BOTOX®
Enjoy a Smoother Forehead, Less Underarm Sweating, and More Benefits with a Powerful Injectable in the Philadelphia Area
BOTOX®
Introduction
BOTOX® Cosmetic is a deeply researched and globally popular injectable treatment made to smooth the dynamic wrinkles that form due to repetitive muscle contractions in specific areas of the face. When it comes to BOTOX®, the Philadelphia area’s Buinewicz Cosmetic Surgery team draws on product-specific training, extensive experience, thorough knowledge of facial anatomy, and aesthetic talent to safely and effectively generate results for women and men seeking help for horizontal forehead wrinkles, glabellar lines (frown lines), and lateral canthal lines (crow’s feet). The injectable can also be used in other ways, such as temporarily minimizing sweat production in the underarms.
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What Is BOTOX® and How Does It Work?
BOTOX® is what is known as a “neuromodulator,” which is a category of medications that alter how the nervous system communicates. Made from a purified form of naturally occurring botulinum toxin, BOTOX® is most famous for its ability to keep targeted muscles at rest for months at a time. It works by blocking the release of acetylcholine, a neurotransmitter with several jobs in the body—including triggering muscle contractions.
Certain facial muscles are directly associated with the development and revelation of lines in the skin. Injections made into these specific muscles keep them relaxed even when the surrounding muscles contract and work to move various facial features as part of routine activities, such as making expressions. When the targeted muscles stay at rest, they don’t pull the skin into ever-deepening folds and furrows.
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What Issues Can BOTOX® Address?
The U.S. FDA has approved BOTOX® Cosmetic for three specific uses.
These are creases that form as you repeatedly raise and lower your eyebrows. Often spanning the entire breadth of the forehead, they are commonly associated with surprised expressions or furrowing the brow. If left untreated, they can deepen to the point where they are visible even when the forehead is at rest.
There are multiple names for the wrinkles that develop above the nose due to bringing the eyebrows together and squinting. Known medically as glabellar lines, they are more commonly referred to as frown lines—and may even be called “11s” because of their tendency to resemble the two short vertical marks needed to write the number.
Some people call these smile lines, while others refer to them as crow’s feet. No matter the name, they are a common sign of aging that forms over time at the outside corners of the eyes. Both smiling and squinting can contribute to the repetitive muscle contractions that lead to the increasing visibility of these wrinkles.
In addition to these cosmetic uses, BOTOX® is also approved by the FDA to reduce underarm sweating. The same neuromodulating abilities that allow the botulinum toxin to keep muscles still for months at a time can also be used to temporarily “shut down” sweat glands in the axillary area—often referred to as the “armpits.” This treatment is especially ideal for patients who suffer from a condition known as “hyperhidrosis,” which is excessive sweating.
Anna Buinewicz, M.D., is a board-certified family physician and Brian Buinewicz, M.D., is a board-certified plastic surgeon. Both administer BOTOX® injections with precision and skill in our medspa. Many people say that the injections themselves feel about the same as a brief pinch on the skin in the treatment area. No anesthetic is necessary, but please feel free to discuss distraction options and other strategies to make the process as comfortable as possible for you.
We use a very fine needle to inject the medication into the targeted muscles. The entire treatment process typically takes about 15 minutes or less, though the specifics of your session will depend on which areas you are addressing. In all, you can expect the treatment to take about the same time as a lunch break. That means appointments are convenient to schedule, even for people with packed calendars!
AT HUNTERDON COUNTY, NJ and BUCKS COUNTY, PA
WHY CHOOSE DR. ANNIE BUINEWICZ?
Surgical Procedures Completed
WHY CHOOSE DR. ANNIE BUINEWICZ?
AT HUNTERDON COUNTY, NJ and BUCKS COUNTY, PA
Dr. Annie Buinewicz is a board-certified family medicine physician with over 25 years of experience. She holds additional certifications in medical weight loss, body contouring, hair restoration, and aesthetic injectables including Botox®, Daxxify™, and dermal fillers. Dr. Buinewicz takes a holistic approach to care, focusing on the overall health and wellness of each patient.
