What’s the difference between Restylane Kysse and Regular Restylane?

This was a question I got today as someone on the phone asked the question to one of my staff members. I just heard about the question and thought I’d try to answer the question.

There are different types of Restylane as of 9/28/2020

There is:

Restyane Silk

Restylane Refyne

Restylane Kysse

Restylane Defyne

Restylane-L

Restylane-Lyft

That’s 6 different Restylane’s. That’s more than the different types of Juvederms that I have at the moment.

Comparison of Restylane Kysse to Regular Restylane-L

Restylane Kysse is a newer filler that came on in 2020. Restylane L has been around as the original filler but without the lidocaine. It was the first filler that I injected back when I started around 2007.

In general I would say that Restylane Kysse is less stiff, and more flexible than Restylane-L, and the syringe that it comes on is different for the injector – just a different design. Restylane Kysse is specifically designed with the lips in mind, and Restylane L is for Nasolabial folds, etc.

There is still so much to fillers and a lot of is how it is used by the injector. These different filler types are tools for injectors to use to help create the goals they have in their mind, and the different fillers exist to help us get to our goals more efficiently.

Some of what we choose to use is based on experience and comfort. I have used Restylane-L under the eyes (tear troughs) for awhile and I’m very comfortable with it there.

I hope that helps answser the question.

Here’s a link to the different types of fillers and which fillers I choose for lips and why. Kind of a: How to choose the right filler for your lip.

In general, I still say, don’t focus too much on the syringe type or brand. Let your injector pick the one that works the best for your goals.

Here’s a rundown of what I think of the different Restylane fillers that I have

Restyane Silk – soft filler, but isn’t very flexible

Restylane Refyne – supersoft filler with a great deal of flexibility

Restylane Kysse – medium firm filler with a good deal of flexibility designed for lips

Restylane Defyne – firmer filler than Kysse with a bit of flexibility

Restylane-L – firm filler with minimal flexibility

Restylane-Lyft – Firmer than Restylane-L filler with minimmal flexibility

Switching over to Alle

Attention Surgical Artistry Brilliant Distinctions members,

This is Alysha from Surgical Artistry. As some of you may already know Brilliant Distinctions rewards (for Botox, Juvederm, Kybella, Latisse, etc) is switching over to Allē. This switch will be happening on Wednesday September 30th , 2020. There are a few short steps you will need to take in order to merge your Brilliant Distinctions account over to Allē. You will first need to know your Brilliant Distinctions login information (Email or phone number and password). If you do not know your login information you can reset your password at www.brilliantdistinctionsprogram.com or by calling Brilliant Distinctions Customer Support (888) 324-2745 (8 AM-6 PM CT, M-F). Once you know your login information you will go to www.alle.com. Here you will merge your Brilliant Distinctions account by clicking on Join with Brilliant Distinctions. You will now enter in your login information. Once you are logged in, you will need to follow the steps on your screen to merge your account to Allē. Please be sure you follow all instructions until the process says you are complete. If you are having issues merging your account, please call our office at 209-551-1888 and our staff can send an Allē invite link to your Mobile device. We hope you will enjoy the new Allē Rewards Program and we thank you for your patience through this change. 

Best regards,

Surgical Artistry Staff

Brilliant Distinctions has been growing – 2019 stats:

In 2019, Brilliant Distinctions grew an additional 6 million members. It is in 25,000 doctor’s offices. There are 60,000 new consumers each month. I had previously estimated that there are 40,000 Allergan accounts in the USA – but that was my own personal estimate based on some statistics I’ve seen a few years ago and my own calculations. I wrote a bit about this estimate in my post about being a Top 250 Allergan Account in the USA.

What fillers do I use in the LIPS for injections and why?

Lip Injections by Calvin Lee, MD, My thoughts in 2020

This question is a bit like asking what type of how do I like to use for playing the violin. Sometimes it depends on my mood and sometimes it depends on what type of mood I’m trying to create. It also depends on what type of technical challenges I’m up against.

This discussion is limited to the syringes I have at my office.

