Madison Avenue · Midtown East
Botox in Manhattan
Expression, thoughtfully considered.
Botox, Dysport and Xeomin with Dr. Alex, DNP, APRN, FNP-C, in Midtown East. Your expressions guide the consultation and the treatment plan, at our Madison Avenue office near Grand Central.
Office 104, New York, NY 10017
4 5 6 7 S
- By appointment only
- Individual dosing
- One provider
Treatment areas
What Botox treats
A smile, a raised brow and a relaxed face reveal different patterns of movement. Dr. Alex, DNP, assesses those patterns before choosing a product and dose. The areas below are options to discuss at consultation, with the aim of softening selected lines while respecting your expression.
Upper face
Forehead lines
The horizontal lines that set in from raising your brows. Softened while keeping enough movement that your face still reads as expressive.
Frown linesThe elevens
The two vertical lines between the brows. The most common first treatment, and the one that most often reads as looking tired or annoyed when you aren't.
Crow's feet
Fine lines fanning from the outer corners of the eyes. Treated conservatively so a real smile still creases the way it should.
Brow lift
A small amount placed to release the muscles pulling the brow down, lifting the tail of the brow and opening the eye.
Temporalis
This muscle sits at the temple and helps close the jaw. If clenching is a concern, Dr. Alex, DNP, assesses its activity alongside the masseter before discussing treatment.
Middle face
Bunny lines
The creases that appear across the bridge of the nose when it scrunches — often the lines a forehead treatment quietly reveals once the forehead itself relaxes.
Nose
A few units at the base of the nose to soften a flare or downward pull when you speak or smile, with a subtle lift to the tip and the shape of the nose left otherwise untouched.
Slim nose
Softens the muscles at the sides of the nostrils for a narrower look at the base — a gentle option for someone not ready for rhinoplasty.
Lower face
MasseterJaw · TMJ
A prominent chewing muscle can contribute to lower-face width. Treatment may reduce its bulk and the force of clenching; jaw structure and the source of discomfort need assessment first.
Lip flip
A few units at the border of the upper lip, which rolls it gently outward for a fuller edge. No filler, and no added volume.
Chin
Softens the dimpled, "orange peel" texture that can appear on the chin, for a smoother finish at rest and mid-conversation.
DAODownturned corners
Eases the muscles that pull the corners of the mouth downward, softening a resting frown into a more at-ease, natural expression.
Nefertiti lift
Along the jawline and upper neck, this releases the muscle that pulls the jawline downward — named for the elegant, defined neck it's designed to reveal.
Neck bands
The vertical cords that become visible along the neck over time. Relaxed for a smoother line from jaw to collarbone.
Beyond the face
Underarms
Excessive underarm sweating can be assessed for treatment when it remains a concern despite routine measures. Suitability and the expected duration are discussed individually.
Palms & hands
A quiet solution for hands that sweat well beyond what the moment calls for — steadier handshakes, steadier everything.
Bring the areas you notice to your consultation. A treatment map is decided after the assessment, with an explanation of the expected benefits and limits.
Book a consultation Dermal fillers in Manhattan →Your provider
An individual approach, with Dr. Alex, DNP
DNP, APRN, FNP-C
For Dr. Alex, DNP, an injectable appointment begins with observation. She looks at the strength and balance of facial movement, your previous treatment experience and the changes you hope to make before proposing a dose.
Her background spans seven years in hospital settings, followed by work in aesthetic medicine and private plastic surgery. A doctorate from Florida International University and research into sun protection inform her emphasis on assessment, education and ongoing care.
Naturally refreshed. Prevention-focused.
Effortless beauty.
- Credentials
- DNP, APRN, FNP-C
- Education
- BSN, Georgian Court University · Master's & Doctorate, Florida International University
- Clinical
- Seven years in hospital settings · Two years in corporate aesthetic medicine · Two years in private plastic surgery · Four years as an independent practice owner
- Practice
- Blonde Girl Aesthetics® — Miami, Oakhurst, Manhattan
Book Botox near Grand Central
Arrange your visit at 315 Madison Avenue, Suite 407, Office 104. The Midtown East location is convenient to Grand Central–42 St and Metro-North. Check the time reserved in the booking calendar and allow for the consultation as well as any treatment agreed on the day.
Office 104, New York, NY 10017 Northwest corner of Madison Avenue and East 42nd Street, near Fifth Avenue
- Monday–Friday
- 10:00 – 5:00
- Saturday
- 10:00 – 2:00
- 4 5 6 7 S
Grand Central–42 St - Metro-North at Grand Central Terminal
- Buses M1, M2, M3, M4, M42, M101, M102, M103, Q32
New clients: $50 off your first treatment · In-office and virtual consultations with Dr. Alex, DNP
Questions
Botox in Manhattan, answered
Product choice, dosing and the first few weeks: practical questions about Botox appointments in Manhattan.
(646) 347-2833How much does Botox cost in Manhattan?
The charge is based on the units used. Which muscles are treated and the dose for each area determine the total. At the Manhattan consultation, Dr. Alex, DNP, explains the proposed treatment and confirms its cost before you decide to proceed.
Botox, Dysport or Xeomin — which one will I get?
The Manhattan office offers all three products. Your medical history, treatment area and experience with previous injections help guide the choice. Tell Dr. Alex, DNP, if you have used one before, including how it felt and how long the effect lasted.
Will I still look like myself?
The intention is to soften selected lines without losing the character of your face. Dr. Alex, DNP, discusses how much movement you want to retain and plans conservatively. The response varies, so natural-looking results are a goal rather than a guarantee.
How do I know how many units I need?
There is no single dose for every forehead or frown. Muscle activity, the number of areas and your treatment history all matter. An in-person assessment lets Dr. Alex, DNP, explain the dose she recommends and how the result will be reviewed.
How long does Botox last?
For facial expression lines, the effect commonly lasts around three to four months. Your response may be shorter or longer. Rather than assuming a fixed schedule, discuss maintenance once you know how the initial treatment develops.
How long does Botox take to work?
Early changes may be noticeable in three to seven days, with the result assessed at roughly two weeks. Timing differs between people and products; avoid judging the final effect from the first day or two.
What should I plan for after Botox?
Discuss your work and other plans before the appointment so you can follow the aftercare you receive. Injection marks, redness, swelling or bruising may be visible. Dr. Alex, DNP, will explain the recommended precautions for your treatment and when to contact the office.
Is 40 too late to start Botox?
Being in your forties does not by itself rule out treatment. The more useful question is whether muscle movement is contributing to the lines you want to address. Lines present when the face is relaxed may not resolve with this approach alone; that distinction is part of the consultation.
How is masseter Botox different?
The target is a chewing muscle at the side of the jaw. Assessment focuses on its size, strength and contribution to jaw width or clenching, rather than a pattern of facial lines. If treatment is appropriate, a change in jaw shape develops gradually as the muscle responds.
Disclaimer The information on this page is for general education and is not a substitute for professional medical advice, diagnosis or treatment. Whether a treatment is right for you is decided at a consultation with Dr. Alex, DNP, after a review of your health history. Results differ from person to person, and no specific outcome is guaranteed.