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This is a very good question. It’s also one that we get on a regular basis at our office. If you’ve ever wondered why Botox prices differ from place to place, we hope that after reading this page, you’ll have a better understanding of why they vary.
Here are several factors that affect the price of Botox:
1. Consistency and Relationship: When a practice offers rock-bottom Botox prices (usually $7-$8/unit), this is usually a one-time or introductory offer. These practices figure that they’ll get you through the door via this pricing, but then when you come back for your next treatment, they’ll charge you way more.
We don’t do this at Celibre Medical. Why? Because we believe that our reputation and results are the best types of advertising. If you’re looking for the lowest price every time you get your Botox, then you are very likely jumping from office to office. While this strategy might save you some money, we’d argue that it costs you more in the long run. You may not achieve the best results and you may waste a lot of time.
At Celibre Medical, we take pride in building strong relationships with our patients. We take the time to learn about your needs and goals. Over time, we learn what works best for you so that we can deliver great, consistent results each time you visit.
2. Truth and Integrity: Many practices offer reduced Botox rates because they over dilute their Botox. They don’t follow the manufacturer’s recommendations or the industry standard of care when preparing their Botox for injection. What this ultimately means is that you may get less Botox than you pay for. And this usually translates into results that disappear quickly (within several weeks to 2 months) after your treatment.
At Celibre Medical, we dilute our Botox to both the manufacturer’s directions and the industry standard. This means to you that you are getting the exact amount of Botox that you’re paying for.
3. Time and Training: Another strategy used by those who offer low Botox pricing is to make up for that pricing with volume. The more patients they can treat in an hour, the lower they can push their Botox prices. How does this impact you? Well, aside from feeling like you are being herded like cattle, it puts you at risk of two things: not knowing or understanding much about what is being done to you and falling victim to poor injection techniques.
Many practices that offer lower Botox prices also make up for that pricing by eliminating a budget for their injector’s training and continuing medical education.
At Celibre Medical, we not only take the time to get to know you but we also
want to educate you on all aspects of your care! We will make sure you understand any risks or potential complications and answer any questions that you may have before we ever begin a procedure. We also ensure that our injectors complete yearly training and education so that they may stay current on the latest injection techniques. We invest in their knowledge and skills because we understand that this translates into excellent results for you!
4. Safety and Ethics: At Celibre, we make sure that every new Botox patient has a Good Faith Exam. This is an exam with a physician or advanced practitioner that ensures that you are indeed a good candidate for Botox. We admit that this exam is really just a formality, but we do it because it is the law in the state of California. Many facilities that offer cheap Botox skip this (despite knowing the law) because it costs too much. But ask yourself this: if they’re willing to ignore the law (or worse, don’t even know about it!), what else are they ignoring when it comes to your care?
5. Patient Rewards and Incentives: This one is a fun one for us! We offer a referral credit program that can save you on future appointments when you refer friends and family. This applies to each referral you make! We believe that our patients would come back and refer us to their friends and family no matter what! But our incentive program is our way to give a little thanks back to them!
As you can see, there’s a lot that goes into pricing Botox. We don’t feel that Botox is a commodity that should be priced the same as it’s a professional service where the quality of service and results matter.
More Botox Los Angeles before and after pictures
Is Botox safe? Absolutely! Why then all the negative publicity? Because it makes for good drama! It would be boring to talk about the millions and millions of successful, safe, and effective Botox treatments that have occurred around the world since Botox (and Dysport) were first introduced over 20 years ago.
If you do the research yourself, you’ll see that commonly used, over-the-counter aspirin has a much worse safety profile and higher incidence of adverse reactions than Botox Cosmetic®! Surprising, but true.
More Botox before and after photos
Botox Cosmetic® is produced in a strictly-controlled laboratory setting by Allergan, a reputable, global pharmaceutical company. It is a highly-purified protein that when prepared and injected according to the manufacturer’s specifications, is both safe and effective. Since there are not many mass media appeal to these facts, we sometimes hear of severe, adverse reactions to “Botox” that was purchased from sources other than Allergan and used improperly.
In previous reports of adverse reactions to “Botox”, it is used in extremely high doses in immunocompromised children with cerebral palsy. For healthy adults having FDA-approved injections of Botox Cosmetic®, the worst reported adverse reaction has been ptosis—a temporary, completely reversible lowering of the eyebrow or drooping of the eyelid.
There are unsafe Botox practices out there, so what’s the best way to avoid them? Have your injections been done by a reputable, licensed practitioner? Avoid “Botox parties” and “great deals” offered by hair salons, spas, Groupon, and other non-medical entities. Will it cost more? Probably. But your safety and peace of mind are well worth it!
