Choosing an Injector for BOTOX® Cosmetic and Fillers

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With the ever-increasing popularity of nonsurgical cosmetic procedures, practitioners of all types are eager to expand their offerings, especially when it comes to injectables. But like everything else, it’s important to remember that experience counts. A BOTOX treatment session is quick, but it’s still a medical procedure — and your injector should have the experience and training needed to provide optimal results with products like dermal fillers or BOTOX. As a board-certified dermatologist in Houston, I understand what patients should look for when choosing an injector.

Check For Past Results

Viewing before-and-after photos of actual patients treated with the same procedure is the best way to get a sense of how your results may look.

Cost can be a factor for some patients, but it shouldn’t be the primary reason to select one injector over another. (Getting the best deal is fine when shopping for clothes, but not when it comes to your health. This is no time for Groupon.) What matters most is a proven record of successful results.

Look for subtle changes in before-and-after photos, like these. BOTOX Cosmetic, for example, should have a smoothing effect on facial wrinkles.

Review Their Qualifications

Next to actual photos, extensive training and experience is the best predictor of great results. So what’s the best way to check on an injector’s qualifications? There are various resources available online to help.

  • Credentials: Confirm that your provider is a board-certified dermatologist using the American Board of Dermatology website. Why does certification matter? It’s a signal of rigorous training and time devoted to developing expertise. To become a board-certified dermatologist, a practitioner needs to have graduated from medical school, completed a 1-year internship (minimum) along with a 3-year accredited dermatology residency program (minimum), and passed the written and oral examinations administered by the board.
  • Experience: Even board certification alone isn’t a signal of relevant experience. Some dermatologists have a stronger focus on other procedures and don’t have much experience performing injections. When looking for an injector, ask about the total number of procedures performed and how long injectables have been a part of the services offered at the practices. Millimeters can make a lot of difference when injecting BOTOX, and that level of precision comes with time. It’s important that the injector is not only trained but experienced.
  • Before & After photos: It’s impossible to stress this too much: If the injector doesn’t have photos of actual patients, consider that a red flag. These photos can help you choose an injector and provide a better idea of what to expect your results to look like.

Choosing an experienced, qualified injector is the best way to get the optimal results you want from aesthetic injections. At our practice, injectors skillfully combine fillers with BOTOX in a single procedure. That’s how we create the kind of comprehensive facial rejuvenation that gives our patients a real “wow” moment.

If you’d like to know more about our approach to injectables, please contact us and we’ll be happy to answer any additional questions.

Meet Dr. Pauline Scott

ScottWhere are you from & where did you grow up?
My family is originally from Burma (now called Myanmar), but I grew up in Muskogee, OK. I attended The University of Oklahoma where I earned my Bachelor of Science, MBA and my medical degree. I completed my dermatology residency at the University of Illinois at Chicago.

What is it about medicine that you love and why did you choose dermatology?
Practicing medicine is a way for me to combine my love for science with my passion for helping people. Dermatology is a remarkably diverse field of medicine. We see patients for general skin, hair and nail issues, do surgical and cosmetic procedures, and are involved in identifying and treating skin cancer. I love interacting daily with a diverse patient population and helping those who suffer from debilitating medical skin conditions. I also enjoy utilizing rapidly evolving, innovative technology to improve the quality of our patients’ lives.

How would you describe your style as a doctor?
I am cognizant of people’s time and try to be efficient while still providing the best care possible. I love helping people feel better about their skin. I also like to chat and catch up with my patients about their lives and families.

What issues do you feel passionate about?
I am passionate about patient advocacy, skin cancer prevention, positively impacting patients’ body image and self-esteem, and contributing to the field of dermatology.

What are some things that you love about Katy and Houston?
I love the genuinely friendly people here, the diversity of the area and the great food from different cultures! When deciding where to live in Houston, the Katy area stood out to me immediately. I was struck by the strong sense of community, the all-star school district and how friendly and inviting the Cinco Ranch area looked. My husband Nathanial and I decided to put down roots and just built a new home in Cinco Ranch. I have a strong desire to give back to the Katy and Houston communities. Suzanne Bruce, her husband Malcolm and the entire SBA team have always been very involved in the community, and it’s one of the reasons I decided to join this practice. Service and community are core company values at SBA. This year I can’t wait to represent us at our third annual YMCA Turkey Dash, the YMCA Healthy Kid’s Day, the Literary & Fine Arts Festival & Parade, and especially the Wild West Brewfest. SBA supports great causes, and every year they donate over $20,000 to local charities and I can’t wait to be a part of that. I look forward to getting involved and meeting everyone in this wonderful community.

