Tag: botox

Getting Ready For Your First Botox Appointment

Botox increased its popularity during the pandemic. Now that offices and workplaces are re-opening, you may be looking for something to freshen your look before your long-awaited return.

While there is lots of information out there on Botox, we are going to give you the most important information that you need for your first Botox appointment.

What is Botox?

According to BotoxCosmetic.com, Botox works under the surface of your skin to decrease the muscle activity in your face that can cause wrinkles, such as frown lines, forehead lines, and crow’s feet. By relaxing the muscles, it makes your face look visibly smoother.

Botox is different from filler in that it does not plump up areas of your face, but instead it reduces wrinkles and creates a smooth look.

How Much Does Botox Cost?

The cost of Botox depends on how much you receive, where it is being injected, and your provider. A unit of Botox often falls in the range of $12.50 – $15, while it may cost $250+ per area. Dr. Fishman often runs specials where Botox is available at a lowered price. Be on the look out for these specials by signing up for our email list and checking out our Monthly Specials and Wrinkle Away Wednesday pages.

What Should I Do Before and After My Appointment?

There are not too many rules before a Botox appointment, except to come with clean skin and make sure Dr. Fishman or Cindy is aware of any medications you are taking.

After the procedure, you should avoid laying down for a few hours, drinking alcohol, and being directly in the heat for about 24 hours.

Does It Hurt?

Typically, the injection feels like a tiny pinch. Sometimes your provider will use ice to numb the area before it is treated. The treatment is only about 10 minutes long, so the pain is minimal.

How Long Does Botox Last?

Results vary from patient to patient; however, results typically last three to four months.

Can I Undo My Botox?

Once Botox is injected, there is no way to remove it or dissolve it. The only way for Botox to be removed is through the body’s natural process. Because it cannot be removed, it’s important that you and Dr. Fishman or Cindy understand what your goals and expectations are for the procedure.

How Do I Find a Trustworthy Provider?

At our office, Cindy Wagner, RN and Dr. Fishman can provide Botox treatments. Cindy Wagner is a Registered Nurse and a Licensed Medical Esthetician with over 18 years of experience in Facial Cosmetic Procedures, including Botox. If you want to learn more about Cindy’s experience, click here. Dr. Fishman is a Board Certified Cosmetic and Plastic Surgeon with over 30 years of experience. Dr. Fishman’s experience and certifications can be viewed here.

If you are interested in scheduling a Botox appointment at Dr. Fishman’s office, please give us a call at 248-643-7374.

Is it Safe to get the COVID-19 Vaccine and Have Fillers?

Why you Should Still Get the COVID Vaccine Even if you Have (or Plan to Get) Dermal Fillers

Headlines that have linked COVID-19 vaccines to filler swelling spread across the country. However, the message from physicians, including the American Society of Plastic Surgeons is: The risk is rare, don’t delay your vaccination. Unfortunately, the press spin was exaggerated and unnecessary. The result is that many patients are choosing not to be vaccinated because they have or want fillers. The tragedy is, as reported by the New York Times, one in 1,000 Americans has died from COVID-19 in less than one year.

Moderna Vaccine Study

On December 17, 2020, it was disclosed that three participants of the Moderna vaccine study with dermal fillers experienced localized swelling after receiving the vaccine. Each of these cases resolved without difficulty. The FDA granted an emergency use authorization after reviewing all of the study data.

Of the 15, 184 Moderna participants who received the vaccine (not the placebo), three developed lip or facial swelling. Here is what we know about those individuals:

  • All three had filler prior to vaccination. One had filler two weeks before vaccination, and the other six months prior. In the third case, it is unknown when they received filler.
  • This type of swelling is considered “delayed.” It is not the same as the normal swelling and/or bruising that can occur with treatment.
  • The third case experienced a similar reaction to a previous influenza vaccine, so this individual has had adverse reactions to other vaccines.
  • Viral and bacterial infections, as well as other vaccines, can also cause fillers to be associated with some inflammation.
  • No one knows how many of the vaccinated individuals in the trial had fillers (at the time of the trial). Also unknown is the types and amounts of filler involved, which is critical in determining the true incidence.
  • Lastly, we do not know these individuals’ medical history. For example, do they have an underlying immune condition or another factor that may have made them susceptible to reactions following vaccination?