At Buinewicz Plastic Surgery, Dr. Buinewicz personally treats every patient—ensuring high-quality, individualized care in a practice that truly prioritizes medical integrity and patient-centered service.
What Happens After BOTOX® Injections?
No down time is necessary, as there are no incisions that need to heal and no anesthetic that needs to leave your body. You can get right back to just about anything you were doing before, though there will be a few activities you should avoid in order to maximize your safety and results. Avoid intense workouts for about 12 hours.
Don’t rub or massage the treated area for about 24 hours after your session, because putting pressure on the injection sites can cause the medication to spread a bit. You will also need to refrain from sitting in saunas or hot tubs for the same amount of time.
Keep in mind that you may also experience some minor but common side effects, including slight redness or swelling where the injections happened, as well as a potential headache for a day or two. These signs of the injection process and the treatment getting to work will go away on their own.
Muscle activity will begin to slow in about three or four days, with results becoming increasingly apparent in about a week. The full effects of your BOTOX® injections should develop about two weeks after your session. Many patients enjoy their resulting smoother and more youthful look for about three months—after which they return for a new round of injections.
Why Choose Buinewicz Cosmetic Surgery & Medspa for BOTOX® Injections in the Philadelphia Area?
As board-certified physicians, Dr. Anna Buinewicz and Dr. Brian Buinewicz have gone above and beyond their medical degrees to voluntarily achieve certification based on higher standards of care. Their extensive experience in working with a multitude of patients from a wide range of backgrounds and with a variety of cosmetic goals gives them particular insight into how BOTOX® works for the individual. Every aspect of care at Buinewicz Cosmetic Surgery—from the initial consultation to follow-up and long-term aesthetic plans—is based on a foundation of building trust, maximizing both safety and comfort, and generating beautiful results. Discover what the right treatment in the hands of the right team could do for you…
Are There More Treatments Besides BOTOX® Available?
BOTOX® is just one wrinkle relaxer for patients who want to address their unwanted facial lines. Buinewicz Cosmetic Surgery also offers numerous other neuromodulators, including Daxxify™, Dysport®, Jeuveau®, and Xeomin®. Each of these injectables works in basically the same way, but provides unique subtle benefits. Contact us for a consultation to learn specifics, as well as to discuss other cosmetic treatments available for the skin and hair. Consider dermal fillers in the Juvéderm®, Restylane®, and Revance® collections for adding volume, Kybella® for reducing a double chin, laser hair removal or intense pulsed light sessions, exfoliating chemical peels, and more!
For BOTOX® in the Philadelphia area—Doylestown in Bucks County, PA, or Flemington in Hunterdon County, NJ—call Buinewicz Cosmetic Surgery & Medspa at 215.647.9668 or sending a message online.
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Dermal Fillers FAQs
How do injectable dermal fillers work?
Injectable dermal fillers enhance skin volume by using smooth, gel-like formulas. These formulas are injected beneath the skin’s surface, where they spread out and fill the skin just like your natural skin volume. Beneath the skin, they mimic hyaluronic acid and other natural compounds in the body by binding to the skin, adding a natural-looking volume and filling in lines and wrinkles. Dermal fillers are designed to last for months or years at a time, so while the body will safely break them down over time, they will still provide an increase in skin volume that lasts for months to come.
How long does the procedure take?
The dermal filler procedure takes only a few minutes to complete. Once the treatment plan is determined, we will start by applying a local anesthetic to the skin. This may be in the form of an injection or a topical solution. Once the skin is numbed, we’ll inject the dermal filler formula into the desired treatment area. This can involve multiple injections in multiple areas depending on your treatment goals. Once injections are performed, we may gently massage the treatment area to distribute the dermal filler evenly throughout the skin. In most cases, treatment is completed in less than 30 minutes.
Will I be bruised after injectable dermal fillers?