Restylane, Juvederm, and Perlane are names of cosmetic injectable fillers. These products are also known as hyaluronic acid fillers or HA for Hyaluronic Acid, which is a natural substance found in all of our bodies and is responsible for lubricating joints. These products are manufactured in a synthetic form for the use of facial cosmetic enhancement. These fillers work by filling lines, wrinkles, and restoring volume in areas such as the tear trough (the hollows of the eyes), lips, laugh lines, hollows of the cheeks, the chin and jawline, and much more. Restylane, Juvederm and Perlane not only fill areas immediately, but they also attract water to the area over the several weeks after injection.
These products are extremely safe and are used not only by millions in the United States but in other countries as well. They also have a proven safety record with very little risk for allergic reaction which makes HA’s much safer than collagen and silicone.
Read About All Celibre’s Facial Shaping Techniques
Schedule a FREE Restylane consultation with Celibre Medical, celibre.com/contact-list
Restylane Injections before and after pictures
At Celibre, we offer Restylane, Juvederm, and Perlane. Restylane & Juvederm are produced by two different manufacturers but have very similar benefits. Both are considered non-permanent and generally last approximately 3-4 months. Although the manufacturer of Juvederm (Allergan) has received FDA approval to state that Juvederm may last up to one full year, most practitioners will tell you that this is not typical. We are pleased with the ease of the product when shaping the face. Perlane is similar to Restylane & Juvederm but is a longer lasting filler. Because Perlane uses larger particles in its product, it is designed for deeper folds and is placed at a different depth within the tissue for optimal results and a natural filling effect.
The use of Restylane, Juvederm and Perlane has increased dramatically over the past several years as consumers discover the value of shaping the face to achieve dramatic improvement in the appearance of folds and wrinkles. When considering treatments, be certain to choose a practitioner that listens to your goals and involves you in the educational process and treatment plan.
To learn more about Celibre injection treatments visit celibre.com/wrinkles or call or e-mail at celibre.com/contact-list.
Lori Ishii Haney, RN, MEP-C
Certified Medical Laser Safety Officer
As with all treatments that involve cosmetic injections, the most likely negative outcome from a Restylane or Juvederm injection (and any treatments involving cosmetic dermal fillers) is the development of bruising. This is not considered an “adverse reaction” – only a common negative side effect.
Avoiding certain supplements or medications ten days prior to dermal injections will help minimize this risk of bruising. However, some prescribed medications should not be stopped until discussed with your physician. The products most commonly responsible for pronounced or delayed bruising are Ibuprofen, Aspirin, (any non-steroidal anti-inflammatories), Ginko Biloba, St. John’s Wort, Fish Oils, and Vitamin E greater than 200 IU per day. The effects from these products and other prescribed medications may last as long as ten days in the body so stopping them the day before will not help avoid the issue. Some patients find value in taking Arnica tablets prior to their Juvederm or Restylane injections. At Celibre, we apply topical Arnica gel following injectable treatments. Diligent use of ice packs is also beneficial in avoiding bruising from dermal injections like Restylane and Juvederm.
There are also certain techniques or areas that make bruising a higher probability and these should be discussed with your injection practitioner. Make certain that your practitioner involves you in the treatment plan to discuss methods of minimizing any potential negative side effects of dermal injections.
Read About All Celibre’s Facial Shaping Techniques
FREE Los Angeles Restylane injections consultation, www.celibre.com/contact-list.
Los Angeles Restylane before and after pictures at celibre.com
Lori Ishii Haney, RN, MEP-C
Certified Laser Medical Safety Officer
Botox and Dysport (neurotoxins) are the number one cosmetic procedure in the United States today with millions of injections performed yearly. Despite this, many patients like you remain confused or misinformed about what it is and what it does. We’ve put together this at-a-glance page to help you better understand this popular and effective treatment.
Botox (Dysport) is:
Botox is not:
Patients ask us often about the difference between Botox Cosmetic and dermal fillers. Consumers hear these names all the time but aren’t sure how the types of products are used or related. Botox Cosmetic and Restylane are brand names of injection products. Botox is in a class of products called neurotoxins and Restylane belongs to another class called dermal fillers. Neurotoxins work to smooth wrinkles by relaxing the muscles that cause them. Dermal fillers help smooth lines and folds by adding volume.
