Products
Request An AppointmentPrecise Botox Injections by NYC Expert Injector
Expert Botox Injections in NYC by Dr. Debra Jaliman
Dr. Debra Jaliman is a board-certified dermatologist based on Manhattan’s Upper East Side and was one of the first physicians in the U.S. to use Botox for cosmetic treatments in 1991. Widely recognized as one of the best Botox doctors in NYC, she is the author of Skin Rules: Trade Secrets From a Top New York Dermatologist (St. Martin’s Press) and is known for her advanced, precise injection techniques.
With her signature “Botox lite” approach, Dr. Jaliman softens lines and wrinkles while maintaining natural facial movement and expression. Celebrities, media professionals, and long-time patients trust her artistic eye and personalized care to deliver subtle, refreshed, and youthful results.
Benefits of Botox
- Smooths fine lines and wrinkles
- Non-surgical procedure
- Safe and FDA-approved
- Quick, in-office treatment
- Minimal discomfort
- No downtime
Common Botox Treatment Areas
- Frown lines (“the 11s” between eyebrows)
- Forehead (horizontal lines)
- Crow’s feet (outer eye wrinkles)
- Lip lines (smoker’s lines)
- Chin dimpling
- Bunny lines (wrinkles on the sides of the nose)
- Neck bands (platysmal bands)
- Brow lift (subtle lift of the eyebrows)
- Lip flip (creates the appearance of fuller lips)
- Corners of the mouth (lifts downturned edges)
Why Patients Choose Dr. Jaliman for Botox in New York City
Botox is the most popular non-surgical cosmetic treatment in the U.S.—and for good reason. When performed by an expert, it safely and effectively smooths fine lines and dynamic wrinkles for a natural, refreshed look.
Dr. Debra Jaliman personally places each injection with meticulous precision to ensure balanced, symmetrical results. She has trained countless physicians and healthcare professionals in advanced Botox techniques, earning her a reputation as a trusted mentor in the field.
Whether you’re seeking subtle enhancement or full correction of facial lines, Dr. Jaliman customizes every Botox treatment to meet your individual aesthetic goals.
Why Dr. Jaliman Is Frequently Recommended as One of the Best Botox Injectors in NYC?
With over 34 years of dermatology experience, Dr. Debra Jaliman is widely recognized as one of New York City’s top Botox specialists. Her expert knowledge of facial anatomy and meticulous injection technique allow her to achieve natural-looking, symmetrical results—using a more concentrated form of Botox than many others in the field. This approach ensures optimal effectiveness, even for patients with strong muscle activity or deep frown lines.
Patients consistently praise her precision and results. As one reviewer on Google shared: “The absolute best Botox in NYC,” after trying multiple providers without success.
Dr. Jaliman customizes each treatment—whether you’re looking for subtle refinement or full wrinkle correction. While she originally treated mostly women, she now sees an increasing number of male patients seeking to maintain a youthful appearance, along with younger patients in their 20s opting for preventative Botox to delay the formation of fine lines.
Across all ages and genders, patients trust Dr. Jaliman for her artistic eye, gentle touch, and deep commitment to both beauty and long-term skin health.
Frown Lines Botox
What qualifications should a Botox injector have?
A board-certified dermatologist or plastic surgeon with extensive experience in facial anatomy and cosmetic injectables is ideal.
What Is Botox Cosmetic and How Does It Work?
Botox Cosmetic (onabotulinumtoxinA) is an FDA-approved injectable neuromodulator used to reduce the appearance of facial lines and wrinkles. It works by temporarily relaxing the facial muscles that cause dynamic wrinkles—those formed by repetitive movement such as frowning, squinting, or raising the eyebrows.
When injected into targeted muscles, Botox blocks nerve signals that trigger muscle contractions. As a result, the muscles relax, and the overlying skin appears smoother and more youthful. Fine lines often disappear completely, while deeper wrinkles may become significantly softer.
In cases where deeper wrinkles remain, Dr. Debra Jaliman may recommend combining Botox with other treatments such as dermal fillers (like Juvederm or Restylane) or non-ablative laser treatments (such as Genesis, Revlite, or Fraxel) for optimal skin rejuvenation.
Botox is one of the most popular non-surgical cosmetic treatments in NYC due to its effectiveness, quick treatment time, and minimal downtime. Dr. Jaliman uses her extensive knowledge of facial anatomy to ensure precise, natural-looking results.
