Botox – Page 3 – Modesto Botox, Dr. Calvin Lee

Quarterly comparison of BOTOX usage by Calvin Lee, MD

Reflecting upon my own childhood, I think there is an importance regarding summer jobs for kids. I have a life-long enjoyment of working with spreadsheets. My first summer job, which my father gave me at Ciba Geigy (a drug company), involved spreadsheets – using Lotus 1-2-3, I fell in love with the macro programming features, and I remember using spreadsheet programming to make a “pong” type game. I think I was in middle school at the time. I made graphs which were even more sophisticated than what I’m doing now. Anyway, this is today’s spreadsheet data work. I have a ton of numbers and it’s my job to create a way to explain the numbers in a meaningful way. I have numbers that come from each unit of botox used each day at work. And here I can show to my Botox friends that Botox is used the least in Quarter 1, then followed by a Quarter 3. Those are the “relaxed” Botox Quarters of the year. I also like drawing in regression lines, but that will be for another day. I’ve had my spreadsheet fix for today.

In my quest for quality work, I like to study patterns. For me it is always quality over quantity. I don’t like to sacrifice quality for the sake of doing more Botox. But I think the side effect of quality work is that there will be growth.

Quarters 2 and 4 are the strongest quarters for Botox use. Quarters 1 and 3 are weaker with Quarter 1 being the weakest. I’m not entirely sure of the pattern maybe someone can offer me suggestions. It may have something to do with the weather, school cycles, vacation schedules, wedding/reunion deadlines. I’m not sure – or perhaps even with my own scheduling habits. But in the past 2 years, I’ve tried to work as much as possible. I think in the future, I can do a study of “density” of Botox: normalize Botox use per day worked. Ahhh… so much you can do with data.

I have an obsession with spreadsheets, so my wife says. I just have a ton of data and I’m just massaging that data into more meaningful expression. I’m still in the pursuit of higher quality not quantity as some of these graphics suggest. But I’ll see growth as a side effect of successfully upholding the highest values relating to quality.

Cosmetic Annual Growth by patient visits

Acupuncture, Botox, Juvederm, vein annual growth for Calvin Lee, MD

I am very thankful and proud. In 2006, I reinvented myself from General/Trauma surgeon to Acupuncture/Cosmetic Surgeon. In the operating room, I have been assisting in Tummy Tucks, Face-Lifts & breast surgeries done by my wife, THE Plastic Surgeon for the past 10 yrs. This graph shows the growth of what I do OUTSIDE the operating room, in our SURGICAL ARTISTRY office: Acupuncture & Cosmetic Injections. I use hundreds of needles per day. I started my practice with only 58 office visits in 2006. Last year I exploded to 3371 visits with one of the highest retention rates of patients in the country according to Allergan. I am so grateful to my patients for trusting me. I am also so grateful to my supportive parents, Dr. Tammy Wu, her parents/brothers and to those who have directly helped me grow this new world for me:

Jeannine M, Andrew M, Ken T, Christine Donham Landrum, Jacquie A,Jessica Vargas, Annabeth Ghiglia Allan, Lorena Redula, Katherine Ruth,Karla A Valente, Lynne C, Sarah S, Lea S.

Surgical Artistry Modesto Marathon, Heidi Ryan, Karen Kopecki Hodges Lozano, Vickie Chu-Hermis

Sutter Gould Medical Foundation, McHenry Medical Group (First Choice Physicians), Doctors Medical Center, Memorial Medical Center

Alyssa Petrino, Chris W, Jeran Wadlow, Suleika Bauer, Tadra Rex, Nicholas Eichhorn, Jennifer M, Brooke Cramer, Joe K, Jenny D, Tom Z, Cherise P.,Bree Alexander

Kempton Stephens, Katherine Barton, Paul B, Charles Cherrie Suntra,Enoch Choi

It has been a tremendous first 10 years at Surgical Artistry and I’m looking forward to the next 10.

Mr. Bear wants to learn how to inject Botox

Mr. Bear is still getting Acupuncture, and it’s somewhat ambiguous with the name tag whether Mr. Bear means that he gets Botox in addition to acupuncture or that he injects Botox like I do. If he wants to be an injector, he would be #53 on my list of places that offer Botox in our Modesto Area. Many of these people on this list are my personal friends – I have a lot of respect for them and I wish them a lot of success.

https://www.injectionartistry.com/botoxblog/botox-in-modesto-where-to-get-botox/

See previous posting for our Botox Retention Data:

BOTOX retention rate 2015

Our staff was doing some Botox Chart Reviewing, and the Allergan company used those reviews to report that we are better than the national average retention score of 1.8. This means we do a pretty good job of having our patients come back to us for more Botox.

