My First Botox Injection: The single most important thing you must know!

My first botox injection recorded live
I might be a little late to this party, but I have finally arrived. It seems that I may be one of my last girlfriends in my age group that has taken the plunge into the cosmetic injectable  market. What took me so long? Well, I am Buddhist, so I tend to look at my intentions before I act on them. Since I truly believe happiness comes from within, why would I consider this medical intervention for appearance?  I should clear up right away that my desire to keep myself looking younger does not include doing anything drastic. And by that, I mean with a scalpel. I am absolutely not against plastic surgery for aesthetics. I would just prefer to burn that bridge at a much later date. I had to meditate on why I really wanted to take the plunge, so let me share those reasons with you, and the single most important thing you need to know about these injections.

As many facials as I have had and will continue to have, let me just tell you this:  I am lazy when it comes to my own skin care routine. I am still going to fall asleep with my eye makeup on. I refuse to wear any kind of thick night cream. I have tried many, but none of them work from inside the jar. One needs to be compliant for these types of products to work. I know myself, and at 47,  I am not going to spend a tremendous amount of time at the end of my day doing multiple steps of a skin care regimen before I go to sleep. If it hasn’t happened by now, its not going to happen. I did attempt Nerium for a month and I was totally non-compliant because I didn’t like the new bedtime routine and it smelled like rotten bananas. Ain’t nobody got time for that! I also keep it simple with my daily skin care regimen. I do the basics; wash, tone, moisturize. A few times a week I will do exfoliation and treatments masks while I soak in a tub. I also travel extensively, and I am not willing to lug around tons of products. A quart sized baggie can only hold so much and I am adamant about not checking luggage.

Why didn’t someone tell me Botox was for lazy divas?

Friends have asked, why would I inject a “poison” into my face? It seems drastic to a few, others probably wondered why I hadn’t already. Safety and efficacy are key in my decision making process. Botox has been on the market for over 10 years, and I believe we know it is a safe and effective product for correcting and preventing wrinkles. It is FDA-approved for this application and has been thoroughly studied before and during its time on the market (for non-biased medical information, always read the prescriptions package insert!). There are no wrinkle creams on the market that will work as well as Botox for muscles of movement.

I was also a marketing major in college, and appearances do matter. As a Buddhist, I playfully try on many different versions of self minute-by-minute. I am very in tune with my connection to my body and my mind, and they are not mutually exclusive. Feeling good about myself can impact my attitude as well as affect how others perceive me.

What started to weigh on my mind was something a friend pointed out. She pointed to a long vertical line between my eyebrows. Ever since it was brought to my attention that I had a noticeable wrinkle, I could never not notice it anymore. Thanks, I think.

But it did get me thinking to back when I first switched from glasses to contacts.  One day I was walking down the hallway at a university medical center. A nurse stopped me and asked why I was so angry.  Thing is, I wasn’t!  I was having trouble reading hospital signs in the corridor. At that moment, I decided to get my vision checked. I did need glasses.  But, I also needed to make my number as a rep. Appearing to scowl is not good for sales.  I did think glasses made me appear smarter to the medical community I called on, so that was a bonus. Fast-forward a few more years and I was going to have a new sales manager that was ten years younger than me. In an effort to appear young and energetic at work, I switched to contacts. Maybe it helped with my manager, maybe not, but I certainly liked all the complements I received and I enjoyed the benefit of wearing non-prescription sunglasses. My point is, I’m not really attached to my appearance to the point that I can’t change it, I just continue to try on new shells, as I continue to grow. So where do you draw the line? To me, the first line was using hair color when the gray started to appear. Is it that big of a stretch from hair color to Botox? I used to think so, but then again, I have continued to change and grow as a person, and my idea of what is acceptable has also changed. So why shouldn’t my body match my mind? I do know one thing, I don’t want the “deep 11” on my face. Having two deep lines between the eyebrows does make one appear to be angry, even when they are not. When I discussed this with my doctor, you can imagine the horror when he pointed out that not only did I have two lines now, but at the  rate I was changing, I could actually end up with three lines. It turns out I made it to the party just in time!

Botox Brow Lift

Happy surprise, I did not know I was also going to get the benefit of a brow lift! I was aware that surgical brow lifts can have the effect of a face lift. I didn’t realize that an added benefit would be a dramatic lift of my brow. My doctor and I discussed my desire to not appear waxy, which is generally a look achieved by overuse of these injections and fillers. Let’s get this clear right now. If you go to the right specialist, you will not end up looking  “surprised” or have that frozen-face look that some people end up having. I had a successful two-site course of Botox because I chose a doctor that not only does these injections daily, but has additional training as a FAOS plastic surgeon. This select group of physicians have undergone extensive aesthetic training far beyond their chosen fellowships. These surgeons are peer-reviewed to meet the highest standards in the industry. I knew that if I picked the right doctor, he would be able to help me sift through all the options available to me. There are countless products and procedures on the market to reverse the signs of aging. I need someone who is up on absolutely every surgical and non-surgical option available to me. When I pick the right, well-trained specialist, I don’t have to do all the homework of researching new products, treatments, and procedures. This is their profession and passion.  A surgeon like the one I researched will do all the heavy lifting for me. So my advice is this:  Spend a ridiculous amount of time looking for the right doctor, not the right product. They want the best outcomes for their patients and their reputations are at stake. It just takes one trip to a website like http://www.NewBeauty.com to research all the latest aesthetic products and procedures, and you will find the same comments over and over again…I wish I had not gone to this dentist for my botox, I wish I had not used a Groupon, now my eyebrows are crooked for 3 months or longer…Every nightmare post reveals the same thing…I went to someone who was NOT a specialist and the results were not great.

