Jawline with Botox

Yes, I do jawline contouring with Botox, Filler, Cannula, Threadlift, and Kybella.

I’ve been working with bringing out the beauty of the jawline using multiple techniques.  The link above is from a blog I wrote about the subject using Botox in 2015 in my Modesto, CA practice called Surgical Artistry.  Some involve filler (ie. Juvederm), Kybella, and threadlifts.  However, Botox was one of the earlier modalities that I’ve used for the past 10 years.  I use Botox for TMJ and have found that it leads to a slimming effect of the sides of the face.  This helps to accent the jawline from the top.  I’ve found that it takes a few visits with Botox along the cheek to get the results that we are looking for – usually about 3 visits (spaced about 3-4 months apart).

How many Units for Botox in the Jaw area?

The amount of units I use vary.  I inject in the masseter muscle above the jawline.  I use somewhere between 6-40 units of Botox per side depending on the situation.  I usually average around 20 units per side of Botox.

Dice Pattern for TMJ injections using Botox

I have a video where I use what I call a “dice pattern” for injection of TMJ (TMD) – click on the link above to see that injection with Botox.

My Botox Video from 2015

This is a link to my Botox video from 2015.  In this video, I inject my father who agreed to be the subject of this video and the background music is that of me playing the violin and Dr. Tammy Wu playing the piano.  My Botox technique does change from time to time and I keep trying to get better. Thus the way I inject today may be slightly different than what’s shown in the video.  This was filmed on my iPhone on the spur of the moment when my parents came to visit me in Modesto, California.  It wasn’t a planned video.  I rarely ever plan my videos.  I am mumbling and I don’t think I say anything important.  And I wanted to attach some of my music to a video to see what that was like.  Amazingly the video ends just as the music ends.  If anything – I hope you enjoy the music.

I’m sorry I haven’t updated much of my webpages. I’m waiting for wordpress 5.0 to come out and see if that would be my editor of choice for the future.

For now, visit other great Botox webpages such as the one from allergan.  Here’s my previous Botox webpage.  Here’s a listing of some of the places to get Botox in Modesto, California.

The music in the background is Massenet’s Meditation played by me on violin and Dr. Tammy Wu, plastic surgeon on piano.

 

How long have you been injecting Botox in Modesto?

I got this question today via social media.

The quick answer as of today (11/5/18) is about 12 years.

I guess it’s a question regarding my experience.  I now see about 200+ patients per month for Botox injections in my Modesto office: Surgical Artistry.

Here’s sort of a timeline for my life in Modesto.

2001:  Interviewed in Modesto and accepted job with the McHenry Medical Group as trauma and general surgeon

2003:  Started my surgery career in Modesto.  I actually had my first job Modesto as a surgeon was with the Sutter-Gould Medical Group affiliated with Memorial Hospital.  I worked there for a few weeks to help fill in for a surgeon who had to leave suddenly for his military duties.

2003:  Started with the McHenry Medical Group as trauma and general surgeon

2006:  Started Surgical Artistry with Dr. Tammy Wu, Plastic Surgeon.  Went to obtain more education in AcupuncturePlastic Surgery was our big focus for Surgical Artistry.

2006:  Started practicing acupuncture and started doing Botox.  I had a slow start.  It seemed to be about 1-3 patients per week even for Botox and acupuncture.  I continued doing General Surgery till about the year 2010.  But starting in 2006, I started assisting in the world of pain pumps and stimulator spine implants which I still do today.

2013:  Reached platinum level for Botox injections and Filler injections with the Allergan company.  This is based on amount of Botox purchased from Allergan.

2014:  Reached platinum plus level for Botox and Filler injections.

2015:  Selected as one of the first surgeon injectors of Kybella – a injectable product to help dissolve the double chin.

2016:  Reached Diamond level for Botox and Filler injections.  At the time, this seemed to be the highest level there was for Botox purchased from Allergan in the USA.

2017:  I was honored by being awarded the Top 25 most loved injectors in the USA by RealSelf.com.  I got a featured advertisement in Glamour magazine.

2017:  Reached the Top 500 level for Botox injections / Filler implantations.  This was a level that I didn’t know existed till I got the award.  It comes with certain benefits like a priority customer service telephone number.

