Category Archives: year in review

BOTOX purchased in 2014 by our Modesto Surgical Practice

Allergan products purchased by our Modesto Botox Practice in 2014.

Allergan has a robust reporting system which can track your purchases throughout the year.  The graphic below represents the amount of Botox, Juvederm Latisse, Voluma and breast implants purchased from Allergan over the 2014 year.  However, not all these products were delivered in 2014.   It is possible that some of these products have a “scheduled” shipment in 2015.  Natrelles listed here are breast implants.  There are other companies which sell breast implants, such as Mentor.  Mentor is the maker of the memory shape implant and is a competitor to Allergan.  In our Modesto Plastic Surgery practice, we carry a whole array of Mentor breast implants and have at our use many Natrelle implants.

Botox Bottles purchased in 2014, along with Juvederm, Latisse and Voluma
Botox Bottles purchased in 2014, along with Juvederm, Latisse and Voluma

In 2014, 365 bottles of Botox were purchased.

As for the Juvederm Ultra and Juvederm Ultra Plus and the Juvederm Voluma – those are boxes of the product.  There is more than one syringe in a box.  More on this topic another day.  As for the Latisse, it is in cases – many many Latisse boxes in a case.

Please feel free to visit us in Modesto.

www.InjectionArtistry.com

Calvin Lee, MD
Calvin Lee, MD

 

My personal Modesto Botox injection statistics 2014

34,234 units of Botox injected & 443 syringes of dermal fillers implanted in 2014.

2014 collection of empty Botox bottles
2014 collection of empty Botox bottles

Much of the data here comes from my own recording of each day’s usage of Botox.  I have Jessica to thank for entering this data every day at our Modesto plastic surgery office, Surgical Artistry.

Every patient is unique

Patients are not statistics.

By using these statistics, I am hoping that other Botox injectors will find them useful, and I will also use them to find ways to improve.  Every Botox patient is unique and special to me – the statistics here is a look at my practice, not a look at an individual patient.

“Measure it to Improve it”

But for me, to be an excellent surgeon, it is my belief that my best surgical outcomes come from consistent practice, a good volume of injections, along with diligent purposeful thoughts of improvement.  Thus I keep track of many things in my practice of medicine.  These statistics are just one of them.  There’s a saying which I put to practice from my surgery residency days: “You can’t manage what you don’t measure.”  Although the phrase was first presented to me as “If you can measure it, you can improve it.”  I prefer thinking the second iteration.  It just sounds more positive to me.

2014 Year End Botox Statistics

  • Number of Botox visits to us in Modesto, CA for the year:  1009.  This is up from last year where I had a total of 724 visits.  (there were still 2 more days left in the year when this was written and compiled), so these numbers will be even higher.
  • 503 different patients were seen for Botox in 2014.  This is up from 374 last year.
  • Average number of patients per month: 84 patients per month.
  • Total number of Botox units used per year: 34,234 Units.
  • Dermal syringes injected over the year: 443 syringes of filler!  I had no data on this last year.  I do not have data on which type of syringe was used (ie. Belotero, Voluma, Radiesse, or Juvederm).
  • As before, about half of my time is reserved for Acupuncture.

    Botox Pie Chart
    2014 data for how my Veins, Acupuncture, and Botox division of office based procedures. Surgery isn’t included here since it isn’t done in the office. This chart is just the division of my patient load in the office.

Average number of Botox units used per session.

Average number of Botox units used by patients per visit is 33.9 U.

Background in general for Calvin Lee, MD

Calvin Lee, MD
Calvin Lee, MD

Written by Calvin Lee, MD

Botox Statistic Links

A Thank You Letter from Allergan

This letter was sent out to myself, Dr. Tammy Wu, and my Modesto Plastic Surgery staff.  We had sent out one of the original letters of support for Allergan which was mentioned in this letter.

Allergan manufactures and distributes the Botox, Latisse, and Juvederm which we use very often in our Botox practice in Modesto, CA.

Highlights of this letter from the makers of BOTOX:

  • November 17th, Allergan announced that Actavis will acquire Allergan.
  • Actavis shares the long standing Allergan commitment to innovation.
  • The acquisition will probably close in quarter 2 in 2015.
  • Until then, it is business as usual for Allergan Medical.

Read the rest of the letter:


December 17, 2014


Dear Aesthetic Customers:

I would like to take a moment to thank you for supporting Allergan over many years, and in particular, during the last eight months. Many of you sent letters and emails voicing your support for our company and our priorities. It was your voice that provided the fuel and reinforced the importance of maintaining a culture that continues to bring value to patients and customers.