Are there other neuromodulators?
Xeomin, Dysport, Jeuveau, and Daxxify are other neuromodulators (botulinum toxin injectables) that work similarly to Botox.
What is the difference between Botox and Dysport or Xeomin?
All are neuromodulators that relax muscles, but they have slightly different formulations, diffusion patterns, and onset times. Botox is the most widely known and studied.
What areas of the face can be treated?
The forehead lines can be successfully treated. The frown (furrows), which are also called the glabella, is another common area that some refer to as the eleven lines. The area around the eyes (crow or crows feet), lips, bunny lines on the nose, corners of the mouth, neck bands, and chin can also be treated. It is also possible to do a temporary brow lift with Botox. Botox can also be injected into the upper lip to relax these muscles, creating the illusion of a fuller upper lip without the use of filler. This is called a lip flip. Botox cannot be injected into smile lines. These are often filled with hyaluronic acid filler, which can add volume to this area of the face, which often has fat loss. Areas like the cheeks and cheekbones can also be treated with filler.
Who is a Good Candidate for Treatment?
A good candidate for treatment is a person located in NYC, who is 18 years of age or older, and who wants to reduce dynamic wrinkles caused by facial expressions. Such as crow's feet, forehead lines, or frown lines. This is a great non-surgical option to achieve a smoother appearance.
Who cannot have Neurotoxin?
If you’re pregnant or breast-feeding, you cannot have Botox injections. If you have a rare neurologic disease such as ALS, myasthenia gravis, or Lambert-Eaton syndrome, you would not be a good candidate for Botox injections. Dr. Jaliman can recommend safe skincare ingredients and products for your condition. She is especially good at finding products that do not cause irritation and are gentle on the skin.
How does Botox work differently for men and women?
Men often have stronger facial muscles and may require more units than women to achieve similar results.
What are the Costs?
Botox Consultation Fee:
The consultation for Botox is $200. If you proceed with treatment the same day, this fee will be applied toward the total cost of your Botox.
If you choose not to receive Botox that day, the $200 remains as a credit that you can use toward future Botox or any other cosmetic procedure.
If you decide not to undergo any cosmetic treatment, the $200 will be retained as the consultation fee.
Botox Treatment Cost:
Wondering how much Botox costs in NYC? At our office, Botox is priced by the area—not by the number of units used. This means you’ll know exactly what each treatment area will cost before your injection, with no surprise fees, regardless of how much Botox is required.
If you need a touch-up, you can return within two weeks for additional Botox at no extra charge.
Many patients are pleasantly surprised by how affordable our Botox pricing is—especially knowing they receive the full amount needed to achieve optimal results in each area.
What is “Baby Botox” and is it right for me?
Baby Botox uses smaller doses for subtle, natural-looking results and is ideal for first-time users or those wanting minimal muscle relaxation.
What about the inexpensive Botox injections that are advertised on Instagram?
If it’s too inexpensive, it may not be Botox, or it may be over-diluted Botox with water. In our office, we use Botox bought in the US from Allergan and given in a concentrated form. We use the real product. We have seen patients come from other locations from a laser hair removal spa that doesn't specialize in Botox and the needles and injections were incorrectly placed, so it's important to check their services and reviews and make certain that the injector is qualified to inject your face as the Botox can not be removed.
Why should you avoid cheap Botox at all costs?
Sometimes, people search for cheap Botox in NYC. Is this a good idea? It is important to consider whether this is a wise decision. It is worth noting that what is being offered as Botox may actually be another type of neurotoxin. There is also a possibility that the product being used is not even sourced from the United States. There is also a chance that the neurotoxin being administered is diluted with a significant amount of water. There is the risk of being injected by an inexperienced injector, which can lead to various complications. So the saying "you get what you pay for" may hold true in this scenario. In order to prioritize safely, it is advisable to visit a board-certified dermatologist who is experienced with Botox injections rather than attempting to find a bargain on Botox.
What are the signs of poorly done Botox?
Signs include uneven eyebrows, a frozen or expressionless look, droopy eyelids, or asymmetry in facial movement.
Your Botox Consultation with Dr. Jaliman
During your consultation at Dr. Jaliman’s Upper East Side office in NYC, you’ll discuss your areas of concern and desired results. Dr. Jaliman will evaluate your facial anatomy, muscle movement, and skin quality to create a treatment plan tailored specifically to you. She will also review your medical history to ensure Botox is a safe and appropriate option.
