Non-Surgical Treatments in NYC: Botox, Fillers, Peels and More
Non-surgical treatments at this practice fall into three categories: injectables (Botox and other neuromodulators, and dermal fillers), chemical peels, and hand rejuvenation. Each addresses a different problem: expression lines, lost volume, skin texture and tone, and aging hands. All are performed by Sarah Walner, PA-C, the practice's lead injector, under Dr. Itay Wiser's medical supervision and with the same natural-results approach as the practice's surgery.
The three categories
Botox, neuromodulators and dermal fillers
Botox, Dysport and Daxxify relax the muscles that crease the skin, softening frown lines, forehead lines and crow's feet. Dermal fillers restore volume to the lips, cheeks, jawline and under the eyes. Sarah injects both, conservatively, so the result reads as rested, never done. See Botox and fillers in NYC and dermal fillers in NYC, and if you are unsure which you need, Botox vs fillers.
Chemical peels
Peels improve texture, tone, fine lines and acne scarring by removing the outer layers of skin at a controlled depth, from a light peel with a day of flaking to a deeper peel with a week or two of downtime. See chemical peels in NYC.
Hand rejuvenation
Hands show age through volume loss and sun damage. Fillers restore the volume; peels and other treatments improve the surface. See hand rejuvenation in NYC.
How long results last, and what they cost
- Botox and other neuromodulators. Results appear within days and typically last a few months before the muscle activity returns; most patients repeat treatment three or four times a year. Priced per unit.
- Dermal fillers. Several months to a year or more by area and product; lips shorter, cheeks and jawline longer. Priced per syringe.
- Chemical peels. Light peels are repeated in a series; deeper peels last longer and are done less often. Priced per treatment or series.
Results and how long they last vary by patient, area and product. The Botox and filler pricing guide explains how the numbers are built and what to compare between practices, and the practice gives a written estimate at the consultation.
Hair restoration
Many patients who come for injectables also ask about thinning hair. The practice offers non-surgical hair restoration with PRP and PRF, also under Sarah; see hair restoration in NYC.
Who performs your treatment
Sarah Walner, PA-C, joined WiserMD in 2024 after receiving her Master of Science in Physician Assistant Studies from Midwestern University. Before her physician assistant studies, she received her Bachelor of Science in Human Development from the University of Wisconsin-Madison. After becoming a certified physician assistant in 2024, Sarah began her career as a plastic surgery PA with Dr. Wiser. She has assisted in a wide range of cosmetic surgical procedures, including body contouring, breast surgery, facelift and blepharoplasty. Sarah is also the lead injector at WiserMD, specializing in natural, non-surgical facial rejuvenation with Botox, filler and microneedling. Every treatment plan is medically reviewed by Dr. Itay Wiser, Associate Clinical Professor of Surgery at Mount Sinai Elmhurst Hospital.
Results
The before-and-after gallery includes injectable and peel cases. At the consultation Sarah shows you results from patients with similar concerns, and tells you plainly when a treatment will not give you what you want.
Questions patients ask about non-surgical treatments
What is the difference between Botox and fillers?
Botox and other neuromodulators relax the muscles that fold the skin, softening lines made by expression (frown lines, forehead lines, crow's feet). Fillers add volume where the face has lost it (lips, cheeks, jawline, under the eyes). Many patients benefit from both, and the comparison guide explains how to tell which you need.
How long do fillers last?
Most hyaluronic acid fillers last from several months to about a year or more, depending on the area, the product and how fast your body metabolizes it. Lips tend to be shorter-lived than cheeks or jawline. Results and how long they last vary by patient, area and product.
What does a chemical peel feel like?
A light peel feels like a warm tingle for a few minutes and leaves the skin slightly flushed. Deeper peels sting more and are managed with cooling and, for the deepest, numbing. Sarah matches the peel depth to your skin concern and your tolerance for downtime.
How much does Botox cost in NYC?
Botox is usually priced per unit, and the number of units depends on the area and your muscle strength. The pricing guide explains how the number is built and what to compare between practices; the practice gives a written estimate at the consultation.
Is there downtime?
Botox and fillers: little to none; some bruising or swelling for a few days is possible. Light peels: a day or two of flaking. Deeper peels: several days to two weeks of peeling. Hand rejuvenation: a few days of swelling. Sarah tells you what to expect for your plan.
How do I choose a provider for injectables?
Look for a licensed physician or a supervised injector with training specific to facial anatomy, before-and-after photos that show subtle results, a conservative philosophy, and a consultation where you are told what will not help you. Ask who will hold the syringe.
Not sure which treatment fits your goals?
A free virtual consultation with Sarah sorts out what would help, what would not, and what it would cost, with no obligation.