As you know, on November 17th, we announced that Allergan has entered into a definitive agreement whereby Actavis will acquire Allergan. I am very pleased with this outcome and excited for the next chapter as Actavis is highly committed to the success of the Aesthetic specialty, and to providing new programs to further support the growth of Aesthetics market and your continued success. Importantly, Actavis also shares the long standing Allergan commitment to innovation, and bringing meaningful new products to market.

We expect that the acquisition will close in Q2 2015. Until then, it will remain business as usual for Allergan Medical, with no change to your representative support and continuation of the programs and services that you value, including our Allergan Partner Privileges (APP) program, Brilliant Distinctions, Direct to Consumer Advertising, and Allergan Practice Consulting services.

We know you have choices in the market, and always appreciate your choosing Allergan. We look forward to serving you and your patients during the months ahead and as we combine Allergan with Actavis later in 2015.

Sincerely,

David Pyott


 

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.

Monthly Botox Chart – November 2014 update

Botox Patient Charting

Background info

For fun, I like to see trends.  And I like to use the functionality of an old Excel spreadsheet.  I use Excel 2003 – it just seems most comfortable to me.  I have updated version of Excel which I use but I still always seem to go back to the 2003 version.  Just my preference.  I make these charts based on data from Allergan’s Brilliant Distinctions – I also keep track of other Botox Statistics related to our Modesto Botox Practice.  I also have 2013 Modesto Botox Statistics.  I’m getting ready for 2014 Botox Statistics, but 2014 isn’t completely over yet.  In fact November isn’t over yet either, but the next working day is Dec 1, 2014.

The Botox Patient Monthly Chart

Botox Patients Per Month
Botox Patients Per Month.  Click larger.
  • The dip in September 2014 for Botox patients is due to a two week vacation away from the office.  The much of the vacation was work related.  With visits to other Botox practitioners, Acupuncture centers, and Qi-Gong lessons.
  • The orange arrow was drawn in by hand; there was no mathematical method done for the rendering of that line.
  • December 2014 is missing from the chart because December hasn’t come about yet.
  • It’s interesting to see that the growth so far seems to be linear.
  • The chart starts with the very beginning of 2011 where a large part of my practice included General Surgery, Veins, and Acupuncture.

Some generalizations from the BOTOX chart

Regarding our Modesto Botox – Plastic Surgery Practice:

  • In 2011, the average number of BOTOX patients per month was 22.5
  • In 2012, the average number of BOTOX patients per month was 42
  • In 2013, the average number of BOTOX patients per month was 60
  • In 2014, the average number of BOTOX patients per month is 82.9
  • We await December to finalize the 2014 number above.

BOTOX Predictions

This linear growth will start to level off in 2015.  Why?  Because I am totally running out of appointment slots.  That’s fine with me.  I’ve made peace with the idea that I’m not aiming to be busier.  I just am just aiming for higher quality with each visit.  I’m looking forward to December 2014, and a New Year 2015!

 

Botox Report: Number of Patients for the Month

Brilliant Distinctions Analytics Section

I’ ve been playing around with Botox’s Brilliant Distinctions reporting.  Brilliant Distinctions is a rebate/coupon type program run by the Allergan company for our Botox patients.  I pulled up a custom report with the dates in November 2014, and selected it to produce a list of Botox patients.  This is in the analytics section.  Then I look at the reports on an excel spreadsheet.  I also keep my own Modesto Botox and Juvederm Brilliant Distinctions Statistics.

November’s Botox Numbers: 96

The results reveal a grand total of 96 patients seen for the month of November, 2014.  November has typically been a busy month for Botox at our Modesto Botox Practice: Surgical Artistry (Injections by me: Calvin Lee, MD).

96 Patients – well, this hasn’t been our busiest month this year.

I did hit over 100 patients last month.  A while back, I wrote a blog regarding the elusive 100 Botox patients per month goal for my Botox practice.  Botox and Fillers takes up half of my practice; meaning it takes up half of the practice when using time as a measure.  So it takes up half the time – stated more simply.

123 Patients seen in the month of October, 2014

October, which is last month, revealed a large surge of Botox patients into our office with 123 patients seen.  Overall, I think the Botox trend is an upward one.  Perhaps this is a reflection of the overall economy.

Excuses for not hitting 100 Botox patients this month? (with Thanksgiving in it).

Well, there aren’t much excuses except that it isn’t that big of a goal for me anyway.  My main goal is excellent results with Botox – not huge numbers of Botox patients.  But Allergan’s Brilliant Distinctions Analytics does make it fun to extract these numbers.  And… December is another month to look forward to.