You’ll receive a detailed explanation of what to expect, along with a customized plan designed to achieve natural-looking, precise results.
How to Prepare for Botox
To minimize the risk of bruising, avoid alcohol and medications that thin the blood—such as ibuprofen, aspirin, fish oil, or vitamin E—for at least one week before your treatment. If you smoke, keep in mind that skin may heal more slowly.
Does Botox Hurt?
Most patients find Botox injections very tolerable. The procedure is quick, and many choose to have it done without any numbing. However, for those concerned about discomfort, we offer a topical numbing cream applied 15–20 minutes beforehand. We also use a Zimmer Chiller, a device that cools the skin during treatment to reduce any sensation.
There is no lasting numbness, and no pain medication is needed before or after the procedure. Most patients experience minimal to no discomfort.
How many units of Botox will I need?
The number of Botox units needed varies, depending on several factors, including the treatment area, the severity of wrinkles, and individual muscle strength.
- Forehead lines: 20-40 units
- Crow's feet: 20-40 units
- Frown lines: 30 units
- Brow lift: 10 units
What to Expect During Your Botox Treatment in NYC
At your Botox appointment with Dr. Debra Jaliman, comfort and precision are top priorities. If you choose to use numbing cream, it will be applied to the treatment area for about 20 minutes to minimize any discomfort.
Before injecting, Dr. Jaliman uses a Veinlite device to identify and avoid blood vessels beneath the skin—helping to reduce the risk of bruising. To further enhance your comfort, a Zimmer Chiller delivers a cooling effect during the procedure, making the experience virtually painless.
How Long Does Botox Take?
The Botox injection process typically takes just 10 to 15 minutes. If you opt for numbing cream, plan for a total of 35 minutes in the office.
How is it administered?
Botox is injected with a very fine microneedle into the muscle. A very precise amount of units of Botox are placed into the injection site in the face. It is very important that the injector knows facial anatomy so that the correct muscles are injected with precision into the client. Dr. Jaliman does this with ease after so many years of injecting Botox.
Post Treatment
After the treatment, gentle pressure is applied to minimize bruising, followed by ice packs for 5 minutes to reduce swelling and discomfort.
Post-Botox Treatment Care
What to Do After Your Treatment
Proper aftercare is essential to achieve the best Botox results and avoid unwanted side effects. Follow these guidelines after your Botox treatment with Dr. Jaliman in NYC:
- Avoid lying down for at least 1 hour post-treatment to prevent Botox from migrating.
- Do not touch, rub, or massage the treated areas for the rest of the day.
- Avoid strenuous exercise, alcohol, saunas, or hot showers for 24 hours to minimize the risk of swelling or bruising.
When Will I See Botox Results?
Botox results are not immediate. Most patients begin to see a visible improvement in fine lines and wrinkles within 3 to 5 days, with full results appearing in 7 to 14 days.
How often should I get Botox?
It is important to get repeated injections of Botox every 3 to 4 months. This will maintain the smooth natural appearance that you obtain with your Botox.
What should I do after getting Botox?
Do not lie down for one hour after the Botox injections. This is important because you do not want Botox to migrate into another muscle group. It is also important not to rub or massage the treatment area where Botox was injected. You can exercise after one hour and resume your normal activities immediately.
How can I reduce bruising and swelling?
Apply ice packs to the treated area for 5 to 10 minutes at a time in the first few hours after treatment. Keep your head elevated after the procedure, even when sleeping. Some people find that taking Arnica may help reduce bruising. Avoid alcohol for 24 hours after treatment.
Can I exercise after Botox?
It is generally recommended to avoid strenuous exercise for at least 24 hours after getting Botox injections. This helps minimize the risk of swelling, bruising, or the Botox moving to unintended areas due to increased blood flow and muscle activity.
What happens if I stop getting Botox?
If you stop getting Botox, the effects will gradually wear off and the muscles will return to their normal activity. But Botox will not cause your wrinkles to worsen or age faster.
How to schedule a consultation?
We offer a comprehensive consultation for new Botox patients so that we can discuss their concerns and give them any information and details they need about the benefits and potential risks of the treatment. We can then answer any questions and go over all the places where Botox injections can be used and the entire Botox process. We can also discuss how Botox can be integrated into a complete facial rejuvenation program. It can be incorporated with facial fillers, lasers, microdermabrasion, light chemical peels, and PRP (platelet-rich plasma) so that your complete aesthetic goals are met.
