Quarterly comparison of BOTOX usage by Calvin Lee, MD

Reflecting upon my own childhood, I think there is an importance regarding summer jobs for kids. I have a life-long enjoyment of working with spreadsheets. My first summer job, which my father gave me at Ciba Geigy (a drug company), involved spreadsheets – using Lotus 1-2-3, I fell in love with the macro programming features, and I remember using spreadsheet programming to make a “pong” type game. I think I was in middle school at the time. I made graphs which were even more sophisticated than what I’m doing now. Anyway, this is today’s spreadsheet data work. I have a ton of numbers and it’s my job to create a way to explain the numbers in a meaningful way. I have numbers that come from each unit of botox used each day at work. And here I can show to my Botox friends that Botox is used the least in Quarter 1, then followed by a Quarter 3. Those are the “relaxed” Botox Quarters of the year. I also like drawing in regression lines, but that will be for another day. I’ve had my spreadsheet fix for today.

In my quest for quality work, I like to study patterns. For me it is always quality over quantity. I don’t like to sacrifice quality for the sake of doing more Botox. But I think the side effect of quality work is that there will be growth.

Quarters 2 and 4 are the strongest quarters for Botox use. Quarters 1 and 3 are weaker with Quarter 1 being the weakest. I’m not entirely sure of the pattern maybe someone can offer me suggestions. It may have something to do with the weather, school cycles, vacation schedules, wedding/reunion deadlines. I’m not sure – or perhaps even with my own scheduling habits. But in the past 2 years, I’ve tried to work as much as possible. I think in the future, I can do a study of “density” of Botox: normalize Botox use per day worked. Ahhh… so much you can do with data.

I have an obsession with spreadsheets, so my wife says. I just have a ton of data and I’m just massaging that data into more meaningful expression. I’m still in the pursuit of higher quality not quantity as some of these graphics suggest. But I’ll see growth as a side effect of successfully upholding the highest values relating to quality.

quarterly comparison of botox units 2014-2015 - with frame

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Cosmetic Annual Growth by patient visits

Acupuncture, Botox, Juvederm, vein annual growth for Calvin Lee, MD

I am very thankful and proud. In 2006, I reinvented myself from General/Trauma surgeon to Acupuncture/Cosmetic Surgeon. In the operating room, I have been assisting in Tummy Tucks, Face-Lifts & breast surgeries done by my wife, THE Plastic Surgeon for the past 10 yrs. This graph shows the growth of what I do OUTSIDE the operating room, in our SURGICAL ARTISTRY office: Acupuncture & Cosmetic Injections. I use hundreds of needles per day. I started my practice with only 58 office visits in 2006. Last year I exploded to 3371 visits with one of the highest retention rates of patients in the country according to Allergan. I am so grateful to my patients for trusting me. I am also so grateful to my supportive parents, Dr. Tammy Wu, her parents/brothers and to those who have directly helped me grow this new world for me:

Jeannine M, Andrew M, Ken T, Christine Donham Landrum, Jacquie A,Jessica Vargas, Annabeth Ghiglia Allan, Lorena Redula, Katherine Ruth,Karla A Valente, Lynne C, Sarah S, Lea S.

Surgical Artistry Modesto Marathon, Heidi Ryan, Karen Kopecki Hodges Lozano, Vickie Chu-Hermis

Sutter Gould Medical Foundation, McHenry Medical Group (First Choice Physicians), Doctors Medical Center, Memorial Medical Center

Alyssa Petrino, Chris W, Jeran Wadlow, Suleika Bauer, Tadra Rex, Nicholas Eichhorn, Jennifer M, Brooke Cramer, Joe K, Jenny D, Tom Z, Cherise P.,Bree Alexander

Kempton Stephens, Katherine Barton, Paul B, Charles Cherrie Suntra,Enoch Choi

It has been a tremendous first 10 years at Surgical Artistry and I’m looking forward to the next 10.

Number of patients seen per year Calvin Lee - text - Botox


a botox 2015 statistics sign IMG_1370 - 4th version

a botox what we do sign IMG_1370Botox Retention Analysis

cumulative botox 2014 2015 with title

cosmetic acupuncture botox bar graph

quarterly comparison of botox units 2014-2015 - with frame

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Mr. Bear wants to learn how to inject Botox

Mr. Bear is still getting Acupuncture, and it’s somewhat ambiguous with the name tag whether Mr. Bear means that he gets Botox in addition to acupuncture or that he injects Botox like I do. If he wants to be an injector, he would be #53 on my list of places that offer Botox in our Modesto Area. Many of these people on this list are my personal friends – I have a lot of respect for them and I wish them a lot of success. Botox Bear



See previous posting for our Botox Retention Data:

Botox Retention Analysis

BOTOX retention rate 2015



Our staff was doing some Botox Chart Reviewing, and the Allergan company used those reviews to report that we are better than the national average retention score of 1.8. This means we do a pretty good job of having our patients come back to us for more Botox.

The Botox company does a retention analysis for us from time to time. It’s a measure of how we keep our patients returning to our practice. They have a proprietary method for calculating a score. 4.0 is the best score you can get. I was told before that 1.8 is the average score for all Plastic Surgeons. And we recently scored 3.3. I am very grateful for our returning patients. I guess for now my Botox patients don’t usually leave me and our patients tend to come back! I will continue to try to make it better however I can. Thank you for trusting me with your Botox. It is my passion.




