Amount of Botox needed is very individual
The number of units depends on the look you are trying to achieve. Botox, as a muscle relaxer is used to selectively weaken certain muscle groups to reduce lines or shape the brows and smile. If you are treating the forehead, you almost always need to treat the frown muscles as well, otherwise the brow position will come down (and the converse is true as well). There is a true art to this and an experienced injector will inject largely "off label", meaning not s specified set of points, in order to customize the result for a natural yet beautiful result. That said, less is more when it comes to neurotoxin in general and experienced injectors don't usually need large doses to achieve these goals and I always aim for a subtle, relaxed appearance, rather than a frozen look. Typically this would be closer to 50 units or less. For the lip lines I generally recommend Juvederm, while Radiesse is good to add volume and reshape the face.
Radiesse - Safety and Results
I do not use radiesse around the lips, its a bad area to do so and can form lumps and bumps. Best, Dr. Emer.
Radiesse and Botox
Radiesse is not used around the lips. Sixty three units of Botox is quite a lot but it all depends on your starting point.
Radiesse is not to be placed in lips, lip lines or any superficial area. 63 units in the forehead is a lot of material. I am not sure what your question is but I think you should make sure you see a board certified dermatologist or plastic surgeon
Thank you for your question. Radiesse is not to be placed around the lips as it can cause granuloma formation and hard bumps. Soft fillers like Juvederm and Restylane are the products used in and around the lips. It sounds like you may require a Botox touchup, please see a board certified Dermatologist for further evaluation and management. Regards, Dr. Matt Elias