What are your personal interests?
I’m passionate about my family and friends, great food, traveling the world, helping those in need, leisurely reading, and dogs!

Getting Optimal BOTOX® Cosmetic Results

Learn more about BOTOX injections and why our Houston practice is the leading BOTOX provider.The number of women and getting BOTOX injections worldwide continues increasing each year, and it’s easy to see why. The wrinkle-reducing treatment is safe and effective when administered by someone with expertise, such as a board-certified dermatologist. As the leading BOTOX provider in Houston, I have also worked with it long enough to know what gives patients the best results: experience and training, but it doesn’t end there. Here are a few things I always emphasize that patients should be careful to avoid — especially in the first hours and days after the treatment — to help ensure optimal results.

  • Participating in strenuous activities: It’s best to skip the gym in the first 24 hours after your procedure. BOTOX injections target precise areas, and the increased blood flow associated with strenuous exercise poses the risk of taking BOTOX away from these injection zones before it’s fully absorbed. This could diminish the treatment’s effectiveness or affect other areas of the face.
  • Rubbing or massaging the injection area: Avoid massaging, rubbing, or putting pressure on the treatment area for several hours after getting injections. Again, this may cause the BOTOX to travel to other locations of the face before it is completely absorbed by the targeted muscles and nerve endings.
  • Sleeping on your face: The pressure of your face against a pillow while sleeping could also compromise your results somewhat. It is best to sleep on your back during the first night after your treatment. In fact, making it a habit to sleep on your back is a good way to avoid creating wrinkles in the first place. A recent study in the Aesthetic Surgery Journal found that pressure applied to the face during sleep leads to increased wrinkling over time.
  • Undergoing invasive or ablative facial treatments: It’s wise to allow your skin to rest and to let the results of your BOTOX begin to emerge before undergoing any aggressive facial rejuvenation procedures. This may include moderate chemical peels or laser skin resurfacing. Waiting a few days to a week is a good idea.

There’s one other thing you can do to improve your results: consider a combination treatment. BOTOX can be combined with other injectable fillers during a single appointment to produce comprehensive results that can last for months.

BOTOX before and after photos.

BOTOX injections can be used to minimize wrinkles in various areas of the face and can benefit even patients in their late 20s, such as the woman shown in these before-and-after photos. This is a 29-year-old woman who wanted to soften the crow’s feet at the corners of her eyes. You can see additional BOTOX patients in our photo gallery.

Meet Clarisse Clements: Our Newest Aesthetician

Clarisse_headshotWhere are you from and where did you grow up?   I am from Portland, Oregon. I lived there from age 10-28. Before that I grew up in Tri-Cities, Washington, so basically the Northwest. I have lived in Houston for a while now and love it! The sunny skies and the diversity of this city can’t be beat anywhere in the US!

What is it about medical spa’s that you love?    I love a medical spa because it combines cosmetic treatments with medical benefits, and together they help heal skin and makes patients feel great! The environment is always professional, educational and calming, and allows me to really get to know my patients really well.

Why did you choose to go into dermatology?   I have always had an interest in skin and beauty. I always knew my career would be centered around that: it’s been my passion for as long as I can remember.

What aspects do you love?   I love to help! Getting people on the path to great skin care while being involved in a part of someone’s life that makes them feel good is a true privilege and it makes everyday fun!

How would you describe your style as a provider?   I’m an educator first and foremost. I like to answer questions and make sure the patient understands, then feels at ease with the course of action, and, ultimately, receives the results we discussed from the beginning. If it has to do with skin or beauty ask me: I would love to answer!

How long have you been practicing and where?    I have been a licensed aesthetician since 2005.  I started as the spa manager at Nordstrom Spa.  I coordinated all daily functions of the spa as well as performed chemical peels, waxing, and microdermabrasion.  I moved out of the retail side to a dermatology office in Portland as a medical aesthetician. There, I assisted the doctor is all aspects of patient care as well as performed chemical peels, waxing, and microdermabrasion for 2 ½ years. Then I moved to Mohs surgery for almost 7 years. Now, I am coming back to my roots and getting back to being an aesthetician and couldn’t be happier!

