Botox/Dysport/Xeomin

Botox® Cosmetic

The aesthetic use of Botox® Cosmetic started in the late 80’s and since has grown exponentially in the world of cosmetic surgery. Born from medical use for decades, Botulinum toxin is a purified neurotoxin protein that is strategically injected via very small needles into various desired muscles areas of the face to prevent rhytide or wrinkle formation by relaxing the muscles. Visible results of Botox® Cosmetic are typically noted around 5 to 7 days post injection but the average patient will report full visible results around 10 days. It may take up to two weeks for Botox® to fully take effect. We often suggest a follow-up visit at that time if need be. Botox® is FDA approved for the glabellar (between the brows or the 11’s) as well as the crow’s feet area (around the eyes). Furthermore, Botox® has been widely used for decades for different areas that are as effective, safe and extremely popular among the devotees of this treatment such as some of the following areas listed below:

  • Forehead: Forehead lift
  • Upper lip: Smoker’s lines
  • Bunny lines: Bridge of the nose
  • Mandibles: Bruxism treatment or to soften the jawline
  • Chin: Dimpling
  • Neck/Skull: Migraine
  • Platysmal bands: Tightening of the neck bands
  • Tip of the nose: To lift the tip
  • Hyperhydrosis: Excessive sweat

Botox® is a remarkable product for its diversity, effectiveness and trustworthiness. Choosing the right physician to inject you is key to the success and durability of the treatment. Dr. Sarmela Sunder prides herself in her extensive training that gives her the confidence in delivering amazing natural results to her patients.

Real facts about Botox®

  • Lasts 3 to 4 months
  • Constancy is part of ongoing successful treatment to prevent formation of rhytides (wrinkles).
  • We recommend not lying down for 4 hours or exercising for 24 hours post injection just as a precautionary measure.
  • The treatment takes only a few minute
  • There is no downtime
  • Most patient consider this treatment to be painless
  • The average cost for Botox® treatment is around $300
  • You should discontinue any type of blood thinning product a few days prior to your appointment

Some myths about Botox®

  • “Botox® can give me botulism”. False! Botulinum toxin comes from the bacteria that cause botulism food poisoning and spreads. Botox is a purified protein derived from botulinum toxin that stays at the site of injection.
  • “Botox® will freeze my face and will be expressionless”. False! Dr. Sarmela Sunder’s has a natural aesthetics and will provide you with natural yet effective results.
  • “Botox® is not a safe drug”. False! Botox® has been FDA approved for cosmetic purposes since 2002 along with 78 other countries and millions of people are using it effectively and safely every single day.
  • “Botox® can treat all sorts of wrinkles”. False! Botox® can only treat fine lines and wrinkles that form when we express ourselves. That is what we call dynamic wrinkles, the one that appears when we smile, laugh and cry…Deeper line may improve in their appearance and smooth out with continuous treatment.

Make your Botox® treatment an even more rewarding experience by joining Brilliant Distinctions Program by earning exclusive rewards, bonuses and discounts throughout your facial aesthetic journey.

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Ask Dr. Sarmela Sunder if Botox® Cosmetic is right for you.

Dysport®

Dysport® is an injection containing abobotulinumtoxinA (Botulinum toxin type A). Dysport® helps in reducing the creation of rhytides (wrinkles) just like his big brother Botox®, causing a temporary reduction in muscle activity treating safely and effectively various areas of the face via small needles. Visible results are reported to happen as early as 3 days post injection but the average patient will report full visible result after 10 days. Dysport® was FDA approved back in 2009 for aesthetic use for glabellar line (frown lines) but just like its predecessor, Dysport® is widely used for other areas of the face in addition to its medical purposes. These areas include the forehead and the crow’s feet. Only a highly skilled, trained physician like Dr. Sarmela Sunder can provide you with the most natural rested youthful look. We are often asked what the difference is between Dysport® and Botox®. Well, they have more in common than they differ. But to start with Dysport® is measured differently and therefore injected with a different unit ratio (3 units of Dysport® for 1 Botox®). Some physicians will agree that Dysport® is preferred among some patients for the crow’s feet area due to its diffusion into muscles creating a very natural, movement friendly environment. Lastly, Dysport® is slightly cheaper than other neuromodulators on the cosmetic market. Dysport® is gradually earning its spotlight once patients have experienced it for themselves.

