Botox^®cosmetic can soften the appearance of fine lines and wrinkles caused by repeated facial expressions. Common areas include the forehead, frown lines between the brows, and crow’s feet around the eyes. It can also be used for brow lifting, smoothing neck bands, reducing a gummy smile, softening a downturned mouth, and refining chin dimpling. Botox helps create a refreshed, natural look while maintaining your facial expression.

Botox^® is a neuromodulator, which is a chemical that changes how messages travel via the nervous system. Botox works by gently relaxing the specific facial muscles that create lines from repeated expression. It does this by softening the signals those muscles receive, allowing them to rest while the surrounding muscles continue to move naturally. This means you can still express yourself fully, but without the creasing that leads to etched lines over time. The result is smoother, refreshed skin that still looks like you, just more rested.

At Dermalogic, we focus on you, not only your wrinkles. As a Doctor of Osteopathic Medicine (D.O.), Dr. Krachman’s approach is rooted in a balanced and holistic philosophy. She focuses on treating the visible signs of aging in a way that looks seamless and natural, while also addressing the deeper factors that contribute to those changes over time. Before recommending Botox, or any treatment, she and the Dermalogic team take time to understand your medical history, overall health, and long-term aesthetic goals so that every plan feels intentional and personalized.

As a physician, Dr. Krachman brings a thoughtful perspective to comfort and pain prevention. Patients often describe her as having an extremely light touch, and your comfort is central to every step. We use delicate needles and advanced techniques to reduce sensation, making the experience gentle and efficient. Most treatment sessions take just 15 to 30 minutes.

True to Dermalogic’s philosophy, Dr. Krachman follows a “less is best” approach to preserve your natural beauty. With Botox, she typically begins conservatively and adjusts over time based on your goals, expressions, and how you respond to treatment. If you love your results, we continue the plan. If you’d like subtle refinements, we tailor the approach until it feels just right.

Our goal is always the same: for you to look refreshed, not “done.” We want people to notice that you appear well-rested, relaxed, and naturally rejuvenated, without being able to pinpoint why. Most importantly, we want you to feel confident in your choices, your results, and yourself.

After your Botox treatment, you may notice mild redness, swelling, or tenderness at the injection site. These are very common and resolve quickly without intervention. A cool compress and oral Arnica can help the area settle even faster.

Most patients begin to see softening within a few days, with full results appearing over the next one to two weeks. Your refreshed, smoother look typically lasts three to four months, though longevity varies from person to person.

Consistency is essential for maintaining your results. Botox can be safely repeated, and Dr. Krachman generally recommends treatments every three to four months to keep lines from re-forming. Once you start to see movement return, or even just before, is the ideal time to schedule your next visit. Treating proactively helps preserve your natural, rejuvenated appearance and prevents deeper lines from settling in over time.

Every patient has unique concerns, which is why Dermalogic offers a thoughtful range of treatments to address the many signs of aging. In addition to Botox, we provide neuromodulators such as Xeomin and Dysport. While they work in a similar way, each has its own characteristics and can create subtly different results depending on your needs.

Dynamic lines respond beautifully to neuromodulators, but static wrinkles—those that form from collagen loss, sun damage, hormonal shifts, and natural aging—often require a different approach. Dermal fillers, including the hyaluronic acid families of Juvéderm and Restylane, as well as collagen-stimulating Sculptra, help soften creases, restore volume, and reestablish more youthful contours.

Many patients achieve their best results through a combination of modalities that may include neuromodulators, fillers, lasers, and advanced skin rejuvenation treatments. During your consultation, Dr. Amy Krachman and the Dermalogic team will guide you through the most effective options to match your goals and create a natural, harmonious result.