Image may contain: 13 people, inclu

Above collage are lip before and after pictures of my patients in the 4 weeks leading up to today 9/13/20. Pictures posted with permission. Bottom right pictures are of the Surgical Artistry team.

Dumbells vs Fillers?

Oh another analogy: Picking a filler might be a little bit like picking which kind/type of dumbells one might use for working out. There are different brands of dumbells and different weights.

Juvederm Volbella

Often I choose Juvederm Volbella XC to inject into the lips. The syringe itself is very ergonomic and has a good responsive feel when I inject it when attached to a 32 gauge needle. This needle gives me enough resistence so I don’t just pour it all out in one spot.

It is a soft filler (not very thick – or it has a lower G prime) made of smaller Hyaluronic Acid molecules. The molecules stack on top of each other very smoothly. So if I’m looking for a subtle and more smoother look, I choose Volbella. Many younger patients who have a nice vermillion border and philtral column do very well with Volbella but many times we need two syringes of Volbella for the younger lip. Volbella also has less swelling due to the vycross technology and uses a smaller needle which is a 32 gauge needle. In the older patient, Juvederm Volbella sometimes looks the most natural with softer edges for the lips. The tissue integration of this product is rapid and thus there would be less movement of the product after injection. This is a great filler for patients with thin skin for their lips. Volbella is also a relatively long lasting filler syringe wtih longer duration compared to Ultra and Ultra plus.

This product also doesn’t look too blue under the skin and thus can be used very nicely for those smoker’s lines. This is one of my favorite products to inject into smokers lines.

I recommend this Volbella syringe to the more extremes of age – youngest patients and oldest patients – and in patients who only want a very subtle change but want long lasting results.

Volbella is a medium-high cost syringe in the lineup of Juvederm products.

Juvederm Ultra

This is my most commonly used filler for lips. I have been doing lip fillers since 2008 and this filler just feels very comfortable to me in my hand. I like the way the filler syringe feels and I like the feel extrusion force. This filler is attached to a 30 gauge needle.

This is a filler that makes great borders of the lips, and I like to inject it close to the vermillion border, and use it for philtral column support. The results are beautiful and this tool is in my comfort zone due to my experience with this product. This filler however tends to swell afterwards.

This filler is also very good for lines around the mouth. I will sometimes take a second syringe of Juvederm Ultra and use it for perioral support and reduction of the lip lines. Sometimes patients don’t want fillers in the red part of the lip, they just want the perioral support and lip line reduction (smokers lines – or bar codes).

This is the lowest cost product of the Juvederm lineup of products. I don’t choose it based on cost, but I choose it because in my hands, I feel that the results are predictable and it creates beautiful borders with the versatility of creating a fuller, plumper lip. Overall, I feel that Juvederm Ultra is the most versatile filler product in my hands. It can create a nice body to the lip along with a nice border to the lip.

Juvederm Ultra Plus

I sometimes use this syringe for lip augmentation. I am not entirely used to the light extrusion force when attached to the native 27g needle. The syringe itself is a wonderful tool as with all the other Juvederm products, with rubberized grips in the right places.

This Juvederm Ultra Plus filler is good for creating volume. But in my opinion not that good for creating the borders and many times in my observation it seems to extrude out of the borders. This is a thicker filler like a thick jelly and isn’t great for the fine borders or philtral columns but is good for creating a stiffer and thicker body to the lip.

Juvederm Ultra Plus is the same price point as Juvederm Ultra – they are both on the low end of the price scale.

Juvederm Vollure

The extrusion force is on the lighter side, but I can definitely get used to it. I’m so glad it comes on a 30 g needle so that it is less traumatic to the lip. I love the ergonomics of this syringe. It has a nice violet color to the syringe that lets me know that I’m using the right syringe.

The Vollure Lip procedure is becoming one of my favorites for building a fluffy body to the lip. Vollure is a very spreadable smooth filler that has the Juvederm vycross technology which allows the filler to last longer. This isn’t a great filler for sharpening the borders or defining the filtral column but it is wonderful for volumizing the lip, and giving it a bigger look and having great mobility of the lip without looking stiff. This filler works great going through a cannula as well.

