Celebs and their plastic surgery

Articles about Botox

Can Botox Injections Cure Your Blues?

Wednesday, November 20th, 2013

This is an interesting article from the new Smart Beauty Guide: Two recent studies have shown that Botox injections can possibly alleviate symptoms of depression.  One study showed a 47% decrease in their subjects’ depressive symptoms.  The other study showed that 27% of subjects treated with Botox had significant improvement in their depression.

So how might this work?

Are the subjects less depressed since they look better after the Botox?  Probably not.

Could they feel better because the Botox prevents them from frowning?  Maybe.

At this point, we really don’t know!

Link: http://smartbeautyguide.com/news/injectables/botox-injections-cure-blues#.UowjTXQo7mI


The Many Uses Of Botox

Friday, March 1st, 2013

There is an interesting article in The Body Odd on NBCNews.com regarding the many uses of Botox.  We all know about Botox for wrinkles, but did you know that Botox can be used to treat many other problems?  Botox has been used successfully to treat plantar fasciitis, migraines, overactive bladder, bulky calves, and even for weight loss!  And its indications are only growing.

To read the BodyOdd at NBCNews.com article, click HERE.


FDA Warns Doctors Of Counterfeit Botox

Wednesday, December 26th, 2012

I hope you had a nice Christmas!  Here is a story that came out the other day.

The FDA has sent a warning letter to 350 medical practices who may have purchased counterfeit Botox from a Canadian supplier.  From NBC News.com:

The Food and Drug Administration said in a letter sent last  month, a letter released publicly last week, that batches of the wrinkle  treatment shipped by suppliers owned by pharmacy Canada Drugs have not been  approved by the FDA and that the agency cannot assure their effectiveness or  their safety.

The FDA said Canada Drugs was previously tied to shipping  unapproved and counterfeit cancer drugs.

The agency warned doctors about  buying drugs from sources other than licensed U.S. pharmacies. It is the fifth  warning the agency has made this year about foreign suppliers providing  unapproved drugs.

I often get faxes from various pharmacies offering Botox and other injectable products at prices cheaper than I get from the company directly.  The offers are enticing, but I’ve never taken them up, mainly because I’ve been afraid that the product isn’t genuine.  All plastic surgeons and dermatologists should be aware of this FDA warning, especially since these “Botox at 50% off!” faxes arrive quite frequently.


Study Shows Botox Can Help Alleviate Depression?

Wednesday, October 3rd, 2012

There is an interesting study from the Journal of Psychiatric Research that claims that Botox can help alleviate depression.  Is this true?

From the RealSelf.com blog:

The 16-week study appeared in the Journal of Psychiatric Research earlier this year and reported that the face’s inability to register emotion post-Botox may help those with treatment resistant depression.

Participants in the treatment group were given one dose (five injections) of Botox between and just above the eyebrows, whereas the control group was given placebo injections. Symptoms of depression in the treatment group reportedly decreased 47% after six weeks, and remained at that level through the study period. In comparison, the placebo group had a 9% reduction in symptoms.

M. Axel Wollmer of the University of Basel, who led the study, says that since Botox “interrupts feedback from the facial musculature to the brain, which may be involved in the development and maintenance of negative emotions,” it may be able to regulate depression.

I find this fascinating.  What causes the people who received Botox to feel better?  Is it interruption of neural feedback like the commentor claims?  Or, could it be that preventing a frowning face makes a person feel happier?  It’s documented that smiling a lot can improve a person’s mood.  Could it be due to something like this?

A final possibility: maybe the cosmetic benefits made the person feel better about himself or herself, alleviating some of the depression symptoms.  Although I doubt the latter, it’s interesting to speculate.  Botox is definitely turning out to be a true wonder drug!


My Recent “Good Morning America” Segment On Bro-Tox

Wednesday, January 11th, 2012

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FDA Approves XEOMIN, a Type of Botulinum Toxin, for Cosmetic Use

Thursday, July 28th, 2011

Is the third time the charm?  This month the FDA approved Xeomin® (incobotulinumtoxinA) for the treatment of moderate to severe wrinkles in the glabellar region (frown lines).  This is the third botulinum toxin to be approved by the FDA for cosmetic use (following Botox and Dysport).  Merz Aesthetics plans to release Xeomin for use in the Spring of 2012.

So what’s so special about Xeomin?  Will patients have better results from Xeomin than Botox? 

I doubt it.  Although I have not used the product and am not a Xeomin researcher, initial reports indicate that Xeomin does not need to be refrigerated like Botox and Dysport.  While this is convenient for the plastic surgeon, it’s really of little consequence to the patient.  However, with each vial of Botox costing most plastic surgeons well over $500, hopefully the emergence of Xeomin can help bring prices down for all of us.


Can Botox Get You Out Of A DUI?

