I just had a chance to use it for the first time today. I had chosen to use it off label for tear trough correction. In the picture below, I had chosen to attach the Volbella syringe to a 1.5 inch dermal cannula. Soon I plan to try it for the lines around the lips. Sometimes those lines are called the lipstick lines and recently I heard them called “barcodes.”
Someone just recently asked me this question and I thought I’d share the answer here.
This is at this point a draft only.
July 15, 2016 – Friday.
I was supposed to give a graduation speech in Sacramento for a K-12 school. But instead the date of the graduation got moved earlier, and thus I got the speech out of the way. I had left the day blocked off from patients (from our plastic surgery / acupuncture practice: Surgical Artistry) since it was an opportunity for a day off. I decided to see a dentist. Long story short, I needed a tooth extraction. Tooth got pulled out – Yikes. Funny how things like this happen when you least expect it or when you least want it to happen.
Dr. Tammy Wu, plastic surgeon, & I just became program sponsors for TEENS RUN MODESTO which builds confidence & discipline while training for the SURGICAL ARTISTRY Modesto Marathon. Congratulations to all the participants and mentors.
The Surgical Artistry Modesto marathon is in March, and it 2016, it will be the 7th annual installment. A plastic surgeon sponsored marathon and teen training program!
I’ve worked on this Beethoven concerto now for 2.4 weeks. I’m working hard to show respect for the piano teacher who fired me from piano lessons as a child. After that, I quit piano lessons but restarted as an adult, mainly teaching myself piano, after I became a full fledged surgeon – with guidance from special friends who can be considered my teachers – including many of you on FaceBook – thank you. I have a hearing distortion in one ear which makes all that much more interesting. In may ways, my being fired from piano less and my hearing problem have led me to be the person I am today – thus I should be thankful for both of those things too. I appreciate all the encouragement too. Special thanks to everyone around me, especially Tammy, for letting me practice over 9 hours of piano today. Big thanks to Modesto’s Piano Professor, Dr. Yan Yan Chan for guiding me and providing orchestral accompaniment on a second piano Saturday AND Sunday. She wanted to help me even more, this work week, but I don’t get home till after 7pm from work so this won’t work. Now it’s time for me to focus on my other art which involves facial beauty with Botox / Fillers / Kybella and the internal healing arts of Acupuncture. I will have one more weekend to work on the piano and then the weekend after that is hopefully time to show off in Beverly Hills/Los Angeles at the Piano Competition for Teaches and Amateurs. I am hoping that soon, I will be able to work on the beauty of the notes and music – that is my absolute favorite part – it will be in some ways, like playing the violin for me – when it comes to creating a beautiful tone and line.
I’m very honored to be picked as one of the first physicians in the US to be trained on Kybella (an injection that helps with fullness under the chin). I will be undergoing formal training in July, 2015 and I will be perfecting my technique and will be ready to roll out the product at Surgical Artistry in August. I’m currently spending time now studying up on the product.
For the entire month of May 2015:
110 patients seen for Botox this month, 28 Patients seen for Juvederm,
121 patients getting Botox OR Juvederm. 17 patients getting Botox AND Juvederm.
Using my own data, I can derive that 35.4 units of Botox is the average number of units per patient.
I know quality counts for much more than quantity. But it is always tempting to look at the numbers provided by the Botox company. This is what you can derive from their computer analysis about my Botox/Juvederm practice. I am also big on injecting Radiesse and Belotero which don’t show up in these numbers. I’m not sure if these numbers include Juvederm Voluma. Sometimes Allergan calls Voluma a separate product.
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Thank you for your question. Without having seen you in person, I’m answering the best I can without physical examination info and a one-on-one dialogue. My comments are meant for a general public discussion to help others who may have similar concerns. I’m also using my answers to build up library of information for my own patients and also to see how my answers compare with other doctors. There is always much for us to learn from each other. My answers are generalized medical information only, not directed medical advice. For medical advice please see your doctor/surgeon in person.
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I hope to be answering many Botox, Voluma, Juvederm, Radiesse, Asclera, Vein questions as I can.
We are frequently asked at our Modesto Botox practice: “How much Botox do I need.” In fact, we get this question over the phone which makes it nearly impossible to answer. But one way I thought of to answer this would be to look back in our records and see what the last 40 patients (anonymously) used and perhaps an average number of Botox Units used in these 40 patients would help someone reach an answer to this question over the phone. The best way to get this answer is to schedule an appointment with me, the surgeon-Botox injector.
Special thanks to Jessica of the Surgical Artistry team who keeps track of this info. This is practically a chart review. This data shows a higher number than the last time we did this exercise back in 2012 where I came up with the answer that 29 units was the average number of Botox units a person used in my practice in 2012. Now it’s 36. Economy changes perhaps? I think my most commonly recommended Botox number of units is 40-50 units of Botox for cosmetic Botox.
36 units
But it’s good to keep in mind that many new patients consider 40-50 units very often.
Here’s my most recent listing of Botox patients in Modesto. Most recent 40 Botox patients – going backwards in time from most recent to 40 patients ago.
| Patient #1 | 44 Units of Botox |
| Patient #2 | 62 Units of Botox |
| Patient #3 | 32 Units of Botox |
| Patient #4 | 50 Units of Botox |
| Patient #5 | 20 Units of Botox |
| Patient #6 | 32 Units of Botox |
| Patient #7 | 36 Units of Botox |
| Patient #8 | 12 Units of Botox |
| Patient #9 | 12 Units of Botox |
| Patient #10 | 20 Units of Botox |
| Patient #11 | 42 Units of Botox |
| Patient #12 | 56 Units of Botox |
| Patient #13 | 30 Units of Botox |
| Patient #14 | 32 Units of Botox |
| Patient #15 | 22 Units of Botox |
| Patient #16 | 20 Units of Botox |
| Patient #17 | 34 Units of Botox |
| Patient #18 | 36 Units of Botox |
| Patient #19 | 38 Units of Botox |
| Patient #20 | 24 Units of Botox |
| Patient #21 | 38 Units of Botox |
| Patient #22 | 20 Units of Botox |
| Patient #23 | 28 Units of Botox |
| Patient #24 | 38 Units of Botox |
| Patient #25 | 44 Units of Botox |
| Patient #26 | 40 Units of Botox |
| Patient #27 | 44 Units of Botox |
| Patient #28 | 34 Units of Botox |
| Patient #29 | 58 Units of Botox |
| Patient #30 | 24 Units of Botox |
| Patient #31 | 56 Units of Botox |
| Patient #32 | 44 Units of Botox |
| Patient #33 | 42 Units of Botox |
| Patient #34 | 36 Units of Botox |
| Patient #35 | 20 Units of Botox |
| Patient #36 | 50 Units of Botox |
| Patient #37 | 44 Units of Botox |
| Patient #38 | 40 Units of Botox |
| Patient #39 | 52 Units of Botox |
| Patient #40 | 20 Units of Botox |
Data collected on 4/20/15
Have fun with the Botox data.