Juvederm Vollure is very versatile and may work well alternating or alongside Juvederm Ultra. Using Vollure for creating a fuller body and using Juvederm Ultra for creating the definition. The swelling is less for this filler than a Juvederm Ultra filler procedure.

This product also integrates quickly into the lip and doesn’t move or swell much afterwards.

Vollure is a medium-high price for the syringe.

Juvederm Voluma

I’ve used this for lips a few times, mostly at patient request. This is for someone who wants a stiff large lip which can sometimes look a bit wider. I usually use this syringe in the cheeks for a stiff filler. This is the stiffest filler in the lineup of Juvederms at this moment in 2020.

This syringe is not good at creating borders, but it is good for creating a stiffer, wider, and fuller look and feel.

Juvederm Voluma is the highest priced syringe in the Juvederm line up at this moment. It is also very long lasting.

Restylane Silk

This Restylane Silk is an incredible syringe for the lips. It creates a very soft look and feel and rarely forms bumps. It does unfortunately create a good deal of swelling afterwards. I like this syringe very much for helping with the lip lines around the mouth. This product also does not look very blue under the skin.

Restylane Kysse

I’ve only injected this filler syringe a few times. I do not have good motor memory with the use of the syringe. I’m not entirely used to the markings on the syringe itself – to give me a visual feedback of how much I’ve injected. This is mainly due to the fact that I’ve injected thousands of Juvederm fillers and very few Restylane Kysse syringes in comparison

The lip filler seems to be a very nice filler which isn’t the best in my hands for creating borders, but it is decent. Not bad for creating philtral column definition, but perhaps a bit thick. It is good at creating a nice fluffy body of the lip and many patients like the results. This product has a lot of potential. I think the thickness falls between Juvederm Ultra and Juvederm Ultra Plus.

Restylane Refyne

This is a lightweight filler that creates a soft change to the lip with flexibility. It is very popular with some of the patients and is asked for by name. I think it is very versatile.

Restylane Defyne

This is the thicker version of Refyne. This is a very versatile syringe and creates a result thicker than Kysse in my limited opinion. The lineup seems to be from thinnest to thickest: Restylane Refyne, Restylane Kysse, and Restylane Defyne. My patients who have gotten Refyne and Defyne for their lips seem to think that Kysse is better and just right for their lips.

Restylane L

This was my original lip filler syringe that I used back around 2006-2008. This syringe is still one of my favorites to use. It creates nice borders and stiffens and lifts the body of the lip. I like the feel of the syringe and it fits into my smaller hand very easily.

Restylane Lyft

I’ve actually not tried this in the lip, but I think it would be similar to my Juvederm Voluma Experience

Belotero

This Belotero syringe does a very nice subtle change to the lip very similar to the Silk and Volbella changes, but the duration is pretty short. I only used it when it first came out, and it doesn’t have lidocaine built inside like all the other syringes mentioned earlier..

In Summary of Fillers for the Lips – how do I choose?

I choose based on familiarity – can I inject it with my eyes closed type of concept.

I choose the filler based on the physical syringe itself – can I visually see what ratios I’ve created easily, and will the syringe fall out of my hand? And when I push the product, will I get good tactile feedback regarding how much I’ve actually pushed? This is somewhat like the gas pedal of our cars. Some have a stiffer pedal and others, you might floor it without knowing – zoom! A lot of this is also based on familiarity too and some of it based on purposeful design.

I choose this based on age of the lip, thickness of the skin, and desired outcome.

For a patient who wants a very stiff thick lip – then Juvederm Voluma.

For patients who wants everything – nice borders, flexibility, more fullness – but is willing to be a little bit on the smaller size and knows that we can just add more syringes of the same product or other products to get a bigger size: then it’s my usual Juvederm Ultra. We can add more in a few months to get to the right size.