2018:  Started doing thread-lifting which I also call Suture-Lifting.

2018:  Maintained Top 500 level for Botox injections (and other Allergan products).  At this point, I realize that I started by seeing about 4 Botox patients per month in 2006 and now I have the privilege of seeing over 200 Botox patients per month.

I still have much more to improve regarding my skills, communication, and results.  Thank you everyone for trusting me with your injections.

 

Calvin Lee,  MD

What cosmetic services do you offer, Dr. Lee?

I got this question today on Yelp and perhaps this post will help others.

I am interested in hearing about the services you offer and setting up a consultation.

Mr. Bear wearing my name tag and he is with acupuncture needles in his head.

Here’s my brief answer:

Thank you for your inquiry via a message on Yelp. We are closed for the weekend. But Feel free to call (209)-551-1888 on Monday- Friday 8am-5pm for more information about what we offer at Surgical Artistry. The Botox / Filler consultation with me (Dr. Calvin Lee) is free so you can hear more about what I may be able to do and customize information and treatment for you.  Heres a brief listing of what I do:

Threadlifts

Threadlifts for building collagen and lifting.  These are dissolving PDO threads.  Sometimes I call this Suture-Lifting

I do Botox

I do Botox for wrinkles, headaches, jaw pain, gummy smile, shrinking pores, sweat reduction, trigger points.

Juvederm Fillers

I do fillers for lips and wrinkles, acne scars.  I really enjoy working on lips and tear troughs as some of my favorite things to do.  I also sometimes use Radiesse and Restylane.  I do hand rejuvenation fillers and also tear trough off label fillers under the eyes.  I am fond of working with a cannula for cheek augmentation and for tear trough.  I also regularly do chin augmentation with fillers and jaw augmentation, temple filling (by the forehead), ear lobe wrinkle filling, nipple projection for inverted nipples.  I also fill various indentations in muscles or the body from various trauma/scar or from steroid injections.  I see fillers as a surgical implantation which needs to be done with surgical care.

Dermapen – Microneedling

I do dermapen microneedling to help with acne scars, and wrinkle reduction / prevention, and to help grow collagen.

Kybella

Kybella injections for double chin.  Permanent fat reduction in the FDA approved neck area.  Visit my Kybella website for more information.  I’ve done some off label Kybella for bra roll and knee area.

Chemical Peels

To help with collagen growth, brightening the skin, tightening, and wrinkle prevention.  I do the Obagi blue peel radiance and the blue peel chemical peel – both these peels are by Obagi.

Acupuncture

I do acupuncture for back pain, fertility, stress, and many other issues. There is a branch of acupuncture known as cosmetic acupuncture.  Actually threadlifts and dermapen are just extension of cosmetic acupuncture.

Vein procedures

I laser veins on the face, chest, and legs.  I have a laser and I also do cosmetic sclerotherapy – which are injections into the small veins.  On the face, the laser is my favorite modality, but on the legs, the injections of sclerotherapy is my favorite vein treatment method.  I also do ultra sound examinations of the greater saphenous vein and lesser saphenous veins to assess reflux.

Mole removal

I do cosmetic mole removal from various parts of the body using surgical excision, and I try for the smallest and least obvious scar.  I feel that surgical excision is usually best – rather than burning off a mole.

Trigger point deactivation

Trigger points are tender points in the muscle. I can do dry needling, acupuncture ah-shi, lidocaine/marcine injections

Steroid injections into over-active scars

Some scars are overactive with redness, itching, and have a raised character. I can inject a steroid solution into the scars to make them less “angry.”

More

I actually do more items than what is listed on here, but this is a short description of what I can do.

 

How long do I have to wait for Botox to work?

It takes a few days for Botox to work.

This is what I’ve told my patients regarding Botox’s ability to resist wrinkles – regarding onset:
  • It takes 4 days to reach 90% activity.
  • It takes 2 weeks to reach 100% activity.

Thus if you feel like you need more Botox, I usually recommend waiting 2 weeks before adding more Botox.  This way we see the full effect of Botox before adding more.  I do believe in using Botox efficiently (without wasting it on the patient).