Real facts about Dysport®

  • Last about 3 months
  • Works as early as three days
  • Provides a “soft look”
  • We recommend not lying down for 4 hours or exercising for 24 hours post injection just as a precautionary measure. Why risking any potential side effects?
  • The treatment only takes a few minute
  • Pain free without down time
  • The average cost for Dysport® is about $250
  • You should discontinue any type of blood thinning product a few days prior to your appointment

Some myths about Dysport®

  • “Dysport® is exactly like Botox®”. False! While they contain the same neurotoxin (Botulinum toxin type A), Dysport® has fewer of the purified protein and therefore deliver different but similar results.
  • “Dysport® can be administered by anyone”. False! Only skilled, trained healthcare professionals like Dr. Sarmela Sunder can inject such product.
  • “Dysport® has many side effects”. False! Like any injectables, mild swelling and bruising is a risk but mostly a nuisance.

Make your Dysport® treatment an even more rewarding experience by joining ASPIRE Rewards by earning exclusive rewards, bonuses and discounts throughout your facial aesthetic journey.

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Ask Dr. Sarmela Sunder if Dysport® is right for you.

Xeomin® Aesthetic

XEOMIN® (incobotulinumtoxinA) is the new kid on the neuromodulator block! Also a prescription medicine that is injected into muscles and used to temporarily improve the look of moderate to severe frown lines between the eyebrows (glabellar lines) but just like its predecessors Botox® Cosmetic and Dysport®, Xeomin® is commonly used to treat other areas of the face safely and effectively. While Xeomin® remains mostly unknown due to its newness and lack of exposure, Dr. Sarmela Sunder always make sure that her practice offers a variety of treatments alike. No all patients are created equal nor have the same needs or expectations. So what is Xeomin®? It is a highly purified neurotoxin protein derived from the same Botulinum toxin type A with a unique manufacturing process. Again, it is the way it is compounded where the difference is between Xeomin® and other like products. It is FDA approved for the glabellar lines (between the brows or frown lines) since 2010 and is currently available in 20 countries and has been administered over a million in the US and around the world. Furthermore, Xeomin® is a good alternative for patient that have sensitivities to other wrinkle reduction treatment alike since there are no additive or extra protein in the formula.

Real Facts about Xeomin®

  • Visible result starts around 4 to 5 days
  • It is cheaper than other neuromodulators
  • It last about 3 months
  • Most patient consider this treatment pain free
  • No downtime
  • We recommend not lying down for 4 hours or exercising for 24 hours post injection just as a precautionary measure
  • You should discontinue any type of blood thinning product a few days prior to your appointment

Myth about Xeomin®

  • “Xeomin® is an off-brand of Botox®”. False! Xeomin® has its own manufacturer, Merz Pharma, the maker of Radiesse®
  • “Xeomin® is a generic form of Botox® and is not a prescription”. False! It is a prescription injection that only properly trained skilled health care provider like Dr. Sarmela Sunder can provide

Ask Dr. Sarmela Sunder if Xeomin® is right for you.

Juvéderm Voluma®XC

Juvéderm Voluma®XC is the first and only FDA approved injectable gel to instantly add volume to the cheeks area in order to correct volume loss or augment. It will create a subtle lift while contouring the mid face area for up to two years with optimal suggested treatment course by Dr. Sarmela Sunder. It is a part of the dermal filler family. Dermal fillers are widely used to correct and smooth out deeper lines and wrinkles referred as static rhytides (wrinkles). Those are permanently visible. Here are the most commonly found static wrinkles:

  • Horizontal lines across the forehead
  • Very deep frown line (also known as the “thinker’s lines)
  • Nasolabial Fold (deep lines from your nose to the corner of your mouth)
  • Marionette lines (lines from the corner of your mouth to the chin)
  • Smoker’s line (lips area)

Juvéderm Voluma®XC is revolutionary and has been available in the US since December 2013. It is among our top favorite treatment for non-surgical options especially given its instant gratification. Juvéderm Voluma®XC is a condensed hyaluronic acid gel with lidocaine incorporated into the syringe for maximum comfort during your visit. Dr. Sarmela Sunder is an expert injector and was among the first doctors across the US to offer the treatment. Hyaluronic acid is a natural substance found in our body. High concentrations are found in soft connective tissues. It’s also found in some cartilage and joint fluids, as well as skin tissue. Synthetic forms are now manufactured for use in facial rejuvenation and have become one of the most popular kinds of injectable fillers.