For patients who want a subtle change with long duration with less recovery: Juvederm Volbella

For patients who already have a nice vermillion border who knows they want a bigger lip but only wants to do one syringe with longevity then I choose Juvederm Vollure. This syringe creates more of a visual change as seen in pictures.

For my patients whom I’ve had from 2008 and have liked their lip results with Restylane, I continue on the Restylane track. The same for new patients who want to try something new or came from other practices who use more Restylane than I do. Restylane is a fine set of fillers.

There is a new filler which can be used in the lips which is RHA 2 and RHA 3. New to the USA. I’ve tried RHA 3 and it seems very nice too.

My most common to least common ranking of lip fillers used in my own practice:

Most common on top:

  1. Juvederm Ultra
  2. Juvederm Volbella
  3. Juvederm Vollure
  4. Juvederm Ultra with Volbella combination
  5. Juvederm Vollure with Ultra combination
  6. Juvederm Ultra Plus
  7. Restylane Kysse
  8. Restylane Silk
  9. Restylane Refyne
  10. Restylane Defyne
  11. Belotero

In the end, it comes down to four things when I pick a filler to inject lips.

  1. Injector factors – injector’s personal preference, familiarity, predictability of giving the right outcome, reliability and responsiveness of the filler company.
  2. Patient factors – thin skin, age of lip, lack of border, patient desires.
  3. Friends and family factors – what do they prefer when they look at your lips and does it matter to you?
  4. Financial factors – cost to the patient and cost to the injector. Many fillers can give a similar look but can I as the injector make that desired outcome with the least amount of product? I call this efficient use of product.

Feel free to find me for a consultation regarding lip fillers in Modesto, CA: 209-551-1888.

Before Lip injection – answer this one question

The one thing I need to know before doing your lip injection

So the topic today is: The one thing I need to know before doing your lip filler injections with Juvederm or Restylane.

Have you ever had cold sores on the outside of your lips?

What is a cold sore? It is caused by the herpes simplex virus.  I know now we’re all worried about some other virus right now – the coronavirus, but I still worry about an “older” virus.  Cold sores are caused by the herpes simplex virus.  There are 2 types and type 1 is the usual cause of the cold sores around the mouth.  At least half of all adults are infected with herpes simplex virus type 1 which spreads easily from person to person.  Once you have the infection, you have it permanently.  The virus lies dormant inside the nerves causing no symptoms most of the time.  But it can be woken up by triggers such as stress, sunburn, hormonal changes, exhaustion, fever – this is why they are sometimes called fever blisters, and any trauma around the area where the herpes simplex virus lives.  An example of trauma would be needle trauma from lip injection procedure.

By knowing your history of cold sores and how easily you get them, we can have a plan of possibly pre-treating your risk of a flare up by having you take a prescription medication called acyclovir right before your lip procedure or even a few days before your procedure if you are really prone to cold sores.  I have pills of acyclovir available in my office and you can take a tablet right before your procedure while numbing up those lips with topical numbing cream.  Totally optional and we offer it for free.    I joke with my patients when they try to chug down the pill of acyclovir while their lips are getting numb from my special formula numbing cream.  When the water drips down the floor because you can’t feel your lips, I pretty much will say, “I see you have a drinking problem!”

I would also write you a prescription for acyclovir tablets to take at home to prevent the flare up.

On another note, cannulas for lip augmentation is something I also do if the risk of swelling and cold sores is severe.

The risk of flare ups with patients who have had previous coldsores is relatively low, but I think it may be 1 in 5 procedures and with pretreatment, perhaps we lower that risk to 1 in 20 procedures.  So I would rather have a lower risk, because cold sores are unsightly and can lead sometimes to scars, and sometimes it can even push our lip filler off to the side.

The lip filler experience can be a bit of a roller coaster ride afterwards because of the swelling, and if we can eliminate the added aggravation of having a cold sore – that would be a good thing.

Also if you have a history of swelling a lot with hyaluronic acid fillers such as Juvederm and Restylane, it would be good for me to know too because we can consider an antihistamines or a prescription prednisone series of pills.  Prednisone is a steroid which is like a big “off” switch for the body and part of what it can do is turn off the swelling mechanisms. So prednisone, antihistamine (like Zyrtec), and cannulas are options for patients with extreme risk of swelling and cold sores.