What Does All This Actually Mean?

The situation is very much evolving. While there is no known interplay between fillers and immunologic triggers, there is a belief that this side effect is very rare.

In addition, these types of rare, transient, and treatable filler reactions have been seen after other vaccines, as well as infections, like the flu and after dental or sinus infections.

Questions have also been asked about other implants, such as wondering if breast implants can be associated with vaccination-related reactions. At this point, there are no reported incidences of reactions in patients with breast implants.

The Current Takeaway

These filler reactions, if indeed related to the vaccine, are not new or unique to the COVID-19 vaccine. You are more likely to be struck by lightning than to have a post-filler reaction caused by the vaccine. Expert injectors are trained to manage filler complications. Neuromodulators, like Botox and Dysport, are a non-issue; these treatments have not been associated with any COVID-19 related swelling. The risk of being infected with COVID-19 outweighs the risk of a reaction to one of the vaccines if the patient has a history of using dermal fillers.

If you have any further questions about the COVID-19 vaccine and fillers, or any questions at all, please do not hesitate to call. 248-643-7374.

Put Your Best Chin Forward With Juvéderm Voluma XC

The Juvéderm Voluma XC that you know and love for volumizing and contouring your cheeks is now FDA approved for augmentation of the chin region!

Juvéderm Voluma XC is one of the many hyaluronic acid-based injectables by Juvéderm. Traditionally, it has been used as a way to plump and shape the cheek area, but with the new approval, the chin area will get some love, too!Juvederm Voluma XC chin filler

Often times, the chin region is overlooked, when really, it largely contributes to facial balance. Juvéderm Voluma XC is perfect to restore the balance due to its distinctive gel properties. The filler serves as a non-surgical, minimally invasive solution to chin implants.

Chin implants require surgery, taking time off of work, weeks to months of swelling, and potential infection. Filler allows the patient to come into the office for an appointment and leave less than an hour later with a new chin. There is less pain, decreased swelling, increased precision, easily covered bruising, and essentially no interruption in your daily life. If you are looking for a big change, a chin implant might be the way to go; however, if you’re looking for a small transformation, look toward Juvéderm Voluma XC.

If you’re interested in using Juvéderm Voluma XC as a chin filler, or even for its original purpose in the cheek area, contact our office and schedule an appointment with Dr. Fishman.

 

Source: https://www.allure.com/story/juvederm-voluma-xc-filler-injectable-fda-approved-chin-augmentation

Images: canva.com

Feel Even Better About Yourself

Dr. Jefrey Fishman, MD offers a number of procedures- both surgical and non-surgical- to help you feel even better about yourself. Here’s a look at a few options.

Eyelid Surgery

As skin loses elasticity with age, the eyelids often begin to droop, causing men and women to appear tired or sad, and sometimes even impairing vision. Eyelid surgery, or blepharoplasty, is a common procedure that rejuvenates the upper eyelids, lower eyelids or both. When getting eyelid surgery, Dr. Fishman will make an incision within the natural structures of the eyelid to conceal any scarring. He will then reposition fat deposits, tightened muscles or remove excess skin; ultimately leaving you with a natural, bright-eyed and refreshed look.

Looking for a less invasive option for tightening the skin around your eyes? Consider Ultherapy®, a non-surgical skin tightening treatment that can reduce hooding or skin laxity on the upper eyelids. The aestheticians at our office utilize Ultherapy® ultrasound technology to lift, tone and tighten the skin. The procedure is often performed to enhance the results of eyelid surgery.

Facelift

It’s common for men and women to experience sagging skin and jowls as the subcutaneous fat in the face naturally dissolves starting in their early 50s. However, for many, the wrinkles, folds and loose skin that appear are undesirable. A facelift is a great option for tightening the lower two-thirds of your face and restoring a youthful appearance to your cheeks, mouth area, jawline, and neck. The procedure is especially effective before a person reaches their mid-60s. During a facelift, Dr. Fishman carefully removes excess fat, tighten muscles and reposition/tighten skin, taking years off your appearance and enchancing your natural beauty. For a full facial rejuventation with minimum downtime, consider getting eyelid surgery at the same time as a facelift.

