A Botox injector is should have some time off. Not only to have time to work on a Botox Blog, but to do other fun things…
Driving through the first few minutes of the Modesto Sparkles Car Wash on Coffee Road. It’s in the northern part of Modesto, and it has a PET WASH component too. I just got this Patriot CT7 camera made in Taiwan, and this is the first video that I’ve processed. I think this is like a Go Pro camera, but I’m not sure, because I’ve never owned a Go Pro camera.
This is my first day with this Patriot CT7 camera, and I just noticed that there is a date/time stamp which I hadn’t set yet – thus the date and time is wrong.
That’s a somewhat non-specific question. And sometimes patients use the word Juvederm to mean all sorts of fillers. And the answer is yes, we have Juvederm in our Modesto office. As of the writing of this Modesto Botox blog, we have all the different Juvederm which is available in USA.
First of all, how do you spell Juviderm?
Juvederm is the spelling. No wait, it’s JUVÉDERM®
You need to have it all in caps and that fancy É and you need to trademark symbol. That’s how it’s spelled correctly. So I guess everyone for the most part spells it incorrectly. So “Juviderm” is fine too.
Thus the confusion.
Juvederm is like Calvin Klein. What? So do you have Calvin Klein? Well, it’s not exactly like that either.
Perhaps I should try to explain.
Juvederm is a family of fillers with varying properties. They have different thickenesses, different size needles which come in the packaging, different duration, different indications, and of course injectors will have different preferences.
Juvederm in different countries…
Juvederm has different names, and outside of the USA there are many other variations of Juvederm. Many of which I’ve not tried nor do I even know about (yet).
Juvederm in Modesto, CA, USA
I pretty much the entire collection of Juvederm products available in the United States in my Modesto Botox/Juvederm practice: Surgical Artistry. My wife (board certified plastic surgeon, Dr. Tammy Wu), and I feel that the entire range of products are necessary for obtaining the desired results.
The different Juvederms are like different sized paint brushes
With the different Juvederm products, we feel that we can achieve different outcomes and for different skin thicknesses.
Juvederm Products – biggest difference is thickness
The XC products have lidocaine added inside. Some patients might be allergic to lidocaine or may approach a toxic dose of lidocaine with too many syringes selected; thus a non-lidocaine version of the product may become more desirable.
The products above are listed in general from thickest to thinnest.
There’s a whole world of folks arguing about the terms thickness, viscosity, G-prime, compressibility, lifting capacity, etc. I understand some of the subtle differences. But “thickness” is a simple way to look at it.
And XC probably stands for Xylocaine, or perhaps it stands for extra comfort? I’m not sure, but perhaps it’ll be for the patients to decide – especially if they say, “that didn’t hurt at all, doctor!” Music to my ears.
Although Lidocaine may rhyme with Candy Cane. It’s not Candy.
2013 Botox / Allergan Background for Calvin Lee, MD
I founded Surgical Artistry with my wife in 2006.
I have participated in cosmetic surgeries by assisting my wife (Dr. Tammy Wu) in plastic surgeries since 2006. I mainly assist with almost all tummy tucks and face lifts which are done by Dr. Tammy Wu, Board Certified Plastic Surgeon in Modesto.
Dr. Tammy Wu gave me my initial certification to inject Botox, via instruction, guidance, and critique. The certification was approved by California’s Cooperative of American Physicians. I have since developed my own style of injections. This was not required for me. But something I wanted to do.
I started officially injecting Botox in the year 2008 with approval from the Cooperative of American Physicians. I had to submit my trial cases of Botox and get a letter of recommendation.
Eventually, I became a speaker for the Allergan company (makers of Latisse, Botox, and Juvederm)
I have also received personal tips from one of the original injectors of Botox and Dermal Fillers, Dr. Steve Yoelin in 2013. I attended one of his lectures in 2013 and have kept in touch due to his kindness and generosity.
Summarized 2013 Statistics for Calvin Lee, MD regarding Botox in Modesto, CA
I definitely hope to continue to grow and I am very thankful to those who trust me with their cosmetic Botox injections.
For fun, I queried our database for the number of Botox visits I had in 2008 when I first officially started with Botox injections (May – after getting a self imposed formal certification to perform the procedure). I had 103 Botox patient visits in the year of 2008. In contrast, 724 patient visits for Botox for 2013 is a nice improvement.