Real Fact about Juvéderm Voluma®XC

  • Last up to two years
  • Lidocaine is already incorporated into the syringe for maximum comfort
  • The product can be dissolved
  • Offers subtle facial lift
  • Can be used to restore and or augment facial volume loss
  • Average cost for a patient treated with multiple syringes for full correction is around $2500
  • May cause slight swelling and bruising for a few days, we recommend taking Arnica and discontinue blood thinning products prior to your injection for a few days
  • The overall treatment takes about 15 to 20 minutes
  • We recommend that you do not to exercise for the first 24 to 48 hours as a precautionary measure for unnecessary swelling
  • Average patient reports mild discomfort during treatment only and mild soreness post injection
  • Most patients will be treated with one session
  • Instant natural looking results
  • Avoid sun exposure 3 to 5 days

Myths about Juvéderm Voluma®XC

  • “Juvéderm Voluma®XC is permanent”. False! It will last up to two years and is dissolvable.
  • “Juvéderm Voluma®XC is derived from an animal (bovine) product”. False! It is synthetic hyaluronic acid. A natural component found in our body
  • “Juvéderm Voluma®XC is great for my lips”. False! This condensed hyaluronic acid is too thick for lips, fine lines and wrinkles such as the smoker’s lines.

Make your Juvéderm Voluma®XC treatment an even more rewarding experience by joining Brilliant Distinctions Program by earning exclusive rewards, bonuses and discounts throughout your facial aesthetic journey.

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Ask Dr. Sarmela Sunder if Juvéderm Voluma®XC is right for you.

Juvéderm® XC

As we age, our face gradually loses its youthful fullness. Without its former scaffolding, the skin starts to sag and sink, creating folds around the mouth and hollowness under the eyes and cheeks. Juvéderm®XC offers a fast and simple way to restore volume and elasticity to aging skin. Juvéderm® XC is an injectable filler made of hyaluronic acid, a naturally occurring substance that helps maintain the body’s eyes, joints and skin. In a gel form, Juvéderm® XC flows easily into the skin, creating a smooth, natural look and feel. Juvéderm® XC was approved in June 2006 by the U.S. FDA to reduce and soften nasolabial folds, or “smile lines,” deep folds which run from the corners of the nose to the corners of the mouth. It is also widely used as a lip augmentation agent, and to fill in hollow places and scars on the face along with marionette lines (deep folds from the corner of the mouth to chin). All hyaluronic acid facial filler products are eventually absorbed by the body slowly. The average patient will experience a long lasting result for up to 9 months. Juvéderm®XC is among the most popular dermal filler in Dr. Sarmela Sunder’s practice. Dr. Sunder is a master injector safely providing her patients the most natural look. Juvéderm®XC as a great reputation for its predictability, safety and effectiveness. Juvéderm® XC works well for cosmetic and plastic surgery applications because hyaluronic acid can absorb up to 1,000 times its own weight in water, thereby adding new volume under the surface of sagging skin. Hyaluronic acid is known to bind with collagen, the material that supports human facial skin, and elastin to move more basic nutrients into the skin.

Real facts about Juvéderm® XC

  • Last up to12 months
  • Lidocaine is incorporated into the syringe for maximum comfort
  • The treatment only takes a short office visit
  • May cause some mild swelling and bruising. we recommend taking Arnica and discontinue blood thinning products prior to your injection
  • We recommend that you do not exercise the first 24 hours
  • Average patient reports mild discomfort during treatment only and mild soreness post injection
  • The average cost is $650
  • The product can be dissolved
  • Avoid sun exposure 3 to 5 days

Myths about Juvéderm®XC

  • “Juvéderm®XC is effective only after multiple treatments”. False! You will notice positive instant results with a single procedure. However depending on the severity of wrinkles, some people will require additional treatments and or multiple syringes for optimum results
  • “Juvéderm®XC can be administered by an esthetician”. False! Only trained, skilled, certified healthcare providers like Dr. Sarmela Sunder can
  • “Juvéderm®XC is painful”. False! The average patient will report very mild discomfort and always remember that is lies in the skill of the injector. Dr. Sarmela Sunder is known for her gentleness and for going above and beyond providing her patients the least discomfort

Make your Juvéderm®XC treatment an even more rewarding experience by joining Brilliant Distinctions Program by earning exclusive rewards, bonuses and discounts throughout your facial aesthetic journey.

Brilliant Distinctions®

Ask Dr. Sarmela Sunder if Juvéderm® XC is right for you.

