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Botox / Neurotoxins
in Baltimore, MD

At Charm City Plastic Surgery in Baltimore, Botox and neurotoxin treatments are one of the most effective ways to soften fine lines and restore a naturally refreshed appearance. Dr. Clarke-Pearson and Dr. Brown offer Botox, Dysport, and Daxxify, with every treatment customized to your facial anatomy and goals. The results are subtle, natural, and entirely you.

Understanding Botox & Neurotoxins

Neurotoxins are injectable treatments that temporarily relax targeted facial muscles responsible for expression lines. By reducing repetitive muscle movement, they soften existing wrinkles and help prevent new ones from forming. The treatments are quick, minimally invasive, and require little to no downtime. They are among the most popular aesthetic treatments in the world for good reason.

People come to us at all stages. Some are noticing their first fine lines and want to stay ahead of them. Others have deeper expression lines they have been thinking about for years. And many simply want to look as rested as they feel. There is no wrong time to start the conversation.

What guides our approach is your facial anatomy, your movement patterns, and your goals. We do not use a standard template. Every treatment is customized because no two faces move the same way. We would rather undertreat and build gradually than overcorrect and leave you looking unlike yourself.

How It Works

Blocks nerve signals to relax targeted muscles

Treatment

10-15 minutes, minimal discomfort, no downtime

Results

Visible in days, full effect at 1-2 weeks, lasts 3-4 months

Brands

Dysport, Botox, and Daxxify tailored to you

Neurotoxin Treatment Areas

We offer neurotoxin treatments across multiple areas of the face and neck, each targeted to smooth specific lines and restore a natural, rested appearance.

Forehead Lines

Overview

Horizontal forehead lines develop from years of raising your eyebrows. Neurotoxin relaxes the frontalis muscle to soften these lines while preserving your ability to express naturally. The key is balance. Too much relaxation can flatten the brow, so we treat conservatively and adjust as needed.

Ideal Patient
Patients with visible horizontal forehead lines who want a smoother, more relaxed forehead without losing natural expression.
Why Patients Choose it
  • One of the most requested neurotoxin treatments
  • Visible smoothing within days
  • Subtle results that preserve natural brow movement

Frown Lines (The Elevens)

Overview

The vertical lines between your brows, often called the elevens, form from repeated frowning or concentrating. Neurotoxin placed in the corrugator and procerus muscles softens these lines and often removes the unintentional look of being tired or upset. This is one of the most consistently satisfying treatment areas we offer.

Ideal Patient

Patients with moderate to deep vertical lines between the brows who want to soften a tired or stern resting expression.

Why Patients Choose it
  • Softens a tired or stern appearance quickly
  • Among the most satisfying neurotoxin treatment areas
  • Results are natural and difficult for others to detect

Crow’s Feet

Overview

Crow’s feet are the fine lines that fan out from the corners of your eyes when you smile or squint. Neurotoxin relaxes the orbicularis oculi muscle to soften these lines while keeping your smile natural. Treatment is quick and the results are consistently subtle and refreshing.

Ideal Patient

Patients bothered by lines around the eyes that deepen with expression, especially smiling and squinting.

Why Patients Choose it
  • Softens lines without affecting your natural smile
  • Quick treatment with no downtime
  • One of the first areas where patients notice visible improvement

Lip Flip

Overview

A lip flip uses a small amount of neurotoxin along the upper lip border to gently relax the orbicularis oris muscle. This allows the upper lip to roll slightly outward, creating the appearance of a fuller lip without filler. It is a subtle enhancement that works well on its own or as a complement to lip filler.

Ideal Patient

Patients who want a slightly fuller upper lip appearance without the volume or commitment of dermal filler.

Why Patients Choose it
  • Subtle enhancement without filler
  • Quick treatment with minimal product
  • Natural-looking improvement in upper lip shape

Masseter Reduction (Jawline Slimming)

Overview

Neurotoxin injected into the masseter muscle can slim a wide or square jawline by reducing the size of the muscle over time. It is also an effective treatment for patients who clench or grind their teeth. The result is a softer facial contour with the added benefit of reduced jaw tension and discomfort.

Ideal Patient

Patients with a wide or square jawline driven by masseter bulk, or those experiencing jaw tension from clenching or grinding.

Why Patients Choose it
  • Slims the jawline without surgery
  • Reduces jaw tension and discomfort from clenching
  • Gradual, natural-looking contour change over time

Neck Bands

Overview

Vertical neck bands, caused by the platysma muscle, become more visible with age and can make the neck appear aged or strained. Neurotoxin relaxes these bands to create a smoother, more refined neck contour. It is a targeted treatment that pairs well with other facial rejuvenation treatments.

