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BOTOX in Mt. Pleasant SC

Patient receiving Botox® injections for wrinkle reduction

Smooth, Natural-Looking Results From the Providers You Trust

If you’ve noticed lines forming between your brows, across your forehead, or around your eyes when you smile, you’re not alone — and you don’t have to live with them. BOTOX® Cosmetic is the gold standard for softening these lines, and it remains one of the most requested treatments at Sheperd Integrative Dermatology for a simple reason: it works, it’s fast, and it looks completely natural when it’s done right.

We’re proud to say our practice has consistently been recognized as a Top 10 Allergan Aesthetic Practice for the entire state of South Carolina — a distinction that reflects both the volume of patients who trust us with their care and the outcomes we deliver.  Every provider on our team is fully trained and credentialed to administer BOTOX®, and we use only genuine BOTOX® sourced directly from Allergan so you can feel confident you’re getting the real thing, handled and injected by people who do this every day.

BOTOX® works by gently relaxing the small facial muscles responsible for repetitive expression lines — the ones that show up when you frown, squint, or raise your brows. Over time, those muscle movements etch lines into the skin, and BOTOX® interrupts that process, letting the skin smooth back out. Beyond wrinkles, it’s also a wonderfully versatile treatment: many patients use it to slim the jawline, soften a gummy smile, calm excessive sweating, or even relax neck bands for a more sculpted look. Every treatment plan is customized — your provider will map out dosing based on your muscle strength, facial anatomy, budget and treatment goals

Most BOTOX®  appointments take fifteen to twenty minutes and offer little-to-no downtime. You’ll typically start noticing results within a couple of days, with full effect settling in over the following two weeks, and results generally last three to four months.  Our practice offers BOTOX follow up appointments so we can review your results and goals – we even offer courtesy touch ups (up to 10 units) to ensure each and every patient is happy with their treatment

Curious whether BOTOX® is right for you? Book with our team in Mount Pleasant, and we’ll walk you through exactly what to expect.

What We Commonly Treat with BOTOX®

  • Fine lines and wrinkles
  • Crow's feet
  • Facial furrows
  • Lip lines ("smoker's lines")
  • Frown lines between the eyebrows (the "11s")
  • Horizontal forehead lines
  • Excessive sweating (hyperhidrosis)
  • TMJ (jaw tension and clenching)
  • Platysmal bands (neck cords or “Tech Neck”)
  • Trapezius tension and neck elongation ("Trap Tox" or "Barbie Botox")
  • Lip flip for a fuller, softer lip line

FAQs

BOTOX® is an FDA-approved injectable made from a purified protein derived from *Clostridium botulinum*. When placed into specific muscles, it temporarily reduces their activity, which softens the wrinkles those muscles create. It’s been used safely for both cosmetic and medical purposes for decades.

It works by blocking the nerve signals that tell your muscles to contract. Less muscle movement means the overlying skin stays smoother, so expression lines have less chance to form or deepen.

While most people know it for smoothing frown lines, crow’s feet, and forehead lines, it’s also used therapeutically for excessive sweating. 

 It’s best to skip intense workouts for about 24 hours. Getting your heart rate up too soon can encourage the product to migrate away from the treated area before it has settled in place.

For the rest of the day, avoid rubbing or massaging the treated area, lying flat for a few hours, strenuous exercise, alcohol, and extended sun or heat exposure (think saunas or hot yoga). A little redness or small bumps at the injection sites are normal and settle quickly.



Let your provider know about any blood thinners, aspirin, fish oil, or anti-inflammatories you’re taking, since these can increase bruising — some patients choose to pause them beforehand with their doctor’s okay. No medications need to be started afterward. Always review your full medication list with your provider before treatment so they can advise on your specific situation.

All of our Sheperd Integrative Dermatology providers have Allergan-sponsored training and hands-on injecting experience, not just a certificate from a weekend course. Our Botox is sourced directly from Allergan and each provider administers Botox treatments each and every day.   Check out our Botox before and after photos to see our beautiful work

Most patients experience little more than mild bruising or a brief headache at the injection sites. Less commonly, some notice temporary eyelid or brow asymmetry, or slight dryness around the eyes — these effects are uncommon and typically fade on their own within a couple of weeks.

You’ll usually notice improvement within about two days, with the full effect visible by two weeks. Results typically last three to four months before a touch-up is needed.

Pricing depends on the area being treated and the number of units needed to get you the result you want. Come in for a complimentary, no-charge consultation and we’ll give you a clear, personalized estimate that fits your budget and treatment goals

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Bella

And the vibrations of serenity and beauty that you feel when you walk through our front door?  Bella is the inspiration for that!  Her calm, gentle nature sets the tone, helping us manage  unexpected events with ease and grace.  When Dr. Sheperd is in her studio, Bella is her steadfast companion, encouraging her creative vision which produces the stunning artwork displayed throughout our building.

Lulu

Lulu is the energy behind the warm welcome everyone receives at Sheperd Integrative Dermatology.  She models enthusiasm and curiosity to our entire team, which motivates us to engage fully with our amazing patients.  She reminds us to greet each new day with wonder, and shows us that excitement is waiting around every corner.  We just have to sniff it out!

