What Really Is Botox?

Botox is a popular anti-aging injectable that smooths the appearance of facial wrinkles and fine lines. It is a neuromodulator that temporarily suppresses the facial muscle activity responsible for wrinkles and lines. [1] There are several neuromodulator agents like Botox including Dysport, Xeomin and Jeuveau. If you feel these pesky lines are revealing your age, a neuromodulator can be the ideal solution for you. Metamorphosis Plastic Surgery proudly offers this transformative treatment to stop these wrinkles so you can keep your signature youthful appearance. Dr. Daniel Markmann is a board-certified surgeon with extensive training and experience in breast, body, and facial procedures. As a result, Metamorphosis Plastic Surgery has earned a reputation as one of the most respected destinations for aesthetic enhancements in the Baltimore area. Reach our Ellicott City office directly at (410) 465-3600 to devise a treatment plan at your private consultation.


Unfortunately, the production of skin-nourishing collagen subsides as we get older. Once the underlying collagen fibers become compromised, evidence of aging becomes more apparent in the form of wrinkles and lines. This can be a vexing problem for many who want to look as great as they feel. Luckily, the power of Botox combats these signs of aging with a simple injectable session that can be performed in under 15 minutes. The principal component of Botox is Botulinum toxin type A, produced by a naturally occurring strain of bacteria that has been in use since 1989. Once injected into the muscle, the toxin diffuses into the tissue, eventually reaching the neuromuscular junction – where the nervous system communicates with the muscles. [2]

Acetylcholine is the chemical messenger that relays messages from nerve cells to the muscles. Botox injections merely stop the release of this chemical messenger in the neuromuscular junction and causes facial muscles to relax. [1][2] This, in turn, reduces wrinkles and fine lines within a matter of days


Botox makes it easy for patients to fit a transformative treatment into their busy lives. It has helped millions of people worldwide address various age-related concerns, including glabellar lines (“11 lines”), forehead wrinkles, crow’s feet, and creases. Choosing a Botox treatment with Metamorphosis Plastic Surgery means:

  • A noticeable gradual reduction in facial lines and wrinkles
  • An easy, quick treatment that can be completed within minutes
  • Preventing new wrinkles from forming
  • No incisions, stitches, or lengthy recovery time
  • Noticeable results within 7-14 days
  • Botox/Neurotoxins can be used to minimize underarm sweating as well as treat migraine headaches.


Men and women over 18 without certain medical conditions will see incredible benefits. The versatility of the treatment allows patients to experience both aesthetic and non-aesthetic advantages. Dr. Markmann and staff will explore your condition and aesthetic intentions more in-depth at your consultation. Botox treatments are great for:

  • Those not yet ready to undergo surgery
  • Patients wanting subtle, gradual results
  • Patients without certain underlying conditions
Botox has also allowed patients to address specific medical concerns.  Botox can help patients get much-needed relief from:
  • Sweating
  • Uncontrollable muscle spasms
  • Migraines and headaches
  • Overactive bladder

Personal Consultation with Dr. Markmann

wrinkle treatment baltimore

Over the years, Metamorphosis Plastic Surgery has built an excellent reputation in Ellicott City and the Baltimore area because of our devotion to creating an exceptional, tailored surgical experience for each patient. Dr. Daniel Markmann enjoys listening to patients’ goals and devising a plan of action to makeover their appearance and self-confidence.

Your initial one-on-one meeting will be in our beautiful state-of-the-art office located on Baltimore National Pike. You will meet with Dr. Markmann or one of our nurse injectors, who will take you to our consultation room to discuss your specific case. You’ll have the opportunity to explain your aesthetic aspirations or health concerns right after a brief patient intake interview. Then, we’ll assess the contours and texture of your facial skin. If our staff feels Botox can address these concerns, we’ll detail your treatment step-by-step. 

Schedule your appointment by calling (410) 465-3600. Don’t have time to meet in person? Have your consultation virtually. Just submit the information and pictures requested, and one of our staff members will coordinate your online date and time.