2015 BOTOX Year in Review Statistics

2015 Botox Stats

a botox 2015 statistics sign IMG_1370 - 4th version

I had a previous posting regarding December Botox statistics for 2015.  I had probably made some assumptions.  But now that December 2015 is officially over, the numbers are more solid.

52,593 Units of Botox

For the year of 2015 I used 52, 593 Units of Botox.  That’s 4,382 units of Botox monthly if we divide that number by 12.  Or another way to think of it is that it’s about 43 Bottles of Botox per month (40 Bottles is a more rounded number).

694 syringes of Filler used in 2015

Fillers in my recording includes Juvederm, Belotero, Radiesse and Restylane.  If I divied 694 by 12 months.  I get 57.8 syringes of filler per month.  I guess I could say that I average about 55 syringes of filler per month.  I did hit 100 syringes of fillers used in the month of December – it was a busy month, and I purposely tried to work as much as I could in the month of December since patients had some time off to get cosmetic work done.

1371 Botox visits to my Modesto office in 2015

These visits are for Botox and doesn’t take into account visits for filler only.  I get this data from Allergan’s Brilliant Distinctions.  This calculates to an average of 114 visits per month.  And for fun, if I had about 20 days in the office per month, it would be about 5.7 patients seen per day in the Modesto office.  Sounds pretty low of a number?  Well, I also have a vein, acupuncture, and surgery assisting practice which I run at the same time.

See Botox Statistics from 2014 – there is a breakdown of my day – looking at the amount of time I spend with Acupuncture vs Botox vs Veins.


745 Patients seen for Botox AND Juvederm for 2015

This number (745) includes all Botox and Juvederm patients seen in 2015.  Tricky thing here is that it is only Juvederm and not other filler brands.  I got this data from Allergan’s Brilliant Distinctions.  I guess there’s fault in my numbers, but it’s still fun to follow – especially if there’s a nice positive trend.

I think it would be nice to know which percentage of these patients were new and which were recurring.  I wonder if I can set up Allergan’s Brilliant Distinctions Analytics program to figure that out for me.

51 places to get BOTOX injections in Modesto and surrounding cities

This list grows.  I get the info for this list from my patients who tell me about other Modesto Botox locations.  I have not visited these Botox sites personally.

Comparing to other years – Visits to patient ratio.

This isn’t a perfect ratio, because the visits are BOTOX only visits, and the # of patients is patients who have come to me for Botox and Fillers (Juvederm) – which means that there are some Filler patients who aren’t Botox patients.  But regardless the ratio is fun to look at.

  • In 2015 I had 1371 Botox visits from 745 patients for fillers/Botox.
  • In 2014 I had 1013 Botox visits from 546 patients for filler/Botox.
  • In 2013 I had 724 Botox visits from 396 patients for filler/Botox.

All these years, the ratio comes out to:

  • 2015 – 1.84
  • 2014 – 1.86
  • 2013 – 1.83

These ratios can be seen as how many times a patient comes to the office.  Sort of a measure of retention or rebooking.


The graphic on top of the page sums it up the best.

Please consider visiting my Botox practice in Modesto, CA.  We also carry Latisse 5ML and 3ML.

Health as Currency

I posted this to the Surgical Artistry Modesto Marathon training group on FaceBook on 1/2/16.  I thought I might start “running” again and strange thoughts went through my head which I had to put down on paper.

And I had this other thought:

Aging is like an escalator ride down. But why not exercise and turn it into a stair-climber?

I had to write this thought down – just popped into my head.


I was on my treadmill tonight after I got home from our SURGICAL ARITSTRY office (yes, it’s Saturday) and I was thinking of this wonderful training group. I’ve been so busy lately – I’ve lost touch with many of you. My wife (Dr. Tammy Wu) asked me why I work so hard and such long hours. I am not sure of the reason actually. I think part of me just loves to work. But is it also for the love of money? I really don’t think so. I still drive the first car I’ve ever purchased – a lovely white Honda Accord (it’s an older version of Heidi Ryan’s car), not some fancy million dollar car – at least not yet!! (right??). I would much rather spend the money on having the SURGICAL ARTISTRY Modesto Marathon so that we can all enjoy it and benefit from it. That just sounds so much more fulfilling to me than a Ferrari.
While running today, I thought that if health was a currency – it would be so much more valuable than money. And with all of our running – our health is improving! How wonderful! We’re super rich! We’re marathon rich!
Another valuable “currency” I think are relationships (friends!) – and we make wonderful relationships in this group. Well, I hope I haven’t been robbing myself somewhat of health and relationships by spending all those late hours at SURGICAL ARTISTRY – the graphic below shows the things I do at work to help fund my sponsorship for the marathon. Enjoy the upcoming marathon, and enjoy the journey of the training. Oh, and in case you haven’t gotten a SAMM Yard sign – they are strewn all over the parking lot and grass of our office (next to post office on Sylvan). Feel free to grab one out of the lawn or come inside for a new one when we’re open (Mon-Fri 8am-5pm – or call, we could stay a bit later: 209-551-1888). Keep running.

a botox what we do sign IMG_1370