Best cosmetic Surgeon Award

Best cosmetic Surgeon Award for Stanislaus County

Awarded November 2014 by Contentment Health Magazine in Stanislaus County

Below is the text from the magazine.  Thank you very much for the write-up.   We were pleasantly surprised with this best cosmetic surgeon award for Surgical Artistry.  It’s the first annual Best Of Stanislaus voting for Contentment Health and we were actually out of town when much of the voting was taking place.  We never even got a chance to vote for ourselves!

Best Cosmetic Surgeon:  Surgical Artistry: Dr. Tammy Wu and Dr. Calvin Lee
Best Cosmetic Surgeon: Surgical Artistry: Dr. Tammy Wu and Dr. Calvin Lee

BEST COSMETIC SURGEON
SURGICAL ARTISTRY
2336 SYLVAN AVE., STE. C MODESTO
(209) 551-1888 | surgerytoday.com

When you choose to go under the knife, it’s essential to have a surgeon you trust completely in charge of your procedure. When it comes to cosmetic surgery, there are few surgeons in the country as trusted as the experts at Surgical Artistry. Dr. Tammy Wu and Dr. Calvin Lee founded Surgical Artistry in Modesto 11 years ago. The married pair of ivy-league educated surgeons specialize in a full range of cosmetic surgical options to every patient along with procedures including Botox treatments, vein procedures and even acupuncture. Drs. Wu and Lee are known for their exceptional commitment to their patients and uncompromising pursuit of self-improvement. When you’re looking for fantastic plastic surgery or a cosmetic procedure, look no further than Surgical Artistry.

 

Dr. Tammy Wu, Board Certified Plastic Surgeon in Modesto is the Plastic Surgeon for Surgical Artistry.
Dr. Tammy Wu, Board Certified Plastic Surgeon in Modesto is the Plastic Surgeon for Surgical Artistry.

Please visit our Modesto Botox Home Page for more information.

Botox, Veins, and Acupuncture: How my time is broken up in the office

Office time is divided up among three main procedures:  Botox, Veins, and Acupuncture

I had a chance to do some data analysis from January 1, 2014 to June 30, 2014.  This is the first half of 2014.  I get the question from time to time regarding what part of practice involves Botox or Acupuncture or Veins?

I’m happy to report the results.  Basically it says that Botox is the biggest chunk of the office practice coming in at 47%, and Acupuncture is a close second at 45%.  Veins occupies 8% of the practice.

What about Surgeries?

That wasn’t included here.  It would be harder for me to figure out surgery vs. these office based procedures because the time required for surgery is usually much longer.  These numbers here (and percentages) are based on the total number of patients coming in for these procedures.  It is not based on time spent.  It is just based on “patient load.”

So here’s the graphic that shows the division of office based procedures:

Botox Pie Chart
2014 data for how my Veins, Acupuncture, and Botox division of office based procedures. Surgery isn’t included here since it isn’t done in the office. This chart is just the division of my patient load in the office.

Modesto Botox 2013 in review

Some Fun Statistics about my Modesto Botox Practice

by Calvin Lee, MD

I love to share information, and I wanted to be transparent about my Botox experience.  I’ve been injecting Botox since around 2006.  We started having more detailed tracking available to us starting in 2010 by having patients enroll in Brilliant Distinctions.

How the Botox statistics were obtained

The Botox statistics were obtained from Brilliant Distinctions Analytics.  This is a free service included with our participation in Allergan‘s Brilliant Distinctions program which is a “frequent flyer rewards” type program.  It is a free program for our patients to enroll.  I’ve been keeping simple statistics of my Modesto Botox practice before by looking at total number of patients enrolled and looking at the total amount of coupons redeemed.  Most of our Botox patients are enrolled in the Brilliant Distinctions patients.  As are our Juvederm and Latisse patients.  We do not currently have SkinMedica which is part of the Allergan family.  But feel free to call us to see if we have encorporated SkinMedica into our collection of skin care products.  (209) 551-1888.

Possible faults of the data collection

  • Not all of our patients are enrolled in the Brilliant Distinctions program.
  • More and more existing patients enrolled in Brilliant Distinctions as the program became more familiar to us.  This means that any increases in the number of patients “seen” for Botox, may actually be lower than the reported number because the numbers we have reflect Botox patient enrollment into Brilliant Distinctions, not necessarily patients who have received Botox.  Thus we are using Brilliant Distinctions registered visits as a surrogate for actual Botox visits.  But i think the estimate is pretty close because we try to enroll all Botox patients into Brilliant Distinctions.