Two site Botox

This is a long-term relationship and one that should be researched thoroughly. Botox needs to be injected every three months on average. At some point, I might opt for additional therapies and I want a physician that can grow with me as a patient for many years to come. The right physician will listen to your concerns and take the time to explain to you what the risks vs. rewards are. FAACS and FACOS surgeons have first hand experiences, and time in practice to master the art of beauty. This is what they do! So skip the Google search on the product and start stalking these doctors online. With technology, we can usually see examples of their work, read patient reviews, and check on their biographies to see exactly how qualified they are and in what subspecialty. Medicine is complex, and many doctors are super subspecialized. My husband is a orthopedic surgeon and only performs hip and knee replacement.  If you are going for cosmetic changes to your body, you better know what the doctor’s subspecialty is. As a former medical sales rep and wife of a surgeon, I have a certain amount of medical information and access that is not available to everyone. I thought it would be helpful to share my physician search process with you.

THE MOST IMPORTANT THING YOU NEED TO KNOW ABOUT BOTOX IS WHO IS MOST QUALIFIED TO INJECT YOUR FACE AND CHANGE YOUR APPEARANCE.

 

It is my opinion that since these injections are cosmetic and not covered by insurance for treatment of wrinkles, that I get the best injector. Ever had a bad haircut?  Think about what a bad injection could do to your self-esteem. Even the “fancy surgeon” I picked offers very competitive pricing due to the self-pay nature of these products. I checked!

I began my search locally, and moved out from there. I didn’t want someone who took a weekend workshop to be able to change the appearance of my face, when I could have someone who finished medical school, internship, general surgery residency, plastic surgery residency, and a cosmetic fellowship, which involves a much higher level of training, than other people who are technically able to provide this service. If the cost is the same, why would I not go to a plastic surgeon?  Truth is, since I don’t really want to do any surgery for a while, a dermatologist might have been a great choice as well, but in the semi-rural city where I live, dermatologists are few and far-between. I have not found a local one that I liked and could actually get in to see. It would be nearly impossible to have great access to a dermatologist locally, and I would end up with a physician’s assistant giving me my injections.

I was looking for a plastic surgeon that matched my expectations of training and accessibility. I had two options I considered locally, one was close to retirement, and the other was booked out a few months. Skill and access are important to me.

My checklist for finding a qualified plastic surgeon:

I also want accessibility. Can I get in? Will I see the doctor or a physician’s assistant. Depending on what I need, that may or may not be important. For Botox, I want a doctor that truly understands the esthetics of this product as they use it and fillers daily in their practice almost like an artist uses paint.

Allow me to introduce you to my doctor, Dr. Michael Kluska.

Dr. Kluska is a Board certified plastic surgeon and he specializes in reconstructive and cosmetic surgery. Director of the Greenbrier Center for Cosmetic Surgery and MedSpa, he has been in practice for more than 15 years. He is a Doctor of Osteopathic Medicine, graduating from the University of Osteopathic Medicine and Health Sciences in Des Moines, Iowa. He did his general surgery internship and residency at Cleveland Clinic Health System and South Pointe Hospital (This is key!!! This is a hard residency to be admitted to and the residents here work with some of the best plastic surgeons in the world).He also did his fellowship (subspecialization) at Ohio University, Cleveland Clinic Health System and South Pointe Hospital.

I also checked the Botox website to see if Dr. Kluska was listed. This was due to my experiences as a biotech sales rep. Some doctors will buy illegally reimported drugs, that cannot be tracked for safety, to lower their costs and increase their profits. Some of these may be counterfeit. I am not going to anyone not on the Botox site as the company would not have a record of sales with that physician. I would view an omission  as a huge red flag. I also want to see the Botox  vial at the time of the injection to insure the writing is in English and has a hologram of the logo. Of course Dr. Kluska is on the website, no corners are cut at The Greenbrier Clinic.

Accessibility:  How does a house call to your room at the Greenbrier sound? Due to the nature of concierge medicine, access is one of the biggest patient advantages. Physicians who limit their patients to a smaller population do this to provide more in-depth care. I know that my physician will be able to see me when I am available to see him, not the other way around! Also, I do not have to stay over night at the Greenbrier to visit Dr. Kluska at the Greenbrier Clinic. If I do stay at a guest of the hotel, I can then decide if I would like to walk over to the Clinic or have him visit my guest room. If privacy is important to you, it does not get any more clandestine than this. If in the future I decide to have a surgical procedure, I can fully recover at the hotel in one of the special medical suites and he will round on me in my suite. How sweet is that? Patients of the Greenbrier Clinic receive special room rates. Call for a quote 877.269.8118

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If you would like to see the entire consult please take a peek, it is just 20 minutes.

This is a sponsored post. I contacted the Greenbrier Clinic when I researched Dr. Kluska and extended the offer to work with him and share my experience. All opinions are my own. If you are considering cosmetic procedures it is always important to discuss your personal health and medical history with your family doctor before beginning new medical treatments. I am not a doctor. I am a spa blogger. This is my life.

 

http://www.enlightenedspareview.com/google66dfc194e4d2cd5c.html.