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Men > Botox®


Botox has been widely used and accepted to soften facial lines and grooves caused by the action of the muscles of facial expression. Botox essentially interferes with the secretion of the neurotransmitter thus preventing muscle contraction. Botox can last from three to six months before repeating the injection again.

The most common unwanted lines are those vertical frown lines. Frown lines makes you look angry and tiered looking. Botox stops the frown muscles from contracting, thus it relaxes the lines and soften the way you look. Botox is as effective on smile lines and forehead lines.

It is very important to choose your Botox injector carefully because the facial muscles are very fine small muscles and understanding the anatomy and function of these muscles is of great importance to successful results.

Dr. Shureih is a fully trained Board Certified Plastic Surgeon is the only person who will administer the Botox injection in our facility. Proper dosing and dilution is important to assure safety.

The use of Fillers can complement the effect of Botox on deep lines. Both fillers and Botox can be used together and the combined effect is smoother, softer look and more youthful look.


Dr. Shureih a Top Doc, Baltimore Plastic Surgeon can now remove or substantially reduce some very prominent facial wrinkles without surgery. By injecting a small amount of dilute Botox® into certain facial muscles, those muscles are temporarily weakened. Consequently, the wrinkles in the overlying facial skin flatten out and effectively disappear. Therefore a thorough knowledge of the anatomy and function of the small muscles of the face is paramount in using Botox® properly. As a cosmetic surgeon, in Baltimore and Ellicott city, Dr. Shureih has operated on the face thousands of times. His knowledge of the anatomy of the muscles of the face and their interaction makes him the ideal person to administer Botox®, and delegate this delicate procedure to an assistant or a nurse, who have never seen these muscles.

What Is Botox® And How Does It Work?

Many of the wrinkles that develop on our faces as we age are a result of the repeated contraction of certain muscles of expression. This is particularly true for the wrinkles around the outer edges of our eyes, or crow's feet, the horizontal lines across the forehead and the vertical frown lines. The contraction of the muscles of expression over many years causes the wrinkles in the skin that overlays them. Years of squinting, smiling, frowning, and worrying forms the wrinkles on the skin. These wrinkles are known as Dynamic Wrinkles. Botox® acts on these wrinkles. When injected into the muscle, it prevents that particular muscle from contracting causing the wrinkle to flatten and become softer.

Which Areas of the Face Can Be Treated?

Dr. Shureih Chosen TOP DOC in Baltimore Magazine twice and in the National Directory of TOP DOCS for many years. Understands the anatomy and muscle interaction of the face. He also understands the power of Botox® to treat migraine, reshape the face, and treat excessive sweating. Elevate the corner of the mouth.

Botox® can only be used to those muscles that are not critical to the normal function of the face. This limits treatment to wrinkles around certain areas of the face, such as the outer edge of the eyes (crow's feet), forehead wrinkles and the vertical lines between our eyebrows or frown lines. Some of the big muscles when injected with Botox® can change the shape of the face.

How Long the Injection Lasts?

The effects of a Botox® injection last from three to six months. When weakness of the muscle wears off, the affected muscle will again start to contract and the wrinkles in the overlying skin return. In order to maintain the desired cosmetic result, the injection process must be repeated as the effects of the previous Botox® injections wear off.

What Does Treatment With Botox® Involve?

A Botox® injection is an office procedure. There is no down time or after care required. It takes about fifteen minutes to inject the muscles of expression that cause the wrinkles in the affected areas. Aside from mild redness and occasional bruising at the injection sites, there are no after effects. You can return to your normal routine after the injections without any restrictions in your activities. Avoid rubbing the injected areas.

Approximately, one week after the injection, the wrinkles overlying the injected muscles start to disappear. There is nothing further required of you until the effects wear off, when the injections must be repeated to maintain the desirable cosmetic results.

Are There Any Side Effects Or Adverse Effects Of These Injections?

Botox® is extremely safe when used in the manner described and in appropriate medical setting. There are no systemic effects from the local injection of this material into the facial muscles of expression. Very rarely, an adjacent muscle to one that is injected is also affected, producing an unwanted result. This unwanted weakness is only temporary and wears off in about three weeks. It is important to remember that this is a medical treatment and should be administered only by a physician with in-depth familiarity with the facial muscles and their function. Dr. Shureih, a cosmetic plastic surgeon in Baltimore and Ellicott city will examine you thoroughly to make sure you are a candidate for Botox® treatment and will advise you on the best ways to achieve the results you desire.

Are There Other Cosmetic Procedures That Remove Facial Wrinkles?

There are a number of cosmetic procedures that have been developed over the years to remove facial wrinkles, each with its own advantages and disadvantages. The injection of fillers is popular and effective. The combination of Botox® and fillers can be very effective. Fillers can be used to all types of wrinkles where Botox® is not.

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Chemical or laser peels, and formal surgical facelifts, are specifically used to reduce facial wrinkling. These procedures can be used over the entire face and are more permanent that Botox®. The injection of a patient’s own fat into a facial defect or crease is very potent form of treatment. Known as autologous fat transplantation. However, when successful, the results of this procedure are the most permanent and natural of all.

When The Indications Are Right, Botox® Is Hard To Beat!

Botox® injections are very safe and yield exceedingly desirable and dramatic cosmetic results for the money spent. The procedure is done quickly in the doctor's office, without any recovery time needed. For those busy people with unsightly wrinkling about the eyes and forehead, Botox® is the ideal procedure.

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