The consultation fee is waived for any Botox treatment performed on the same day.
We are so sure you’ll be satisfied with your Botox result that we offer a complimentary follow-up within two weeks of your procedure. Any additional injections are complimentary during this two-week follow-up.
Call our office phone number to make an appointment with board-certified NYC dermatologist Dr. Debra Jaliman at at our Fifth Avenue offices in NY. We do not take a lunch break, so you can call Monday and Wednesday from 9 a.m. to 7 p.m. and Tuesday, Thursday, and Friday from 9 a.m. to 3 p.m. Our location overlooks Central Park in Manhattan.
Frequently Asked Questions
Safety & Side Effects
Is Botox safe?
Botox has been used safely and effectively for years. It was FDA-approved for cosmetic use in 2002. It is an increasingly popular treatment for reversing the visible signs of aging. It is a quick treatment that does not require surgery. If you do plan to get surgery, Botox can be used in conjunction with a facelift or other cosmetic facial surgery.
Is Botox safe for people with sensitive skin or allergies?
Yes, Botox is generally safe for sensitive skin. Allergic reactions are extremely rare but should be discussed with your doctor.
Are there any side effects of Botox?
The most common side effects or symptoms are redness or slight inflammation, bruising, and swelling. We have a special light in the office called the Veinlite. This helps us visualize the veins under the skin so it's less likely that they will be nicked and that you will be bruised. If a bruise does occur, this can easily be covered by makeup. We also have special products in the office should this occur. We have arnica gel patches to speed up the healing of a bruise as well as arnica pills. There are other ways to deal with this, utilizing lasers to lighten the bruise. We also have specially made products with antioxidants for all skin types if any redness should occur. We do not recommend soap being used on the area and have created a gentle cleanser that adds moisture to the skin. The ingredient list includes ceramides to protect the skin barrier. Having done so many Botox injections, we have a lot of tips for our patients. Most people don’t have any side effects and there is very little downtime. They are very content with their treatment.
Will my face look frozen or unnatural?
Some doctors inject a large amount of Botox into each muscle group without looking at the patient's overall features. This can give a very unnatural frozen appearance. Some patients like this appearance. Dr. Jaliman calls this the “Stepford wife” look. It is very important to discuss with the doctor how you want your face to look before having Botox. Some people like a more natural appearance and then less Botox is injected into that area of the face. The advantage of having Botox at Dr. Jaliman’s practice is that Botox is injected on the first visit. Then the patients are encouraged to come back in the next 2 weeks for a touch-up, at no charge if they feel that they need more Botox. That allows Dr. Jaliman to achieve a perfect balance in the facial muscles. Once she has determined exactly how much Botox is required, it is recorded in your chart. Your customized Botox recipe is then available for your future visits. She uses a range of Botox units on each area of your face, depending upon the strength of your muscles and your desired goal and needs. Everyone sees a remarkable difference in their faces and the goals set by the doctor and her patient are achieved, with many patients saying not only thanks but, often they will give testimonials that it is the best Botox they ever had, even when they have very strong and difficult muscles. Dr. Jaliman finds a solution to even the most difficult and challenging problems and is most creative in the way she approaches each and every patient's unique and individual skincare concerns. It is a team approach between the provider and the patient with the doctor offering options and listening carefully to feedback from the patient. Many patients say this is the best Botox and fillers that they have had in NYC.
Can Botox be reversed?
Unfortunately, you need to wait for the Botox to wear off. This can take 3 to 4 months. Each week the Botox will get weaker, and your facial muscles will start to go back to their natural strength gradually over the next 3 to 4 months. Unlike filler injections, Botox cannot be dissolved or removed from the body. That is why it is so important to do your research and to choose an experienced injector of Botox so that you don't end up disappointed and unhappy with an asymmetric face.
Effectiveness & Duration
Does Botox last longer the more you get it?
Yes, in some cases Botox may last longer with continued use because the muscles become trained to relax over time and repeated treatments result in a commulative effect.
How long does Botox last?
Botox injections can last anywhere from 3 to 6 months, depending on the strength of your facial muscles. Many of our patients prebook their appointments so they don't forget to make them and stay on schedule with their Botox. They can make certain to visit Dr. Jaliman's office and get their Botox injections when they visit New York.
Does Botox prevent wrinkles?
