Category Archives: Cosmetic Surgery

Modesto Kybella coming soon – is here as of July 7th, 2015

Update: Kybella is available at Surgical Artistry as of July 7th, 2015.

Visit my Kybella FAQ page.


I’ve been getting a few buzzing questions about Kybella for the neck.  It’s a form of mesotherapy for the adipose tissue in the neck area.  I’ve told patients that I’m waiting for a few things which include getting excellent education and training on the product and waiting to see about complications.  There is much to learn from others when a new product comes out.  I frequently think of these new items as a watchful waiting type of process.

I’ll have updates on Kybella coming soon for our Modesto practice.  Stay tuned!

Here’s a website from the FDA regarding Kybella.

Calvin Lee, MD
Modesto Surgeon with needles and injections.

How to do Panorama with Coolpix

I have the Nikon Coolpix S9700

Nifty purchase from Costco, here in Modesto.  I’m thinking about using it in our Modesto Plastic Surgery practice or our Modesto Botox practice – at least the staff could have fun using it for whatever purpose they would need it for in the medical office.  They could document packages which arrive.  Or they could document any leaks in the roof if any (fingers crossed).

Panorama with Coolpix, nikon

panoramic blur. This is not how you take a panoramic picture

How to figure out Panaroma on the Nikon CoolPix S9700

I couldn’t exactly figure out how to do Panaroma on this camera, but I stumbled upon it by fiddling around with it.  I’m sure it’s probably in the manual, but I haven’t even gotten that far yet.

It wasn’t the most intuitive because it didn’t have a button on the camera which says “panorama.”  That would just be way too easy.

I’m thinking this would work on several other in the Nikon Cool pix series.

Step by step Panarama:

  1. Turn camera on
  2. Rotate the top right dial to “Scene”
  3. Press “menu” on the bottom right of the camera (when looking at the camera screen)
  4. The on the screen, scroll down to the choice that says “easy panorma”
  5. Select how “wide” of a panorama you want:  it will ask you to choose between 180 degrees or 360 degrees.  Usually I find 180 degrees to be sufficient.
  6. Then press the shutter button and start rotating the camera to the right/left or rotating the camera up/down.  The motion needs to be stead.  Follow the on screen prompts.


For some reason it wasn’t straight forward for me.

Renee Zellweger and Plastic Surgery?

What happened to Renee Zellweger?

I’m a surgeon who does cosmetic procedures.  I guess I should try to answer this question.

Gosh, I’ve gotten a LOT of questions about Renee Zellweger and Plastic Surgery.  Probably because I work in our Modesto Plastic Surgery office: Surgical Artistry.  Most of these questions come from my Modesto Botox patients.


Picture of Renne Zellweger Before and After

I am not a big TV or film follower or even a celebrity follower and thus, I didn’t really study what Renne Zellweger looked like before.  I guess she really shocked the public when she showed up in public with a different look.

It doesn’t look “fake” to me

My conclusion is that she probably had “work” done such as Botox, Fillers, brow lift, and belpharoplasty (eye lid surgery).  But much of the before and after pictures I’ve seen on the internet do show signs of aging on her face.  Most notable to me is around the eyes.  Her eyebrows are now sitting a bit lower as a result of graceful changes with age, and it looks like she has less redundancy (rolls) on her upper eye lid – perhaps she has had surgery there – just a speculation on my part – and perhaps also on the lower lid.  She doesn’t look like she has had a eye-brow lift (different from working on the upper and lower lids around the eye) – because her eyebrows would be much higher.  Some plastic surgeons include browlifting as part of facelifting.  She is 45 years old now.  If she has had any plastic surgery done, it looks to me to be tastefully done for someone in their mid 40’s.  I wouldn’t say that it’s bad plastic surgery – not at all.

Her Surgery was…?

Perhaps the only SURGERY she has had, not counting Botox and Fillers (which we love), is an upper blepharoplasty and lower blepharoplasty – if I may guess.  And I think the other differences in her look my be mostly due to graceful aging and Botox/Fillers.  Striking differences in the before and after picture are:

  • After picture shows Lowered eye brows – perhaps from forehead botox, and possibly from upper eye lid blepharoplsty
  • After picture shows Rounder cheek – perhaps from fillers
  • Less of a square face – probably from natural aging or from Botox for masseter muscle reduction or for the medical treatment of pain from TMJ.
  • And perhaps she had fillers to change the Nasolabial fold lines, Marionette and fillers in the lips – subtle changes.

Above is all a guess from me.  She chose some nice options if the above list is part of what she chose to have done.  We do those procedures too at my office:  Surgical Artistry in Modesto – Plastic Surgery, Botox, Dermal Fillers, Veins, and Acupuncture.

Graceful aging changes the jawline – starts out square-ish in life

Perhaps she doesn’t look like the Renne Zellweger we knew when she was 20-30 years old.  I would say that in my 40’s I look completely different from when I was in my 20’s also – and most of that isn’t because of plastic surgery or Botox, etc.  She has lost some squareness in her jawline, but this is normal with aging.  It’ll happen to all of us, if not already.  And her hairline seems higher.  I don’t see anything to indicate that she has had a facelift.  But Botox and Fillers – possibly Botox for the forehead, glabellar and crows feet.  Some of the forehead Botox might explain the lower setting of the eyebrows too in addition to normal aging.

Just be Happy that she’s happy

I think that the most important thing is that Renee feels happy about any plastic surgery done on her face – she she has had anything done.  And she seems happy with it – so perhaps we should let her be happy.

I am not Renee Zellweger’s Plastic Surgeon

Disclaimer:  I’m just guessing at what she had done.  I am a surgeon in the field of cosmetic surgery.  My wife is a plastic surgeon.  I am a general surgeon who spends most of the time in the office doing fillers (ie. Juvederm), Botox, Veins, acupuncture, and plastic surgical assisting.  Thus I spent a great deal of my life with plastic surgery patients.


The main door for Surgical Artistry – Modesto Plastic Surgery

The main entrance is Door “C”

There are quite a few doors in this building and I know there has been some mild confusion.  But I thought I’d take this picture to help out a little.  Our address is 2336 Sylvan Ave. Suite C, Modesto, CA 95355.

Here’s the picture as the entrance to our Plastic Surgery office (acupuncture, veins, Botox too!).  So this is our main entrance, and our main webpage is

Modesto Plastic Surgery Office Entrance

Welcome to our Modesto Plastic Surgery Office!

Skin Care Peptides and Vitamin C

Peptides in Obagi Hydrate Luxe

Peptides in Obagi Hydrate Luxe

Peptides in Skin Care

Peptides, another hot topic in skin care, signal cells to stimulate collagen and elastin. Peptides are short strings of amino acids which can act as signaling molecules to help slow down visible signs of aging. Obagi Hydrate Luxe is the first and currently the only product at Surgical Artistry which contains peptide technology. Obagi Hydrate Luxe containes two key peptides which reduce the appearance of fine lines and increases skin firmness: Chronoline and Kollaren. This was my attempt to teach and discuss within our Modesto office.

Vitamin C in Skin Care

Vitamin C is used by fibroblasts to make collagen and elastin. Vitamin C is also an antioxidant which has a photoprotective effect by reducing damage to cells and DNA which are caused by oxidation from UV light exposure. Oxidation is also caused by pollutants over time. The vitamin C also protects the sunscreen from oxidative changes caused by UV light. This allows the sunscreen to work with less degradation from ultraviolet light. 

Skin care is an integral part of plastic surgery.

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Thank you!  Enjoy!  Disclaimer: double check the facts, I’m just writing all this off the top of my head.  Facts can change over time too.