Bruising is a common side effect of injectable dermal fillers. However, most patients find that bruising fades within just a few days of treatment. In some cases, bruising is so minor that patients are able to return to work and other normal activities immediately after their treatments. If you are concerned with bruising or swelling, you can apply ice or cold packs to the treatment area to alleviate these symptoms.
Is there downtime after injectable dermal fillers?
No! One of the best parts of dermal filler treatments is that there is no downtime required. Aside from the few minor side effects mentioned above, you will be able to return to work and other activities immediately after your appointment. You can enjoy zero downtime after injectable dermal fillers.
Do you want to look younger? With the help of dermal fillers and injectables, a minimally-invasive procedure that treats creases, wrinkles and fine lines on the face. Men and women can receive dermal fillers and injectables at Buinewicz Plastic Surgery. Please contact us if you have any questions or would like to schedule a consultation.
BOTOX® at the Philadelphia area’s Buinewicz Cosmetic Surgery & Medspa is injected in numbers of units determined by the treatment area, from 2 to 5 units for an eyebrow lift to 10 to 25 units for frown lines. We will discuss the number of units needed for your unique treatment at a personalized consultation.
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THANK YOU BUINEWICZ PLASTIC SURGERY
Trusted expertise + Results that look effortless
I cannot say enough good things about Dr. Buinewicz and his staff. Chrissy and Laurie are so kind and helpful, and the doctor answered all of my questions. You can tell that they really care about their patients. My entire experience was so positive, and I am so happy with my breast surgery results. I highly recommend Dr. Buinewicz’s office!
Dr. B is absolutely the best! I have had nothing but positive experiences in the office as well as during procedures. Everyone, from all the office staff to surgical facility staff is friendly, caring and overall amazing. There is no rushing through the process nor each after visit. You get as many as needed until he is completely satisfied and you have the perfect results. Dr. B is professional, caring and you can tell he loves what he is doing.
From day 1 of consultation to every check ups after surgery, I have been so grateful for finding Dr. B and his crew. It has been an amazing journey and a long awaited one at that. Any questions you may have, Dr. B has the answers. Any doubt you may have, Dr. B will assure you're in good hands. It's been 4 months and my results keeps getting and looking better. Dr. B's work has exceeded my expectations and I can't be any happier. I'm glad I've chosen Dr. B and his team!!
I have been a patient there for almost 14 years. Dr Brian is one in a million...Caring, concerned and always takes as much time as needed to explain each detail, answers all my questions and addresses my concerns. Dr Annie is also one of the best skin care specialists I have ever had care for my skin. She also has a wonderful personality and is a gem.. I think they are both Super stars .....She always gives me the best skin care advice that is perfectly tailored for my skin....I would never trust any other practice with my kin care needs.....They are both top notch!!!!!
Dr. B. is the GOAT. His staff is excellent, and I feel like I’m a very important client even though I am not there often. I feel confident that I will have excellent results as Dr. B. is very experienced and you can tell he really cares about his work and expertise. I live in a different state and I gladly drive to him for what I need, and always will.
Buinewicz plastic surgery and Day spa is top notch.. from the availability to get an appointment to the staff is unbelievable !! Professional , friendly and fully trained . I love both of the doctors and i am always happy with my results. A must go see for yourself kind of place.
I have been seeing Dr. Annie for the last 8 years. She has been amazing with different treatments I've needed. From Botox to Laser treatments for various scars, to Emsculpt NEO, I trust her implicitly. Also important to note, that her and Dr. B really care and will not provide services that they think will be detrimental or unhelpful. They have both told me "no" when appropriate. Its an invaluable asset. I highly recommend them both.
Our Locations
Doylestown Office
Hours:
Monday – Friday
8:00 a.m. – 5:00 p.m.
Flemington Office
Hours:
Tuesdays 8:00 a.m. – 12:00 p.m.
Thursdays 1:00 p.m. – 5:00 p.m.
Fridays 9:00 a.m. – 12:00 p.m.