Restylane-L®

Restylane-L® is a crystal clear injectable gel composed of hyaluronic acid, a natural substance that already exists in the body. Restylane-L® is non-animal based and free from animal protein. Allergy pretesting is not necessary. Restylane-L® contains 0.3% lidocaine already incorporated into the syringe reducing the mild discomfort associated with the treatment. Restylane-L® is injected into the skin with an ultrafine needle to plump the skin to smooth away wrinkles and folds such as the lines from your nose to the corners of your mouth (nasolabial folds) or into your lips. Restylane®, Restylane-L®, and Restylane® Silk are the first and only FDA-approved products for lip enhancement. However, as many of its brother like hyaluronic acid dermal filler, it is commonly safely used for other areas of the face such as under the eye area for hollowness (tear trough) and deep glabellar lines in conjunction with a neuromodulator for best, natural, long lasting result. Dr. Sarmela Sunder is a master injector and offers this treatment due to its effectiveness, instant gratification and great reputation for being loved by her patients. The average patient will experience great results lasting up to 12 months.

Real Facts about Restylane-L®

  • Last up to 12 months
  • Lidocaine is incorporated into the syringe for maximum comfort
  • May cause some mild swelling and bruising. we recommend taking Arnica and discontinue blood thinning products for a few days prior to your injection
  • The treatment only takes less than 15 minutes
  • We recommend that you do not exercise the first 24 hours
  • Most patients report minor discomfort while in treatment
  • Average patient reports mild soreness post injection
  • The average cost is $650
  • The product can be dissolved
  • Avoid sun exposure 3 to 5 days

Myths about Restylane-L®

  • “Restylane-L® will deflate abruptly when absorbed”. False! Your body will slowly, gradually absorb the product in a very natural occurrence
  • “Restylane-L® must be injected every 3 months”. False! It last up to 12 months. Not every single patient will experience exactly the same rate of absorption. Choose a highly trained injector like Dr. Sarmela Sunder who will give you the most benefit
  • “Restylane-L® is only for women”. False! Dermal fillers are for men, women of all skin types

Make your Restylane-L® treatment an even more rewarding experience by joining ASPIRE Rewards by earning exclusive rewards, bonuses and discounts throughout your facial aesthetic journey.

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Ask Dr. Sarmela Sunder if Restylane-L® is right for you.

Restylane® Silk

Restylane® Silk is fairly new on the dermal filler market that belongs to the hyaluronic acid family. Restylane® Silk is designed specifically to provide natural-looking results in particular areas by using smaller, smoother particles than those used in other Restylane® products. Same as Restylane-L®, it is a clear injectable gel composed of hyaluronic acid, a natural substance that is found in our body such as our joints, skin and eyes. Restylane® Silk is non-animal based and free from animal protein, allergy testing is not necessary. It is a remarkable product for the very fine lines around the mouth area as well as inside the lips providing patients a very natural feel and look. Dr. Sarmela Sunder, as a master injector, often recommends this treatment to her patients. Restylane® Silk was the first and only FDA-approved products for lip enhancement back in June 2014. In a clinical study, 77% of patients that were treated with Restylane® Silk showed improvement in the fullness of their lip between 2 to 8 weeks after their first injection. Furthermore, in the same study, 59% of the same patients reported to have maintained their lip fullness beyond 6 months.

Real Facts about Restylane® Silk

  • Average patient reports lasting up to 6 months
  • The average cost is $800
  • May cause some mild swelling and bruising. we recommend taking Arnica and discontinue blood thinning products for a few days prior to your injection
  • The product can be dissolved
  • We recommend that you do not exercise the first 24 hours
  • Instant gratifying treatment
  • Avoid sun exposure 3 to 5 days

Myths about Restylane® Silk

  • “Restylane® Silk is used for very deep facial folds”. False! Restylane® Silk is best used on appropriate rhytides (wrinkles) such as the fine lines around the mouth and into the lips.
  • “Restylane® Silk will leave lumps and bumps”. False! Initial injection may cause a sensation of bumpiness the first 48 hours induced by swelling. An experience injector like Dr. Sarmela Sunder will give you the natural kissable lips you dreamed of having.

Make your Restylane® Silk treatment an even more rewarding experience by joining ASPIRE Rewards by earning exclusive rewards, bonuses and discounts throughout your facial aesthetic journey.

Aspire

Ask Dr. Sarmela Sunder if Restylane-L® is right for you.

