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Dr Lam plastic surgeon
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Natural, Passionate, Specialized.

“I see every patient with an artistic eye”

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Botox Cosmetic in Dallas, TX

Botox is the brand name for botulinum toxin type A (BTXA). Like familiar brands, Kleenex and Coke, most individuals use the term Botox to describe all brands of BTXA, as Dr. Lam does, even though there are now 5 FDA-cleared brands for use in the United States. Dr. Lam still favors Botox as his preferred brand for treating facial wrinkles, as he has found it to be the best product for smooth, long-lasting results. Many individuals confuse Botox treatments with fillers. Botox is meant to lessen dynamic and static wrinkles of the upper face that lessen over time with repeated treatments, allowing one to be less consistent in its application, whereas fillers are meant to augment volume to the face like for folds and lips. That being said, Dr. Lam does use fillers in a specialized way to complement Botox treatments to address advanced lines that Botox cannot improve, which will be further discussed on this page. You will understand after reading this page how Dr. Lam uses Botox for the treatment of wrinkles and will be briefly introduced and directed to other pages on this website where Dr. Lam has revolutionized facial cosmetic patient care where he uses Botox to manage acne scars, pores, texture, rosacea, scars, and a long list of chronic human conditions, for which he is currently in the process of securing a patent.

See more Botox Videos

Key Benefits of Botox Cosmetic

  1. There are two aspects of Botox that one should keep in mind: a short-term outcome and a long-term outcome. The short-term effect of Botox only lasts about 3 to 4 months when an individual looks exceptionally better. However, every treatment of Botox contributes to a long-term reversal of wrinkles and prevention of further wrinkles. Typically, Dr. Lam recommends a year of treatment for moderate to significant wrinkles and then progressively less often as a preventative measure. Nevertheless, an individual can come as often as one likes to maintain the short-term outcome. Watch this video for more information about Dr. Lam’s philosophy: https://youtu.be/thKjoWrd6zc
  2. Wrinkles will either become progressively better over time with Botox (requiring less and less Botox), or if one does not do Botox the wrinkles will get worse and worse over time. Dr. Lam likes the analogy to exercise and diet: the more exercise and better diet someone engages in the healthier one becomes and the contrary is true. One either moves toward greater health or toward less health. Similarly, the younger one starts with Botox the fewer wrinkles one will ever develop over time. Dr. Lam talks about this concept in this video: https://youtu.be/K40TfVW444Q

    Botox Wrinkle Severity Illustration

  3. The more Botox one does the better and better one’s skin becomes and the healthier the collagen becomes so that even with less and less Botox over time the skin can continue to improve. Dr. Lam likens himself to a personal trainer when he works on improving your skin with Botox. For more information, please listen to this podcast on the subject: https://youtu.be/Tu_8XicUmb8

    Botox Ideal Skin and Look Illustration

  4. Botox can also be used for so many other interesting therapies beyond wrinkles like facial sweating, gummy smile, sagging necks, downturned lips, teeth grinding/a wide face, and migraines. Dr. Lam performs Botox for these advanced treatments all the time and is an expert at using Botox for these many types of interventions.
  5. The crow’s feet should be treated before the wrinkle begins to go down the face when Botox has limited effect. Dr. Lam always cautions patients depending on the severity of their current wrinkles not to let the crow’s feet become too deep or the treatment will not be as effective. Many individuals with moderate crow’s feet also believe that the sides of the eyes may not be worth it because the result lasts a bit shorter in duration and may not entirely efface the wrinkles but Dr. Lam believes it is still critical to continue treatments to avoid progression of these wrinkles. Dr. Lam divides crow’s feet wrinkle severity into 3 grades. Grade 3 wrinkles are hard to completely treat with Botox. When a patient has these Grade 3 wrinkles, however, he believes that using dynamic fillers in combination can greatly improve the results and the longevity of his wrinkle treatments. Watch this video for more information: https://youtu.be/5t23a5SD0uc

    Crow's Feet Wrinkle Grades Botox Treatment

For more information on the science of Botox, please click here

Who Is an Ideal Candidate for Botox in Dallas?

The ideal candidate for Botox (botulinum toxin type A) treatments is the individual who has wrinkles in the upper face including forehead, glabella (frown lines), and crow’s feet. This treatment is safe in all ages and is FDA cleared as young as 2 years of age, so younger adults who elect to start a preventative maintenance with Botox should be considered safe, especially for cosmetic reduction of wrinkles. This page will mainly address the conventional and traditional use of Botox as a means to soften lines around the eyes and forehead but will briefly touch upon the revolutionary ways that Dr. Lam also uses Botox to manage a whole host of conditions like chronic pain, acne scars, facial skin texture, scars, etc.

Surgery/Treatment Process

The treatment for Botox is simple and relatively painless using Dr. Lam’s unique hand vibration technique. After an initial consultation with Dr. Lam including photographs and consent forms, he will then clean and prepare you for the treatment. The injection process only takes about a minute or less to perform and with Dr. Lam’s technique you should feel almost no pain even without the use of numbing cream. You will then be free to leave shortly thereafter.

