Botox Injections

Botox therapy dramatically reduces the appearance of dynamic wrinkles such as worry lines, frown lines, laugh lines and crow’s feet. Annapolis Dermatology Associates are experts in treatment with Botox.

Because Botox is not a surgical procedure, it does not require sedation or anesthesia. Extremely small amounts of a purified protein are injected into the affected region to eliminate wrinkles. For those who want to feel more confident and look younger, Botox can provide a welcome cosmetic "lift" without surgery.

Can I benefit from Botox?

Botox injections are indicated for patients with deep wrinkles or furrows in the following areas: forehead, around the eyes (crow's feet) and between the eyebrows. Botox is not used for wrinkles or furrows around the nose and mouth.

What can't Botox help?

Botox cannot improve wrinkles due to aging and sun-damaged skin. Botox injections will not improve sagging skin or replace the need for a face or brow lift.

Botox treatments are a temporary solution for the treatment of dynamic wrinkles. The effects of the injections last from three to six months, and most people need to have injections about two to three times a year for maintenance. Clinical studies indicate that the duration of treatment benefits increases over time so that injections are needed less over time.

The duration of effect varies from patient to patient and may be less effective for those over 65 years of age.

What is the procedure?

Cosmetic injection with Botox is a simple and safe procedure. Using a tiny micro-needle, a very small amount of Botox is injected precisely into several locations in the face. Because the needle is extremely fine and only a small amount of liquid is used, the pain associated with the injections is minimal. Most patients compare the sensation with a bug bite.

Are there any side effects?

Temporary bruising is the most common side effect. In some cases, the toxin can migrate and cause a temporary weakness of nearby muscles. In rare cases, there can be a drooping of an eyelid or asymmetry of facial expression. The risk of any side effect depends on the muscles injected. Because the effects of Botox are temporary, any side effects are completely reversible.

What about recovery?

No sedation or local anesthetic is required, and patients resume normal activities immediately, including driving home or back to the office after the procedure. Some patients experience a slight temporary bruising at the injection site, which can be covered with make-up.

The Best


My experience with Annapolis Dermatology Associates was outstanding!!


As usual, everything at this facility is done in an outstanding and totally professional manner.


Dr. Renfro and the nurses were extremely courteous, informative and professional. They made you feel at ease.


Dr. Renfro and crew – Excellent procedures and bedside manner


Great Team!!


Everyone was so nice and reassuring! Dr. Renfro was very nice and treated me like I was her only patient!


Staff is consistently knowledgeable, friendly and courteous. Always a positive experience.


Thank you for making my surgical procedure so easy!


Perfectly professional.


Consistently superior over the 20+ years I’ve been using this practice. Keep up the great effort.


Many, many years of always top-notch, professional care. Thank you so much!


Jim and staff are great! Beautiful facility.

Beautiful and well-appointed office. I was impressed with every aspect, from the desk staff to the doctor.


Service and assistants’ attentiveness is one of the best I have received in any medical facility I have experienced.

Excellent as always.


The team was very professional. It was a great experience – well done!!!

Christine was an amazing PA.


A fantastic experience.

This is the most professional medical practice I have ever had the pleasure to use. I cannot thank Dr. Renfro enough.


Dr. Renfro was extremely competent.


Kudos to Dr. Renfro and her staff.


Outstanding care by all involved – Dr. Lanuti and staff


EVERYONE is kind, welcoming, attentive and professional.


Best doctor visit in 56 years. Painless and fun.


Jim Heins and your entire staff are awesome! A+ Jim is patient, professional and friendly.

Jim Heins is outstanding. He is friendly, thorough and an excellent P.A. Thanks

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