What is BOTOX?

BOTOX uses botulinum, its active ingredient, to temporarily weaken targeted muscles. This softens facial wrinkles and fine lines by reducing the muscle activity that causes them. For example, treating crow’s feet with BOTOX smooths the lines at the corners of the eyes and can lift the brow's tail. This happens because when certain muscles are relaxed, the opposing muscles naturally become more active, leading to a subtle lifting effect.

Video: Real Patient Before BOTOX 

Video: Real Patient After BOTOX 

BOTOX Before & After Photos

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What areas can be treated by BOTOX Injections?

  • 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
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BOTOX Patient Testimonial

botox in Baltimore, Maryland

What are the benefits of BOTOX?

  • Safe, effective, non-surgical
  • Curbs dynamic wrinkles and lines
  • Rolls back the clock on facial aging
  • Smoothes and revitalizes the complexion
  • Boosts self-confidence
  • No downtime or discomfort
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woman getting a BOTOX injection

Who Is a Good Candidate for BOTOX in Baltimore?

Ideal candidates for BOTOX treatments include:

  • Men and women in their 20s and older looking to reduce fine lines and wrinkles
  • Frown lines and crow’s feet
  • Downturned corners of the mouth
  • Neckbands or visible necklines

What to Expect During Your Visit:

  • You’ll meet with Dr. Shermak to discuss your goals and evaluate treatment areas
  • In many cases, treatment can be performed during the same visit
  • A follow-up treatment is recommended in 3–6 months to maintain optimal results

What is the Recovery Like After BOTOX Treatment?

  • Avoid rubbing or massaging the treated area for 24 hours to prevent the product from migrating.
  • Avoid strenuous activity and workouts for 24 hours after treatment to prevent product migration.
  • Mild bruising may occur, especially around the eyes. This is temporary and often improves quickly.
  • Taking Arnica tablets before and after treatment may help minimize bruising.
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Why choose Dr. Shermak?

The way you look and feel directly affects your self-confidence. In addition to offering BOTOX in Baltimore, Dr. Shermak offers clients Sculptra, blepharoplasty, brow lift, facelift, facial fat grafting, and facial liposuction.

Undergoing multiple treatments at once can not only save money but 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.

BOTOX FAQs

Can BOTOX be used preventatively in my 20s or early 30s?

How soon will I see results after BOTOX injections?

Will I look “frozen” or lose facial expression after BOTOX?

What is the difference between BOTOX and Dysport?

What other concerns can BOTOX treat?

Is there any downside to the treatment?

Can BOTOX be used preventatively in my 20s or early 30s?

Yes. Preventative BOTOX is popular among younger adults who want to delay the onset of fine lines. By softening facial muscle movement early, BOTOX helps reduce the depth of expression lines before they become permanent.

How soon will I see results after BOTOX injections?

Most patients begin to notice visible results within 3 to 5 days, with full effects developing by 10 to 14 days. Results may vary depending on the treatment area and your body’s natural response.

Will I look “frozen” or lose facial expression after BOTOX?

When performed by a skilled provider like Dr. Shermak, BOTOX smooths lines while preserving your natural expressions. Her conservative, artistic approach avoids the “frozen” look, ensuring results appear balanced and subtle.

What is the difference between BOTOX and Dysport?

Both are FDA-approved neuromodulators used to reduce wrinkles by relaxing facial muscles. Key differences include:

  • Speed: Dysport may show results slightly faster than BOTOX.
  • Spread: Dysport diffuses more easily, making it ideal for larger areas like the forehead.
  • Units: The two use different unit measurements, but offer similar longevity (typically 3–4 months).
Dr. Shermak will help determine which is right for you based on your goals and anatomy.

What other concerns can BOTOX treat?

Beyond reducing facial wrinkles, BOTOX is FDA-approved to treat several medical and cosmetic concerns, including:

  • Excessive underarm sweating (hyperhidrosis)
  • Chronic migraine headaches
  • Jaw tension and teeth grinding (TMJ disorders)
  • Neck banding (platysmal bands)
  • Lip flip for a fuller upper lip appearance
Dr. Shermak can discuss these options during your consultation to see if BOTOX can address multiple concerns at once.

Is there any downside to the treatment?

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. This prevents unwanted side effects and points towards a final result that appears both beautiful and natural.

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