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Why when I go in for Botox do they want to upsell me? I want to look natural.

Botox is on label for 20 units in the glabella (in between the eyes) and 24 units in the crow’s feet.  Many people think that if they go lighter then it will look more natural…then come 6 weeks they think wow I just metabolize this product quickly. Well, the studies show that when participants were injected with a half dose of Botox (10 units in the glabella), it only lasted 6-8 weeks.  I’ve had patients tell me it never even kicked in- that can happen too.  So in the on-label areas used for Botox (crow’s feet and glabella) I usually am going to recommend the full dose recommended by the manufacturer because if you did a half dose you are going to need to be injected again at 6-8 weeks if you want to keep up with it.  Being injected too often with Botox is going to increase your resistance to the product and down the road you will need more and more product.  Talk about a slippery slope, not exactly what you were hoping for!

What kind of skin care regime should I be on at home?

Your at home skin care regime should not be a “one size fits all”; it should be catered to your skin care concerns and needs.  Products that are important for anti-aging include a retinol and vitamin c.  If your skin is oily, dry, or prone to breakouts, these are all factors to consider when choosing the proper regime.  Personally, I have combination skin.  Products I use at home are the PCA skin facial wash, nutrient toner, rejuvenating serum, and weightless sunscreen.  If you are not really familiar with face care ingredients I recommend talking to someone who has experience in skin care.  At our practice, we are all PCA skin certified and know about products for specific conditions.

What is medical weight loss?

Medical weight loss should look at the individual person and why they are gaining weight.  Is it hormone imbalance, stress, pre-diabetes or just poor eating habits?  I hear stories all the time from women who are eating under 1200 calories and just not losing weight.  There tends to be two main reasons why they are not losing weight.  Number one: your body is holding on to every calorie you eat because it thinks it is being starved!  Number two: hormones!  Patients with this stories often have all the symptoms of hormone imbalance such as fatigue, loss of libido, mood swings, night sweats etc. If I think someone has the symptoms of hormone imbalance, why not check it?  So many people want the quick fix, but the weight didn’t just show up overnight right?  We can usually work on getting some weight off in the short term while balancing hormones, which can take a few months to regulate.

 

Which dermal filler is the best?

I get this question all the time.  There is not one filler that I will say hands down is the best because for one we first have to talk about what area we are filling.  A filler that is ideal for cheeks is not ideal for lips.  Secondly, we need to talk goals; what are you looking to accomplish with dermal filler?  Do you want Kylie Jenner lips or are you looking for higher cheekbones? These are considerations for determining the right dermal filler.  If you Google what the best filler is for each area you will most likely end up more confused and with biased information.  I would recommend finding an injector you trust and asking them their opinion on the various products on the market.  In general, I recommend Juvederm Ultra or Ultra Plus if you want to add volume to the lips.  If you want to get rid of fine lines in the lips Juvederm Volbella is a great new option recently on the market.  For cheeks price point and goals definitely come into consideration.  If we need a significant amount of volume and are on a tight budget Radiesse is a great “bang for your buck” product.  A syringe is 1.5cc vs. 1 cc in most other products.  I like Juvederm Voluma for cheeks as it really does last awhile (1-2 years) but you have to consider you most likely will need a few syringes.  I could go on and on about the various products….Belotero, the Restylane family of products, Sculptra, Bellafill, but lets save that for the consult.

 

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