Do you have a personal motto/mantra?   Try new things, take risks. You never know until you try!

What issues/organizations do you feel passionate about?   Skin cancer awareness, being in this business and working for a Mohs surgeon really makes you aware of the disease and how it can affect anyone while also being totally preventable! I can’t say this enough: wear your sunscreen!

Something you feel passionate about…I have been ice skating and dancing since I was 2 years old, and I still enjoy it immensely. Living in Houston makes it hard to go skating but whenever I visit family, I try to hop on the ice. The winter Olympics are also a big favorite of mine, no surprise there! I also enjoy makeup artistry, home decorating, and cooking.

Call our office at 713.850.0240 to schedule your appointment.

CoolSculpting®: CoolAdvantage™ Applicator

Learn about the newest CoolAdvantage Applicators at our Houston dermatology practice.

By now, you’re probably already familiar with CoolSculpting and its possibilities. You may have even had it done yourself. But ZELTIQ®, the manufacturers of CoolSculpting, is continuing to make the procedure more accessible. That’s the idea behind CoolAdvantage.

Introduced in March, CoolAdvantage is an exciting 3-in-1 applicator that can be used to freeze a greater variety of treatment areas and adjusts to suit more body types. It all adds up to faster, more satisfying results, and I’m thrilled to offer it to my CoolSculpting patients here in Houston.

As a dermatologist, my first priority when considering adding a treatment to the practice is the wellness and safety of my patients. Because I already trust the safety and efficacy of CoolSculpting, I’m so glad to be able to serve even more people with CoolAdvantage. Let’s explore what’s new:

The Applicators

CoolFit Advantage™: Created to treat areas of “vertical” fat, the CoolFit Advantage applicator is designed for quicker results on a larger surface area, such as the inner thighs.

CoolCore Advantage™: A great match for the unique contours of the abdomen, CoolCore Advantage takes a more specialized approach to one of CoolSculpting’s most common treatment areas.

CoolCurve+ Advantage™: As the name suggests, CoolCurve+ is ideal for the curvy areas of the body. It’s particularly adept at helping men and women alike shrink their flanks, or love handles.

The Advantage

35 minute treatment-01 Shorter treatment times: CoolSculpting Advantage has been cleared by the FDA to operate at a lower temperature than traditional CoolSculpting. Cooler translates to quicker: This advancement, coupled with the applicators’ enhanced shapes, offers maximum effectiveness in as little as 35 minutes.
more treatment area-03 Larger treatment area: With their expansion to new shapes, CoolAdvantage applicators can address more areas of the body than ever before, offering patients more ways to treat more areas with stubborn fat deposits.
more comfort-02 More comfortable design: In the same vein, the varied, specialized designs of the CoolAdvantage applicators make them better suited for even the most challenging curves and contours.
diverse body types-04 Effectiveness on different bodies: Newly designed applicators mean that a larger variety of people can successfully undergo CoolSculpting safely and effectively. This means that if you previously dismissed CoolSculpting because you weren’t sure of your candidacy, now is a great time to take a second look.

The Results

Overall, CoolAdvantage is another way to deliver the exciting results of the CoolSculpting cryolipolysis treatment. We love performing CoolSculpting because it can safely and comfortably reshape areas of the body that our patients have struggled with. It remains the best noninvasive approach to stubborn fatty bulges — wherever they may be.

The midsection, flanks, back, and inner and outer thighs are the perennial favorites — but with the CoolAdvantage applicators, we’re excited to see how our Houston patients take advantage of CoolSculpting in entirely new ways.

CoolSculpting results from our Houston dermatology practice.

Take a look at the results that CoolSculpting can create. With this patient, a single treatment created a slimmer, flatter abdomen and midsection by reducing fat she was unable to target through diet and exercise alone. For even more, visit our before-and-after gallery.