Friday, November 5th, 2010

A strange Botox-related story has been recently published on MSNBC.com.  A Canadian woman, Patti Ann Moore, was recently pulled over by Canadian police for allegedly drinking and driving.  When the police officer attempted to perform a breathalyzer test on her, she huffed and puffed but just couldn’t get her lips around the breathalyzer.  She was subsequently charged with refusing to give a breath sample.  Moore has admitted to drinking and driving that night but claims that recent Botox injections have left her unable to purse her lips, and therefore unable to wrap her lips around the breathalyzer blow apparatus.  Last week a Vancouver judge tossed out the charge after a letter from her plastic surgeon confirmed her claims.

My comments on this case are included in the MSNBC.com article, which can be found here.

Botox is most often used to treat the wrinkles of the upper face, including the forehead, glabella (frown lines), and crow’s feet.  But where else do we cosmetically inject Botox?  Here is a list:

1. Around the mouth – for ‘smokers’ lines.  I almost never inject here, for the reasons given in the MSNBC.com article.

2. Platysmal bands – neck bands caused by muscles.  I occasionally inject here, with so-so results.

3. Masseter muscle – to thin the jawline.  Works really well.  Check out the photos on my website here.

4. Gummy smile – injections near the nose may help drop the upper lip. 

5. Golf ball chin – See Gordon Ramsay.

6. Lift the corners of the mouth – Botox can be injected into the muscle that pulls the corners of the mouth down, causing them to be elevated a bit.

7. Elevate the eyebrows – A little Botox injected under the eyebrows can often result in a mild lift… but puts the eyelid at risk of drooping.


FDA Approves Botox Competitor Dysport / Reloxin!

Thursday, April 30th, 2009

BIG news in the plastic surgery field. The FDA approved the drug Dysport (otherwise known as Reloxin) today for the treatment of fine lines in the glabella (between the brows). This is the first bona-fide competitor to Botox, as it is also a Botulinum Toxin Type A.

I’ve mentioned Reloxin in this blog before, as well as on the Rachael Ray show a couple months ago. Plastic surgeons (and patients) hope that this can act as an economic bailout for the 4 million Americans who pay several hundreds of dollars for each Botox treatment. I think we would all welcome a price war between Allergan (makers of Botox) and Medicis (makers of Dysport).

How does Dysport compare to Botox? Other than the fact that they are both Botulinum Toxin Type A, it’s difficult to tell. However, if Dysport is priced competitively with Botox and has similar efficacy, we may see a multi-billion dollar product reaching your plastic surgeons’ offices in the next 30-60 days. Stay tuned!

Source: Globe Newswire

Thanks for reading.
Michigan-based Plastic Surgeon
Anthony Youn, M.D.


Stars Admitting to Botox

Saturday, November 22nd, 2008


A recent article in People Magazine has compiled a number of celebrities who have gone on record to having Botox injections. Most of them like what the treatments do, and there is an estimate that 75% of stars over the age of 35 receive Botox injections! Here is a list of the stars who get or have gotten Botox:

If the star’s name is highlighted, you can click on it to visit one of my previous blog entries on their Botox.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.


Botox for Breast Augmentation?

Sunday, June 8th, 2008

Will its applications never end? Some doctors have found a new use for Botox: Breast Augmentation. According to nbc10.com, some plastic surgeons are injecting Botox into the muscles of the chest in an attempt to straighten a woman’s posture and thereby enhance her bust line. Click here for the article.

I’ve never performed this procedure before, but I bet that the before-and-after photos are not very impressive. I would think that the doctor would need to use huge amounts of Botox to weaken the muscles of the chest, which are quite large. Time will tell on this one…

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.


Botox Safety Article in Allure Magazine

Friday, May 2nd, 2008


Allure magazine has a very well-written article on the recent controversy regarding Botox safety. The media has recently focused on a study from Italy showing botulinum toxin being found in parts of the brain fluid in mice who had it injected near their whiskers. Allure’s Joan Kron (a very well-respected journalist) has written “Botox on the Brain,” addressing the recent controversy. I always find her articles well-written, well-researched, and very objective. Click here for the article.

She has also written on fat melting injections in the past. Click here for my post on this topic.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.


Safety of Botox

Sunday, January 27th, 2008

A U.S. consumer group called Public Citizen has recently asked the FDA to reconsider the safety of Botox treatments. They pointed to some 16 deaths following Botox treatments, citing complications such as paralysis of the esophagus and aspiration pneumonia.

Botox is currently the most common medical cosmetic treatment today. According to the American Society of Plastic Surgeons, last year over 4.1 million Botox cosmetic treatments were performed. It is currently FDA approved for treatment of glabellar wrinkles, which are the frown lines between the eyebrows. Any other treatments are considered ‘off-label.’

I believe Botox is a very safe treatment if performed in the right hands. Over the past few years we have performed probably 500+ Botox treatments in my practice without a single known significant complication. If it is injected cosmetically for the upper face (where it is most effective), I can’t see how someone would get a complication like that mentioned above. The worst that can probably happen is drooping of an eyelid (very rare) or a bruise (somewhat common).