This is not done with Juvederm Voluma. As of November 2013, I do not have experience with Juvederm Voluma. Juvederm Voluma, however, is on it’s way to the office in Modesto, CA and I will soon have experience with this new dermal filler. [update: I’ve used my first syringe of Juvederm Voluma on 12/24/13. It was a very satisfying and positive experience. I look forward to having even more experience with Juvederm Voluma. I was able to use my 27g 1.5 inch cannula for Juvederm Voluma injections].
To improve my cosmetic dermal filler craft, I’m analyzing my past week. 95% of this result was performed with CANNULAS as an instrument of liquid implant delivery and a whole bunch of other secrets. There’s more that I would like to do with fillers for her, but my instructions were only to work on under eyes (tear troughs) and cheeks.
Patient had lost a good deal of weight and it is showing in her face. Options include face lift. However, she chose to use Juvederm, Belotero, and Botox. In the before picture she had Botox and Juvederm expertly done at another plastic surgery practice in our town of Modesto, CA. I added upon that work to get the 13 day “after” picture using only Belotero and Juvederm.
I perform Botox injections for Axillary Hyperhidrosis (excessive sweating – underarm). However, I’m always in the interest of getting the patients the best value. I don’t take any forms of medical insurance, and the procedure with me costs $1000 (price as of 11/15/13, subject to change), and the results last about 9-12 months when injected in a focused pattern after localizing testing with starch (otherwise it’s probably more like 6 months). I’ve heard that medical insurance might cover this procedure, have you found a good place to get this procedure done under insurance? Is the doctor good at it and does the insurance really cover the procedure adequately where the doctor feels that he is getting paid for the Botox used? Botox is an expensive product to acquire. I would like to send patients to a insurance provider who will do a great job. So far, I personally haven’t found this. So for now, many people are stuck with me for the $1000 procedure.
Feel free to email me if you have further thoughts: staff [at] surgerytoday.com
I created Surgical Artistry with my wife, Dr. Tzuying Tammy Wu, Modesto Plastic Surgeon. I am a surgeon & violinist. I have enjoyed playing my violin at Carnegie Hall in New York twice thus far. Originally from New York City, I moved to Modesto, CA in the year 2003. Highlights of my educational life are getting accepted to all the universities which I applied: Harvard, Stanford, MIT, Yale, and much more. After careful decision, I felt Brown University was best for me and that was where I met my wife, Dr. Tammy Wu. She eventually graduated with a #1 designation from our class at Brown . Surgical Artistry is proud to be founders of the Surgical Artistry Modesto Marathon, Modesto Symphony Pops Series, and the Gallo Center for the Arts.
I LIKE HONESTY:
I would like to think of all my patients as my friends. Friends should be honest to each other.
I LIKE NEEDLES:
My staff counted once, and I use up about 500 needles per day. I use needles for acupuncture, vein injections, Botox, Juvederm, Belotero, and DermaPen. Doing surgery with needles is what I do at Surgical Artistry. So if you need medical procedures which involves needles, please consider me.
I LIKE ART:
For my music with the violin, I understand the creation of art which appeals to one’s positive emotions. This artistry is the same for the subtle changes that I need to make when injecting Botox and dermal fillers (Restylane, Radiesse, Perlane, Juvederm, Belotero, etc).
I LIKE COMMUNICATION:
I think at least 50% of creating a great result is based on understanding the patient’s goals and vision, and then also communicating expectations and trade-offs. The final result is the result of teamwork with me, my office and my patient. This type of communicative teamwork requires time and patience to achieve the desired result.
I’M PRECISE WITH MY HANDS:
I am a surgeon and an instrumental musician – these are two things which improve my dexterity every day. Having precision is a high priority in my life.
I WANT GREAT RESULTS:
Why? Because my plastic surgeon wife will kill me otherwise. Well, kidding aside, I am dedicated to great results for all the modalities I offer at Surgical Artistry: Acupuncture, Botox, Dermal Fillers, and Veins. Great results and happy patients are what fuels my enthusiasm and purpose on this planet.
