BotoxBaltimore, Maryland
Botulinum toxin treatment continues to be one of the most popular cosmetic procedures for a reason: it works. FDA-approved botulinum toxin injections, such as Botox Cosmetic, smooth facial wrinkles, relax overactive facial muscles, and restore a youthful appearance without surgery. At Michele Shermak, MD in Baltimore, Botox is more than just a wrinkle-filler—it’s a carefully tailored treatment performed by a board-certified plastic surgeon with extensive expertise in facial anatomy and aesthetics.
Dr. Shermak has helped many Baltimore Botox patients look and feel their best, shaving years off their perceived age and giving them a new sense of self-confidence. Botox is among the safest and most popular injectables on the market and can provide instant relief for unwanted wrinkles, folds, creases, and fine lines. Please read more about what to expect from the procedure below.
1 of 9
Botox is the brand name for a botulinum toxin type A injectable derived from the bacterium Clostridium botulinum. In small, controlled doses, this FDA-approved prescription medicine temporarily reduces muscle movement to soften facial wrinkles and expression lines.
Botox Cosmetic is most commonly used to treat moderate to severe frown lines, forehead lines, and crow's feet. By relaxing the thin muscles just under the skin, botulinum toxin injections smooth skin texture and subtly lift features, restoring a more youthful appearance. The most recent FDA-approved application is to weaken neck bands which age the neck and have become increasingly apparent with significant weight loss.
Botox has also been approved for medical conditions like chronic migraine, cervical dystonia, overactive bladder, and severe hyperhidrosis (excessive sweating) in the underarms, palms and feet, proving its versatility in both clinical and aesthetic dermatology.
Dr. Shermak begins by mapping your treatment area and assessing your facial movements. A fine needle is used to inject small amounts of the botulinum toxin at each targeted injection site. Most patients report minimal discomfort, and topical anesthetic is available if needed.
The injection treatment typically lasts under 20 minutes. There’s no downtime, allowing patients to return to most daily activities by the next day. As a cosmetic surgeon, Dr. Shermak ensures every injection is placed with precision to avoid drooping eyelids, asymmetry, or unnatural results.
Botox is FDA-approved to treat:
Botox creates smoother skin texture, reduces skin folds, and can even be used to refine the jawline.
Botox enhances your natural look, smoothing wrinkles, lifting tired features, and restoring a relaxed expression without surgery. It’s also one of the most researched and time-tested injectables in the world, with decades of use in both cosmetic and medical fields.
In the right hands, Botox is a precise and elegant way to soften the signs of aging without looking “done.” It’s a favorite for both first-time patients and experienced aesthetic clients because it offers visible results with virtually no downtime. Because it’s a non-surgical medical procedure, Botox is a great option for patients looking to delay or avoid cosmetic surgery.
Benefits include:
Good candidates are men and women in their 20s and older seeking to improve moderate to severe frown lines, crow’s feet, and other facial wrinkles. Other applications beyond treating the brow and around the eyes include reversal of downturned corners of the mouth and neckbands. Botox has also been applied to the crows feet and upper lip to allow for lift of the brow and upper lip “Lip Flip.” All clients should be in good physical and mental health, with realistic expectations for improvement rather than perfection.
Dr. Shermak will begin with a consultation to discuss your goals, assess potential treatment areas, and ensure Botox is a safe option for you. At that visit, the treatment may take place. A second treatment is recommended 4 to 6 months after the initial treatment to achieve optimal results.
Botox recovery is quick and easy. For 24 hours post-treatment, patients should avoid massaging the injection site or engaging in vigorous activity that may cause the product to migrate. Some clients bruise with treatment, particularly around the eyes, but this will resolve quickly and can be helped by taking Arnica tablets. Results may begin to appear within 3 to 5 days, with the full effect visible at 2 weeks.
As a board-certified plastic surgeon, Dr. Shermak brings surgical-level knowledge to every injectable treatment. Her work in reconstructive surgery, facial fat grafting, and facial cosmetic surgery equips her with the artistic eye and technical precision necessary to deliver beautiful, balanced results safely.
Botox is among the safest and most popular FDA-approved injectables on the market, providing instant relief from unwanted wrinkles, folds, creases, and fine lines. The way you look and feel directly affects your self-confidence.
In addition to treating Baltimore Botox patients, Dr. Shermak cares for many Baltimore clients who undergo Sculptra, blepharoplasty , brow lift, facelift, facial fat grafting, and facial liposuction procedures. Undergoing multiple treatments at once can not only save money, but it can also reduce recovery time. Please visit these pages to learn more or discuss these options further with Dr. Shermak during your consultation.
Results last approximately 3–4 months. With routine maintenance, longevity may improve.
Yes, when performed by qualified providers. Botox is FDA-approved and has been proven safe in numerous clinical trials. During your consultation, Dr. Shermak will review your medical history, discuss any risk factors, including an increased risk from blood thinners or neuromuscular conditions such as ALS, and determine whether botulinum toxin injections are the safest option for you.
If you have ever tweezed an eyelash or eyebrow hair, then you are well-prepared for the discomfort level associated with the Botox procedure. Dr. Shermak is extremely gentle and provides a numbing agent that makes the injection virtually painless. Most find it’s over before they even know it happened.
No, most patients return to normal activity the same day. Avoid rubbing the treated area or strenuous activity for 24 hours.
Minor risks include bruising or temporary drooping. Serious side effects are rare, especially when Botox injections are performed by a board-certified cosmetic surgeon.
Yes. Botox and dermal fillers can be used together for a comprehensive, noninvasive rejuvenation plan.
Botox is one of the least expensive treatments provided. One area treated with 25 units costs $350 and 2 areas (50 units) costs $625. Allergan Aesthetics through their Allé program often provides coupons to help reduce treatment costs. Dr. Shermak participates in the Allé program.
Botox for cosmetic purposes is not covered. However, botulinum toxin treatment for medical conditions like chronic migraine or urinary incontinence may qualify with documentation.
Botox may be strategically injected along the jawline and neck to create a more defined jawline and neck.
In addition to its cosmetic benefits, Botox has many medical applications, including treating neck pain, upper limb spasticity, migraines, and hyperhidrosis (excessive sweating).
The only downside comes when Botox injections are performed by someone without adequate professional experience and certification, as sometimes happens in unregulated med spas. While it is a simple procedure, administering Botox requires a high degree of precision and artistry. It should only be attempted by a board-certified plastic surgeon such as Baltimore’s Dr. Shermak. This prevents unwanted side effects and points towards a final result that appears both beautiful and natural.