I surmise that the esophageal and lung complications may have resulted from Botox being injected for non-cosmetic reasons. It is currently being used for more indications than can be mentioned here, including TMJ, migraines, and various muscle spasm problems. It’s possible that poorly performed treatment for a non-cosmetic indication could result in the bad complications cited by the Public Citizen.

For the article on the Public Citizen, click here.

For the reply by the American Society of Plastic Surgeons, click here.

Thanks for reading.

Michigan-based Plastic Surgeon

Anthony Youn, M.D.


Cosmetic Injectables… Which ones are the Best?

Friday, February 2nd, 2007

There are so many cosmetic injectables on the market today, it’s difficult for a consumer to determine exactly what they want or need. Here are my opinions on the most popular cosmetic injectable treatments:

1. Botox: By far the best. Nothing works like it. Botox causes paralysis of certain facial muscles which cause wrinkles in the forehead, frown lines between the brows, and crow’s feet wrinkles. It lasts 3-4 months on average and is the best “bang-for-the-buck,” in my opinion. Plus, Botox injections are nearly painless if topical skin anesthetics are used.
2. Restylane: This is the most popular injectable “filler” today. This means the product is injected into wrinkles or the lips to fill them in by adding volume. I use this very regularly. It’s best for filling in the nasolabial folds (the deep wrinkle from the side of the nose to corner of the mouth) and plumping up the lips. It is somewhat painful to have injected and can cause a bit of bruising in some. I often use local anesthetic injections for it. Restylane lasts around 6 months. Jessica Simpson has admitted to using Restylane.
3. Collagen (Cosmoplast, Cosmoderm, Zyplast, Zyderm): This used to be the most popular filler before Restylane came along. Collagen doesn’t last as long (2-4 months on average) but is cheaper than Restylane and less painful to have injected. This is what Barbara Hershey had before she filmed “Beaches.”
4. Hylaform / Hylaform Plus / Captique / Juvederm: These are all “Restylane substitutes.” The first three were touted as comparable to Restylane but their longevity was disappointing (I saw 3 months for Hylaform and 4-6 months for Hylaform Plus). The newest one is Juvederm, and supposedly the results can last 6 months like Restylane. It is reportedly more comfortable to have injected as well. The jury is still out on this one.
5. Radiesse: This is another injectable filler. The benefit of Radiesse is that it lasts much longer than Restylane (over a year). However, I caution anyone who is considering having it injected into the lips. I have seen many cases where it has caused visible bumps which needed to be poked with a needle and the Radiesse squeezed out. It may be a good treatment for people who need long-term, deeper injections. Some people now inject it into noses to change the contour.
6. Artefill: This is a recently FDA-approved permanent injectable substance. Be careful with any permanent substance, as it can cause bad reactions even several years after it is injected. Physicians used to inject silicone into people’s faces, with some disastrous results.
7. Fat: In my opinion, this is by far the best ‘permanent’ injectable treatment. I often perform facial fat grafting on my patients. I take fat from their tummy or thighs, purify it, then reinject it into the cheeks, under the eyes, and into the lips. It is real surgery, however, but can last for years.

Like with any medical cosmetic treatment, make sure you consult with a reputable physician before having it done. There are a lot of practitioners who are trying to do these injectable treatments with little or no experience or training. If you are not sure who to see, a board-certified plastic surgeon is usually a good choice.

If anyone has any experience with other injectables like Sculptra, I’d be interested to see what you have to say!

Thanks for reading.
Michigan-based Plastic Surgeon

Anthony Youn, M.D.


The most common celebrity plastic surgeries

Thursday, April 13th, 2006

What is the most common plastic surgery for celebrities? The following comments are my opinion only, deduced after working as a Hollywood plastic surgeon for a time and becoming a pop culture and celebrity plastic surgery “expert.” By far the most common cosmetic procedure is Botox. Botox has gotten so widespread in Hollywood nowadays that I notice when people do not have Botox more than when people do. This was most evident when I watched Tea Leoni act all flustered in that Adam Sandler clunker, “Spanglish.” She had so many forehead wrinkles and crow’s feet in that movie that I found it almost distracting to watch her. That many forehead wrinkles are rarely seen in beautiful Hollywood actresses today, so I applaud her for going au natural.

As far as surgery goes, the top three in my opinion are liposuction, breast augmentation, and rhinoplasty. All three of these occur much more often in celebrities than in the normal population. Breast augmentations are often obvious (hello Mariah Carey!), whereas liposuction can be difficult to determine (I’ve had people tell me that J. Lo has had it done numerous times), and rhinoplasties are either good (Halle Berry?) or bad (Jennifer Grey?). There are many more celebrities who’ve had these surgeries done than most people may realize. (I even believe that the great Julia Roberts has had her nose done!) At some point, the normal population may catch up with Hollywood celebrities in the amount of plastic surgery performed, but by then the celebrities may have gone onto bigger and more drastic ways to keep themselves young and relevant. Maybe they will have started cloning themselves by then. Just what we need, another Carrottop!

Have a great Easter! My son Daniel (3 months old) is getting baptized on Easter Sunday, so we are very excited…