Seeking: Youthful and Vibrant Eyes

Seeking: Youthful and Vibrant Eyes
by April Harrison, MPAS, PA-C

April smallWhat can be done about tired looking eyes?  In some cases, filler is the answer.  We’ve been using filler to treat under-eye hollows and circles for years now, but what about the upper lid?  With normal aging, the fat pads in our face shrink and shift around causing us to look tired, particularly around the eyes.  Hollowing on the upper lid, also called the A-frame, can be treated with discrete amounts of hyaluronic acid filler.  The treatment is painless and requires very little filler.  Typically we recommend two treatments spaced 2-4 weeks apart.

You can see in the before picture of this patient hollowing on her upper lid.  One week after treatment with Restylane® Silk, her eyes appear more youthful and vibrant.  Call for a free consult today to see if you are a candidate for this procedure! 713.850.0240

under eye filler

Slim Your Jawline in Just a 15 Minute Appointment

April smallSlim Your Jawline in Just a 15 Minute Appointment
by April Harrison, MPAS, PA-C

Did you know BOTOX® Cosmetic and Dysport® can be used to slim a wide face?  In some patients, this is a great aesthetic option.  Our masseters are a set of thick muscles on the side of our jaw that help us chew.  If they are overworked due to grinding teeth, TMJ disorder or excessive gum chewing, the muscle responds by becoming larger and bulkier, much the way our other muscles respond to workouts.  By injecting botulinum toxin into the masseter muscle, communication between the nerves and the muscle is reduced, resulting in slimming of the masseter muscle over time and improved contouring of the lower face.

In the patient below, her jawline in the after picture on the right is less square and slimmer than in the before picture.  Dysport was used on this patient.  Treatment involves a few injections into the masseter muscle then a touch up two months later.  Results can last up to a year making touch up treatments a breeze!

Call for a free consult to see if you are a candidate for this procedure. 713.850.0240

facial slimming blog article

You Need More Than SPF

uv rays of light for blog image-01

Not all rays are the same. The sun emits difference types of damaging rays including: ultraviolet (UV), visible light, and infrared (IR).

types of rays-02Causes sunburn, generate free radicals, and had a role in causing skin cancer

types of rays-03Penetrate the skin more deeply, resulting in skin aging and wrinkles and generates free radicals that can accelerate skin aging

types of rays-04Reaches down to the skin’s deepest layer and generates free radicals that can accelerate skin aging


skinmedica sunscreensProtect yourself from the sun’s damaging rays with broad spectrum sunscreen available at our office. The Complete Protection Collection includes:

Total Defense + Repair – A revolutionary Superscreen that goes beyond broad spectrum UV protection to defend against harmful rays while supporting the skin’s ability to restore itself. Choose from three formulations.

  • Broad Spectrum SPF 34 Sunscreen
  • Broad Spectrum SPF 34 Sunscreen Tinted
  • Broad Spectrum SPF 50 Sunscreen

Essential Defense – Broad spectrum sunscreen that provide excellent protection against UVA/UBA rays in 2 formulations.

  • Mineral Shield™ Broad Spectrum SPF 32 Sunscreen Tinted
  • Mineral Shield™ Broad Spectrum SPF 35 Sunscreen

We have the sunscreen that’s right for your skin. Visit either our Galleria or Katy office to pick up your new favorite sunscreen. Can’t stop by, don’t worry, order it on our online store.


Injectable Fillers: 3 Questions You Didn’t Know You Had

Dermatologist in Houston answers frequently asked questions related to fillers.

Injectable fillers are a very common topic of conversation for our dermatologists. Our Houston patients are often curious to learn everything they can before a treatment session. Here are some of the questions that often come up when we discuss the benefits of fillers with them.

1) Do you have to choose between BOTOX® and fillers?

The simple answer: no. It’s quite common to combine BOTOX Cosmetic with dermal fillers — and in fact, they often work better together because of their complementary approaches. With BOTOX, the goal is to subdue the underlying facial muscles that cause certain wrinkles. It has a softening, smoothing effect on areas such as crow’s feet, the glabellar lines between the eyebrows, and the forehead. Injectable fillers, on the other hand, work to restore lost volume in areas such as the mid-face, cheeks, and nasolabial folds.

When combined, the 2 can enhance each other’s benefits. For example, constant muscle motion can break up the dermal fillers faster, causing them to be absorbed by the body. When paired with BOTOX, the dermal fillers last longer, because the BOTOX works to decrease muscle activity. Together, they can effectively relax the muscles causing wrinkles and fill out the area at the same time.

