This graphic above is a spreadsheet depicting the amount of Botox units that I injected between 12/14/20-11/16/21. There are 230 injecting days for me between those dates. It’s almost one entire year of injecting. I’m missing a month, but perhaps I’ll get to it in a few weeks.
Take home messages for myself: Continue to prepare 8 bottles of Botox per day which is my norm. But perhaps I could increase it to 9 bottles per day. And fillers, I have another graphic which is a pie chart that reveals each different type of fillers used. Voluma has been the most popular filler used. The data shows approximately how much of each filler I would use on average for each day worked:
Below is a graph of the amounts of Botox in Units injected each month depicted in 2021. In a few days I should have November’s Botox data.
Description: Minimally invasiveprocedure that treats cellulite; it can take about 45mins to 2 hours depending on how many areas are being treated.
What it can do: Cellfina is a procedure that releases the bands that are woven throughout the fat in your thighs and buttocks. When you have cellulite the bands happen to be contracted and tightened which causes the dimples. Once these bands are released the skin bounces back and does not create those dimples anymore, which means the cellulite is gone.
What it’s indicated for: It is indicated for improving the appearance of cellulite in the buttocks and thighs
Candidates: Dr. Wu or her assistant will evaluate your specific circumstances and determine whether you are a candidate for Cellfina treatment. Therefore, the first step is to make an appointment for consultation for Cellfina.
What else is there to know about Cellfina?: Cellfina is a very straightforward and minimally invasive procedure that helps diminish the look of Cellulite. It is done in the office under local anesthesia. Therefore, you are able to drive yourself here and drive yourself home. We do need to have a consultation first to determine if you would be a candidate or not. Once we determine that you are a candidate then we will provide an estimatefor the procedure and you can book a date.
Day of Treatment: The day of the procedure it may be a good idea to take a pain reliever 30-60min prior to the procedure just to help with any discomfort, although it is not required and most patients do well without the pain reliever, but it could be beneficial. We do numb the area with tumescent local anesthetic. This is the part of the procedure that you may feel some pain or discomfort; but after you are done being numbed you will not feel much at all, just some pressure. There is some noise that you will hear so you may bring some earphones with you so you can drown out the noise if this is something that may bother you.
You will need to bring a compression garment for your buttocks and thighs to the procedure. This will be placed on you right after the procedure is done. You will wear this for the first 3 weeks after your procedure. There are not many restrictions after the procedure but the following will be required to abide by after the Cellfina treatment.
First 3 days only light activity
On day 4 you may resume normal activities
Extreme physical activity should be avoided for 30 days following treatment
Other things to keep in mind are:
Acetaminophen will help with any lingering pain
Oozing can occur from the insertion sites for the first 24-48 hours. Make sure you have a towel with you to protect anything you may be sitting on
Soreness, tenderness and bruising are typical symptoms after this procedure
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.
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.
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
Jeuveau was just FDA approved in the USA as the newest Neuromodulator to join Botox, Dysport and Xeomin.
Initially I’ve had some trouble spelling Jeuveau – is it spelled Jeauveau, Jeaveau, or is it Jeauveaux. This is the first time I’ve gotten to hear about it.
I’ve been pretty much a Botox injector. I’ve tried Xeomin and Dysport before, and I look forward to trying Jeaveau as the newest neuromodulator. Though, I have to say, that I have been extremely happy with Botox so far.
Jeuveau is made by the Evolus company. Welcome to the club! I look forward to figuring out if I like it, if my patients like it, safety, storage ease, comfort, how it looks, and how long it lasts.
The above video made by me on YouTube explains “how to make Botox“, well, we’re not making the Botox, we are reconstituting it from a dry Botox form to a liquid Botox injectable form. You could mix it with as much saline as you like. Some would call this dilution, but I prefer the word reconstitution. Dilution implies that we are taking a known dose of Botox and making it a lesser dose.
I like 1cc = 4U of Botox
But it works well for me to place 2.5 cc’s of saline into the 100U bottle. This way every 1.0 cc of saline results in 4 Units of Botox.
Much of how Botox is injected now involves 4U of Botox in each injection site. Thus this would be 0.1 cc’s of Botox – and conveniently this shows up on the line in our syringes.
Some tips: When inserting a needle into the rubber top of the Botox container, consider using a 21 G needle rather than 18 G needle. Because the 18 G needle might damage the self-sealing aspect of the rubber top.
There are always subtleties and the video might give you more insight into the way I do it, which has worked well for me.
If you are curious, there are some questions in the comment section of the video. Someone asked where I get my medical degree. It was at Brown University. And someone asked why I wear a mask. I usually don’t talk when I’m reconstituting Botox, and I consider it to be a medication that I’m making that gets injected into a patient, I wanted to make sure I treat it like a surgery – for much of the same reasons – keep the work area from potential contamination. Extra talking creates microdroplets from our mouth into the air. And thus… I prefer to wear a mask if I’m doing some extra talking – for the camera or with a patient while working with Botox. It may be a surgeon thing. It makes me more comfortable knowing that I offered the best for my patients.
Hi, I just saw your message. Sorry I missed this. This is Dr. Calvin Lee writing back. I don’t offer eyelid surgery or brow lift surgery. But my wife does for the surgery side. My wife is Dr. Tammy Wu. She isn’t on Yelp or social media at this time, but we are at the same office (209) 551-1888. Her consultation fee is $200 (price subject to change). Dr. Tammy Wu is the plastic surgeon and I am a surgeon who mainly does Botox and acupuncture. With Botox, I try to achieve a bit of brow lifting, but sometimes you need the surgery. I do something else called threadlifting which does lift the eyebrows a little bit, but it isn’t the same as surgery and doesn’t do much for the eyelid. Best wishes, and I hope some of this answers your questions. Regarding a list of Surgery and Injection services on a website you can consider trying www.SurgeryToday.com – on the home page there is a partial listing of what we do. Thank you for writing
Regarding blepharospasms, I was wondering if Botox could ever get rid of involuntary spasms if the muscles relaxed enough, or is Botox more of something that decreases the spasms, but can’t fully get rid of them?
So basically everything you said is right.
The answer is: It’s dose dependent.
So If I use high enough of a dose it will all “freeze” up and not move. But it would also look very frozen and weird on the patient. So I’m trying to strike a balance where it just spasms a little bit where it is manageable by the patient (not painful, and not eye-shutting) but it still looks normal without one side of the face being super frozen.
There are also some areas of the face where I don’t want to inject too much Botox for fear of creating ectropion.
Surgical Artistry’s newest employee asks today “why refrain from working out for 4 hours after Botox.” This is a rule that I’ve imposed on my Botox patients.
Here’s my answer:
Working out causes a lot of blood flow – and with the working out – the increased blood flow leads to increased blood pressure – which leads to possible bursting of some internal blood vessels which I may have just “poked” – which will then lead to possibly more bruising and more swelling.
So the answer is – to help avoid bruising.
But there is some added benefit of keeping swelling down.
I came up with the 4 hours, mainly because I think it’s enough time for the blood vessels to seal themselves completely by then. I don’t have an actual scientific study that mentions 4 hours as an optimal amount of time, but it seems to have worked well for me and my Botox patients.
I reached the Diamond level injection status – which is top 4% of Allergan accounts. I’m happy to report that I injected 66,597 units of Botox for the year and almost 900 syringes of filler – I guess I should have just worked harder. I pledge to continue to work harder to improve my skills. Thank you to all those who trusted me with my surgical skills to inject Botox. As expected, Allergan is going to raise their prices on the purchase of Botox for 2017. This is an annual price increase which I’ve come to anticipate.