We are currently monitoring the COVID-19 outbreak in our local community. In accordance with Federal CDC, Florida Department of Health, and local guidelines, we are currently requiring all patients to take the following precautions:
  1. All visitors to our office are asked to wear a mask or face and nose covering.
  2. All patients over age 18 should come unaccompanied, and all patients below age 18 should come with only one parent or guardian. No additional visitors will be permitted in our office.
Our office remains available for routine, urgent, and emergency eyecare at (850)-671-5558. On behalf of Dr. Brian Sherman and our staff, please stay safe. We will get through this together.
Dr. Brian G. Sherman, M.D.

Botox & Neuromodulator Injections

100_unit_box_vial_lg-150x150You may be wondering: Why get your Botox from an Ophthalmologist?  Botox was originally developed for clinical use by a Pediatric Ophthalmologist in the 1960’s to treat crossed eye children and spasms of the eyelids.  After noticing that patients’ forehead wrinkles and crow’s feet were also disappearing, Botox was developed specifically for wrinkle treatment.

Botulinum toxin can be injected directly into muscles of the face or eye when facial muscles are overactive. Botox causes the overactive muscles to relax. It usually takes a few days for the therapeutic effect to be noticeable.

As a result, Dr. Brian Sherman is one of the most experienced injectors in the region having injected Botox since 1992. He has a unique understanding of its use and facial anatomy. He uses his advanced techniques and skill to give both women and men a natural, refreshed look, not a paralyzed or “plasticized” one.

Besides Botox, Dr. Sherman is familiar with using two other drugs available to treat wrinkles, Dysport and Xeomin. Treatment with these medicines is a simple 10-minute procedure that relaxes the underlining muscles causing the wrinkles to soften in the forehead, crow’s feet, and brow. The results usually last for 3-4 months. Dr. Sherman will design a fully customized treatment plan for each patient, carefully matching quantities and types of injections to best address each patient’s concerns.

Side effects of the injection are temporary. They can include a droopy upper eyelid, double vision, and inability to close the eyelids.

How much will I need?

Because the doses can vary, Dr. Sherman does not use a cookbook method but bases his treatment on each patient’s needs, to give the best possible outcome.

General range of doses for the various areas in Botox units:

  • Forehead: 14-30 units
  • Frown or Glabellar lines: 10-25 units
  • Crow’s Feet: 5-15 units per side
  • Bunny or Nasalis lines: 5-10 units
  • Eyebrow Lift: 2-5 units
  • Dimpled Chin: 2-6 units
  • Smile lift (corners of the mouth): 3-6 units