. “Lip flips” are another popular demand, involving Botox injection to the upper or lower lips. Lip flips can complement filler injections but are not for everyone. Allow Dr. Ambani to guide you on making this decision.