Sometimes younger patients who are not quite ready to get a facelift are better suited for less invasive procedures, such as Voluma XC™. Voluma XC™ is an FDA-approves injectable gel that adds volume and a bit of lift while creating contour in the cheek area.

Liposuction

When you’ve hit a roadblock with diet and exercise and that excess fat just won’t budge, you might consider liposuction, a body sculpting technique that removes fat from trouble areas such as the abdomen, thighs, buttocks, and hips. After one to two weeks of recovery, you will see a noticeable difference in the shape and contour of your body.

For an alternative, non-surgical method to reduce fat and tighten tissue, consider Exilis®, a procedure that uses radio waves to heat and shrinks targeted fat cells, and also improve skin laxity.

Whether you’re looking for a complete refresh of your look or just a little pick-me-up, Dr. Fishman is dedicated to expertly providing the most advanced surgical and non-surgical treatments. Learn more about how Dr. Fishman can help transform your hopes into reality with excellence. Call us today at 248-643-7374

 

The 10 Most Popular Cosmetic Procedures For Men

While women still receive more than 90% of all cosmetic procedures, more than 1.3 million procedures were performed on men in 2016, an increase of almost 100,000 compared to 2015.

As service offerings continue to expand and the stigma over men receiving cosmetic services fades away, more and more men are seeking out aesthetic procedures. To get a better idea of the procedures that are attracting men to cosmetic clinics, we’re breaking down some of the most popular cosmetic procedures for men, both surgical and non-surgical, below.

The Top 5 Surgical Cosmetic Procedures For Men

  1. Liposuctions

Liposuction was the most popular surgical cosmetic procedure for men and women in 2016, and a total of more than 26,000 men received the surgery last year. Over the years, liposuction has consistently been the most popular surgical procedure for men.

When it comes to liposuction, many men are most concerned about the lower abdomen and oblique (love handles) areas. For men, these are typically the last areas that respond to diet or exercise, whereas with women, the thighs are often one of the more problematic areas.

  1. Nose Surgeries 

Nose surgery, also referred to as rhinoplasty, was the second most popular surgical procedure for men in 2016, with over 55,000 men opting for the procedure. While many women receive the procedure as well (nearly 168,000 in 2016), the surgery is the 2nd most common for men and ranks as the 6th most common for women.

Whether men are receiving rhinoplasty to correct a previous nose injury, fix a breathing issue or to improve their facial profile, the surgery has become very popular for men in recent years.

  1. Eyelid Surgeries

Eyelid surgery, also called Blepharoplasty, was the third most common surgery for men last year, with just over 30,000 men receiving the procedure. The procedure helps men reverse the signs of aging near the eyes by removing excess skin and tissue. In some instances, eyelid surgery is conducted to address excess skin that has impaired peripheral vision.

  1. Male Breast Reductions

Unique to males, male breast reduction is conducted to treat Gynecomastia (enlarged breasts in men), and more than 27,000 men received the surgery in 2016. Since 2015, this surgery has risen in popularity, and continues to be one of the fastest-growing cosmetic procedures for men.

  1. Facelifts

The 5th most popular surgical procedure in 2015 was the facelift, and more than 12,000 men received facelifts in the U.S. last year. The procedure reverses signs of aging, especially around the jawline – one of the most predominant features for men.

However, facelifts for men offer different challenges than they do for women, particularly due to facial hair and bigger, more predominant cheekbones, jawlines, necks and veins. 

The Top 5 Non-Surgical Procedures For Men

 

  1. Botulinum Toxin (Botox®)

While Botox® is still overwhelmingly the most popular procedure for women, men have also increasingly accepted Botulinum Toxin with a total of 447,508 men receiving the injectable in 2016.

Frown lines and crow’s feet lines are quite common for aging men, and Botox is a great option for men looking to decrease wrinkles and fine lines. Botox is also approved by the FDA to treat chronic migraine headaches, and some men have opted for the procedure for that reason as well.