Dana Aman

PA-C

Board Certified Physician Assistant

Dana is a board-certified Physician Assistant with Sheperd Integrative Dermatology.  Originally from Florida, Dana obtained her undergraduate degree from Florida State University and then went on to earn a Master’s in Physician Assistant Studies from North Greenville University in Greenville, South Carolina.  After obtaining her advanced degree, Dana completed a rigorous 6-month dermatology training program in California as well as a Diplomate Fellowship with the Society of Dermatology Physician Assistants.  After three years of specialized clinical dermatology practice in California, Dana moved to Charleston in 2023.  Dana’s patient care philosophy centers around active listening and shared decision-making. She believes that every patient should be an active participant in their healthcare journey and looks forward to establishing positive patient relationships at Sheperd Integrative Dermatology. 

Amy Jetter

BSN, RN

Amy brings her whole heart to her role on the Sheperd cosmetic team.  A graduate of Elon College and the Medical College of Virginia, Amy has been a board-certified nurse for over 30 years.  Bringing her skills as an ICU nurse into her role in cosmetic patient care, Amy provides a warm, reassuring presence to all her clients, listening to their concerns and collaborating with them in a plan to bring forth and enhance their natural beauty.  A standing member of the American Association of Plastic Surgery Nurses and a past RN trainer in cosmetic and aesthetic procedures, Amy offers all types of laser treatments, botox and dermal filler injections, and chemical peels.

Melissa Mancuso

Body Contouring Specialist

Melissa has six years of experience in body contouring, beginning with her role as the CoolSculpting representative for Maryland, Virginia, and the District of Columbia. Since joining the Sheperd team, she has received additional training and now offers chemical peels, Vivace micro-needling, and Diamond Glow dermal infusion. She loves helping patients feel good about their bodies and teaching them about how the various cosmetic procedures can help them achieve the results they are seeking.

Margaret Gierhart

LE

Margaret, a South Carolina native, is a Licensed Esthetician and makeup artist with over 20 years of experience in the beauty industry. She earned a BA in Psychology from the University of South Carolina. She began her career in beauty as the resident makeup artist for Bobbie Brown cosmetics at Saks Fifth Avenue in Charleston. In order to expand her knowledge, she earned her degree in esthetics from Trident Technical College, graduating with honors. She joined the Sheperd Integrative Dermatology staff in 2014 and is certified in a wide array of cosmetic procedures and skin care products. Her offerings include laser skin resurfacing, IPL, micro-needling, chemical peels, radio frequency, laser hair removal, and body contouring. Her background in both psychology and artistry gives her a deep capacity to care for patients and understand what makes them feel beautiful. A mother of two daughters, Margaret understands beauty as not only external appearance, but also as a manifestation of the inner qualities of kindness, generosity, and well-being.

Madeline Anderson

PA-C

Maddie is a board-certified Physician Assistant and a Lowcountry native. She obtained her undergraduate degree from Clemson University and then went on to earn a Master of Science in Physician Assistant Studies from the Medical University of South Carolina, graduating with highest honors. While in PA school, Maddie served as a Student Representative for the SC Society of Dermatology Physician Assistants. After graduation, she completed a six-month advanced dermatology internship here at Sheperd Integrative Dermatology. She also completed the Diplomate Fellowship with the Society of Dermatology Physician Assistants. Maddie has a heart for medical missions and is passionate about patient education. Her free time is shared with her family, her friends, and her two fur babies!

AnnaKathryn Keiper

DNP, FNP-C

AnnaKathryn completed her Doctorate degree at the Medical University of South Carolina and has seven years of experience in dermatology. She has completed additional training in medical dermatology, cosmetic dermatology, and functional medicine. She provides skin cancer screenings, surgical removal of skin cancers, treatment of precancerous lesions, extractions of cysts, and the treatment of acne. In the cosmetic domain, she provides laser, filler, and neurotoxin treatments. Certified through the Institute of Functional Medicine, AnnaKathryn has a special focus on wellness, including weight loss and diet consulting. She uses her expertise in this field to create an individualized program to help each of her patients achieve optimal wellness supporting them in maintaining vibrancy and vitality throughout their lifespan.

Allyson Harrell Garrison

PA-C

Ally is a board-certified Physician Assistant and a Diplomate of the Society of Dermatology Physician Assistants, their highest rating. She is a graduate of Clemson University and earned her Master’s degree in Physicians Assistant studies at the University of South Alabama; additionally, she completed a dermatology fellowship at Charlotte Dermatology in North Carolina. For more than ten years, her focus on both medical and surgical dermatology has included identifying and treating skin cancers as well as managing biologic medications for psoriasis and atopic dermatitis. Ally has a strong love of surgical dermatology and she performs surgeries every day in the clinic, including excisions of cysts and skin cancers. She also loves the challenge of a difficult case! On the cosmetic side, Ally is a skilled injector of both Botox and Dysport. She sees compassion and empathy as vital qualities that she brings to all her patient interactions. She is mindful that skin cancer screenings can be frightening or overwhelming; her warm, calm manner and her focus on patient education throughout each appointment make her an outstanding clinician.

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