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Botox®

BOTOX®

BOTOX® Cosmetic is an FDA-approved medication that effectively treats wrinkles and lines, contributing to smoother skin by preventing these signs of aging from forming. It’s a wrinkle relaxer that temporarily reduces muscle contraction and movement, hence minimizing wrinkles and lines associated with these movements. BOTOX® Cosmetic can also enhance your appearance by making you look slimmer and improving your smile through targeted muscle relaxation. The dosage for each individual is tailored to their specific needs and aesthetic goals.

The treatment is quick, comfortable, and requires no downtime, with visible results generally appearing two days post-treatment and lasting for three to four months. To determine if BOTOX® Cosmetic will work for you, please schedule an appointment with Sheperd Integrative Dermatology in Mount Pleasant, SC. Click ‘Book Now’ to begin the booking process.

BOTOX® Cosmetic is often utilized to treat a variety of conditions, including:

  • Fine lines and wrinkles
  • Crow's feet
  • Facial furrows
  • Lip Lines, often referred to as "smoker's lines."
  • Frown lines between the eyebrows
  • Horizontal forehead lines
  • Excessive sweating
  • Chronic migraines
  • (TMJ) Temporomandibular joint disorders
  • Dimpled chin
  • Platysma (neck bands)
  • Trapezius for elongated neck, tension relief (also known as TrapTox or Barbie Botox)
  • Lip Flip for subtle, fuller lips
  • Fine lines and wrinkles
  • Crow's feet
  • Facial furrows
  • Lip Lines, often referred to as "smoker's lines."
  • Frown lines between the eyebrows
  • Horizontal forehead lines
  • Excessive sweating
  • Chronic migraines
  • (TMJ) Temporomandibular joint disorders
  • Dimpled chin
  • Platysma (neck bands)

Schedule your free consultation or appointment with Sheperd Integrative Dermatology in Mount Pleasant, SC, to discover what filler injections can do for you.

FAQs

BOTOX® Cosmetic is an FDA-approved injectable medication used both for aesthetic and therapeutic purposes. It is a derivative of the bacterium Clostridium botulinum, and when injected into targeted muscles, it reduces their activity, thereby diminishing the appearance of wrinkles and fine lines.

BOTOX® blocks signals from nerves to muscles, preventing muscle contraction and resulting in smoother skin.

BOTOX® Cosmetic is predominantly used to treat cosmetic conditions such as fine lines, wrinkles, crow’s feet, lines between the eyebrows, and horizontal forehead lines. It is also used therapeutically to treat conditions like excessive sweating, chronic migraines, temporomandibular joint disorders (TMJ), dimpled chin, and platysma (neck cords).

Side effects can include temporary bruising, headaches, or eye dryness. Less common effects are eyelid drooping, uneven eyebrows, or a crooked smile, which typically resolves over time.

Results typically appear within two days but can take up to two weeks for full effect. These results usually last three to four months.

Cost varies depending on the treatment area, required units, and provider’s fees. It’s best to consult a healthcare provider for an accurate estimate.

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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. 

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.

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.

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.

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!

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.

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.

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 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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