But in summary, I will ask before your filler appointment if you have a history of cold sores – mainly because it’s somewhat of a risk with lip fillers, but we can lessen that risk by being prepared. Come visit me for lip fillers in Modesto, CA.

Hyperdilute Radiesse

Hyper-Dilute Radiesse, written by Calvin Lee, MD / Surgical Artistry
(209) 551-1888

What is Radiesse / Hyper-dilute Radiesse?

Radiesse is made of calcium hydroxyapatite, which you also normally have in your body.  Radiesse is a filler that has been around for many years.  We took the Radiesse and diluted it down so it’s not as thick.  We sometimes take one syringe of Radiesse and add sterile saline to turn it into 2 or 3 syringes.  This is the process of diluting it and sometimes we call it hyper-dilute Radiesse.

Why do hyper-dilute Radiesse?

The purpose is to stimulate the growth of collagen and have the skin improve in texture, thickness and tightness.  Subtle wrinkles can improve as can skin texture including.  The skin can tighten a bit too.  Hyper-dilute Radiesse works great for temples (side of forehead), lower cheek, neck, chest, buttocks, knees, arms – basically anywhere skin could use some improvement with stimulated collagen.

How often to do hyper-dilute Radiesse?

Growth phase: Consider 2-4 times the first year (spaced 2-4 months apart).
Maintenance phase: Consider 1 time a year.

How many syringes for each session?

Depends on the area.  For the lower cheeks – 1 syringe.  For the neck – 1 syringe.  For the chest – 1-2 syringes.  For the Buttocks – 2-10 syringes.  For the Arms –  1-2 syringes.

When can you see results?

Immediately you see some changes because Radiesse is a filler.  You will see some thickening of the area filled.  But the main results that I’m excited about takes about 2-3 months to see when the collagen starts to enhance.  In some patients it would be subtle and others more noticeable.  Collagen growth is dependent on one’s health, diet, stress level, and many other factors like smoking (smoking is bad for collagen growth / eating lots of fruits and vegetables is good for collagen growth).  Patients have seen continued results of collagen growth even after 6 months and perhaps even after 9 months.

How long do the results last?

In general I think patients will want to repeat the procedure every year.  The collagen stimulated to grow is your own collagen which you could keep for many years – hard to say specifically how long.  But I recommend once a year for maintenance and perhaps even more if one wants to keep improving the area injected.

What to expect afterwards?

I use numbing medicine to help in the comfort of the procedure.  The numbing medicine can temporarily cause a lopsided smile for a few hours after the procedure.  Some patients have a bit of dull ache in the area injected for about 1 week.  Some patients get some swelling which can last 1-3 weeks after the procedure.  After a few days, the saline gets absorbed and the swelling goes down.  The saline is 50-75% of what we injected.  No pain medicine is needed afterwards, but one is welcome to take over the counter medications used for headaches if needed, or apply ice to the areas injected.

Where to get Hyperdilute Radiesse?

At my office: Calvin Lee, MD – Surgical Artistry with Dr. Tammy Wu plastic surgeon. 4754 Dale Road, Modesto, CA 95356. (209) 551-1888.

Allē – the new Brilliant Distinctions

Allē is coming! Alle will be the new Brilliant Distinctions which gives you points for Botox injections, Juvederm, Kybella, and Latisse. It will have so much more than Brilliant Distinctions and be easier to use as we are told. We will be switching over around September or October of 2020. Stay tuned for further information regarding Alle.

Allē was named after the first 4 letters of Allergan.

I saw that Allē has an instagram page called Allē Aesthetics. At this point they don’t even have any followers yet.

I also heard that everything counts toward points – even non-Allergan products and services. Patients can come in for our Surgical Artistry laser treatments and earn points for their next Allergan product.

Check out with Allē to take less than a minute!

Carri Strom, Allergan’s Senior Vice President of U.S. Medical Aesthetics says that check out is seamless, and takes less than a minute which will be a huge time savings.

