Dr. Hema Sundaram, MD

Botox

29 Yrs experience
Verified Practitioner

Languages spoken

  • English

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3 skill endorsements

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FAQ

How much for Botox in my lips?

Hello. Sounds like you need a hyaluronic acid filler such as Juvederm, Belotero or Restylane, rather than Botox. For natural-looking results, you should have an expert facial analysis to determine whether it's just your lips that need injecting, or the surrounding area that supports your lips. The unnatural "duck lip" appearance that you sometimes see after filler happens when it's injected only into the lips without the lip support being restored. The choice of filler also depends on your facial structure and the structure of your lips. Sometimes a combination of fillers is best. I recommend that you consult a Board certified dermatologist or plastic surgeon who is a filler expert. Prices range from around $500 to $700 for 1 syringe. It's worth paying a little more for really good treatment that looks completely natural. Kind regards,

Can Juvederm injected around the mouth to get rid of lines make TMJ problems worse?

Hello, and thanks for your question. It depends how much Juvederm was injected, and where. If too much was injected, or you have a lot of swelling or bruising from the injection, this could cause some pain around your jaw. Hope this helps. Kind regards,

My right eyebrow has a higher arch than my left. What's the best way to fix it?

Hello. The important issue is to determine why your right eyebrow is more arched, and to fix the cause rather than the effect. This the key to achieving natural-looking results and avoiding looking as if you've had plastic surgery. For this, you need an in-person consultation and full evaluation of your face. If the muscle overactivity is the primary cause, then it's ok to inject a little Botox, Xeomin or Dysport to relax the muscles. However, based on your photos, the underlying cause could be a decreased volume of skin, fat or bone on that side of your forehead, which is making the muscles overactive. I have seen and treated many patients like this with a hyaluronic acid filler. For safety and the best results, it should be injected with a blunt cannula, not a sharp needle. Sometimes a combination of filler with Botox is the best treatment. Based on logical understanding of the possible causes of your brow arching, a brow lift is not the solution. I've included a reference to a book chapter I wrote for Clinics in Plastic Surgery (a textbook for plastic surgeons) that discusses this situation. Hope this helps. Kind regards,

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