Modesto Botox Current Topics

How long does Botox Last?

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!

Botox 111

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

cumulative botox 2014 2015 with title

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!

Chronology about Dr. Calvin Lee, Botox Surgeon

I hope we make good choices – maybe somewhat strange?. I wrote this as part of the “about us” on a Botox web page:


 

In 1989, Dr. Calvin Lee was accepted to Harvard and Stanford Universities, but he decided to go to Brown University. Dr. Calvin Lee and Dr. Tammy Wu are graduates of Brown University Medical School in 1997. Dr. Tammy Wu graduated top of her medical school class.  They experienced expert surgery residency training at Case Western Reserve and Southern Illinois Universities.

In 2002, Dr. Calvin Lee was offered surgical jobs in San Diego and Los Angeles, but he decided to go to Modesto.  There, he worked as a General / Trauma Surgeon with the McHenry Medical Group (now called First Choice Physicians). Dr. Tammy Wu was offered a position in an international MicroSurgery fellowship, but decided to join Dr. Calvin Lee in Modesto, accepting a Plastic Surgery position with Sutter Gould. Together, they formed Surgical Artistry in 2006.

brown university logo

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.

Dr. Tammy Wu hard at work!
Dr. Tammy Wu hard at work!

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.

 

1 2 (french flag) 3 4 5 (french flag) 6 7 8 (french flag) 9 10 11 (french flag) 12 13 14 (french flag)

15 (three reviews)

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?

surgical artistry full page ad never boring

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.

——-

 

Piano Beauty / Botox Beauty

My dual life at this point

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.

Inspira Breast Implants from Natrelle – Allergan – Notes

Notes from Sarah at our office (Modesto, California – Surgical Artistry):

Inspira Breast Implants
Inspira Breast Implants

I will recap now what I picked up while in the meeting. Unfortunately we all missed the

first portion, but I still learned a few things. 🙂

 

-Natrella Inspira implants. Yes, we offer them here at Surgical Artistry!

-“More gel in the shell!” Inspira implants have a higher fill volume of silicone gel, resulting in a rounder, fuller breast.

-Inspira is available in 5 new profiles from low to extra full.

-Natrelle has been added to BD.

-Natrelle implants earn you 500 BD points.

-You can spend 1,000 BD points toward your surgery.

-Natrelle Gel Rewards Program can earn Botox or Latisse for the patient and a friend when the pt chooses Natrelle implants.

These rewards are for naive patients only. (New to Botox or Latisse).

I will recap now what I picked up while in the meeting. Unfortunately we all missed the

first portion, but I still learned a few things. 🙂

 

-Natrella Inspira implants. Yes, we offer them here at Surgical Artistry!

-“More gel in the shell!” Inspira implants have a higher fill volume of silicone gel, resulting in a rounder, fuller breast.

-Inspira is available in 5 new profiles from low to extra full.

-Natrelle has been added to BD.

-Natrelle implants earn you 500 BD points.

-You can spend 1,000 BD points toward your surgery.

-Natrelle Gel Rewards Program can earn Botox or Latisse for the patient and a friend when the pt chooses Natrelle implants.

These rewards are for naive patients only. (New to Botox or Latisse).

It was a pleasure meeting Bryan!

Why did I pay double price for OBAGI?

I got this question today:

“I purchased Obagi 7 piece Nuderm kit and 0.05 tretinoin cream from you guys for 600$ and online it is anywhere from 250 to 330 dollars. Unfortunately I did not do any research prior to purchasing but I want to know why I have paid double the price”

This is a good question.  Thank you for asking and giving me an opportunity to answer.

First, apologies for any confusion and it is always my goal to provide best value.  I try to subscribe to the idea that price is what you pay, but value is what you get.

Second, I don’t personally have any experience ordering Obagi from any websites.  Thus I can only comment on our own Obagi products on our physical shelves.

Third, if for some reason the pricing makes no sense from us.  Just return it.  No problem.  Hopefully we’ll all be happy – that’s always my main goal is to have happy patients.

Here’s what I know:

