Blog — Notes of a Plastic Surgeon

Welcome to my blog. I am a plastic surgeon in Seattle and have been in private practice since 1991. I've seen more than a few interesting faces and cases through my years spent in the exam room, the operating room and the emergency room. And I have an opinion on just about everything relating to plastic surgery (and a lot of unrelated stuff). If you like my blog, let me know. Thanks for reading! Lisa

Category: Botox


Happy Birthday to BOTOX! It’s been 10 years since the FDA approved Botox for cosmetic use.

April 23rd, 2012 — 5:20pm

Seattle Plastic Surgeon shares a very quick history of Botox. 

My very first Botox patient. I injected her scowl lines and was met with great success.

I remember, years ago,  hearing about doctors injecting each other with Botox to reduce their scowl lines and thinking:  how crazy is that?????

But the anecdotal reports kept coming in and in 1992 a Canadian ophthalmologist, Dr. Jean Carruthers and her husband, Alastair, published their finding that Botox is effective in treating moderate of severe glabellar frown lines (those nasty vertical scowl creases right between the eyes).  Dr. Carruthers got the idea to try this because Botox had been used for years by ophthalmologists to treat involuntary squinting.    She and other astute opthalmologists noticed that the areas injected with Botox would loose their wrinkles. 

Botox quickly became one of the most widely researched pharaceuticals in the world with more than 2500 articles in scientific and medical  journals written about it.   Ten years after the paper by Drs. Carruthers and Carruthers, the FDA approved Botox for cosmetic use and well, the rest is history.  Botox is now approved for 25 unique indications in 85 countries.  In 2011, according to the American Society fo Plastic Surgeons’ procedural statistics, 5.6 million Americans opted for Botox treatment.  Some days when Botox is flying off my freezer shelf, I feel like I’m the one doing all those injections!

It is the scientific serendipity of the Botox story that I find so interesting.  It makes me wonder what other  discovery is just an astute observation away from being the NEXT BIG THING.

Thanks for reading!  Dr. Lisa Lynn Sowder

Botox, Now that's cool

Botox flying off the shelf

July 8th, 2011 — 6:44pm
Don’t let that excess sweating ruin your nice summer frock.

It is finally, maybe, hopefully summer in Seattle and my plastic surgery office is rockin’ with the demand for underarm Botox injections.  Excess sweating (hyperhidrosis) is a fairly common condition and Botox injections are the treatment of choice for cases that are not controlled with prescription strength antiperspirant.

During the cold months, it’s easy to hide those sweaty pits under sweaters and jackets but come summer, it’s not so easy.

Botox treatment is a quick outpatient procedure with no down time.  The injections smart but within a few minutes the sting is gone and within a few days the excess sweat production is gone.  Bring on those lovely  silk and linen summer blouses, ladies.  And for you gentlemen, get those colorful polo shirts out of your closet.  Forget about the navy blue ones.  You won’t ”need” them.

The downside of Botox treatment (the only downside in my opinion) is the cost (Botox is really expensive for the doctor and thus the patient) and the need for repeat treatments (about every six to nine months).

Some patients eventually elect to have a procedure where I remove the sweat glands through a couple of small incisions in the axilla but most of my hyperhidrosis patients include their Botox injections when planning their budget.  What Botox cost will save you bundle in clothing and dry cleaning costs and a real bundle in embarrassment.

Let’s do the math.  Underarm Botox:  $1200, lasts 6 months, costs about $7/day.  Dry arm pits:  Priceless.

Botox, Excess sweating, Hyperhidrosis, Non-invasive, Now that's cool, Plastic surgery

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