  1. Hyaluronic Acid

Along with women, hyaluronic acid treatments (Juvederm®, Voluma®, Restylane® and more) are the second most popular non-surgical procedure for men. More than 58,000 men received a hyaluronic acid treatment in 2016.

The target area for hyaluronic acid procedures varies based on the treatment, though men often opt for the treatment to address issues under the eyes, around the chin area, near the nasolabial fold or around the mouth and cheeks.

  1. Hair Removal

Most adult men understand the complications of unwanted hair. That’s why laser hair removal was the third most popular non-surgical procedure for men in 2016, with more than 194,000 male recipients.

Laser hair removal treatments can be conducted on a variety of different body parts for men, though the most common areas include the chest, back, stomach, shoulders, neck or genital area.

  1. Photo Rejuvenation (IPL) 

IPL Photofacial treatments are used to treat a variety of skin issues, including redness, acne scarring, rosacea, hyper pigmentation and broken capillaries. Because of the treatment’s ability to address a wide range of skin problems, the procedure has become quite popular and nearly 74,000 men received the treatment in 2016.

  1. Nonsurgical Skin Tightening

Nonsurgical skin tightening procedures such as Ultherapy use ultrasound or radiofrequency waves to stimulate collagen production and reduce wrinkles or loose skin. These treatments are a great option for men not ready to undergo facelift surgery, and 73,000 men received non-surgical skin tightening procedures in 2016.

Because men face many of the same cosmetic issues as women and their own unique challenges as well, more and more men are looking to cosmetic procedures to help them feel comfortable in their skin. At Jefrey Fishman, MD, FACS, we recognize the unique issues men face, and have worked with countless male patients to help them achieve their desired look.

To learn more about the procedures listed above or to explore other common cosmetic procedures for men, call us today at 248-643-7374 or schedule a complimentary consultation online.

*Data courtesy of PlasticSurgery.org.

The Buzz About Botox®

Botox® procedures continue to rise in popularity, with 7,056,255 total procedures being conducted in 2016—a 4% increase from 2015, according to the 2016 Plastic Surgery Statistics Report. With this continuing boost in popularity comes an influx of interest and patient inquiries. Though Botox® is a minimally invasive procedure, getting it done is still a big decision, with a lot of factors to consider. Here are answers to some of the most frequently asked questions patients have about our Botox® procedures.

What is Botox®?

Botox® Cosmetic, also called botulinum toxin type A, is an injectable prescription medicine that is used to relax the muscles in the face that cause wrinkles.

Why would I want Botox®?

Botox® Cosmetic is a simple procedure that is proven to temporarily reduce or eliminate:

Frown lines in between the brows
Forehead creases
Crow’s feet near the eyes
Wrinkles on the sides of the nose
Thick bands in the neck
How does Botox® work?

Botox® injections block the nerve impulses, temporarily paralyzing the muscles that cause wrinkles while giving the skin a smoother, more refreshed appearance. It is measured in “units” and administered through tiny needles that inject the medicine into the facial muscles.

How quickly will I see results?

It will take approximately three to seven days for the drug to take effect, and will reach its full potential in about two weeks.

How long do the results last?

Botox® results typically last from three to six months. Depending on the area of treatment, patients can receive injections about every three to four months.

Am I a good candidate for this treatment?

Botox® is available to men and women over the age of 18 who would like to reduce the appearance of fine lines and wrinkles on their face. While Botox® can be beneficial at any age (it is an excellent proactive treatment to combat fine lines in your 20s and 30s), it is most popular among people aged 40-65, as this is when changes in skin tend to accelerate.

How do I know if the wellness center I’ve selected is a trustworthy Botox® provider?

All Botox® treatments should be administered by a by a board-certified medical or plastic surgeon, or by a registered nurse who is specially trained in the procedure and supervised by a board-certified surgeon. Another trick to identifying a trustworthy Botox® administrator is to look at how they talk about their product offering—a knowledgeable provider will charge by “unit” rather than by “area” because every patient is different and requires a personalized dosage for each area treated.

Have additional questions about Botox®? Contact the experts at Dr. Jefrey Fishman today to learn more about Botox® and other minimally invasive cosmetic procedures that we offer. Give us a call at 248.643.7374!