Category Archives: Modesto Botox Blog

Bumps after Botox?

“I have horns!”

Horns right after Botox injections?   I heard this exclamation after a Botox injection today.  And I thought to myself – what a great topic for my Modesto Botox Blog.

They aren’t horns, they are bumps.

Well, that sounds almost as bad.  But these bumps are from the injection of Botox under the skin and sometimes into the muscle (depending on the location of Botox injections).  Botox is reconstituted as a liquid (from a powder), and then injected as a liquid in these locations.  Liquids will naturally take up some space, and they look like little bumps.  Probably a little bit bigger than those TB testing shots that we get from time to time in our forearms.

The bumps usually go away in about 15-30 minutes.

Fortunately the Botox bumps usually go away in a few minutes.  Sometimes by the time a patient drives home.

The Botox bumps I’m discussing in this blog are the ones that can be seen immediately after a Botox injection.  I’m not discussing bumps that occur hours after or days after the Botox injection.

What else could it be?

If these Botox horn or Botox bumps don’t go away, it could be something else like a hematoma.  A hematoma is a collection of blood – from bleeding, which could happen after injections with a needle.   And the collection of blood could cause the bump.  Hematomas will also resolve with time, but ideally, I try to avoid large hematomas by observing the injection site during and after my Botox injections.  Sometimes hematomas can’t be avoided.  But I would try to minimize them.  A smaller Botox needle might help, too.   Hematomas usually will result in bruises which will also resolve.  At least this is what I do in my Modesto Botox Practice.

Below is a picture of me, not a picture of Botox bumps.
Calvin Lee, MD
Calvin Lee, MD
Disclaimer:

If you haven’t looked directly at my crows feet or glabellar lines – in person and at my office – then we have not established a formal doctor-patient relationship.  Please see your own doctor.  There is no medical advice here, just medical information for general use – nothing here is directed at any specific person.


Botox Vials

Botox Vials


 

Yearly Botox growth 2014

Yearly Botox growth measured by the number of people who have had Botox or Juvederm at least once per year at our Modesto Botox Office: Surgical Artistry. 2014 data.

Basically, this is the growth of different patients seen per year at my Botox Practice in Modesto. It doesn’t matter if the patient comes to the office one time for that year for Botox or 100 times.  Well, I’ve never really had a patient come to our Modesto office 100 times for Botox.

The numbers come out of a computer program provided by the Allergan company (makers of Botox and Juvederm). The computer program is the analytics part of the Brilliant Distinctions program (BD Analytics).  I’m proud of the growth, and very thankful. Half of my time is reserved for Acupuncture and the other half is for cosmetic injectables.

2014 yearly botox growth data without numbers

I intentionally left the numbers off the Botox and Juvederm growth chart because I thought they were somewhat distraction.  Above is a screen capture of a chart created in Excel.

Notes about the Botox and Juvederm Data:

  • The data does not go back to 2006, when Surgical Artistry was formed.
  • The cutoff date between the years is December 15.
  • A different cutoff date was used in a prior analysis where mid August was the cutoff between the years.  That (August to August) shows a greater increase in numbers when looking at the percentage increases for the years 2012 and 2013.  The older charts and Botox/Juvederm data is here:  Botox and Juvederm Growth 2013.
  • Botox growth percentages.  2012: 53.0%, 2013: 35.0%, 2014: 31.6%
  • Juvederm growth percentages.  2012: 36.5%, 2013: 44.2%, 2014: 46.8%

www.InjectionArtistry.com (please feel free to visit us in Modesto, CA).

The Best Botox Blogs

Listing of my Botox Blogs in reverse chronological order

I figured, I should start by listing my blog posts, then select the best out of it and post them in BOLD.   I’m writing this to you from Modesto, California.

I discovered that there are a lot more Blog posts than I had ever remembered.  This is a work in progress – not done yet.  I am just linking these pages by hand.  There’s probably a quicker way.  But this works for me too.  It allows me to practice typing!