Calvin Lee, MD
(209) 551-1888 (office in Modesto, CA)
Here are some reviews found on my Yelp page:
These are the filtered out reviews which I think are very valid and thank you to those who took the time to write and I’m sorry they got filtered out on Yelp. I have no control over that
This kind review is about my acupuncture practice
“Dr. Lee is great! I’ve been going to him for years for various health issues, especially stress. It leaves me so relaxed with a lasting effect and is very healing. I am unable to go longer than a month without seeing Dr. Lee because it keeps me healthy like nothing else does.
Dr. Lee has even given me acupuncture for wounds and the flu that have healed much faster than usual. He’s easygoing and really good at what he does. It’s very important to be calm, so the energy blockages can be released and your chi can flow again and bring healing. Before acupuncture, I could not feel the energy at all because I was so blocked. Now I can feel it as soon as the first needle goes in and my feet vibrate with all the energy that flows. I highly recommend Dr. Lee.”
This other very nice review is regarding my Botox practice
“Dr Lee is amazing with botox/juviderm injections. He is extremely people oriented and has a fantasic bedside manner. His results for getting rid of unwanted wrinkles are fantastic and almost painless I will continue to go to him in the future and hightly reccomend his services if you are looking for injections !!”
I would love to get more Yelp Reviews:
I would love to hear more review (hopefully positive feedback? – if you feel I deserve it).
Some initial thoughts of mine on Belotero. These will change from time to time. Much of this is consider off-label-FDA usage.
Belotero Balance and Botox for CROWS FEET
Off label FDA usage of Botox around the eyes has been the mainstay of treatment. In my Modesto, CA practice, I’ve recently tried Belotero Balance – a dermal filler, to fill in the medium-fine lines that make up some of the crows feet. Belotero seems to integrate nicely into the skin. In conclusion, I think Belotero is a nice add-on in addition to Botox treatments around the eyes. Belotero is most outstanding in those static line crows feet.
Belotero Balance for TEAR TROUGHS UNDER THE EYES
Under the eye area – I’ve been super pleased with Belotero Balance, as have our Modesto patients. I have in the past used Restylane and Juvederm ultra in these areas under the eye. But I feel I get even smoother appearances under the eye with Belotero.
Belotero Balance for SCARS
This is where Belotero doesn’t seem to do as well. Scars around the eyes and other areas on the face – I feel that even with freeing up some of the tissue under the scar, the Belotero isn’t able to lift the scars up as much as I’d like it to. I think in these areas I may prefer a thicker dermal filler product.
Celebration with Botox, Juvederm, Latisse, and Obagi at Surgical Artistry, Modesto, CA
Purpose of this page: To share information with other plastic surgery or cosmetic minded practices regarding open houses. Our first open house had 235 people come through. I’ve decided that was too many people, and have since come up with strategies to focus the open house to have fewer people. We are 2 doctor, husband-wife, plastic surgery practice located in Modesto, CA specializing in Plastic Surgery, Cosmetic Injections, Veins, and Acupuncture.
My wife and I became a team when we met as part of the Program in Liberal Medical Education (PLME) at Brown University. My wife, Dr. Tammy Wu, eventually graduated top of her class with the award for highest grades among the women doctor graduates of that Brown University program. I on the other hand, as a violinist, had the fortunate experience of being the concert master of the Orchestra and a two time winner of the concerto competition at Brown University (had to add something in there so I didn’t sound too shabby in comparison). We also helped to start a marthon in Modesto, California called the Surgical Artistry Modesto Marathon – how exciting. We are now getting ready for the 5th annual edition of this marathon.
Today (Saturday, August 3, 2013) we celebrated the start of our 11th year in Modesto, California. To kick off the celebration we were supported by Allergan (the makers of Botox and Juvederm) to do an educational event regarding Botox and Juvederm. I had two models and we injected Botox into different areas of the face, and then the most dramatic changes were using Juvederm. In many ways, I guess you could consider this an open house.