Even though preparing for your Botox treatment is minimal, completing a few pre-treatment steps beforehand will ensure optimal results. Patients will be asked to refrain from smoking, drinking alcohol, and taking ibuprofen and NSAIDs for 7 days prior to treatment. [3] Our office will tell you which medications need to be stopped before you come in for treatment. 

Patients can find more tips and a better perspective on the treatments we offer by reading our informative blog posts and following our social media. 


Our nurse injector may numb the treatment area by applying a topical anesthetic to safeguard your comfort. Then, the Botox or other neurotoxin will be injected into facial muscles using a fine needle. The Botulinum toxin type A gradually works to temporarily stop muscle contractions responsible for dynamic lines. Typically, Botox is measured in units. The minimum dosage for treating glabellar wrinkles is 20 units.[3] Male patients usually require more, often starting at 30 units. This is to account for the muscle mass difference in men and women. [2] After the treatment, patients can return to most normal activities, avoiding any strenuous activity for 24 hours.


After treatment, you may notice minor after-effects of Botox, including redness and swelling. This is normal and should go away in a day or two. Bruising is also possible, but not very common. Also, avoid touching, or applying pressure to the treated area as this may cause the Botox to shift.


anti-aging baltimore

You will see a gradual reduction of laugh lines, glabellar lines, and other unwanted wrinkles within 1-4 days. [2] These rewards are yours to keep for up to four months. Botox will slowly be metabolized by the body and allow for the gradual return of facial muscle contraction. However, patients who want to maintain these results can return to the office for a follow-up treatment every 3 to 4 months.  

Corresponding & Complementary Procedures 

Metamorphosis Plastic Surgery believes there is no “one-size for all” for cosmetic enhancements. Dr. Markmann may present other suitable options for your unique concerns at your consultation. They include: 

Injectable Fillers

Patients wanting to add more volume to their face, lips, or chin can rely on injectable fillers for a fresh, more youthful look. We offer patients the choice of various hyaluronic acid fillers as well as fat transfers to plump the skin and replace the volume lost over the years.


FaceTite is a minimally invasive treatment that removes fat and firms the skin with the help of radiofrequency-assisted liposuction (RFAL). The technology utilizes RF waves to tighten the skin as well as the fibrous tissue under the skin. Simultaneously, the heat generated stimulates collagen production and smoothes uneven contours in the chin, jowls, and forehead. 


Facelifts are surgical enhancements that offer longer-lasting results of a fresh, younger face. Dr. Markmann gently removes excess skin and fat around the hairline to produce a youthful countenance. 

Cost of a Botox Treatment in Baltimore

The final cost for your Botox treatment will depend on the number of units needed to accomplish your aesthetic goals. Our staff will provide you with an accurate quote during your personal consultation. To learn more about your options, browse our financing choices and specials.


What areas can I treat with a Botox treatment?

Botox can be used to address signs of aging of the face, including the forehead, between the eyebrows, near the eyes (crow’s feet), nasolabial folds, and around the mouth.

Will Botox make it obvious I had “work done”?

No, not at all. Botox is designed to soften lines and temporarily stop excessive facial expressions responsible for wrinkles. Patients can rest assured that our nurse injectors are skilled in administering the correct amount of Botox to provide you with a refreshed, younger look. 

How many units of Botox will I need?

The number of units needed will depend on your unique circumstances, including the severity of the wrinkles and the type of look you’re going for. Your provider will evaluate all these factors during your consultation and determine how many units are required to achieve your look. 


  1. Nigam, P., & Nigam, A. (2010). Botulinum toxin. Indian Journal of Dermatology, 55(1), 8. https://doi.org/10.4103/0019-5154.60343
  2. Satriyasa, B. K. (2019). Botulinum toxin (Botox) A for reducing the appearance of facial wrinkles: a literature review of clinical use and pharmacological aspect. Clinical, Cosmetic and Investigational Dermatology, Volume 12(12), 223–228. https://doi.org/10.2147/ccid.s202919
  3. Witmanowski, H., & Błochowiak, K. (2020). The whole truth about botulinum toxin – a review. Advances in Dermatology and Allergology/Postȩpy Dermatologii I Alergologii, 37(6), 853–861. https://doi.org/10.5114/ada.2019.82795
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