Besides Restylane, there are many other dermal fillers such as Juvederm, Restylane Lyft (Perlane), Voluma, Belotero, Sculptra and more. Although all of these products can provide volume to replace collagen and fatty tissue, they are made of different materials. Hyaluronic acid, which occurs naturally in the body, is the main ingredient in most fillers, while calcium microspheres are the primary ingredient in Radiesse. Dermal fillers made of hyaluronic acid work by attracting water to the injected area. Hyaluronic acid has the ability to absorb 1,000 times it’s weight in water. This water attracting action plumps the skin adding volume where fat and collagen have been lost to the aging process. Dermal fillers add volume and definition to the mouth, cheeks, tear trough area (under the eyes), the laugh lines around the mouth (nasolabial folds), and even to the area around the chin and corners of the mouth.
Botox Cosmetic is a product designed to temporarily relax specific muscles of the face to prevent and resolve lines and wrinkles. Dysport and Xeomin are similar to Botox in that they are also made of Botulinum Toxin Type A. Both are competitors to Botox. All of these products work well to relax the muscle that causes frown lines between the eyebrows (glabella area), the crow’s feet lines at the sides of the eyes and the horizontal wrinkles present above the eyebrows.
By combining both types of products (Botox or Dysport and Restylane, Juvederm, Perlane, etc.) patients are able to achieve a very natural, appealing outcome. Although Botox, Dysport and Xeomin help to resolve and prevent fine lines and wrinkles, they do not add volume like dermal fillers. Thus the products are complimentary and used in different areas of the face.
Restylane injections for dark circles under the eyes.
Botox Cosmetic and Dysport are both classified as botulinum type A products that are used for not only cosmetic purposes but medicinal as well. Botox is manufactured by Allergan, and Dysport is produced by Medicis. Both are well-known companies with an excellent reputation for products. Both products have FDA approval for the treatment of glabella (frown) lines for cosmetic indications.
For treatment purposes, the products are quite similar with the only difference being dosing requirements as well as the manufacturing process. Onset, effects, and duration for both are quite similar.
Regardless of which product the patient and practitioner decide upon, healthy competition in this arena is a win-win situation for consumers. This is clearly demonstrated by first-time consumer rebates being offered by Allergan with promotional incentives as well by both companies.
Be sure to discuss your treatment goals and the available options with your practitioner.
In previous blog articles, we’ve addressed how small amounts of Botox Cosmetic can dramatically improve if not completely resolve the fine lines that develop above the upper lip area – the smoker’s lines.
In addition to Botox injections, use of cosmetic dermal fillers such as Juvederm or Restylane can augment the outer border of the upper lip to minimize the appearance of the lines by adding volume and stretching the skin that has the wrinkles. For deeper wrinkles, injecting a small amount of dermal filler (Restylane or Juvederm) into the actual wrinkles will help fill these areas.
Another newer technique is to place the Restylane or Juvederm dermal filler product in a horizontal fashion and stretch the skin at the same time.
This does not require much product, produces moderate to dramatic results immediately, and is ideal for those wrinkles that extend farther above the lip.
In many situations, it is a combination of Botox injections with Restylane or Juvederm that create the best solution for resolving smoker’s lines. In some cases it is only by using both Botox and the dermal fillers that we can meet the patient’s goals by re-shaping the mouth through relaxation of the muscles above the lips as well as adding volume and support to the upper lip.
At Celibre Medical, we practice injection techniques that result in a natural and appealing look. Make certain that your practitioner understands and practices the newer Botox and dermal filler techniques and concepts presented here to get the best resolution of your smoker’s lines.
We’ve all been there. You’ve got a big event, get together or a first date coming up and you get a painful, red, raised acne bump in the worst possible spot on your face! You hit panic mode and start piling on the acne treatment gels, rubbing alcohol or anything else you can think of to make it go away! Of course, these only make it look worse. Instead, consider a a quick fix that for the next time this happens to you: steroid injections.
Although these injections are not as quick as a magic wand, they contain a medication called Kenalog (triamcinolone) that is a powerful anti-inflammatory. Once injected into the cyst, it usually dramatically improves or resolves altogether in one to two days.
Steroid injections are not preventative for acne – they won’t keep acne from developing. They’re more of an emergency or once-in-awhile intervention. They should only be used on large, painful and inflamed cystic acne lesions. Never on small papules or pustules, and absolutely not on blackheads or whiteheads.
A steroid injection can dramatically clear up an acne cyst quick. Instead of waiting weeks for it to go away, you may just have to wait a couple of days! They aren’t a magic wand, but they really are the next best thing!
We’re sure you’ve heard the expression “the eyes are the window to one’s soul.” At Celibre Medical, we have many patients tell us their eyes are making their soul look a lot older than it feels! We agree! Lines and wrinkling above, between and around the eyes, coupled with the natural downward gravitation of the eyebrows creates an unhappy, heavy and tired appearance our eyes as we age. But there is an answer: Botox and Dysport.
