Are you concerned about the depth of frown lines, forehead lines and squint lines on your face? If so, you may want to look into Botox Cosmetic treatments. Botox smooths out fine lines with noticeable results that last for several months—and all with a few injections near the troublesome areas. Dr. Stemmerman has received extensive training in providing Botox treatments to patients. Many people ask her what they can expect when getting Botox treatments to reduce the appearance of facial lines. If you’re interested in Botox, learn more from this blog post and make an appointment for a personalized consultation.

How Botox Works

First, Dr. Stemmerman will examine you and ask you questions about your goals for improving your appearance. Botox is one of several options available for reducing lines from smiling and frowning. Botox is the brand name for the first and only FDA-approved treatment for fine lines in the forehead, frown lines and deep crow’s feet. OnabotulinumtoxinA, the bacteria that causes botulism, is the active ingredient. The substance has been shown to relax the muscles that frequently contract on your forehead, brow and temples. Relaxing certain facial muscles reduces the appearance of fine lines in those areas.

To achieve the reduction of lines, Botox is injected into the muscles on your face. Each area receiving treatment receives 3 to 5 shots of Botox. Each shot feels like a firm pinch, so it is relatively easy to tolerate the shots.

Results from Botox is usually seen in 5-7 days. The reduction in lines and crow’s feet can last up to 3-5 months.

Most people can return to normal daily activities after getting Botox Cosmetic treatments. The injection sites might show for a day or two before they heal. Serious side effects are very rare. Some people get headaches following Botox. More serious side effects include drooping eyelids and vision issues. Be sure to read all of the Botox literature and ask Dr. Stemmerman about your concerns related to the treatment, and make sure she knows about any medications you take.

If you are interested in learning more about Botox Cosmetic treatment or other medical cosmetic solutions, make an appointment with Dr. Stemmerman. She provides Botox and a variety of other cosmetic procedures in her Marion office, including chemical peels, dermal fillers and skin tightening treatments. You can choose from several packages based on your specific needs.


Okay, ladies, let’s talk breast cancer screening! According to, approximately 1 in 8 women will develop invasive breast cancer during her lifetime. As you age, your risk for breast cancer increases, and you may also have a family history of breast cancer. But it isn’t all grim because mammograms are here to provide the gold standard for early breast cancer detection. Early detection of breast cancer results in better treatment outcomes, so you should discuss your screening options and family history with Dr. Stemmerman to develop a plan for your mammograms.

While the age for annual mammograms varies among the medical community, the Mayo Clinic recommendation remains 40+ for women who have average risk. If there is a history of breast cancer in your mother and grandmother, annual mammograms can become part of your annual wellness plan before you turn 40. Most recommendations say women should start no later than age 45. Dr. Stemmerman will guide you based on your risk factors and age.

At the Mammogram

Mammogram technology is highly specialized, and you will have to go to a center or hospital that has mammogram machines. When you check in, they will ask you some basic questions, then take you to a room where you change into a medical top that opens at the front. The mammographer—a specially trained technician— will take you into the mammogram room and introduce you to the mammogram machine.

Using very low energy x-ray technology, the mammogram machine produces an image of each breast, which a radiologist reviews for abnormalities. The mammographer places the breast between two plates to immobilize the tissue. She carefully positions you and the plates as she sets up the machine to get a top view and side angle of each breast. You should let the mammographer know if you feel extreme discomfort, as repositioning you, the machine, or your breast can relieve that pain. The actual mammogram only takes a few seconds, then you will be able to relax, and the pressure of the plates will be released.

You may be offered a 3D mammogram option, which provides better imagery than the traditional two-dimensional mammogram. The procedure for both is the same, but the technology they use to image the breast tissue in three dimensions is more advanced. 3D mammography may or may not be covered by insurance, so check with your insurance provider before your mammogram appointment.

Dense Breast Tissue

About half of all women have dense breast tissue that makes early cancer screening with mammograms more difficult. Dense breast tissue often shows calcifications that can be difficult to distinguish from cancerous formations. Women with dense breast tissue are at a higher risk for more advanced cancer.

In Iowa, women who have dense breast tissue will receive a letter to let them know they have it and what it means for them. Sometimes the radiologist reading the mammogram will order a follow-up mammogram or exam to make sure they get a quality reading. You can learn more at and

Breast Ultrasounds

Another possibility for women with dense breast tissue or a family history of breast cancer is the Automated Breast Ultrasound or ABUS. ABUS is FDA-approved for detecting breast cancer in women with dense breast tissue. If you have dense tissue, you will want to discuss it with your doctor and check with your insurance for coverage information. ABUS provides another level of screening when mammography is insufficient. The ABUS screening involves lying flat on a surface while the ultrasound technician runs flat ultrasound paddles across the entire chest and breast area. A considerable amount of pressure needs to be applied, and some women experience pain and discomfort from the ABUS procedure.

While it is up to you which breast screenings you want to receive, remember that early detection of cancer provides the best prognosis. Mammograms and ABUS, done regularly, will help with early detection of abnormalities. Those, along with your monthly self exams and annual visits to the doctor, can prevent serious health issues like advanced breast cancer.

Dr. Stemmerman can order a mammogram for you during your annual physical exam or anytime you detect something abnormal with your breast health. If it’s time to schedule your annual physical, please contact us today.

Have questions about breast cancer? See our FAQ.



Mental health is an important part of personal wellbeing, especially when it comes to children and adolescents. Events of recent years, including the disruptions inherent in the COVID-19 pandemic, have placed additional stress on children. They, too, can experience depression, anxiety, and other mental health issues, but the symptoms look a bit different in kids.


Each fall, numerous weeds and plants produce pollen that can irritate the eyes, nose and lungs. Sneezing, itchy nose and eyes and fatigue can put a damper on your fall plans. Some people refer to these seasonal allergies as hay fever, but the source of fall allergies is more likely to be ragweed, leaf mold and dust mites than hay. Let’s review fall allergens and some ways to deal with common fall allergies.


Is your child ready to participate in sports at school? If so, he or she will need a sports physical, also called an athletic physical or school physical. Marion and Cedar Rapids area school districts require sports physicals in order to identify medical history and any physical issues that could affect sports activities.


Diabetes is a diagnosis that no one wants to hear, but it affects 34.2 million Americans, and even more, are at risk of developing one form of the disease. With nearly 10 percent of the population dealing with the symptoms and effects of diabetes, it is important to understand the disease and the two types — Type 1 and Type 2 diabetes.

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