The Botox company does a retention analysis for us from time to time. It’s a measure of how we keep our patients returning to our practice. They have a proprietary method for calculating a score. 4.0 is the best score you can get. I was told before that 1.8 is the average score for all Plastic Surgeons. And we recently scored 3.3. I am very grateful for our returning patients. I guess for now my Botox patients don’t usually leave me and our patients tend to come back! I will continue to try to make it better however I can. Thank you for trusting me with your Botox. It is my passion.

2015 BOTOX Year in Review Statistics

2015 Botox Stats

I had a previous posting regarding December Botox statistics for 2015. I had probably made some assumptions. But now that December 2015 is officially over, the numbers are more solid.

52,593 Units of Botox

For the year of 2015 I used 52, 593 Units of Botox. That’s 4,382 units of Botox monthly if we divide that number by 12. Or another way to think of it is that it’s about 43 Bottles of Botox per month (40 Bottles is a more rounded number).

694 syringes of Filler used in 2015

Fillers in my recording includes Juvederm, Belotero, Radiesse and Restylane. If I divied 694 by 12 months. I get 57.8 syringes of filler per month. I guess I could say that I average about 55 syringes of filler per month. I did hit 100 syringes of fillers used in the month of December – it was a busy month, and I purposely tried to work as much as I could in the month of December since patients had some time off to get cosmetic work done.

1371 Botox visits to my Modesto office in 2015

These visits are for Botox and doesn’t take into account visits for filler only. I get this data from Allergan’s Brilliant Distinctions. This calculates to an average of 114 visits per month. And for fun, if I had about 20 days in the office per month, it would be about 5.7 patients seen per day in the Modesto office. Sounds pretty low of a number? Well, I also have a vein, acupuncture, and surgery assisting practice which I run at the same time.

See Botox Statistics from 2014 – there is a breakdown of my day – looking at the amount of time I spend with Acupuncture vs Botox vs Veins.

745 Patients seen for Botox AND Juvederm for 2015

This number (745) includes all Botox and Juvederm patients seen in 2015. Tricky thing here is that it is only Juvederm and not other filler brands. I got this data from Allergan’s Brilliant Distinctions. I guess there’s fault in my numbers, but it’s still fun to follow – especially if there’s a nice positive trend.

I think it would be nice to know which percentage of these patients were new and which were recurring. I wonder if I can set up Allergan’s Brilliant Distinctions Analytics program to figure that out for me.

51 places to get BOTOX injections in Modesto and surrounding cities

This list grows. I get the info for this list from my patients who tell me about other Modesto Botox locations. I have not visited these Botox sites personally.

Comparing to other years – Visits to patient ratio.

This isn’t a perfect ratio, because the visits are BOTOX only visits, and the # of patients is patients who have come to me for Botox and Fillers (Juvederm) – which means that there are some Filler patients who aren’t Botox patients. But regardless the ratio is fun to look at.

In 2015 I had 1371 Botox visits from 745 patients for fillers/Botox.
In 2014 I had 1013 Botox visits from 546 patients for filler/Botox.
In 2013 I had 724 Botox visits from 396 patients for filler/Botox.

All these years, the ratio comes out to:

2015 – 1.84
2014 – 1.86
2013 – 1.83

These ratios can be seen as how many times a patient comes to the office. Sort of a measure of retention or rebooking.

Summary

The graphic on top of the page sums it up the best.

Please consider visiting my Botox practice in Modesto, CA. We also carry Latisse 5ML and 3ML.

December 2015 Botox statistics per day

I’m writing this on 12/18/15. These are basically notes to myself and eventually may be used as a guide in 2016 to help the Botox representatives in their national Botox database. Allergan/Botox likes to do studies like that. Data below from Brilliant Distinctions. However, Brilliant distinctions isn’t used by all of our patients, and thus the data may be somewhat short; meaning that the actual numbers are probably higher than the ones reported below. I have also found that many of my patients are from Doctors Medical Center in Modesto, CA. And in general the majority of my patients are nurses. I think this stems from my history of working at DMC much more than Memorial Hospital in Modesto, CA.

First 14 work days of December 2015 Botox statistics reveal:

3774 units of Botox used.
98 Botox patients seen (this would include Juvederm/dermal filler patients who received Botox. But this would not include Juvederm/dermal filler patients who did not receive Botox).
65 Syringes of dermal filler used.

How much Botox do I use per day? 269 units.

Using the data above from 14 days of work in December 2015, I come up with the following info:

269.5 units of Botox used per day (per work day)
7 Botox patients per day
4.6 syringes of filler used per day.

What’s our average units of Botox used per patient? 38.5 Units.

38.51 U of Botox is the average number of units used per patient over the 14 days of data collection.
38.27 U of Botox is the average number of units used throughout my entire year of 2015 up to 12/18/15 – calculated from 1340 Botox visits and 51,283 U of Botox used for those 1340 Botox visits.

How much Botox is used per month? 42 Bottles.

