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).
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!
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.
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.
I wrote this email in October 2018 to my Botox / Acupuncture office staff regarding “How many sessions of Acupuncture is necesssary”
Hi Office,
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.
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. www.SurgeryToday.com
Above picture is that of Dr. Calvin Lee and Dr. Tammy Wu operating together in Modesto, California.
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
“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:
—————–
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 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.
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.
I also have a lot of growing to do, and as I improve, I like watching the practice improve as well.
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!