2) Do results in certain treatment areas last longer than others?

This comes back to the same point about muscle movement: Generally speaking, where there is less of it, the results do last a bit longer. Fillers injected to the lips have the shortest lifespan, while injections around the eyes often last the longest.

For a general rule of thumb, JUVÉDERM® and RESTYLANE® last about 6 to 9 months. JUVÉDERM VOLUMA® XC and Sculptra® Aesthetic last about 2 years or more. Everyone is a little bit different, as well. With repeated treatments, you will get a feel for how long your results last.

3) Can the treatment be reversed?

While all the dermal fillers we use will eventually be absorbed by the body, it’s possible to speed up the process for our hyaluronic acid-based fillers if a patient is dissatisfied with the results. With hyaluronic acid-based fillers, we can use an enzyme called hyaluronidase to break down and dissolve the fillers. The full effects of reversal take between 1 to 3 days, depending on the extent of the original injections.

Scupltra® and Bellafill® are long-lasting fillers with a different chemical composition. They are generally not reversible, so the decision to inject these fillers needs to be made with a bit more caution.

Do you have any other questions about fillers? Leave them for us in a comment, or contact us directly.

Father’s Day CoolSculpting Contest

This Six Pack is On Us

Fathers Day CoolSculpting Contest-Blog Image-01

Cheers to the Awesome Dads out there this Father’s Day! Nominate your special guy for a complimentary CoolSculpting(R) treatment for his abdomen, valued at $1,500! HOW TO ENTER: Go to our Facebook page. Find our post about the contest and in the comment section: post his name/tag him and tell us why you think he’s the best! Share the post for an additional entry.

Last entry will be accepted midnight June 20th and winner will be announced June 22nd. If you would like to learn more about CoolScupting click here.

OFFICIAL RULES: NO PURCHASE NECESSARY. VOID WHERE PROHIBITED. FACEBOOK SWEEPSTAKES TIMING: Father’s Day Giveaway (“Sweepstakes”) begins 8:00 a.m. ET on June 4, 2016 and ends 11:59 p.m. ET on June 20, 2016 (“Sweepstakes Period”). ELIGIBILITY: Open to legal residents of Harris and Fort Bend County, who are 18 years of age or older as of date of entry (“Entrant”). Employees of Suzanne Bruce and Associates, P.A., and their children, parents, spouse, and members of their household are ineligible to participate. HOW TO ENTER: There is NO PURCHASE NECESSARY to participate in the Sweepstakes. A purchase does not increase your chances of winning. During the Sweepstakes Period, you may access the Sweepstakes by visiting www.sba-skincare.com/blog/contest/coolsculpting-2 (“Site”). To enter, you must nominate a father figure by tagging their Facebook profile (so that they can be contacted), and include a caption/description in 130 characters or less (all components combined constitute the “Entry”) of why your father figure should win to receive one (1) Entry into the Sweepstakes. Share the post on your newsfeed to receive an additional entry. Entries will not be judged.  All eligible Entries must be received by 11:59 p.m. ET on June 20, 2016 to be eligible for the Grand Prize drawing. Limit one (1) entry per person/email address during the Sweepstakes Period. If your Photo features additional people, you must have their prior consent and provide such consent to Sponsor, in writing, upon request. If your Photo features a minor, you, as the Entrant, must be minor’s parent or legal guardian and you must provide such consent to Sponsor, on minor’s behalf, upon request. PRIZES: Grand Prize: A CoolSculpting abdomen treatment consisting of 1 Large or 2 small applicators to be performed only at our Katy location. The value of the treatment will not exceed $1,500. The odds of winning any drawing will be determined by the number of eligible entries received. WINNER NOTIFICATION/VERIFICATION: The Grand Prize winner will be notified by phone, e-mail and/or mail. Six pack is NOT guaranteed. RELEASE: By submitting an Entry, you on behalf of yourself or your minor child (if your child is depicted in Photo) hereby grant Suzanne Bruce and Associates the irrevocable, perpetual, worldwide right to use, reproduce, edit, market, publicly and privately display any photo submitted. In the event of winning, the winner agrees to full release of before and after photo releases.

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