Here are the Botox Related Statistics of my Modesto based Practice which I have with my wife Dr. Tammy Wu, Plastic Surgeon

  • 724 separate patient visits over the year for 2013.  This represents a 43% increase over 2012 where I had 505 separate patient visits.  In 2011 we had 270 patients registered.  But I think this number might be “artificially” lower because many of our patients at the time weren’t signed up for Brilliant Distinctions.  How is this calculated?  I went through the Analytics part of Brilliant Distinctions and had the computer program extract out the patient data one month at a time.
  • Averaging 60.3 Botox Visits per month.  60.3 Botox visits per month is the average number of visits per month for 2013.
  • 374 unique patients seen for Botox Cosmetic injections who are registered in Brilliant Distinctions in 2013.  In 2012 we had 278 unique patients seen for Botox injections.  In 2011 we had 180 Botox different patients.  Unique, or different, patients means that these patients were counted only once even if they came to the office several times over the year.
  • I couldn’t seem to find too many monthly trends with our Botox Visits.  But from what I can see over three years of data, it seems that there is a consistent increase in patients in March and November.  I’m not sure about these seasonal changes, but this may be specific to our town of Modesto, CA.
  • We grew to have about 245 new Brilliant Distinctions Signups in the last year.  This also includes Juvederm-only and Latisse-only-patients.  This averages about .67 new Botox/Juvederm/Latisse patients per day (365 days per year).
  • We reached 702 unique patients on Brilliant distinctions.  This growth in the number of unique patients is very steady – it doesn’t seem to be increasing exponentially, just a direct increase which is steady.

Financial analysis and comparison with the other components of my medical and surgical practice.

I have many medical colleagues and students who ask is a profession of doing Botox worth it?  They mainly ask from a standpoint of does Botox make money?

Without going into gory details.  I can say that  the other parts of my medical practice was more profitable than the Botox part of the practice.

As with any other medical practice there’s the personal satisfaction aspect.  For me is very satisfying to be injecting Botox.  I enjoy the process and having wonderful patients who value appearance and beauty.  And most of all, I enjoy working with my wife who is a plastic surgeon.  I have been working with her since we moved to Modesto in 2003.  However, it became an every-day work experience together since 2006 after we founded Surgical Artistry in Modesto, CA.

Another financial rewards related Botox question:  How much overhead does one have when injecting?  I guess one way to answer this question would be to look at my Botox and Dermal Filler practice in a vacuum.  Botox and Fillers (ie. Juvederm Voluma, Juvederm Ultra, Juvederm Ultra Plus XC, Belotero Balance, etc) are expensive for the practice to buy.  These are the most expensive products I have ever had for my surgical practice.  Expensive in terms of price for size of product.  In my estimation, I think a Cosmetic Injectible practice’s overhead with lasers (I have one laser) would be about 75%.  Meaning there’s a 25% profit margin.  This is without a surgical practice, vein practice or acupuncture practice.   I don’t use our laser all that much, and this figure of a 25% profit margin on a Botox/Filler/Laser non-invasive cosmetic practice is for my practice.  I’m sure it would vary.  I’m factoring in the cost of the products and the overhead costs of the office – staffing, malpractice insurance, rent, utilities, supplies (syringes, etc).  And this figure would be before tax – which will of course, take out another chunk!  I hope this information helps.  I’m thinking that most of the people reading up to this point are Botox injectors of sorts or interested in becoming one.

Graphical Representations of Botox Data

Modesto Botox Monthly Statistics
Number of Unique Botox Visits to my Modesto Botox Practice broken down by Month
Botox patients per month with actual numbers
The graph shows the Botox Patient Visits for the past consecutive 35 months. It is missing December 2013’s data. But for 35 months before December, it is shown above.

Conclusions and predictions.

Botox is growing at our practice in Modesto.  There is definitely room for even more growth for my practice.   724 separate Botox visits is certainly a good “start.”  I think my practice could handle twice that.  I guess we shall see what 2014 holds – this is hard for me to predict.  I think our growth will slow percentage-wise for 2014, I think it will be lower than  the 43% growth we achieved this year.  I think I would be happy with a 15% growth in the amount of Botox appointments.  A 15% growth for next year will reveal 833 patients.  So perhaps that’s my prediction for 2014.

We currently have 702 different patients signed up for Brilliant distinctions.  If I were to be ambitious, I would hope to break 1000 new patients in our Modesto Practice’s Brilliant Distinctions program.  But a conservative estimate based on calculations over the past 3 years would be 947 members signed up.

Good luck and Merry Christmas!

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Update: Please see a new Blog entry:  Botox Charting of 2011-November 2014: BOTOX patients per month