Brilliant Distinctions has been growing – 2019 stats:

In 2019, Brilliant Distinctions grew an additional 6 million members. It is in 25,000 doctor’s offices. There are 60,000 new consumers each month. I had previously estimated that there are 40,000 Allergan accounts in the USA – but that was my own personal estimate based on some statistics I’ve seen a few years ago and my own calculations. I wrote a bit about this estimate in my post about being a Top 250 Allergan Account in the USA.

Future webpage for Alle – we are scheduled to switch over in fall of 2020.

Plandemic – my thoughts

Just my off the top of my head stream of consciousness thoughts, but I did attempt to look up a few journal articles.

Have you seen that video where they interview a woman and she talks about how masks don’t work, and that the pandemic was planned, and that Dr. Fauci is pure evil, and that the labs in the US and Wuhan use the same cell line, and be wary of vaccines? Yeah… that video… Well, I’ve been reading a tiny bit into the background of Judy Mikovits’ professional highlight and downfall This is one of several articles that disprove something that she claims and they were gentle is saying that there was some sort of contaminant in her results: https://jvi.asm.org/content/jvi/85/14/7195.full.pdf I’m trying to figure out who the real fraudster is in this new popular video that many people have sent me. I was trying to figure out how Judy Mikovits was in trouble to begin with. She’s in the video going around called “plandemic” and this article is “proof” that she did some shady things in her own research that led to her trying to cover it up, getting fired, stealing charts, and getting jailed. I’m sure we did our own digging, but this article was the biggest piece to the puzzle I was trying to put together.

Disclaimer: I’ve done a few years of immunulogy lab research (working as a student) in 3 different labs, and I’m not a virologist or immunologist, and don’t do this for a living. I really don’t think I know much, but I’m a human being and wanted to do some digging of my own to learn more. Use any information I have written at your own risk.

Here’s what I found out. In 2009, Judy Mikovits came up with ground breaking research for Chronic Fatigue Syndrome, saying that there was a hidden virus sequence in their cells. But she falsified the info probably by injecting that sequence into the lab samples. Other scientists have called her out on this, and she had subsequently changed her landmark article with a partial retraction. All of this led to her getting fired, and it seems that she stole some of the evidence, and then this led to her getting jailed. She was trying to fabricate results.I personally had a lot of issues with the science and views of the video. I’m not here to get into any fights, I just wanted to find out more about the person being interviewed, and whether I could believe the integrity of what she was saying, and especially when she was criticizing the integrity of other doctors and scientists.

Trump injecting Clorox? disinfectants?

Shelves of clorox disinfectant in a treated image.

Just keeping an open mind during this whole Coronavirus pandemic / COVID-19 / Shelter in Place. I actually liked the questions about Ultraviolet Sun Rays (radiation) and disinfectants – possibly internally washing surfaces. As a teacher of medicine and surgery, I would definitely welcome these questions, and I hope to give reasonable answers. Basically, if UV light kills viruses, and disinfectant kills viruses easily, why don’t we use them more in the human body?Regarding UV light, the radiation mutates the virus to death, but it will also mutate our own cells, and thus leading to our own mutated cells like cancer. But yes, we have given radiation to certain areas of the body in hopes that the problem is more sensitive to destruction (like cancer cells) than our own normal cells and we also hope that any damaged normal cells can recover. Disinfectants kill germs, but they are so powerful they will kill our normal cells as well. Regular disinfectants are pretty nonspecific. On our skin (which is considered outside of the body) like our hands, we have layers of skin including a dead layer of skin (stratum corneum) that protect us from the disinfectant (like hand sanitizer) which an damage our “live” inside cells. The stratum corneum is like a tough shield. When bypassing the skin and we go Inside the body (by swallowing, injecting, or inserting), we’ve had to come up with more delicate and targeted approaches to “disinfecting” such as antibiotics which target specific things in these alien bacteria invaders, and antivirals – these drugs which are injected are targeting structures and processes which humans cells don’t normally possess. Our mucosa, which includes the inside of our mouth and noses, are considered to be inside the body and does not have the protection of skin and stratum corneum. These areas are much more delicate. Off the shelf disinfectants will be harmful in these areas to our own cells. Disinfectants will harm germs and harm our own cells in these areas. Who knows, it’s questions like this that can make us think, and even revisit old ideas. Dr. John Porteous, a prominent surgeon who brought me to Modesto, has shown me something that he does when closing very infected abdominal wounds from trauma or from ruptures, he would paint the wound with Betadeine (which is a disinfectant), in the hopes that the wound wouldn’t get infected in it’s troubled post operative course due to existing infection. We may still leave the top part of the wound open for debridement. Sounds interesting enough, and when desperate enough to help the patient, we would try it, or try diluting the betadeine to lessen the toxicity to normal cells. Dr. Porteous and other surgeons have jokingly called this Betadeine tea. I’ll admit that I’ve tried it a few times… so I have been guilty of applying disinfectant to large infected surgical incisions that otherwise seem doomed to fail. Disclaimer: For now, don’t swallow the sun, and don’t inject off the shelf disinfectants.