Botox Anatomy Terms

Key anatomical highlights of the face and neck for Botox injectors (injectors of Kybella, Juvederm, etc)

Muscles

Procerus

Corrugator supercilii

Orbital part of Obicularis Oculi

Palpebral part of Obicularis Oculi

Frontalis (frontal belly of epicranius muscle)

Occipitalis (occipital belly of epicranius muscle)

Nasalis

Levator Labii superioris alaeque nasi

Levator Labii superioris

Zygomaticus minor

Zygomaticus major

Risorius

Masseter

Obicularis oris

Depressor anguli oris

Depressor labii inferioris

Mentalis

Platysma

 

Bones / foramens

Zygoma

Zygomatic

Temporal

Supracilliary arches

Supraorbital notch (Supraorbital nerve and artery)

Infraorbital foramen

Mandible

Mandible – mental protuberance

Mandible angle

 

Glands

Parotid

Submandibular gland (known also as submaxillary)

 

Arteries

Supratrochlear (from ophthalmic artery)

Supraorbital (from ophthalmic artery)

Facial – Angular

Transverse facial

Superficial temporal artery

Carotid

External Carotid

 

Nerves

Supratrochlear

Supraorbital

Zygomaticotemporal

Infraorbital

Marginal mandibular (branch of facial nerve)

Trigeminal

Facial

 

 

Skin folds / Surface anatomy

Jowls

Prejowel sulcus

Nasolabial folds

Marionette lines

Nasojugal sucus

Tear Trough defromity

eyelid lateral sulcus

festoon

Dorsum of nose

Bridge of nose

Ala of nose

Apex of nose

Tragus (of ear)

Glabella

Filtrum

Filtral Columns

Glogau-Klein Point (G-K point)

Vermillion Border

tubercles of lip

Oral commissure

Mental crease

ergotrid

Vertical rhytids

 

 

Terms

Neocollagenesis

Blepharoplasty

Favorite part of owning your own Plastic Surgical practice

“What’s your favorite part of owning this practice?” I got this question today from an employee. I think it’s a great question!

Here’s my response and I thought I’d just share:
—————–

It’s OUR plastic surgical practice.

First, I don’t really feel that I “own” the practice alone. I hope the employees can see that they own a piece of this too through their hard work.

I feel that this is all of ours together. I would love to share the successes of the practice. But I would take all the blame.

I work for the “employees” of the practice.

There is so much that I love about this practice so one favorite is hard to pin down.

I like the FREEDOM to do what I think is BEST for our patients

I love what we do for our patients. I like having our own practice so that we can go beyond the “standard of care.” Others might strive to achieve the standards of care. For us – the standards are the minimum level. I like being able to go the extra mile and not have someone tell me that I’m wasting time.

And I love to be generous with my time with the patients when possible.
I like being able to make my own decisions that would result in outcomes which would be the very best for our patients.

I like to GIVE BACK to those who believe in us.

And for the employees and our representatives who believe in us, I are very grateful for having them put their trust in us, and spending time with us. I hope to give back. I personally take a lot of pride in watching our team grow. And sometimes I do take pride in watching our team move on. Although sometimes sad for me on one level, but happy for me on another. I do want to prepare the team to be able to move on beyond what we do if they choose to do so – like become a nurse or doctor or work at another office. It is important for me to be able to give back to those who choose to believe in what we do.

Surgical Artistry is a reflection of WHO I AM.

I also have a lot of growing to do, and as I improve, I like watching the practice improve as well.

Botox Drift Question

Hi office,

Hannah asked this Botox eye-droop question on email which I’d like to share with the rest of the office.

In the case of an eye droop due to the Botox drifting, why is it that the eye droop only lasts for 2 weeks if the Botox is active in the system for 3-4 months?

It’s because the Botox wasn’t injected directly into the eyelid.  When a Botox droplet drifts into the eyelid muscle (Levator palpebrae superioris muscle) from the corrugator glabellar muscle  it would only be a tiny droplet and wouldn’t last very long because it wouldn’t be a full dose.  The lower the dose of Botox, the shorter the duration.  Sometimes when I inject (with the patient’s urging) with a very high dose of Botox, I’ve notice that Botox can last 5-6 months!  I’ve found in my own Botox practice that Botox duration of action is dose dependent.

