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What are Botox and Dysport?

Repetitive muscle action in the face may cause wrinkles, typically in the forehead, between the brows, and at the sides of the eyes (smile lines/crow’s feet). Botox and Dysport weaken muscle action, smoothing the wrinkles.

Additionally, with the weakening of certain muscles, those muscles with opposing action become stronger, so treatment of crow’s feet will not only smooth wrinkles on the sides of the eye but will also lift the tail of the brow. Botox and Dysport are comprised of Botulinum, which is the active ingredient that weakens the muscle action.

Botox Baltimore

Who is a good candidate for Botox and Dysport?

Good candidates are men and women in their 20’s and older who are looking to reduce facial wrinkles and creasing. Other applications beyond treating the brow and around the eyes include reversal of downturned corners of the mouth and neckbands. All clients should be in good physical and mental health, with realistic expectations for improvement rather than perfection.

During the initial consultation you will discuss with Dr. Shermak what you would like to improve so she can understand your expectations and determine how to best achieve your desired result. At that visit, the treatment may take place. A second treatment is recommended 4 to 6 months later to achieve optimal results.

Areas treated by BOTOX and Dysport include:

  • The upper lip
  • The corners of the lips
  • The eyebrow area
  • Nasolabial folds
  • Wrinkles and lines in the lower lids
  • Dimples in the chin
  • Creases and wrinkles in the neck

Other conditions treated:

  • Migraines
  • Excessive sweating

Botox Baltimore

How long do the results of BOTOX/Dysport last?

On average, your improvement will continue for around 3-4 months, at which time you can elect to repeat the treatment with Dr. Shermak.

Is the procedure painful?

If you have ever tweezed an eyelash or eyebrow hair, then you are well-prepared for the discomfort level associated with the BOTOX/Dysport 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.

What is the recovery like after Botox and Dysport treatment?

For 24 hours, the area treated should not be rubbed or massaged, and bending over needs to be avoided (exercise, gardening, cleaning floors) to avoid migration of the product. Regular exercise and activities may be resumed by the following day. Some clients bruise with treatment, particularly at the side of the eyes, but this will resolve quickly and may be helped by taking Arnica tablets.

Is treatment with BOTOX/Dysport covered by insurance?

Unfortunately, procedures that are performed for strictly cosmetic reasons often don’t get approved by medical insurance carriers. However, if you are undergoing BOTOX/Dysport treatment for medical purposes such as for migraine headaches, there may be an opportunity for reimbursement. Check with your carrier to learn more.

Is there any downside to the treatment?

The only downside comes when BOTOX/Dysport injections are performed by someone without the adequate professional experience and certification, as sometimes happens in unregulated med spas. While it is a simple procedure, administering BOTOX/Dysport requires a high degree of precision and artistry, and 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.

Looking at the whole picture

The way you look and feel directly affects your self-confidence. In addition to treating Baltimore Botox and Dysport patients, Dr. Shermak takes care of many Baltimore Sculptra, blepharoplasty, brow lift, facelift, facial fat grafting and facial liposuction patients. Undergoing multiple treatments as once can not only save money, it can also cut down on recovery time. Please visit these pages to learn more, or speak with Dr. Shermak about these other options during your consultation.

Getting started with BOTOX and Dysport in Baltimore

We invite you to call Dr. Shermak’s Baltimore plastic surgery office at 410-324-6592 to schedule your personal BOTOX and Dysport consultation today. During this initial session, Dr. Shermak will examine your face and skin, review your medical records and previous cosmetic treatments, record any medications you might currently be taking, and begin to formulate a customized plan of action for resolving your age-related wrinkles and fine lines with BOTOX or Dysport.

She will invite you to view our online library of before and after photography so that you can get a better idea of what is possible with BOTOX/Dysport treatment.

1304 Bellona Avenue, Lutherville-Timonium, MD 21093

Dr. Michele Shermak offers some of the top cosmetic procedures Baltimore, MD has to offer
including Baltimore breast augmentation & liposuction

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We are open for all services!

View Update Virtual Consultation Skinstore

We are officially open, thanks to Governor Hogan!

We welcome new patients and are looking forward to performing elective surgical procedures, starting the week of May 11.

This is a new day, with new safety protocols. Our goal is to keep everyone safe and respect the continued risk COVID-19 presents. For this reason, we will be instituting the following protocols:

  • We will have Sandy stationed at our entryway with sterilizer and a COVID-19 survey for our new patients to fill out. Sandy will also check your temperature and collect your paperwork at the door – our medical intake form can be filled out prior to your coming to the office, or you can fill it out after you arrive.
  • Please bring a mask for any in-office visits. If you are coming for surgery, please bring a paper mask if you have one. For any other visits, cloth masks or paper masks are fine.
  • We need any patient waiting to be seen to wait in your car until we can safely accommodate you in an exam room. We need to respect social distancing and are spacing our patients out to assure safety.
  • We can only allow the patient to come in to the office for examination. Friends or family will need to wait outside the office.
  • For those assisting our postoperative patients on the day of surgery: we ask that you kindly wait in your car and we will call you in to discuss postoperative instructions.
  • I am continuing to schedule Virtual Consultations which is exciting and new! Check out my Resources section or header at drshermak.com to get started!


I look forward to seeing you soon!


Virtual Consultation