Botox Cosmetic in Dallas, TX

For Dr. Lam’s Botox treatment for wrinkles, you will be surprised at how little pain you will experience. Dr. Lam has developed a technique using a triple vibration (his hands and two supporting devices) that makes the experience almost painless, even for people who are afraid of needles. Patients have told him his experience is less painful than even when they had numbing cream, which Dr. Lam does not need. With that being said, his treatment of MesoTox or MesoBotox, used to manage texture and pores of the skin, can have some discomfort during the treatment, and that is why Dr. Lam uses 30 to 45 minutes of numbing cream on the skin.

He performs his own Botox injections even after more than 20 years in practice. He believes that badly done Botox can impact one’s appearance like badly done fillers. He likes to control all of the important surgical (facelift, rhinoplasty, hair transplant) and non-surgical (Botox, fillers) treatments for his patients to ensure that the final result is optimal, natural, and worth it both for short- and long-term results.

Dr. Lam has an excellent aesthetic eye combined with his medical knowledge to help achieve optimal results. For example, if he sees that you have a bad habit of lifting your forehead, he may ease you into a treatment with Botox in the forehead or recommend an upper blepharoplasty, which may be an easier solution to fixing this habit when indicated. If he sees ptosis (weakness of the eyelid muscle), he may also be particularly careful in the forehead, as it may worsen your natural ptosis. Further, Dr. Lam’s treatments really help heal the skin much more rapidly than when you get the procedure performed elsewhere. Many patients tell him that the results they see after one treatment have surpassed what years of treatment elsewhere have tried to achieve. Further, his results appear much smoother and more even than those performed elsewhere according to his patients. He believes he can get a patient to become less reliant on Botox more quickly than when badly done Botox is performed elsewhere. Finally, Dr. Lam follows all safety and sterility practices that are of the highest levels of care at his Joint Commission accredited facility.

See the Key points section of this page to understand this more in depth. In summary, it is ideal to do Botox every 3 months for the first few sessions to allow time for the skin to repair its own damage. When the static wrinkles, (that is the worn-in grooves apparent in your skin even when you don’t frown or smile or lift your forehead) have almost completely resolved, then you can come in to the office less often for Botox. For men, the goal may be a bit different (see below for the FAQ about that). After the skin has sufficiently healed, you will see that the longevity of Botox is quite a bit longer and you may not need to come in as often over time.

The key benefit of Botox obviously is wrinkle reduction both short-term and long-term. However, as mentioned, there are many advantages to BTX in its power to heal the skin for texture, pores, tone, etc., in areas treated for wrinkles. That is why Dr. Lam oftentimes combines MesoTox to balance the lower facial skin with the upper treated facial skin. Although some physicians use upper face Botox to treat migraines, Dr. Lam has a far more advanced method to do so, which he discusses on his migraine page.

Botox is temporary in the sense that after a few months you will be able to move your face again and create wrinkles. However, there are several major advantages that Botox provides long-term for those who want short-term wrinkle reduction. First, Botox literally heals the skin and allows the damaged wrinkled skin to repair itself with the quality of the injection and enough sessions performed. Botox magically heals not only the wrinkles but also the texture, tone, discoloration, and quality of skin in the areas of treatment. That is why people who have religiously undergone Botox treatments but who have significant lower facial sun damage should have MesoTox to make sure there is a balanced skin result in their upper and lower faces, something unique that Dr. Lam has pioneered.

Even if your skin is flawless, you may still have two benefits with Botox treatments. The first benefit is that every treatment of Botox you do further heals the skin and prevents aging in the treated areas, further lengthening your results. The second benefit is that you should look even more relaxed and improved in your appearance, which can be done before major events like weddings, reunions, etc., even if you do not have many wrinkles left after repeated treatments with Dr. Lam.

This is categorically false, and the opposite is true. If you perform Botox enough times or start earlier in your life, you will progressively need less Botox. In fact, people who have been consistent with Botox in the past may need very little Botox in the future to maintain their results because their skin has dramatically healed.

