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16 Sep 2012

Plastic Surgery Gone Bad

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caption=”(artist Jason Laurits-used with permission)”] If you have seen a reputable surgeon and not been offered surgery, the solution isn’t to keep searching until you find someone to take on your case. Eventually you will find someone hungry or adventurous enough to give it a go, and that is not a good criteria for finding a surgeon. Choosing a surgeon because they can accommodate your impulse decision for surgery next week is also a bad idea. Another source of problems is the pursuit of perfection: a result that is 95% perfect should be left alone, unless your surgeon feels very confident in doing a revision. Bad results stand out, good…

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6 May 2012

Cheek and Chin Augmentation

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Cheek and Chin augmentation don’t get enough respect from patients, or sometimes surgeons, but a recent increase in chin augmentation requests reported by the American Society of Plastic Surgeons (and observed anecdotally in our Toronto office) is giving people some cause to reflect. There is speculation that the increased use of Skype and videophones is causing people to take a closer look at themselves, and a closer look at feature enhancement. Chin augmentation is a relatively easy procedure performed with a silicone implant through an incision under the chin. There are variations of the implants intended to mask jowls, or even create a chin dimple. Cheek augmentation with implants carries…

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21 Mar 2012

A New Wrinkle for Botox: Treating Depression

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We have long been impressed by the enthusiasm some patients have for botox injections, despite the modest (by surgical standards) cosmetic effect of the treatment. A recent study of the effect of Botox injections into the ‘frown muscles’ of patients with Chronic Depression indicates a powerful improvement in the symptoms of depression. If it is true that smiling makes you feel happy, perhaps not frowning makes you feel less sad!

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4 Nov 2009

Costs for Botox injections- Why do some practices charge more?

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The effectiveness of Botox depends on many factors, and you should consider more than the cost of the Botox in choosing a clinician.  Cost per unit of Botox is a good starting point in comparing prices.  $12 per unit may prove cheaper than $8 if the same effect can be produced with a lower dose of units.  A practice that uses Botox frequently will have a fresher stock that may be more effective.  Syringes that are designed to minimize loss can make a big difference, especially in small volume injections.  A GP or dermatologist may never have actually seen the muscle they are trying to inject, whereas a Plastic Surgeon will…

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