Botox Recovery Timeline: How Quickly Will You See Results?

There is typically very little to no recovery time following a Botox treatment for facial wrinkles. There will be a bumpy appearance to the skin from the fluid injection that usually lasts about 20 to 30 minutes but may be slightly longer. You may have minor bruising that may last a few days but this is usually minor in scope. There are some restrictions that you need to know. Be careful when reapplying makeup not to disturb the injected Botox for the first few hours. You are not allowed to workout that same day, wear a hat/cap, or lie down and fall asleep. The reason for these limitations in activity is to avoid compression or pressure on the glabellar area (area between the eyes) to avoid inadvertent migration of Botox.

Risks and Side Effects

Botox is a very safe treatment in Dr. Lam’s hands and whatever temporary problems you may experience, there should be no permanent side effects. The most common side effect is unwanted bruising, which usually is minor and resolves quickly typically in a few days to a week. Another side effect is that the brows may become heavier feeling or appearing than desired, so Dr. Lam uses a lighter forehead dose for your first treatment, asking you to return in two weeks for a free touch up when he is getting to know your anatomy and how you respond to his treatment. You may also get a headache for a day or two from the Botox, which can happen after the first treatment but is not that common. There may be other reasons you do not like the result, and Dr. Lam will listen to that and make adjustments on his second round. In very rare cases you may suffer an eyelid ptosis (eyelid drop) that can be improved but not eliminated with special eyelid drops and that usually resolves in a month or two. Fortunately, Dr. Lam has not seen this outcome in his hands in many years and has only had a couple of patients have this unwanted side effect after being in practice over 20 years. In terms of toxicity or generalized paralysis from Dr. Lam’s Botox, he has never seen it since cosmetic doses are very low. Another popular question is whether someone could be allergic to Botox, and Dr. Lam has simply never encountered this problem.

FAQs About Botox Cosmetic

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How painful is Dr. Lam’s Botox treatment?

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.

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Does Dr. Lam perform his own Botox or does he delegate this procedure to a nurse?
He performs his own Botox even after being in practice 20 plus years. 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.
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What makes Dr. Lam’s Botox treatment better than a medspa or a nurse injector?
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.
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How often should I do Botox?
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.
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Are there any benefits to Botox other than just for wrinkles in the areas treated for wrinkles?

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.

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Is Botox just temporary? Is it worth the money?

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.

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What if I have done Botox long enough that I do not have any wrinkles now, is there value in my still doing Botox?
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.
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I have heard the more Botox you do, the more you need?
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.
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What does Dr. Lam think about Botox for men?

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

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What does Dr. Lam think about Botox for actors or people that want a lot of expression?

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. In whatever the case, it is worth a discussion 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

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Will I look frozen?
You should not look “frozen” but you 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.
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How does Dr. Lam avoid the “Jack Nicholson” or “Spock” peaks?
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.
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Isn’t Botox a poison? I’ve heard of a black box warning with Botox? Should I be worried?

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

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I am a teenager. Is it too young for me to do Botox?

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.

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Can Dr. Lam perform Botox at the same time as other treatments?
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.
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I have wrinkles that go all the way down my face when I smile, can Dr. Lam fix those with Botox?

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

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When I do Botox for crow’s feet, the result does not last that long. Any suggestions?

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

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I only want to treatment my forehead lines. Is this a good idea?

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

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I hear a Botox crunching noise when I am being injected with Botox. Is that normal?

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

For additional FAQs on Botox, please click here

How Much Does Botox Cost in Dallas, TX?

Botox cost varies greatly depending on a variety of criteria. Price is dependent on factors like the number of injections required and the number of wrinkles being treated. Please contact our office for more information.

botox treatment

Related Botox Procedures

Dr. Lam has revolutionized and pioneered many novel and exciting treatments using Botox for many conditions that he cannot yet discuss on this website until his patent on his techniques has been fully approved. Here is only a partial list and description of some of his methods that he has invented and offers in his office.