  1. Modesto Piano Playing – dexterity challenges – Car Wash Video.  Believe it or not, I tried to combine a new christmas present of a camera, with a car wash, piano playing, and Botox dexterity
  2. Typing abiliity related to Botox injections?  Showing off a bit of typing speed.  Typing this blog helps my typing speed too.  Although I’m really not trying that hard to type with tension or even that fast for that matter.
  3. How many units for crows feet Botox?  A very common Botox question.
  4. Bumps after Botox?  Ever get those bumps on your forehead after getting Botox injections?  Well, it’s common to ask, and I figured I try to explain.
  5. Juvederm – just some basics on what is Juvederm.  I didn’t go into the molecular details here.  Perhaps another blog for that topic.
  6. A thank you letter form Allergan – more info about the Actavis takeover/merger.
  7. Yearly Botox growth 2014 – in terms of number of patients; not number of visits.
  8. The best Botox blogs.  um, this page.
  9. How does Botox work?  The biology of Botox!
  10. Can Botox cause botulism?  Honey can cause botulism.
  11. Spending too much money on internet webpages?  Try making your own!  Because it really doesn’t cost all that much – but it does take a good amount of time.
  12. My life with Botox and cosmetic dermal fillers.  I think it’s a reasonably good life.  I don’t do trauma surgery any more.  But perhaps someday I’ll get back into it.
  13. Who is Allergan?  Allergan makes Botox and other products.
  14. Latisse as an adjunct to Botox eye treatments.  How to apply Latisse video is located at this blog page.
  15. Skin aging infographic from Colorescience.  How we age and what to do about it.
  16. Botox terminology: Glabella.  Sometimes referred to as Glabellar – especially when there’s a word next to it, such as Glabellar Complex.
  17. Botox award from Allergan.  They give awards for this?  Sure I’ll put it somewhere in the office.
  18. Dexterity for Botox injections – Chopin?  Chopin Etudes for exercising those delicate fingers required for Botox injections.  You can take many things to a higher level.  This is my attempt as a Botox injector.  This isn’t a blog about getting Botox in the fingers of pianists.  That might be another topic another day.
  19. Botox mailing list growth – I use mail chimp.  This mailing list is more than just Botox, it has plastic surgery patients too.  Conclusion – it’s about 47 patients added per month to the mailing list for all of Surgical Artistry.  The post title is a bit misleading.
  20. Cosmetic procedures besides Botox.  I wrote this because I had patients who were surprised that I do other things besides Botox.  So here’s a few other things which I do which include Asclera, Belotero, Derma Pen, Obagi Blue Peel Radiance, Voluma.
  21. I didn’t know you inject Voluma?  Of course I do, and I love it.  It is a Juvederm product.
  22. Medical Botox vs. Cosmetic Botox, differences?  This is just the on-label FDA uses.  The off-label uses are a much bigger list.
  23. Monthly Botox chart – November 2014 update.  I like to see things graphically so here a graphic.
  24. Botox Report: Number of Patients for the Month.  Using the analytics section of Brilliant Distinctions.  The month would be November, 2014.
  25. Does Botox Hurt? – this is a great question!  I think most folks would say that it doesn’t hurt much at all.
  26. Botox Delivery – what it looks like in a box.  Nope, not pizza delivery to our Modesto office.
  27. Botox WiFi?  An original analogy that I made up to help explain more about how Botox works.
  28. What is Botox FDA approved for cosmetically?
  29. Belotero Balance Injection Technique – a unique method called serial puncture.  I have yet another secret method – but that’s perhaps for another blog.  I’ll probably call it “submarine attack.”
  30. Lowest price Botox?  We compete on results, safety, comfort, customer service, positive attitude, and communication.   Thus we hope to have the BEST VALUE.
  31. Botox didn’t work for my “11’s” – a discussion of when fillers are needed to compliment Botox in the Glabellar complex.  And there’s a discussion of the difference between static and dynamic wrinkles.
  32. Email from Allergan about Actavis 11-19-14.  Actavis to take over?
  33. Juvederm Voluma Injection Notes according to an Expert outside of the US.  The lecturer was Dr. deMaio.  I don’t agree with everything he says, but I really appreciated having the opportunity to see him lecture on a webinar.   I particularly liked how he talked about using Voluma for “lateral support.”
  34. Best cosmetic Surgeon Award.  Stanislaus’ Contentment Health Magazine had a first ever voting in the community of “bests” and we were given this award for Best cosmetic surgeon.  Congratulations to everyone!
