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).

Obagi App

Obagi Rewards Program

Surgical Artistry had claim to fame as the office in the United State who had the most patients signed up with the Obagi Premier Points App on their mobile phones. I’m not entirely sure how we did it and I’m not sure that we are #1 anymore with the Obagi App.  But way to go to represent Modesto! Thank you Surgical Artistry Team! Regardless, we find it to be something that the patients like very much because the patients get free products shipped directly to them after they earn a certain number of points.

Download the Obagi App by going to the App store on your smart phone.

We carry the Obagi line of skincare products, we do the Obagi Blue Peel Radiance, and the Obagi Blue Peel.  We also carry some of the Suzan Obagi line of products which are all amazing!

How many lip augmentation patients do you see with your Botox practice?

I got this question a few days ago, and I think I might try to count for the next week to give you a more accurate answer regarding lip injections of filler.

In general, I don’t feel that it is quantity that matters as much as quality.  But I do inject Botox and lip fillers every day Monday through Friday in our Modesto practice: Surgical Artistry.

I think I probably do between 1 and 4 lips per day, thus the answer per week of lip fillers would probably be somewhere between 5 to 20 lip patients per week.

We could do a retrospective chart study to see how many lip injections I’ve done, but I think it would be more fun to see what the week holds.

Thank you for asking about lip augmentation with lip injections.  I have definitely seen a rise in popularity of lip fillers over the 12 years that I have been injecting.

How many Botox patients do I see in a Month? Over 200

I just recently counted my Botox patient visits.  It’s a fun number to count.  However, I do know that quality is more important than quantity.  But this number shows that I have some experience and that some patients trust me.  I used to think that 80 patients a month was quite nice back in the year 2014.  I’ve hit a few months now where I see over 200 patients per month.  For example in March 2018, I saw 246 Botox patients, and in August 2018, I saw 214 patients in that month for Botox.

Thank you for trusting me with your Botox.

How many sessions of acupuncture?

I wrote this email in October 2018 to my Botox / Acupuncture office staff regarding “How many sessions of Acupuncture is necesssary”

Hi Office,

This is one of my most common questions that we get.

How often and how many acupuncture sessions?

How often?

once or twice a week.

How many?

Usually takes 8-12 sessions of acupuncture (once or twice a week) to maximize the treatment results.  After that some sort of maintenance needs to be done whether it is different habits like stretching or perhaps acupuncture sessions once a month.

How do I know if acupuncture is worth it?

Dr. Lee has a 4 session test of acupuncture.  If there is no improvement at all after 4 sessions of acupuncture, then it is probably not worth it to go to 8-12 sessions of acupuncture.
Thank you for rebooking the patients for acupuncture.  For acupuncture to work, it depends on rebooking appointments for our treatments to have lasting effect – I guess that goes for Botox as well.
Take home items from this email:
1. When does the patient come back? As soon as 2 days from now to 2 weeks from now is ok (that sorta is 1-2 times per week – although I prefer in general within 1 week).
2. How many acupuncture sessions does one need? It’s a patient preference, but most will need 8-12 sessions and then after that to change their habits (more sleep, more stretching, more vegetables, less TV, etc).
3. Can a patient stop after 4 sessions of acupuncture? Yes, if they are completely cured of their problem, but most patients use the 4 sessions as a test of worthiness of acupuncture and they usually do 8-12 sessions of acupuncture.
4. How many sessions do I need if I am a new back pain patient?  Most likely 8-12 sessions of acupuncture with the sessions about 1-2 times per week.  Use the first 4 sessions as a test to see if acupuncture is working.
Like Botox, a disciplined, habitual approach to rescheduling (rebooking) helps more than just one “mega-botox” or “mega-acupuncture” session.

Modesto Cosmetic Surgeon injecting Botox

I wrote a little blurb about myself recently.

🌱I am a Cosmetic Surgeon and Acupuncturist with a history in General Surgery and Trauma Surgery. I have a neuroscience and MD degree from Brown University. I was honored to have been accepted for college by all the Ivy League schools including the great Harvard University. But self-descriptively, I have been quite the slacker and I hope to make up for lost time and opportunity in the present and future. I slacked so much as a child that I was fired by my piano teacher around age 7. I took up the violin after that point. Now, I am mostly trying to teach myself piano. I respect my piano teacher’s decision for parting ways.

🌱In 2006, I started Surgical Artistry, a plastic surgery and acupuncture medical office in Modesto, CA with my wife, Dr. Tammy Wu, Plastic Surgeon. In 2019, we expect to finish building from the ground up, a new state of the art Plastic Surgical Center residing on 2 acres of land in our home town of Modesto, California. I spend my days working on my craft of injecting Botox, Fillers, and Kybella; treating veins, acne, back pain, fertility, stress; discussing nutrition, skincare and anti-aging strategies; performing acupuncture, cosmetic injections, surgeries, chemical peels, microneedling and threadlifts. My wife specializes in Breast Augmentation and Tummy Tuck surgeries and is a vice-principal of a K-12 school in Sacramento.

My wife and I have been vegan since 2011. We love to run and we helped start the Modesto Marathon and Ripon’s Run Half Marathon.

Best wishes to my Breast Cancer Patients

October is Breast Cancer Awareness month!

My best wishes to all my breast cancer patients – all of them since I entered medical school at Brown University in 1993 (that’s when I was in my early 20’s). It was around that time I had started a breast cancer support group online and it was a great group and a great adventure. It has been a privilege to take care of all of you and to get to know you. About 12 years ago, Dr. Tammy Wu and I joined forces to regularly operate together on breast cancer. I recently reconnected with a few of my patients locally in Modesto – thank you. As a general surgeon, I would discuss options with my patient and I would surgically remove the breast cancer with Dr. Tammy Wu’s help, and then we would do the plastic surgical reconstruction – sometimes as a staged procedure and sometimes concurrently. I no longer take medical insurance and thus since around 2013, I stopped doing general surgeries. I mainly work as a minimal invasive cosmetic surgeon and I assist in the operating room on plastic surgeries and spinal implants of spinal pain pumps/stimulators . But I still think about my past. October is breast cancer awareness month.

Above picture is that of Dr. Calvin Lee and Dr. Tammy Wu operating together in Modesto, California.