Dr. Rubinstein finds that it is in the patient’s best interest to charge by area rather than by unit. Many of his patients have four or five sites injected including the more advanced treatment areas. Having multiple areas treated doesn’t mean it will produce a frozen-like effect. He also finds that using more units, for example, in the frown lines and crow’s feet increases the duration of effect. Doctors who charge by the unit tend to under treat in an effort to bring down the cost for their patients who think they are getting a good deal when in reality they are seeing less results which don’t last as long. Botox Cosmetic is still the gold standard and is therefore more expensive than Dysport and Xeomin which are also FDA approved and commonly used. Make sure your doctor is using Botox Cosmetic if they are advertising lower priced “Botox injections” and not another product. Both optimal and Maintenance of your results will increase the efficacy and duration of future results -- longer duration means lower cost over time. You will also receive additional savings in your subsequent treatments because Dr. Rubinstein’s practice participates with Brilliant Distinctions, an Allergan (maker of Botox Cosmetic) discount program. You also will earn points within his practice -- 5% on all services and surgeries that can be applied towards your future treatments.