Ideal Patient
Patients with visible vertical neck bands who want a smoother neck contour without surgery.
Why Patients Choose it
  • Smooths visible neck bands without a surgical procedure
  • Pairs well with other facial neurotoxin treatments
  • Quick, targeted treatment with no downtime

Pricing

  • Dysport/Botox with Dr. Clarke-Pearson or Dr. Brown $18/unit
  • Dysport/Botox with Lindsay $15/unit
  • Masseter Muscles $360 and up

    (for jaw clenching and narrowing a square jaw)

  • Lip Flip $100
  • Gummy Smile Treatment $100

Benefits of Botox & Neurotoxin Treatments

The patients who are happiest with neurotoxin treatments are the ones whose friends cannot quite figure out what changed. They just look well rested.

Benefits may include:

  • Softer forehead lines, frown lines, and crow’s feet
    A more relaxed, refreshed facial expression
  • Prevention of new lines from forming with consistent treatment
  • Quick treatment sessions that fit into a normal schedule
  • Natural results that preserve your ability to express

For patients looking for additional rejuvenation, neurotoxins pair well with dermal fillers, collagen stimulators, and skin quality treatments for a more comprehensive approach.

Why Choose Charm City Plastic Surgery?

Precise Technique. Subtle Results. Always You.

Most of our injectable patients were referred by someone who already trusts us. A friend, a coworker, a family member who walked out looking refreshed and could not stop talking about the experience. That kind of word-of-mouth is not something you can manufacture. It comes from consistent results and honest care delivered over time.

We do not do cookie-cutter injections. Botox and neurotoxin treatments require a trained eye, an understanding of facial anatomy, and the patience to customize every session. We take the time to study how your face moves before placing a single injection. That attention to detail is what separates a good result from an obvious one.

Dr. Clarke-Pearson and Dr. Brown have both been named Top Doctors by Newsweek and Baltimore Magazine. That recognition means a great deal to us. But what means more is the trust patients place in us every time they sit down in our chair.

Botox & Neurotoxin FAQs

Neurotoxin treatments are among the most common procedures we perform, but that does not mean the questions are simple. Below are honest answers to the concerns we hear most often.

Yes. That is the entire point. When neurotoxins are administered properly, they relax specific muscles while leaving your natural expressions fully intact. You will still smile, laugh, and raise your eyebrows. The only difference is that the lines will be softer. If someone can tell you had Botox, it was not done well.

Most patients see results lasting three to four months, though this varies depending on the individual, the product used, and the treatment area. Daxxify tends to last longer for some patients. Over time, with consistent treatment, many patients find their results extend a bit longer between sessions as the muscles gradually become trained to relax.

Most patients describe it as a brief pinch. The needles are very fine, and the entire session is typically finished in 10 to 15 minutes. No anesthesia is needed. If you are especially sensitive, we can apply a topical numbing cream before treatment, but most patients find it unnecessary.

All three are neurotoxins that work by relaxing targeted muscles, but they have slightly different formulations. Dysport tends to spread a bit more, which can be advantageous in larger areas like the forehead. Daxxify is a newer option that may last longer for certain patients. We recommend the best product based on your anatomy, treatment area, and past response.

Yes. This is one of the most compelling reasons to start treatment early. By reducing repetitive muscle movement, neurotoxins prevent the creases that eventually become permanent lines. Many patients in their late twenties and thirties use neurotoxins specifically for prevention. It is one of the most effective strategies available.

You may begin to notice softening within two to three days. Full results typically develop over one to two weeks. We ask patients to wait the full two weeks before evaluating, because the product is still settling during that time. What you see at day three is not your final result.

Side effects are generally mild and temporary. The most common is slight bruising or redness at the injection site, which typically resolves within a day or two. Headache is occasionally reported. Serious side effects are rare when treatment is performed by an experienced, trained provider.

Most patients return every three to four months to maintain their results. Over time, your provider may adjust the timing and dosage based on how your muscles respond. Consistency is more important than frequency. Staying on a regular schedule produces the best long-term outcomes.

Schedule Your Consultation

If you have been curious about Botox or neurotoxin treatments, your consultation is a conversation, not a commitment. We will look at how your face moves, talk through what you want to change, and give you an honest recommendation with no pressure to proceed.

Whether this is your first time exploring neurotoxins or you are looking for a new provider you can trust, we are here. Schedule your consultation at our Baltimore practice and see what subtle, expert treatment can do.

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