Radiesse®

RADIESSE® is a wrinkle filler used to plump the skin to smooth out moderate to severe facial rhytides (wrinkles). Dr. Sarmela Sunder will Inject RADIESSE® through a small needle and placed under the skin. This filler works immediately to add volume under the skin and over time, the benefits of RADIESSE® continue by naturally stimulating your body’s own natural collagen. The natural results have been reported by the average patient to last up to a year or more for some patients, making the treatment results both immediate and long lasting. RADIESSE® is contained of Calcium Hydroxyapatite (CaHA) microspheres suspended in an aqueous gel carrier. It is not party of the HA (hyaluronic acid) dermal filler family. Over time, the gel is absorbed and the body metabolizes the CaHA microspheres leaving behind only your own collagen. RADIESSE® was first approved in the US in 2001 and has had subsequent approvals, including for corrections of nasolabial folds (from the nose to the corner of the mouth). RADIESSE® is approved in 52 other countries. The proper training and appropriate use plays a big role in the success for optimum results. Dr. Sarmela Sunder safely injects RADIESSE® on some of these popular areas due to its effectiveness and instant natural looking results:

  • Nasolabial folds
  • Non-surgical rhinoplasty (nose)
  • Non-surgical chin/pre jowl augmentation
  • Cheek augmentation

In February 2015, RADIESSE® was approved by the US FDA for hands rejuvenation via injection improving the look and their youthfulness. The injectable product itself is milky (calcium) in color and opaque, which makes it ideal for hiding veins when injected under the skin in a fanning motion. It’s important to have it administered by someone with experience just like Dr. Sarmela Sunder who knows how to properly administer this treatment for optimum, long lasting results.

Real Facts about RADIESSE®

  • Last up to 12 months
  • For facial rejuvenation, the average cost is $695
  • For hand rejuvenation, the average cost is $1300
  • Some patients report mild discomfort
  • May cause mild bruising and swelling, we recommend taking Arnica and discontinue blood thinning products few days beforehand
  • Instant gratification treatment
  • Avoid sun exposure 3 to 5 days

Myths about RADIESSE®

  • “RADIESSE® turns into bone”. False! The body will slowly, gradually absorb and metabolize the product.
  • “RADIESSE® can migrate to nearby areas”. False! This dermal filler is a very cohesive product that forms dermal collagen scaffolding around the poly hydroxyapatite (Hydroxyapatite mimics the natural bone mineral and has shown good bone-bonding properties)
  • “RADIESSE® obscures radiology studies”. False! While it can be seen, it does not obscure tissue or bone.

Ask Dr. Sarmela Sunder if RADIESSE® is right for you.

BELOTERO BALANCE®

BELOTERO BALANCE® is a non-animal–derived hyaluronic acid–based cohesive gel that is cross-linked twice. Its clinical behavior is significantly different from the other hyaluronic acid products; it’s stretchy, like a rubber band. BELOTERO BALANCE® is created for the correction of moderate facial wrinkles (rhytides). BELOTERO BALANCE® is part of the HA dermal filler family created to integrate into facial skin tissue. Hyaluronic acid binds to water, making it an ideal product as it also binds with the skin’s own water. Its unique manufacturing process yields a soft and cohesive gel that, post injection, instantly fills the skin to help smooth moderate-to-severe lines and wrinkles. Though the product is versatile enough to handle moderate nasolabial folds. Often, BELOTERO BALANCE® is the perfect treatment option for certain delicate areas such as the vertical lip lines (thin lines that appear above and around the lips). The average patient using BELOTERO BALANCE® reports a long lasting result up to 6 months or more. Dr. Sarmela Sunder will create the perfect treatment plan with the appropriate suggestion for beautiful, long lasting natural results. The US FDA approved BELOTERO BALANCE® in 2011 for its effectiveness and safety. In contrast to some other filler products currently available on the market, this particular dermal filler does not come premixed with lidocaine. Its chemical structure is different from other HA-based fillers. It is the world’s first monophasic hyaluronic acid dermal filler based on patented cross-linking technology.

Real Facts about BELOTERO BALANCE®

  • Last up to 6 months
  • Dissolvable dermal filler
  • Average patient reports mild discomfort
  • Potential swelling for about 48hours post injection, we recommend taking Arnica and discontinue blood thinning products few days beforehand
  • Great product for superficial lines and wrinkles
  • Instant gratification results
  • The average cost is $600
  • You may not exercise for the first 48 hours
  • Avoid sun exposure 3 to 5 days
  • Natural results

Myths about BELOTERO BALANCE®

  • “BELOTERO BALANCE® is great for volume restoration”. False! This dermal filler is only injected in the dermis (superficially into the skin) and is especially formulated for shallow wrinkles
  • “BELOTERO BALANCE® is permanent”. False! In areas that experience a lot of movement due to eating, talking, and smiling, the product may not last as long as other less active areas. Most patients report up to 6 months of great results

Ask Dr. Sarmela Sunder if BELOTERO BALANCE® is right for you.

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