  35. Latisse Pricing changes at Surgical Artistry Modesto, California.  Still a great price.
  36. Neotensil is now Available at Surgical Artistry.  Under eye shape-wear.
  37. Juvederm Voluma for the Lips?  This was a question we got over the phone.
  38. Botox in Modesto – where to get Botox? This is a list of 36 possible places to get Botox in Modesto.  It seems that Modesto is Botox Central!  I’m sure the list will continue to grow.  I used lists from Find-a-provider from Botox, Dysport, and Xeomin.  Just compiled this as a response to a question which I received in my office in Modesto, CA.  The questions I receive are often inspirations for Botox blog postings.
  39. Cosmetic Fillers compared in terms of thickness.  Fillers are different in many ways, and one of the ways that they are different is how thick they are.  I rank them in the order of thickness – according to how I see it.
  40. Botox related products at Surgical Artistry.  Basically a listing of injectables.
  41. What does an Allergan Botox bill look like? Botox and Juvederm can be expensive.
  42. Will I ever have more than 100 Botox Patients per month?  I’ve already done this! Yay!
  43. Botox, Veins, and Acupuncture: How my time is broken up in the office.  I’ve provided a pie graph.
  44. Why a patient would choose Surgical Artistry – Staff View.  – So that’s what they think of me…  I won’t say if any of this is actually for real, but this is what they said on email when recently asked to provide their thoughts.
  45. Muscles, nerves and Vasculature of the face for the Botox and Juvederm Injector.
  46. Facial Fat Compartment Anatomy for Botox and Juvederm Injections.
  47. After Botox, I have a headache.  Headaches can be a side effect right after getting Botox injections.
  48. Allergan and Valeant – Letters against the possible “Vallergant” merger.  Dr. Tammy Wu wrote one of the very first letters.  I think this started the trend.
  49. Radiesse is back at Surgical Artisry.  Radiesse is a wonderfu filler.
  50. Calvin Lee, MD Modesto Botox Surgeon Stats as a Botox injector.  2013 statistics.
  51. Modesto Botox 2013 in review.  More about our Botox practice in 2013, including a discussion of overhead costs.
  52. Juvederm before and after picture for cheeks.  This was before Juvederm Voluma.
  53. Axillary Hyperhidrosis Botox (excessive sweating) treatments in Modesto by Calvin Lee, MD.
  54. What to do in case of Dermal Filler Emergency.  Really important page.
  55. Botox is now approved by the FDA to treat Crows Feet.  But doctors have been injecting crows feet already for the past 10 years before FDA approval.  That’s called off-label use of Botox.
  56. Botox Development built into Brilliant Distinctions.  Our Allergan representative asked if I’d write a bit about Brilliant Distinctions and they got this blog.
  57. Botox in Modesto – Consider having it done by Calvin Lee, MD.  This was the blog which inspired the home page of www.InjectionArtistry.com
  58. Belotero and Botox for around the eyes.
  59. Botox and Juvederm growth of about 60% per year for the past 2 years.  This is a good blog if you’re into tracking the growth of a Botox/Juvederm practice and if you like bar charts.
  60. Growth Rate for our Modesto Botox, Juvederm, and Latisse practice.
  61. Botox and Juvederm informational event at Surgical Artistry.  The Botox rep keeps wanting me to do another even like this wihch was in August 2013.  This blog keeps some of my notes regarding the event and also has some FaceBook screen captures of what people thought of it.
  62. Attributes of Highly Effective Botox Injectors.  I decided to stalk famous injectors as if they were celebrities.  For the past 2 months.  I went around the country to participate in lectures, courses and conferences regarding Botox, Juvederm, and other cosmetic injections.  I also made it a point to personally get to know some of these injectors.

Superior BOTOX webpages which I’ve made:

Fruits of labor.  Miewa variety of Kumquats from our garden in Modesto, CA.
Fruits of labor. Miewa variety of Kumquats from our garden in Modesto, CA.

Ideas for future blogs (notes to myself):

  • What is Juvederm?  A large family of filler products.  Different products are available in different countries.  I’ll be writing from the USA – specifically Modesto, CA.
  • The surprised overly arched eyebrow look with Botox.  How to fix that.  Sometimes called the “M” look for the eyebrows.  Or the “Spock look.”
  • Brow ptosis (drooping), how to avoid and get the best of all worlds where the wrinkles go away on the forehead and the eyebrows stay up.