Monthly Archives: June 2013

Day 3 Vegas Cosmetic Surgery Aesthetic Dermatology Conference

Today’s highlights involved meeting the worlds most prolific injector of Botox.  He works in Singapore.  He gave a great lecture about injecting Botox in a certain way which could work for some Keloid scars.  The protocol is detailed and he shared it with the attendees of the Vegas Cosmetic Surgery and Aesthetic Dermatology Conference.

I attended a few sessions on laser and Cool Sculpting.  Cool Sculpting is a method of non surgical fat reduction.  It uses the idea of cryolipolysis.  CoolSculpting is a trademark owned by Zeltiq.  They hosted a cocktail hour at the conference at around 6:15pm tonight.

I got a chance to greet the reps for Allergan at the Convention.  What was interesting today for me was getting more information about doing virtual patient follow ups.  I didn’t think I was ready for such a thing, but it’s out there.  It’s kind of like recording your post op visit on a secure youtube website and then having the doctor review it later and write you some secure email.

I particularly liked the sessions on TCA peeling.

We also spent some time with another cosmetic plastic surgeon from Modesto, CA.  It was good to see another familiar face at the meeting.

In the evening, there was a dinner program put together by Valeant – the owners of Restylane, Perlane, Sculptra, Dysport, Obagi, and Renova (a form of Tretinoin).  We saw some live amazing cosmetic injection techniques by some legendary doctors.

I am getting so overloaded with all this great information!


Day 2 Vegas Cosmetic Surgery Aesthetic Dermatology 2013

Advanced Dermatology Section

This was a one of the best days of this educational program for me.  I spent the entire day in the advanced dermatology portion.  There was three sessions going on at the same time.  Most of the lectures I heard were about fillers (Juvederm, Radiesse, Perlane, Restylane, Belotero) and neurotoxins (Botox, Xeomin, Dysport).  This was one of my main goals of this course was to absorb as much as I could about the topic.  I was thrilled to see the European and Russian experiences with Botox, Fillers, etc.  There were also sections on ethnic skin and hyperpigmetation.  It was an eye opener to see a bunch of discussions on the complications of fillers and Botox.  We’re glad we have hyaluronidase in our office as part of a kit for filler emergencies.  There was also a lot of info about hydroquinone and tretinoin.  Did you know that there’s hydroquinone in coffee?  I also saw a lecture where they used ultrasound to help guide decision making regarding filler placement.  There was also a brief discussion of fake filler products.  I liked the idea of using ultra sound gel as a substance to help massage fillers.  There were also a ton of information regarding using blunt cannulas for fillers which is something I’ve been doing.

Factors that affect Different Neurotoxins

  • Dilution
  • Manipulation
  • Physician technique
  • Storage

Key words

  • Retrograde threading
  • Malar flattening
  • Sandwich Volumetry

It’ll be great to bring back all this international information to our cosmetic plastic surgery practice in Modesto, CA.

And after the lectures:

We went to another lecture sponsored by Merz Aesthetics, the makers of Belotero and Xeomin (and Asclera for veins).  The talk was Innovations in Facial Aesthetic Medicine, Mastering the Art and Science of Injectables.  Amazingly it was produced by Paradigm Medical Communications, located in Orangeburg, NY.  Their telephone number is 845-398-5100.  They said they were located on 303.  I have friends who live in Orangeburg, New York and I have a personal connection to that location.  This CME program was 3 credits.

New Silicone Gel Breast Implant Approved by the FDA

Mentor’s Memory Shape Breast Implant

Date: June 13, 2013

  • FDA announced it’s approval on June 14, 2013
  • These are manufactured in the USA by Mentor Worldwide LLC
  • It is called the Memory Shape breast implant
  • More silicone cross linking
  • Firmer
  • FDA approved for women at least 22 years old for breast augmentation
  • For Breast reconstruction it would be for any age.
  • Post approval studies are pending for Mentor.
  • Teardrop shaped breast implants

With this breast implant approved there are now five FDA approved silicone gels implants manufactured by Allergan, Sientra, and Mentor.

From the Mentor website

  • The implant features SILTEX (R) Texture, a gentle imprinting of the surface to keep the breast implants in place.
  • Thinner on top of the implant and thicker on the bottom, creating the tear drop shape in this breast implant.

Other breast implant webpages


Consider a breast augmentation consultation with Dr. Tammy Wu. (209) 551-1888
(209) 551-1888, Modesto, CA

Day 1 Vegas Cosmetic Surgery 2013

First official day of the Vegas Cosmetic Surgery and Aesthetic Dermatology Conference 2013

I particularly got a lot great ideas and info regarding Botox and Fillers (Juvederm).  I was very interested in the way they treated complications.

