i would like to get fuller for my face and Botox. I have some acne scars as well as fine lines. I have also lost volume in cheek area. During the consultation I would like to discuss further procedures as well e.g. Lip and moles
February 22, 2016
Answer: Yes and No It is my preference NOT to have a patient do their consultation on the same day as their desired procedures, unless they are coming from very far away, and in that case we make special plans. Botox is the exception, we typically DO let a patient have Botox on the same day as their consult.The reason for this is at the consultation the doctor needs to evaluate the patient and let them know what they recommend. A patient needs to be informed of the procedure risks, alternatives, pre-operative instructions and the post-operative instructions so that compliance will produce the best outcome. For instance, we want people to know about anything that might be a blood thinner that they are taking so they can stop it 7-10 days ahead of time, so they will have less bruising. Often people are aware that aspirin is a blood thinner, but they may not be aware that ibuprofen, Vitamin E, fish oils, and to a certain degree alcohol will all contribute to bruising. Another practical reason is that some products are on the shelf and ready to go and others need to be prepared in advance. Hyaluronic acid fillers are packaged in a box and ready to go. Botox needs to be diluted with saline prior to its use which only takes a couple of minutes. Sculptra however should have the water added the day before and allowed to sit several hours so it is saturated properly.What happens if we allow the patient to consult and schedule for Voluma, and then they decide they want Sculptra instead? It won't be ready, and if someone rushes to mix it right then the patient's risk of bumps under the skin goes up. What if they scheduled for Sculptra and then they change their mind that day during the consult that they want Voluma instead? The doctor's office will have to throw away Sculptra it prepared. ALL of these products are expensive for the doctor to purchase, before they can provide them to the patient. What if the patient actually didn't have a clue about the cost of the procedures? They show up thinking give me the works.... then say well, actually I can only spend $300. If the patient told the receptionist they were going to do botox, juvederm, voluma and then only does a few units of botox, when they were scheduled for enough time to do them all, that really hurts the doctors business by wasting his time.Discussing moles and acne scars takes even more time, because it will relate to different procedures.Worst case scenario, what if the office sets aside a lot of time to do the consult and several procedures, and the patient doesn't even show up?Bottom line is to call the office you desire to go to and see what their policies are. I personally like my patients fully informed and prepared before coming in for any procedure. Kind regards, Marla Klein MD
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February 22, 2016
Answer: Yes and No It is my preference NOT to have a patient do their consultation on the same day as their desired procedures, unless they are coming from very far away, and in that case we make special plans. Botox is the exception, we typically DO let a patient have Botox on the same day as their consult.The reason for this is at the consultation the doctor needs to evaluate the patient and let them know what they recommend. A patient needs to be informed of the procedure risks, alternatives, pre-operative instructions and the post-operative instructions so that compliance will produce the best outcome. For instance, we want people to know about anything that might be a blood thinner that they are taking so they can stop it 7-10 days ahead of time, so they will have less bruising. Often people are aware that aspirin is a blood thinner, but they may not be aware that ibuprofen, Vitamin E, fish oils, and to a certain degree alcohol will all contribute to bruising. Another practical reason is that some products are on the shelf and ready to go and others need to be prepared in advance. Hyaluronic acid fillers are packaged in a box and ready to go. Botox needs to be diluted with saline prior to its use which only takes a couple of minutes. Sculptra however should have the water added the day before and allowed to sit several hours so it is saturated properly.What happens if we allow the patient to consult and schedule for Voluma, and then they decide they want Sculptra instead? It won't be ready, and if someone rushes to mix it right then the patient's risk of bumps under the skin goes up. What if they scheduled for Sculptra and then they change their mind that day during the consult that they want Voluma instead? The doctor's office will have to throw away Sculptra it prepared. ALL of these products are expensive for the doctor to purchase, before they can provide them to the patient. What if the patient actually didn't have a clue about the cost of the procedures? They show up thinking give me the works.... then say well, actually I can only spend $300. If the patient told the receptionist they were going to do botox, juvederm, voluma and then only does a few units of botox, when they were scheduled for enough time to do them all, that really hurts the doctors business by wasting his time.Discussing moles and acne scars takes even more time, because it will relate to different procedures.Worst case scenario, what if the office sets aside a lot of time to do the consult and several procedures, and the patient doesn't even show up?Bottom line is to call the office you desire to go to and see what their policies are. I personally like my patients fully informed and prepared before coming in for any procedure. Kind regards, Marla Klein MD
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February 17, 2016
Answer: Filler and Botox can be done the same day The majority of our patients come in for consultation and treatment the same day. For Botox it is probably over 90% that decide. For fillers it is probably about 75%.Reasons that patients wont do the same day. They underestimate possible swelling and have an event and then wait until after the event for fillers. Usually swelling is not much but occasionally it can be noticable the next day. Lips have more swelling sometimes than other areas. Avoid aspirin or ibuprofen for 10 days before as they increase bruising.Sometimes patients are not a good candidate and recommendations for a different treatment is made.But the majority make their appointment and proceed to same day treatment
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February 17, 2016
Answer: Filler and Botox can be done the same day The majority of our patients come in for consultation and treatment the same day. For Botox it is probably over 90% that decide. For fillers it is probably about 75%.Reasons that patients wont do the same day. They underestimate possible swelling and have an event and then wait until after the event for fillers. Usually swelling is not much but occasionally it can be noticable the next day. Lips have more swelling sometimes than other areas. Avoid aspirin or ibuprofen for 10 days before as they increase bruising.Sometimes patients are not a good candidate and recommendations for a different treatment is made.But the majority make their appointment and proceed to same day treatment
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