Coronovirus links to statistics – especially California COVID-19 data.

I inject Botox not Clorox, so I am not super qualified to discuss disinfectants.

Stanislaus COVID update for today

Today is 4/24/20, Friday
There is less than 1 more week in the month of April. I figured it was time to make a summary for today based on some of my numbers that I’ve collected daily regarding COVID 19 / Coronavirus

Looking at my numbers and forecasts. My yellow (current) line forecast for Stanislaus is taking over the blue (first 2 weeks) line. This is great news as we continue to smash down the virus’ infectivity. I had said before that my big wish is to see the yellow line go below the blue line. In summary blue line is the first trendline, pink one was the second (we got worse), and yellow is the current trendline. I’m just looking to see how the trends change with time.

Today the Stanislaus numbers show an additional 6 cases of COVID diagnosed over 305 total tests. This is a 2% positive rate for just today. But since the beginning of time, Stanislaus positive test rate is now 6% (yesterday was 7% – lower is better). 305 tests – that is the highest number of daily tests done. We now have a total of 264 COVID cases diagnosed by testing in Stanislaus.


California is doing a little bit worse today on my trendline graphics, but just by a tiny bit. Yesterday was also a tiny bit worse than the day before. But it’s so slight, might not even be significant. Today’s California Total COVID cases weighs in at 40,812.
The places where I get my data: http://www.injectionartistry.com/modesto-botox/covid-19-coronavirus-links/

Above is data for Stanislaus County only
Above is just for new cases of COVID 19 each day




Get to know us at Surgical Artistry – Hobbies and Self Care Activities

During these interesting times of Covid Closures due to Coronavirus, we have some opportunities to grow our hobbies and improve our self care, I’ve asked our team to give some insight into what they have been doing as we wait to open up for Botox, Acupuncture, plastic surgery, and more. Recently I had asked the team to provide a listing of what makes them happy.

Vanessa wrote:

1) My hobbies are reading, bike-riding, hiking, word puzzles, watching television shows and movies that interest me and trying different foods. Future hobbies might include volunteering for places I feel passionate about maybe even embroidery…wow…I sound a lot older than I am.

2) Self-Care includes being vigilant with my skincare routine including masking more often. It also includes bike-riding, jogging and my Ballet Beautiful DVD.If I had more time, I’d love to take ballet classes again or even a jazz class…aging myself yet again.

Elena wrote:

My hobbies include 

1.) sewing normally a lot of different things but right now all my time goes to masks. 

2.) creating custom items to gift or sell

3.) trying new learn new ways to cook and explore more ingredients and dishes

4.) making delicious coffee to enjoy 

Self care activities 

1.) making OBAGI routine a priority in the morning and evening

2.) drinking a lot of water

3.) taking Danika and Abby (our dog) on walks

4.) taking Danika on bike rides with her new seat that attaches to my bike 

5.) making delicious coffee to enjoy