I also attended sessions that talked about social media, habits of very successful cosmetic practices, blogging, reviews, thank you notes, patient surveys, and the usage of YouTube videos.  I hope to act on much of this.  It was almost info overload.  And this was only day 1.

Plastic Surgery Related Booths we visited

  • Operative headlamp company – about $800 for a head lamp.  3 hour-4 hour battery life. LED bulb!
  • Zein Obagi.  Looked at the differences between Zein Obagi and Obagi
  • Touch MD – incredible stuff indeed.  Touch MD is a technological way to visually share the plastic surgical consultation with the patient.  There’s a program component which resides on the computer and then there’s a “cloud” component where the data resides.  The data can be accessed from many other devices and webpages via secure methods.  This is a great addition to EMR.  And perhaps would be a great addition to our plastic surgical practice in Modesto, CA.  They said that currently they don’t have any doctors in Modesto, CA who have Touch MD.  It also has a back end for picture management.

We were originally going to see a show, but instead we talked with the guys at Touch MD.

TiZO3 and Lip Balm

We found an an amazing Sun Screen for the lips.  It is made by the Fallene company in their Solar Protection Formula line.  TIZO is among one of their products.  Dr. Tammy Wu said that she has been looking for a lip balm that is a physical / mineral based for awhile.  We just found the LipTect product at the Vegas Cosmetic Surgery conference.  Along with this, we also found the  TiZO3 sunscreen for the face.  It has Titanium, Iron, and Zinc.  It is Paraben, Oil, PABA and fragrance free.  It is also tinted and is a very water resistant formula.  We will have the LipTect (Lip balm) and TiZO3 sunscreen available for purchase at Surgical Artistry, Modesto, CA.  Dr. Calvin Lee (me) takes credit for introducing Dr. Tammy Wu to the booth, and Dr. Wu made the decision to make an opening order!  One more reason for this – it would be an great product to protect a lip augmentation investment.

Vegas Cosmetic Surgery and Aesthetic Dermatology 2013 Day 0

Day 0 of the Vegas Cosmetic Surgery and Aesthetic Dermatology Conference 2013

Date: June 25, 2013

Located at the Bellagio Resort Hotel, Las Vegas.  This is the 9th annual conference.  The 10th annual conference has already been set for June 18th-22nd, 2014.

Vegas Cosmetic Surgery at the Bellagio Hotel

Vegas Cosmetic Surgery at the Bellagio Hotel Picture by Dr. Calvin Lee.

My adventures on the day before the Vegas Cosmetic Surgery conference begins

Dr. Tammy Wu and I saw a very full day of office patients and ended at 5:15pm in our office, we were think that we would catch the 8:10pm flight out of a neighboring city: Stockton, and take the Allegiant Air flight to Las Vegas.  But it was delayed.  But because it was delayed.  I got some administrative paperwork done at the office.  I read some of the mail and paid some bills.  Dr. Tammy Wu got to inventory some of the Obagi that came to the office.  It was a massive order – I think it was about $16,000 worth of Obagi products that came in and we had to unpack these large Obagi Skin Care products and put them on our shelves.  Some of these were ordered specifically for patients.

Allegiant Air

  • Delayed 4 hours
  • Got my $2 water at the airport.
  • It was a packed waiting room at the Stockton, CA Airport.
  • The Allegiant Air plane didn’t take off till around 12:30pm.
  • Seating was quite uncomfortable for me – my neck just didn’t seem to fit the seats.
  • We arrived around 2:00am in Las Vegas
  • But good things:  Dr. Tammy Wu and I got to sit next to each other and Dr. Tammy Wu slept through most of that flight.  I was just too uncomfortable to sleep through the entire flight.  But it was a relatively short flight.

Strange Taxi Guy

  • Took us to an entrance of the Bellagio which was pretty far from the reception desk.  There was an entrance that was right by the reception desk, but I guess it would have taken the taxi driver longer to get out of that round about, etc.  We had to walk pretty far with our luggage.  At 2am, it just seems a little bit more confusing, and the Bellagio in Las Vegas is a pretty big hotel.
  • The trip from the Las Vegas Airport to the Bellagio hotel took about 10 minutes.
  • And the trip with tip was about $26.00 for us.  In retrospect, I wasn’t so sure the Taxi driver deserved any tip for dumping us off at a far entrance.