Genesis of this event
I had originally talked with Allegan – the makers of Juvederm, Botox, and Latisse about having a 10 year celebration. So in essence this was the 10 year celebration of Dr. Tammy Wu and myself (Dr. Calvin Lee) being in Modesto. The first 3 years of this decade were spent at Sutter Gould and McHenry Medical Group (now known as GMMSA – Greater Modesto Medical Surgical Associates) respectively, for the two of us. Allergan’s Northern California Regional Manager presented to me the idea of having a nice lunch and then focusing the event on live demonstrations of Botox and Juvederm. I’ve never done a live demo before of Botox and Juvederm and I was excited by the idea. I’ve heard of other cosmetic practices having done this, but this would be a first for me. I didn’t follow his plan exactly. He had a small admission fee in mind and it was to be set on a work day (Monday-Friday) from 10am-2pm. The admission fee could potentially be applied to a Botox or Juvederm procedure. My reason for that was that Dr. Tammy Wu had already been planning an Obagi event from 9am to 11am – a Saturday breakfast kind of event. And she thought we could Piggy Back onto that event and attract even more people – people who were interested in Obagi and perhaps a separate group of people interested in Cosmetic injections. We thought the two groups of people would be interested in both events. So we combined them and didn’t charge an admission fee and had it on the weekend and extended the hours of the event.
Similarly, two months ago we did a Breast Augmentation Open House event sponsored by Mentor with mini lectures by Dr. Tammy Wu, Modesto Plastic Surgeon. We had a turn out of about 30 people, and the advertising method was similar – all via FaceBook.
How did I advertise our Botox / Juvederm / Obagi Modesto event?
I had advertised this cosmetic event on FaceBook . I advertised to the Modesto area, and spent about $1000 on advertising. I created an Botox Juvederm event page (which was free on FaceBook). But paid for those advertising on the sides and in boosted posts. I had trouble with boosted posts for some reason and never really figured out the reason. I’ll have to put in a query to the facebook posts. But I’ve had trouble in the past with plastic surgery type advertisements in FaceBook. The free event page received 124 “going” guests – I think that’s a great way to spread the word.
We got about 60 guests as estimated by our Surgical Artistry staff. I was pretty impressed. I think about 90% of the patients were new to the office. We offered specials on Obagi as well, and I’m sure this was partly a draw – so not everyone was here for the Botox and Juvederm demonstration.
DEWZ Restaurant was one of the main attractions
We had great food catered by DEWZ Restaurant. The food and amount worked out well. We had requested food for 30 people for the catering. In the past we had reserved for 60 people (we used Surlas before), and that was too much food. You can get overwhelmed with food. Back to the topic of DEWZ, Judy, one of the owners of the restaurant came herself to make sure the process went smoothly. We are very appreciative.
People were able to walk in and out of my procedure room. I think I heard that the injections into the lip seemed a bit much for patients – it just seemed somewhat “scary” perhaps. Perhaps lip injections weren’t the best public demonstration.
Regardless, many patients stayed for the demo and I think they learned a good deal and some of them even signed up for cosmetic injections.
Feedback on FaceBook
Here are some comments we got on FaceBook after our event:
Results of the Botox / Juvederm Banking (pre-sales)
When we counted up the results, we pre-sold 500 Units of Botox and 19 syringes of Juvederm. We had about 60 guests come to visit. 27 of the guests purchased something – either Obagi, Botox, Juvederm or Latisse.
Thank you very much for coming to our Botox / Juvederm / Obagi event. We truly appreciate the tremendous support.
Having a sign in sheet may improve the flow of the event for those waiting for the Obagi Rep who did free personalized skin care analysis with the reveal machine.
Having catered food for 30 people was enough.
It is possible to do all the advertising through FaceBook without tapping into our email list – especially if the goal is to introduce the practice to new patients. We love having many establish patients come by to mingle and talk about us with the new potential patients.
Most folks don’t come right at the beginning of the open house. The popular time is around 10am or later it seems. A shorter open house between 10a-2p might be a new possibility and this could possibly be done during a work day instead of a Saturday.
My continued struggles with plastic surgery advertising on FaceBook. The challenges are targeting requirements, and possible rejections based on their criteria for “text” as part of images ie. Botox logo or Obagi logo have too much text for FaceBook. And they do not take before and after pictures as part of advertisments, and they sometimes classify breast implants as sexual aids and sometimes Botox as illegal drugs.
Summary of the event pages used on FaceBook for my previous events.
I didn’t include our Surgical Artistry Modesto Marathon event pages here.
I had used three different FaceBook event pages for the Breast Augmentation event (June 1, 2013):