Contrary to popular belief, Botox injections do not necessarily prevent wrinkles from forming altogether. Botox works by temporarily relaxing the muscles that cause wrinkles, such as crow's feet and frown lines, thereby reducing the appearance of existing wrinkles. Therefore, Botox is best used as a treatment for existing wrinkles rather than a preventative measure.
However, some evidence suggests that consistent Botox injections over time may prevent additional wrinkles from forming. This is because the muscle movement that causes wrinkles is limited, which can in turn prevent the development of new wrinkles. Additionally, with long-term use of Botox, the skin may appear smoother and more youthful, which could contribute to preventing new wrinkles from forming.
It is important to remember that Botox injections should not be solely relied upon for anti-aging benefits. A comprehensive skincare routine, including daily use of sunscreen, hydration, and a healthy lifestyle, is crucial for maintaining skin health and preventing signs of aging. As always, it is best to consult a qualified dermatologist who can provide personalized care and treatment recommendations to help you achieve your best appearance and confidence.
Can this make my muscles stronger?
This is a common misconception. Botox weakens the muscles. When the Botox wears off, the muscles will return to their normal strength. In fact, some people think that after using Botox for many years, that their facial muscles have gotten weaker as they have not been used.
What are the most common myths about Botox?
Common myths include: Botox is toxic, it freezes your face permanently, or once you start you can’t stop. None of these are true when performed correctly.
Treatment Options
Can Botox be combined with other treatments?
Botox can often be combined to enhance other overall results. For example, it can be combined with dermal fillers, lasers, chemical peels, microneedling and facials.
Is there a difference between medical and cosmetic Botox?
No—it’s the same product, but the treatment areas and goals differ. Medical Botox treats conditions like migraines or muscle spasms; cosmetic Botox targets wrinkles.
Is Botox only for wrinkles or does it have other uses?
It has several other uses outside of dermatology. Excessive sweating (hyperhidrosis), migraine headaches, TMJ and jaw reduction, neck and shoulder tension, teeth grinding, and a gummy smile.
Can asymmetric eyebrows be corrected with this treatment?
By carefully evaluating the brows, the forehead asymmetry can be corrected. This is accomplished by injecting microdroplets of Botox into the appropriate muscles. A skilled injector is needed to evaluate the problem and determine which muscles need to be injected and how many units of neurotoxin need to be injected.
Can I get Botox while pregnant or breastfeeding?
Botox is not recommended during pregnancy or breastfeeding due to a lack of safety data.
Timing & Age
When is the best time to get these injections before a big event?
It’s best to get Botox 1-2 weeks before a big event. Just in case there is any slight swelling or bruising, it will have gone away, and the skin will look its best. Also, don't wax right before or after Botox injections, as it can irritate your skin. Before special times, you don't want to change anything like the skin care items that you use as you may get an allergic reaction or irritation. Don't add essential oils or follow the advice of an article that you just read. Take into account your skin type, and how sensitive it is, and don't try new things or go to a new clinic right before an important event.
At what age should I start getting Botox?
Botox injections have become one of the most popular cosmetic procedures for achieving a youthful, refreshed appearance. But when should you start getting Botox? According to dermatologists, the answer is not a straightforward one.
Many people start looking into Botox when they notice the first signs of aging, such as fine lines around the eyes or forehead wrinkles. However, it is important to remember that Botox should not be used as a preventative measure for wrinkles. Instead, it should be used to treat existing wrinkles to maintain a youthful appearance.
Doctors recommend beginning Botox injections in one's late 20s to early 30s, at the first signs of noticeable wrinkles or fine lines. This way, the injections can help prevent wrinkles from becoming more prominent and help maintain a youthful appearance. Furthermore, Botox can also be used as a non-surgical facelift for older patients with more significant wrinkles.
It is important to note that every patient is different, and the best age to start Botox injections can vary based on several factors, such as genetics, lifestyle habits, and skin type. It is always recommended to consult a qualified dermatologist with Botox injection experience to determine the best approach for your unique needs.
Ready to experience the expertise of a Botox pioneer?
With over 30 years of experience and having been one of the first to offer Botox injections in the country, Dr. Jaliman brings unmatched skill and precision to every treatment. Whether you’re looking to reduce wrinkles, enhance facial symmetry or just refresh your appearance. Schedule your consultation today to help achieve your aesthetic goals with the expertise you deserve.