First thing we did in Las Vegas was check out the Bellagio Gym

We really came here for the conference.  Just a few months ago we were in Vegas already, so we weren’t all that motivated to check out all the sights of Vegas again.  But working out and and taking care of ourselves and preparing for our next half marathon (perhaps Santa Rosa Half Marathon?).  Dr. Tammy Wu hasn’t run in a long time, so she gave it a try today again at the treadmill.  I ran about 1 mile on the treadmill, and she ran about 2 miles.  One great thing about the gym was a cable weight machine where I was able to adjust the rotation and angle of the arm, and thus I was really able to stretch out my right shoulder which has been bothering me from some chronic over use with injecting, operating, inserting acupuncture needles, and worst of all, using a computer mouse to write blogs (ie. this one) / do social media, etc.

We ate at Noodles Restaurant in the Bellagio

We had to tell them about our Vegan and Gluten Free preferences.  They were very happy to accommodate.  I’m not Gluten sensitive, but Dr. Tammy Wu is.  So the dishes we got were:  Agadashi, Endamamme, steamed vegetables, soy flavored rice noodles stir fried with vegetables, and rice.  This was quite a good meal and we escaped with a $71 price tag.

Considered getting tickets to a Cirque du Soleil show.

O is showing at the Bellagio.  However we couldn’t decide quite yet.  The tickets ranged from $120 to $220 – I think.  Instead we looked at the sculpture gallery associated with the Cirque Du Soleil.  The sculptures were so artistic – they looked so anatomical – sort of like cosmetic surgery to us.  The artist was Richard Macdonald, and the sculptures were for sale.  They price tags for little sculptures were about $10,000 and the larger ones were around $150,000.  There were two sales associates which gave us info on the sculptures, but the price tag were a bit too expensive for me anyway.  One of them asked me about any other art pieces which I own.  I said that the closest thing I have to these things are my teddy bear “collection.”  They didn’t seem to understand.  Regarding the possibility of seeing a show, we wanted to see the schedule of the Vegas Cosmetic Surgery and Aesthetic Dermatology conference, but the registration desk for that event hasn’t been open yet.

Walked around the Vegas Strip and then went to Walgreens

It was a pretty hot day already today.  But I read in the weather forecast that it will be even hotter in the next few days, perhaps as high as 117 degrees F?  We shall see.  Good thing the air conditioners work well in the hotels.  At Walgreens, I got a quart of orange juice and a gallon of water to lug back to the Bellagio.  I considered taking the tram that connects the Aria hotel with the Bellagio, but we just walked around till the heat got too much.

Back to the Gym to stretch my shoulder.

By this time it was around 7:30pm.  The gym at the Bellagio is open from 6am to 8pm.  So it’s about to close.  I went back to the gym to use the Cybex Cable weight machine.  It wasn’t to lift weights, but I discovered that this was one of the best ways to stretch my shoulder joint.  So I was able to spend another 15 minutes with this type of stretching to help rehab my shoulder which is already getting much better with my own stretching.

Went to Jasmine Restaurant in Bellagio

The most fun thing about going on vacation for me is eating out.  So we tried the Jasmine Restaurant which was within the hotel grounds.  We’ve been sticking to restaurants which have an Asian flare because it seems easier for us to find gluten free vegan choices.  And they were happy to provide solutions for us.  We had two dishes the eggplant dish and the monkey mushroom dish – both were made gluten free and vegan.  We had two extra bowls of rice.  The price tag with tip came out to about $75.  Which we charged to our Bellagio room.

Early Registration at the Vegas Cosmetic Surgery and Aesthetic Dermatology conference

We finally got to pick up our materials and name tag.  We met Karen Miller who said she’d help us with our Vegan/Gluten free preferences – how nice!  The conference is 5 days long, and super packed with great cosmetic surgery information.  I am most interested in the cosmetic injectable portion of the course and there’s plenty of that information including demonstrations on the Botox and filler injections.

We spent the next hour picking out how we would spend our time at the Vegas Cosmetic Surgery and Aesthetic Dermatology Conference

It is somewhat complex with about 3 different activities going on at the same time.  There are also evening program going until 9:30pm.  I made sure to pack in as much Botox and Cosmetic Injectable info as I could get.  There is a whole bunch of stuff regarding social media, but I’m not sure I can get all that in.

Time flies when you’re having fun.  It’s about 12:10am now.

We’ll see how it goes!  Can’t wait to bring all this great information and education back to our plastic surgery practice in Modesto, California.