Talk about making some course corrections in cosmetic medicine. Today, we announce some new practices that are trending across the United States. While the trends are just building up momentum, there is no doubt in the next twelve months you will start hearing more about this. I like to position myself with the front runners.
I enjoy watching this field evolve. I remember when I first offered Botox about 20 years ago. People thought I was trying to give them food poisoning. It was interesting watching my client’s expression as I explained how a tiny injection would brighten their day and change, in a positive way, how people viewed them.
What is Baby Botox (Dysport) & Botox Fridays?
Back before Botox was even FDA approved for cosmetic purposes, I offered what was called Botox Fridays. Because the drug company then and still does label their Botox product for immediate use, I thought that I should have as many people in the office using Botox at the same time. I ran a promotion in the Austin American Statesman for Botox Fridays $99. The Statesman liked the idea so much that in 2001 they did a cover story on my practice. The Statesman put me on the front page of the newspaper and the front page of the Life & Arts section. Clients liked the idea of $99 Botox Fridays because they could try this magic little potion that calmed down their frown lines. The fad caught on. Before I knew it I was doing Botox every single day.
The one thing I remember about the number of units I was using back then was that it worked well. I only used 10 units for the frown lines not 20 and surely not 30. The results lasted my patients about 2 and sometime 3 months. They liked the natural results. Then Botox was approved for cosmetic purposes and the recommended dose was 30 units. Naturally, I had to stop the $99 Botox Friday special because now I was compelled to inject 3x the number of units because that is what the company recommended. I did as I was told, and I noticed people had frozen stuck appearances. I did not like the results at all. Since these experiences were new to people, they just accepted that was how it was suppose to work. A few years ago, the company changed its recommendation to 20 units for the frown lines. The results appear more natural.
Over the last few months, I started using the Botox Fridays dosing for the frown lines except instead of Botox, I use Dysport. I only recommend this baby Botox (Dysport) dosing for those 18 to 29 year olds that are just starting to show some fine lines. This keeps those going into that third decade more refreshed and youthful. It will also help reduce the number of headaches one might experience by breaking the tension along the forehead. It’s a two for one deal.
Trending Lip Fillers…I don’t want to look like a Duck
Lip fillers and Lip jobs have changed over the last 20 years. My first lip augmentation was 20 years ago with Cosmoplast and Zyplast Collagen. I loved this product because it was smooth, flexible, and easy to use. There was very little swelling and the results were very natural. Only two things made it a big bummer! One it costs about $499 per syringe. That’s about $650 in today’s currency, but don’t hold me to that, I am not economist. Second, the results only lasted six weeks.
Then came along the HA fillers and House (Duck) Wives of Beverly Hills. I am sure everyone remembers those reality TV shows. The house wives all had plastic surgery including Botox and lip fillers. I did not like how they promoted the products. They looked too artificial. They had frozen appearances and their lips resembled ducks from too much HA filler. While the HA fillers lasted twice as long as Cosmoplast, the results were very un-natural. So instead of using these HA fillers to augment lips, I turned to liquid silicone. I found myself back in Hollywood, California learning techniques from a leading physician. I brought back the technique to Austin, and it was an immediate sensation. I did a few monthly injections and those lip augmentation results were natural and permanent. While some people may say silicone is not safe, I beg to differ. If done properly, the results are natural and enduring.
Now if I am going to use an HA filler for lips, there is only one that I truly like. It is the new Revanesse Versa. This product allows me to fully express myself as an artist. I always listen to the patient’s desires. I ask my clients for photographs of model’s lips. Sometimes the client’s anatomy is challenging and we opt for a compromised solution which in my experience seems to make them very happy. In every single client, I ask myself five key questions. First, is the total volume of the lips even with 1/3 on the top and 2/3s on the bottom? Second, is the cupid’s arrow well defined? Third, do they have a well defined lip border? Fourth, is there enough pink show? Fifth, do the corners of the mouth perk up? Most of my clients are offered very dilute Botox or Dysport around lips in addition to suture threads. The combination of Revanesse, Botox/Dysport, and Suture Threads provides an amazing result. There are a more factors that I evaluate, but I don’t want to bore you to death. Just suffice it to say, lip jobs are extremely detailed work. It has taken me about 20 years to develop my technique, and I am constantly tweaking it.
So this brings me to my last point—the trendy tweakment. No I did not misspell treatment. Today, I find that it is more rewarding to do tweakments than treatments. This is where you come into the office every 2-3 months for a minor tweakment to maintain a fresh and natural appearance. The last thing you want to post on social media is Botox ate my face. I find that my younger clients want to look refreshed, natural, and not done! This is what is trending. My older clients keep asking for products that last forever. They like to keep their results as long as possible. There is a compromise for everyone. My recommendation is to look natural and youthful, not frozen and un-natural.
What are some of the Adverse Events?
All patients have the opportunity to review and sign consent forms. We explain that with any treatment, there is a chance of bruising, swelling, discomfort, asymmetry, allergic reaction, dyschromias, thread visibility, nerve injury, muscle injury, extrusion, and need for additional touch-ups in the future.
What is the cost of these procedures?
We price all our products and procedures competitively. It is impossible to know exactly what each individual might need, so it is important to call us for a consultation so we can give you a detailed print out of treatment options. In some cases, all we may recommend is a few skin care products. Our goal is to give you the most natural and refreshed result possible. Never done, Never frozen.
How long do the effects of these procedures Last?
During your consultation when we discuss your treatment plan, we will outline your unique maintenance schedule. Remember, the goal is customize a treatment plan that gives you natural and enduring results. You do not want to look like you just had Botox or fillers.
What is the cost of a consultation?
The cost for a consultation is $65. If you decide to proceed with the procedure, we rebate you the entire cost of your consultation so it is essentially a free consultation.