Botox, Dysport, & Xeomin

Nearly 20 years ago, I watched the former Chairman of Plastic Surgery at Columbia Presbyterian, Dr. Norman Hugo, place a needle in the forehead of a woman with an electric wire attached so that he was sure it was in the muscle. The solution he injected was Botox, a medication that relaxes muscles. Now, Botox is a household name used by many, a billion dollar drug with many uses. Erasing dynamic lines, stopping sweating, relaxing muscles, treating lazy eyes, and the list goes on.

The techniques for using the muscle relaxers have advanced, and good predictable results can be obtained. Since I opened Yager Esthetics in 1997, the price of botox for physicians has gone up significantly, mainly due to demand and a lack of other similar products. All of this changed when Dysport, another Botox-like product hit the market about 2 years ago. I have used this product, and find it also works well, with pricing similar to Botox.

On November 1, 2011, a new product from Merz comes out-Xeomin. It is supposed to work as effectively as Botox, but with a true reduction in cost that I can pass along to my patients. I have been chosen as one of the first centers to receive the product. It will not be available to other doctors until February, 2012. It is FDA approved with the same indications as the other products.

I will update you with the results in 4-6 months, or you can call the office to be among the first to try Xeomin. I am very excited about its potential.


Do your Skin Care Products work?

During my training in Plastic Surgery, we were not allowed to talk to representatives of companies that made products for Plastic Surgery for fear of bias. Because of this, I was determined to find out for myself what worked and what didn’t.

When I opened Yager Esthetics/Estetica, I knew my patients could benefit from more than just surgery. I sought out the best in injectable fillers, like Radiesse which is an organic longlasting material with virtually no down time, and Botox and Dysport for dynamic wrinkles. We added skin treatments like the Silkpeel to our regular dermapeels, and brought in the latest in post-op massage treatments from Colombia.

The other important piece has been truly spectacular skin care products. While I have offered peels and products since 1997, and have seen great results, I wanted a way to prove scientifically that they worked, and wanted to measure the results objectively. With the Visia skin analysis computer, I am finally able to achieve that goal.

The Visia is a computerized photosystem that analyzes your skin in 9 parameters such as sun damage, vascular lesions, wrinkles, and texture, and rates your skin against other patients your age to show where your problem areas are. We then select the proper products for each parameter, and after treatment we can remeasure to see the improvement in actual numbers. We can then continually modify your regimen to achieve the best possible results. Some of the most effective product lines we recommend at this time are Obagi and Skinmedica.

Just because a product feels or smells good doesn’t mean it is repairing damage or preventing the aging changes of your skin. I encourage you to come to the office for a complimentary Visia analysis and consultation with one of our Estheticians so that we can insure the money you spend on your skin is well worth it.