Dr. Lam loves Botox for men but has some qualifications. The heavy muscles and tough skin can make Botox slightly less effective in wrinkle elimination than in women. However, men may not seek complete wrinkle elimination but just improvement in wrinkles, which is easier to achieve. Dr. Lam’s philosophy is that some men look better with some mild aging but look worse with too much aging. How far back in time to regress a man depends on what that man wants to achieve. When you achieve the desired level of wrinkle reduction, Dr. Lam can back off. Dr. Lam also offers his aesthetic opinion. If he feels that you are too perfect in your skin, he may counsel you to spread the dosing schedule out. There are some exceptions like men who are in a competitive workforce with a lot of younger men; men who are with much younger partners; and in the gay world a more youthful countenance may be more desirable. Watch Dr. Lam’s video on this subject here: https://youtu.be/THW3NQvlcGs

Botox by its very nature will reduce some motion of the face, so there will be some restriction of activity in facial movement. Otherwise, there will not be a benefit. For commercial actors, this may not be as critical as for dramatic actors. Whatever the case, it is worth discussing with Dr. Lam. If you are pursuing a role where you must appear younger, then he will oftentimes have a plan for you months in advance to help heal the skin, then back off before your audition and/or performance. Watch this video to better understand his philosophy more in depth: https://youtu.be/Q7dqaP6x3ck

You should not look “frozen” but you will not be able to frown significantly or raise your brows. The key is not to have unusual movement where there are stray wrinkles that do not look natural. See the next question below. However, Dr. Lam will work with you on how limited you want your movement to be. One thing to note is that his results are very smooth and so there should be a uniform reduction of movement throughout. That is usually considered a major benefit to his technique but in rare cases the reduction may be more than you want. Dr. Lam will do his best to accommodate your requests but will always superimpose his aesthetic opinion and counsel to help you avoid looking unnatural.

He hates this look where there are stray wrinkles near the edges of the outer brows due to an injector’s fear of injecting Botox in this area. At times he will see this in his own patients, especially after the first treatment where he is more conservative in his forehead injection and where he requests that you come back in two weeks to verify that the dosing is optimal for you. He always encourages you if you ever see this result from him to please come in for a free and quick touch-up treatment.

No, Botox is incredibly safe with only a few exceptions. The first exception is the rare physician using “fake Botox”, which is incredibly dangerous and corrupt. Of course, Dr. Lam only uses FDA-cleared product. The second exception is in very small children who have compromised lung capacity and who are receiving around 10 times the cosmetic doses on average such as children with cerebral palsy getting large doses of treatment for spastic muscles. This is in fact where the “black box warning” originates from. Dr. Lam has never seen any major adverse side effects that are longstanding in his patients. Watch this video for more information about this subject: https://youtu.be/E9TihIDm19U

In many cases, being a teenager is a young age to start Botox with a few exceptions. First, in individuals with significant sun damage, there can be enough skin damage to already justify Botox treatments at that early an age, especially in fair-skinned individuals. Fortunately, the younger you are, the faster your skin will heal and the faster your wrinkles will go away for two major reasons: first, the younger you are the better is the regenerative capacity of your skin; and second, there is usually less damage in the skin when you are younger. It is almost never too young to start Botox, and the earlier you start the less you need it. For example, you may be only doing it once a year or once every other year to stave off aging. With significant sun damage, you may undergo it 2 to 3 times in a year, then back off to once a year or once every other year.

Dr. Lam can perform Botox at the same time as fillers or other office-based treatments, but the Botox must always go at the very end of an office-based treatment session for a few reasons. First, the fluid in Botox makes it very hard if not impossible to see where the fillers should properly go. Second, Botox treatments should not be physically disturbed or moved after a treatment or there will be a risk of an adverse outcome like a brow or eyelid drop. See the section on Side Effects on this page.

Conventional Botox will not address advanced wrinkles and lines that go down the face. Dr. Lam uses a dynamic filler to help also improve these lines by filling in these lines. He will then use Botox afterwards to help further improve these lines and to maintain the result longer. He will discuss with you more in detail about his technique during a consultation with him, but you can watch this video on dynamic fillers: https://youtu.be/5t23a5SD0uc

Dynamic fillers are always helpful in the crow’s feet when they have already become moderate to advanced in nature. See above question for details and this video on the subject: https://youtu.be/5t23a5SD0uc

Usually, the answer is no except in a very young individual. The reason is that the frontalis is the only elevator of the forehead, and when it is blocked without treating the crow’s feet or the glabellar frown lines, the risk is that the other muscles, which are depressors, will pull the forehead down, especially in someone who usually raises his or her eyebrows because the brows are already heavy. Watch this video on balanced Botox: https://youtu.be/K40TfVW444Q

In short, no. The injection is too deep, which leads to more pain, bruising, less skin improvement, and less predictable forehead results. Watch this video for more information: https://youtu.be/UUSstxuukoI