Using Botox (Dysport) in these areas is extremely common; in fact, we’d say these areas are probably the top three on the face where Botox is used. Here’s how Botox (& Dysport) can help each:
Between the Eyes (Glabella)
The medical term for the area between the eyes is the glabella. Beneath the skin in this area are three muscles: two, rectangular-shaped ones that pull the middle part of the brow towards the inner part (one on each side) and a shell-shaped one right in the middle that pulls the inner part of the brow down towards the nose. Known together as the “glabellar complex”, these muscles all contract simultaneously to produce a frown. Go ahead, make your “I don’t approve” face. See the lines that form between your eyebrows? As we get older, these lines tend to stay around…even when we’re not frowning! Another common term for them is “the elevens” since they look like the number itself, permanently etched between your brows. Whatever you call them, these lines make us look angry, sour and older than we feel.
Botox can be selectively injected into these three muscles relaxing them, preventing the proverbial “permanent scowl” from dominating our look. Another benefit? Since these muscles are brow “depressors”, meaning they pull downward on the brows, when relaxed, the brow elevator muscle works unopposed (think tug-of-war). The result is a brow lift without the surgery! The standard dose for the glabella is around 20 units.
Above the Eyes (Forehead)
Remember the brow “elevator” muscle we talked about above? That muscle is called frontalis and it is a large, sheet-like muscle that spans the length and width of the forehead. Frontalis is a tricky muscle because no two are exactly alike! Some are slightly V-shaped, while others are more rectangular. Some are narrow and others are wide. Why does all this matter? Because it can affect how your forehead lines look when you raise up your brows. It takes an experienced and skillful injector to understand the right dose of Botox for this muscle. Too much can mean your eyebrows drop (think Cro-Magnon brow). Too little or not enough to treat the whole muscle can mean uneven brows or “Dr. Spock” brows which just looks bad. The right dose (combined with proper treatment of the glabella) should leave your forehead smooth and your brows even and lifted, all at the same time.
For these reasons, there is no one, standard dose of Botox in this muscle. It may range from 10 to 20 units depending on your gender, the size and shape of your frontalis muscle and how strongly it contracts (single horizontal line or several).
Outer Eye (Crow’s Feet)
This last area is one that is different for everyone as well. Some people have pronounced lines that radiate outward from the edge of the eye when they squint or smile, while others may have hardly nothing at all. The reason Crow’s feet happen is from the contraction of a purse string-like muscle around the eye known as the orbicularis oculi. Treating orbicularis with Botox relaxes it, dramatically smoothing the skin around the eye both at rest and when smiling and squinting. The orbicularis oculi also pull down on the outer edge of the eyebrow so, if you remember about that downward/upward tug-of-war we talked about with the glabella, treating the crow’s feet can also lift the outer edge of the brow and eyelid which helps to open up the eye. Again, there is no one, single dose that works for everyone, but generally 10 to 15 units is standard.
Don’t think Botox can’t be used anywhere in the lower face as there are a few places where it can be helpful. But, far and away, using Botox in the glabella, forehead and outer eye is its bread and butter. When done right, Botox can lift and shape your brows, open up your eyes and give you a younger, more relaxed and refreshed appearance.
* Botox Before and After Pictures
It’s hard to imagine anything that involves a needle not hurting, but surprisingly, most patients tell us that having cosmetic injections really isn’t all that bad! However, we feel it’s important to discuss the fact that pain is very subjective and so some patients will be more sensitive to cosmetic injections than others. Everyone feels pain differently; what one-person thinks is minor pain may be quite uncomfortable for someone else.
At Celibre Medical, we never assume that injections aren’t painful. We talk to you about your pain tolerance before your injections and will make every effort to ensure that you are as comfortable as possible in our office before we begin. We have many options for those of you who fear injections or are stressed out by the thought of having them.
Botox and Dysport Injections
The size of the needle that is used for these injections is the smallest available! While that doesn’t mean it’s painless, it does mean that the pain from the needle is minimized. If that still doesn’t make you feel more confident about tolerating Botox or Dysport injections, then we usually offer an ice pack to gently numb the area prior to injection as this usually does the trick. We will warn you though that many people feel that the ice pack is more uncomfortable than the needle itself!
Dermal Filler Injections
These are a bit different than Botox or Dysport injections. The needles that are used are still very small, but the product itself is what people tend to describe as painful. Compared to Botox, dermal fillers are stiff, thick gels, so as they’re injected, they disrupt and move the skin tissue which means that you’ll feel it more as compared to Botox.