  • Botox for Facial Paralysis – Facial paralysis can occur either due to Bell’s Palsy, which is a condition that may be autoimmune but has an uncertain cause, or due to trauma, accident, tumor, etc. Dr. Lam offers many types of treatments for facial paralysis. First, he performs Botox on the non-paralyzed side to try to balance it with the paralyzed side. Second, he can work on “synkinesis”, a condition in which moving one part of the face makes another part of the face move at the same time. For example, when someone smiles, the eye closes, which he corrects. Third, he actually can rehabilitate strength to the facial nerve that is damaged using his patent-pending method and has done so even in individuals who damaged their nerve decades ago. Sometimes he combines all three methods in one patient depending on the situation and only after thorough counseling and consultation with him. Watch this video: https://youtu.be/2cKeKiDdEcwbe
  • Botox for Acne & Acne Scarring – Dr. Lam’s unique treatment can manage both active acne and acne scarring. He believes his acne reduction can be very long lasting after a few rounds and his treatment for acne scarring is a permanent correction. He uses his MesoTox technique to treat this condition. Watch this video for more information: https://youtu.be/UVE3b8ui0jc
  • Botox for Pain – Dr. Lam’s patent-pending technique for pain management with Botox addresses a full host of conditions including migraines, back pain/sciatica, knee pain, etc. Watch this video for more information: https://youtu.be/A56O4lqKsWo
  • Botox for Scars – Botox has become Dr. Lam’s first-line treatment for scars of all kinds: acne scars/atrophic scars, hypertrophic scar, discolored scars, stretch marks, textural problems, etc. These treatments offer permanent scar corrections with progressive healing to the scars with each treatment. Watch this video for more information: https://youtu.be/K40TfVW444Q
  • Botox for Gummy Smile – A gummy smile can be easily managed with Botox with progressive improvement in longevity if you follow Dr. Lam’s specific plan to improve longevity of your results with his programmed schedule and regimen.
  • Botox for TMJ/Jaw Reduction/Facial Slimming – Dr. Lam offers two strategies that can be combined for treating TMJ issues. His classic treatment manages both TMJ and also offers jaw slimming. His other, patent-pending method is truly unique and can significantly and instantly improve your jaw pain/clicking/tightness, etc., with profound results. Watch this video for more information: https://youtu.be/3hIJwqCo7xg
  • Botox for Migraines – Dr. Lam has created a very unique method to manage migraines with significant and instant results where he can manage all migraine-related symptoms including chronic tension, pain, throbbing, visual aura, nausea, intracranial pain, and usually gets patients off all migraine medications and free of any migraine episodes for progressively longer intervals, oftentimes as long as 6 months. His patent-pending method is truly unique and offers relief that no neurologist can provide. Watch this video for more information: https://youtu.be/gI-Jef2PFbk
  • Botox for Sagging Necks – Botox can be used to weaken the platysma muscle so that the SMAS (facial muscle that extends to the platysma) can pull the sagging muscle upwards. This is very helpful in early signs of neck sagging but has limited benefits in advanced aging, which would require a face and neck lift.
  • Botox for Sweating – Dr. Lam can reduce sweating by injecting Botox into your armpits but finds this method quite outdated. Miradry is a far better, long-term option to manage this problem, usually permanently. However, Dr. Lam’s patent-pending technique to manage hand and foot sweating is incredibly unique where he does not even need to inject the palms of your hands or the soles of your feet! He also can reduce facial hyperhydrosis or facial sweating with a third method. Watch this video for more information: https://youtu.be/1Y9KArWX3j4
  • Botox for Wrinkles – This technique is what is described on this page in quite a bit of detail. For more information on Dr. Lam’s technique for Botox for wrinkles, please stay on this page and read more about it.
  • MesoBotox/MicroBotox for Skin Texture/Pores/Discoloration/Acne – This is the cornerstone to Dr. Lam’s treatment strategy for facial skin improvement, which he performs almost on a daily basis to improve skin texture, pores, quality of skin, acne, discoloration with very long-term results and that complement his Botox treatments for the upper face. Watch this video: https://youtu.be/ITKu1u6PaKU

Schedule a Botox Consultation Today!

Dr. Lam is a highly skilled and experienced facial aesthetic expert who specializes in Botox injections. Recognized as one of the best aestheticians in Dallas, Dr. Lam is dedicated to providing the best results Dallas has to offer. Contact Lam Facial Plastics today to for your Botox treatment.

Call us: 972.312.8188Schedule Consultation
Your Cosmetic Surgery Procedures will be performed by Dr. Lam's surgery center located in Dallas, Frisco and Plano, TX.

I highly recommend Dr. Lam. He is a perfectionist and took the time to listen to my concerns and explain the procedure in detail. His staff has always been warm and welcoming from the day of my consultation, throughout the procedure and follow up appointments. I am very happy with the results of my procedure! Thank you Dr. Lam!

Videos:

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MesoBotox/Botox/Dynamic Filler Global Rejuvenation in Dallas, Texas

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Do You Need to Move Your Face Immediately After Botox

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Botox Jaw Reduction News Story with Dr. Lam

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Botox for Sagging Necks/Platysma Virtual Consultation

Dr Lams Unique Migraine Treatment

Dr. Lam’s Unique Migraine Treatment

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Botox for Gummy Smile Virtual Consultation

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Botox for Bell’s Palsy/Facial Nerve Paralysis Virtual Consultation

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TMJ (Temporo-Mandibular Joint) Pain Treatment with Botox

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Botox for Gummy Smile Correction

For more videos on Botox, please click here

Photos:

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For more photos on Botox, please click here

Botox treatments are performed by Dr Lam himself, at his center in Dallas, Texas. Botox is used by Dr. Lam for the treatment of wrinkles and to treat excessive sweating. To schedule a Botox consultation call 972.312.8105 or email us . The details of your Botox treatment (both the limitations of Botox and the benefits of Botox, in your particular situation) will be explained to you during your Botox consultation with Dr. Lam and his team.

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6101 Chapel Hill Blvd Ste 101
Plano, TX 75093 US

972.312.8105

Lam logo tint

6101 Chapel Hill Blvd Ste 101
Plano, TX 75093 US

972.312.8105