  • $407.70 is the actual price of the Nu-Derm Obagi kit from our office.  This is the original Obagi kit, not the FX kit (which removes the prescription products)  The full size Obagi Nuderm set has 7 products and has a list price of $453.00 plus tax.  We have it priced at 10% off all the time (as of the writing of this blog).  Thus our price is $407.70 plus tax.  (as of 8/2/15 – prices subject to change)
  • 10% off from us on Obagi.  We offer 10% off all the time and sometimes at special events we offer 20% or 25% off.  I can definitely see that the internet might offer 20% off or even 30% off?  But for my medical office to carry Obagi, I feel that it isn’t worth my effort to have more than 10% off all the time for Obagi.  Otherwise, I would just encourage my patients to buy Obagi elsewhere.  But I carry Obagi, so I can be responsible for the outcomes and ensure good results.
  • Free OBAGI follow ups with your MD or our office staff.  I’m hoping what accounts for a better value at our physical location (Surgical Artistry, Modesto, CA) is that we will take the time to explain the products and adjust the usage of the products.  Patients follow up with me (Dr. Calvin Lee) or with Dr. Wu.  Most of these follow ups have no added charges.  I think visits to the doctors office has some value – especially if we can make continued adjustments to the usage.
  • Easy Returns / exchanges.  I also have a hassle free return policy on the patients who purchased Obagi after talking to me about it (Dr. Calvin Lee).  I would say that if you feel the internet is a good purchase, then just return the products to us.  My goal of having Obagi in the office is to help our patients look their best with Botox and Juvederm.  Botox and Juvederm (and now Kybella) are my primary passions in the office.  OBAGI is an adjunct.
  • REAL OBAGI.  We know that our Obagi products are genuine.
  • Doctor’s Presciption for Obagi is included when purchasing from me (Dr. Lee).  We also know that we are following the rules regarding prescription products.  Clear and Blender which are two of the products in the normal kit and some kits have SunFader.  These three products require a prescription from a doctor.  I think there are some foreign countries where a prescription isn’t needed for these products – I am not sure.
  • Travel Size Nuderm Kit?  Sometimes people want the Travel sized Nuderm Obagi Kit.  But we don’t currently carry that.  I don’t have the pricing on that kit, but I believe that it is in the $200’s.  Sometimes the internet pricing is confusing and they might be touting the travel size rather than the full size?
  • Because there are 4 additional key products which we sometimes add to the kit, sometimes people think they paid $800 for the “kit”.  But the Nu-Derm full sized kit at our office costs $407.70.  Then you have to add these other products – which we also consistently take 10% off.  There are four (4) add on products that people like to get.  For our office, we take 10% off the list price which we revealed below
    1. Elastiderm eye cream ($112.  10% off would be $100.80)
    2. Tretinoin 0.05% or 0.10% – ($91-$102 depends on strength)
    3. Vitamin C serum 15% or 20% ($93 – $115)
    4. Professional C Peptide Complex Serum ($113)

But I do agree that the internet has great prices, and I myself have bought many other products from the internet.  But I haven’t purchased Obagi over the internet and I wouldn’t be a good person to ask about how that would go.  These would be my own personal concerns if I were to purchase them (and other skin care products) on the internet.  The pricing is so good sometimes that the prices are cheaper than if I bought it wholesale directly from Obagi:

  1. First, I am concerned about the prescription legality issues.
  2. Second, I am concerned about the genuine vs. counterfeit versions.  Especially if the prices are lower than my own wholesale pricing directly from Obagi.  We have had several experiences with patients who have brought in counterfeit Obagi and patients who have suffered damages from counterfeit “Obagi” products.
  3. Third, I am concerned about return policy.
  4. And Fourth, I am concerned about the ability to follow up with a skin care professional and make continued adjustments if needed – especially if the products require prescription.

Those are just my own hurdles if I were thinking about purchasing skin care items (ie. Obagi) over the internet.  I have to admit, that I have done for other skin care lines for myself (I have bad skin and am guilty of experimenting) and I will admit that I’ve learned (for myself) to regret it.  I also purchased a washer and dryer over the internet – that was a BIG mistake for myself.

I will also agree that sometimes our prices “seem” high – this goes for Plastic Surgery, Botox, Veins, etc.  But with a higher price, I hope to offer higher skill (such as better advice), follow up, better safety, less pain (in this case, less pain in the return process), better attitude from us, better communication and in the end, better results.  That’s my dream practice is to offer these things at the highest level.  I’ve built this practice of ours on highest quality with best value, not on lowest price, and I hope it’s worth it.

Thank you for reading about the Surgical Artistry version of the Obagi Nu-derm Kit.


 

Please feel free to visit my other web pages:

 

Components of my Botox Consultation

Consultation components for me Botox (and this can be used for Latisse, Obagi, Veins etc) include:

1. Expectations (how long to kick in, how long it lasts, and what results to expect?)

2. Risks (droopy lid/brow, etc)

3. Alternatives (patients need to be informed and make choices)

4. Contraindications (ie. pregancy/ Breastfeeding/ neurological diseases)

5. Identification of the problems in the patient (static lines vs. dynamic lines for wrinkles)

6. Discussion of possibilities with cosmetic injections (what can I do for them well – if not this time, perhaps next time).

7. Physical examination of existing scars, hemangiomas, pimples, infections, veins.  Pictures document many of these things and palpation finds many issues as well.  Visual inspection of the veins is important in an attempt to avoid intravascular injection and potential bad bruising.

What helps surgical dexterity? Piano practice!

I’m always thinking about Surgery, Botox, Kybella, and Acupuncture.  I think that piano practice is a small subset of my surgical world which helps me with everything.

a single bee IMG_5542 - Copy - Copy - Copy

I just heard about a Concerto piano competition in Los Angeles which requires a video submission as part of the first round.  If I make it past the judging of the video and make it to the next round, I have to play a movement from a piano concerto.  I’ve never played a piano concerto before, but I might be able to figure it out.

But first, I’m not sure which video to send.  Any suggestions on which video is best?

Version #1:  Chopin Harp Etude

 

Version #2: Chopin Harp Etude

 

Mr. Bearthoven Version #3:

Mr. Bear and I wrote this piece together along with a strong influence from Chopin.  I played the track first, then added Mr. Bear to the picture.  I kinda made this by accident, but I’m glad it worked out.   On another note, I am pretty sure that Chopin wouldn’t approve.