As a rough estimate, if I take 51,283U of botox used and divide that by 12 months. I would get 4,273 U of Botox used per month on average which would be 42 bottles of Botox a month on average.

How much filler do I use per month? 54 syringes per month.

As a rough estimate, taking 659 syringes of fillers used this year up to 12/18/15 and divide by 12 months, I would get 54.92 syringes per month.

Visit us in Modesto, California for Botox.

The data here is for my Surgical Artistry Modesto Botox practice. Please feel free to visit one of my Modesto Botox webpages

How long does Botox Last?

“Approximately how long does Botox last and does it depend on the area’s that are injected??”

I got this question regarding the duration of action of Botox today on my FaceBook page. I tried to answer it very simply:

My Botox Duration Answer:

So many factors. But I need to boil that question down to an answer. I would say that Botox lasts 3-4 months. It mainly depends on the dosage used vs. the strength of the muscle. So I will aim to try to get the Botox to wear off at the same time. But I am usually very light on the forehead – so that area might lose it’s effect first, followed by crows feet, then lastly the Glabellar complex (11’s between the eyes). Hope the info helps!

With really high injections of Botox, I think it could last 5 months. Many factors to consider: Botox factors, Injector factors, environment factors, and patient factors!

A slightly related link:

Botox doesn’t work as well anymore – what to do?

Modesto Botox home page

Cumulative Monthly BOTOX usage reveals 149% change

Comparing 2015 to 2014 in terms of BOTOX growth

I don’t have December yet, but comparing Jan-November, I am lucky to be able to present a 149% change from last year in our Modesto BOTOX usage. I like to make reports for the Botox company, so they can see how the team is doing. I welcome the representatives and Allergan managers as part of my Surgical Artistry team and I want them to feel good about their efforts. I appreciate them very much for all the help they have given me and my patients. Just having fun with an old spreadsheet (2003 Excel – and I use a flip phone with no text messaging).

www.InjectionArtistry.com

Above graph shows the cumulative monthly Botox usage and compares 2015 to 2014. I am missing the month of December because it isn’t over yet. But I think it shows a nice trend – and it shows a 149% change (or a 49% growth in the usage of Botox). I have other Botox statistics from previous posts – be sure to check those if there is any interest under the “Botox Statistics” category section. And there is also another Botox blog besides this one which I sort-of stopped updating recently. In that blog I have this valuable Botox statistics report for 2014.

And the hard Botox data:

I think sometimes this is called running totals. So if I look at March’s Botox data – that means the total amount of Botox I used from the beginning of the year to March.

Cumulative data

	2014	2015
January	2798	2701
February	4576	5562
March	7401	9983
April	9881	14621
May	12592	18513
June	15803	23864
July	19133	29629
August	22207	33390
September	24130	37377
October	28374	42088
November	31925	47509

About My Botox use in 2014

I felt very proud of 2014’s usage of Botox and at times felt that it couldn’t be any better. But 2015 proved that we can continue to improve!

Wonderful Comments about Dr. Tammy Wu

I had posted on my public Botox page on FaceBook about an article about Plastic Surgeon, Dr. Tammy Wu on Contentment Health Magazine. I’m happy to report that I have 1051 likes on that FaceBook page. We have a separate Surgical Artistry page on FaceBook which has 1878 likes. All these pages are public and anyone with a FaceBook account can leave comments.

I wanted to share some of the public comments which were left under my public Botox page on Facebook with the link to that article about Dr. Wu. Thank you so much for all your support. My Modesto Botox website is www.InjectionArtistry.com. And our Modesto Plastic Surgery page is www.SurgeryToday.com.

Question about Dentists and Botox

I got this Botox question today and I thought I’d share:

I have a question after reading your list of injectors in your area and out of curiosity why would a DDS need to do Botox injections?

My Botox Answer:

Hi! GREAT question!! Some of the best injectors of Botox I know in this world are Dentists!! They know facial anatomy very well. But one of the biggest roles that Dentists play with Botox is injections for TMJ / Jaw pain. Some of the injections are outside the mouth and some of those injections can be inside the mouth. So out of the concept of doing their jobs very well, many dentists have Botox in their stock, and it’s probably convenient for them to consider injecting cosmetic Botox in addition to Botox for pain. But I think due to the cost of Botox and short acting efficacy of reconstituted Botox (meaning it doesn’t stay fresh for a long time), it probably doesn’t seem to be financially a worthwhile thing to do for Dentists (and surgeons for that matter). So most Dentists and Surgeons choose not to focus on Botox at work. I do, because it compliments my wife’s practice very well, and I’m all for supporting my wife’s plastic surgery practice. But if a dentist or surgeon wanted to inject Botox – I think they would do a very very good job, especially if they made it their primary focus at work for whatever reason. I hope this helps answer the question.

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My link to a list of 47 injectors about 20 miles from my location in Modesto