With that said, we do have several ways that we decrease the discomfort of dermal filler injections. The first is topical numbing cream. There are many different formulations, but Celibre Medical uses one that is particularly effective at numbing the skin. This helps you not feel the “prick” of the needle so much. We can also use ice packs before your injections. This also helps to numb the skin’s surface and a bit more of the deeper layers of skin as well. Lastly, we use dermal filler products that contain a small amount of lidocaine, an anesthetic. Much like what you get at the dentist office, lidocaine can give a deep, regional anesthesia which helps you not really feel much at all other than pressure once the filler injections get going.
One last note: remember that where you get your dermal filler injections will play into how much they hurt. Having filler placed deeply in your cheeks hurts a whole lot less than having your lips injected. Different areas have different sensitivities. And sometimes no matter what we do to numb beforehand, you may have some discomfort with dermal filler in a highly sensitive area like the lips and around the mouth.
We strive to make your treatments as comfortable as possible and we take the time to make sure that we are fulfilling that responsibility with each and every treatment.
When patients come to us to talk about dermal filler injections, they’re often worried about side effects. It’s understandable as there are several side effects that can occur following these types of procedures. However, most patients are surprised to learn that the most common side effect after injections is bruising.
There are several factors that play into whether you bruise following injections of products such as Restylane, Juvederm, Radiesse and Sculptra. Here are a few that are out of your control: your age, your underlying health conditions and your propensity to bruise.
There are a few more factors that depend on what your goals for treatment. The area around the mouth and the lips tend to bruise more easily than the temples or cheeks. The specific product used, where it is being injected and how deeply it’s injected can all affect whether or not you bruise following your treatment. Discuss these specific, individualized risks with our injectors prior to your treatment day so that you’re not caught off guard.
Lastly, there are several things that you can do before your injection day to minimize your risk of bruising. Avoiding these for the specified amount of time can lower your risk:
Despite the best laid plans, bruises may still happen after dermal filler injections. However, our office conveniently provides laser treatment of bruising to help it go away faster should it occur. Lasers help break up the bruise so that your body can heal more quickly. The photos below show a patient with a bruise who was treated with our long-pulsed YAG laser and the result two days later.
Are you thinking about plumping your lips, but are deathly afraid of looking like those silly, duck-lipped celebrities. We understand. At Celibre Medical, we want you to be 100% confident and comfortable with your decision to have lip filler. This is why we’ve compiled a set of before and after photos of real-life patients who want natural looking results – just like you!
Take a look through our photos and know that your goals are the same as ours: fuller, plumper, kissable lips that are totally yours, but better! We want you to look like you—not a fake-looking celebrity. These pictures illustrate the skill and artistry of our lip injectors. Lip filler treatments are a highly individualized procedure that can be tailored to perfectly fit your needs.
Lip injections do not follow a cookie cutter approach and can provide volume, correct asymmetry, better define your lip borders, or accentuate cupid’s bow (the little arch in the middle of your upper lip). Our injectors work diligently to ensure that your filler looks natural, soft and pleasing and that your lips enhance your overall beauty and don’t become an unwanted or unnatural looking focal point.
Restylane to Improve Smoker’s Lines Before and After Juvederm
Adding Body and Volume to Upper and Lower Lips with Restylane
Smoothing and Plumping Lips Before and After Restylane
Correcting Lip Symmetry Before and After Restylane
Creating Philtral Columns Before and After Juvederm
Defining Lip Borders Before and After Juvederm
If injecting dermal fillers was easy, then everyone who’s had filler treatment would look natural, age appropriate and well proportioned, right? In other words, “bad filler” wouldn’t exist. Sadly, that’s not the case. The reason is because it takes a great deal of knowledge and skill to get filler injections right—and still, not everyone who has both can do it well!
We cringe too when we see overly filled, duck-bill-looking lips. While we know there is a small, small minority of people out there who actually WANT that look, the rest of us interested in having lip filler definitely do not! Soft, natural and proportionate results are attainable with any of the dermal filler products – Restylane, Restylane Lyft, and Juvederm. The key isn’t so much the product as it is the skill and aesthetic eye of the person holding the syringe. There are certainly products that are better suited for lip injections, just as there are ones for cheeks, temples, etc. A knowledgeable, well-trained and highly skilled injector knows this, as well as how to gauge which is better suited for you based on your goals and individual features.
Lori Ishii Haney RN is an example of this type of injector. She’s been injecting at Celibre Medical since 2006. She views dermal filler injections as both a science and an art and she’s mastered both aspects of her practice. With her help, you can have your best lips without the fear of looking “filled”. Her years of experience have honed her aesthetic eye and equipped her with the tips and tricks to making you feel comfortable and at ease during your treatment. If you’re looking for an expert injector, then look no further!
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