Avoiding this shifting of Botox is why we have our patients refrain from rubbing or pressing on the Botox injected areas for about 4 days after the Botox injection.

I hope my explanation is clear.

Great Botox question!

More about Dr. Calvin Lee

Calvin Lee, MD

Written for Del Rio Magazine (Modesto, CA).

One of Dr. Calvin Lee’s goals is to continually improve Modesto.  He is proud to help start the Surgical Artistry Modesto Marathon in 2009 and be a founder of the Gallo Center for the Arts. Recently, he was involved with starting Modesto Moves and Ripon-Manteca Moves – training groups for runners.  Soon there will be a new half marathon called Ripon’s Run, and he is proud to be able to be the initial title sponsor along with DMC. Dr. Calvin Lee is a board certified General Surgeon who lives with his Plastic Surgeon wife, Dr. Tammy Wu, in Rancho Del Rio. He came to Modesto in 2003, joining the McHenry Medical Group as a trauma and general surgeon. In 2006, he formed Surgical Artistry with his wife.  Now at Surgical Artistry, his practice involves a specialty of needles – for acupuncture, Botox and cosmetic injections.

With acupuncture he specializes in treating back pain.  His Botox practice is at the “Top 500 level”, a designation given by the manufactures as one of the busiest 500 accounts in the country out of an estimated 30,000.  With Botox he specializes in cosmetic injections, injections for plantar fasciitis, sweating under the arms, muscular trigger points, and headaches.  With fillers, he enjoys working under the eye lid area, an area called the tear trough.  He considers acupuncture, Botox, and cosmetic filler implants to be surgical procedures.

Most Surgical Artistry patients are not from Modesto.  It’s an honor to have patient traffic come to Modesto.  After visiting our office, many of our recurring patients tell us that they like coming here to shop because of the relatively lower tax rate – especially the patients from San Francisco.

Dr. Lee was born in New York City and had the honor of being accepted to all the Ivy League Schools and Stanford.  He decided to enroll at Brown University where he met his wife in 1989.  They were both part of a eight-year program which combined undergraduate with medical school.  After that he went to Case Western Reserve and Southern Illinois University for Surgery training for the next 6 years.

He is also a violinist.  He was soloist and concertmaster of orchestras at Brown and Harvard Universities and various orchestras in New York.  He has played at Carnegie Hall twice on the violin.  In 2009, YouTube in conjunction with the San Francisco Symphony had a contest and he one of two non-professional violinists who won a spot in the YouTube Symphony. This resulted in world wide media attention. He also toured as a violin soloist throughout parts of Asia. He thought about becoming a professional violinist, but in college, he developed a hearing problem; thus he decided that it was a sign that he needed to dive in wholeheartedly into medicine. He is teaching himself piano these days.  Recently he participated in a piano competition in Beverly Hills which involved competing with piano teachers, and he won and performed a Beethoven Concerto with orchestra in Los Angeles. He loves his Los Angeles audience and plans to perform in Los Angeles again next year. He has a violin recital lined up in Modesto in September with music professors at Modesto Junior College.

For fun he enjoys making websites, blogging, spending time on FaceBook, marketing, eating vegan, and running.

 

 

 

 

I love going to Botox and filler training sessions

As a board certified surgeon, I know that there are many ways to get surgeries done and every surgeon has their own developed tips and tricks over years of experience.  It’s always good to learn from others – especially in other parts of the world.

In the past few weeks, I’ve participated in two national-type training programs for Botox and Juvederm fillers.  I especially enjoyed watching other great injectors approach lip augmentation challenges.

Later today I am going to San Francisco to attend an international training program for Botox and Fillers/Juvederm.  The speaker is from Australia.

Here’s an interesting certificate that I got after one of the training programs – they sent it to me via email, but they used the bosses’ name on our practice.  Well, it’s the plastic surgeon wife, but I did the training program.  It’s worth mentioning that her full name is Dr. Tzuying Tammy Wu.  And you can visit her plastic surgery webpage here: www.SurgeryToday.com.  And you can visit my Botox webpage here.