PREVENTIVE BOTOX : WEST LINN AESTHETICS
Let's give a warm welcome to my family friend, Jerilyn the owner of West Linn Asthetics! She has worked with my parents forever and I used to go to her for facials in middle school when I had terrible acne. So she has seen me through all my life stages!
Give us a little run down on how you started with your company and what you believe has made you such a successful business woman?
I started this business back in 2006 when Medical Spas were just gaining momentum as a viable business combining spa and medical services. Hair removal was the biggest "new thing" back then, but over the years the industry has evolved into many types of services including anti-aging. I was a dental hygienist for 17 years and knew my body wouldn't hold up forever so I went back to school to get a Master's in business not at all knowing the direction that would take me. I stumbled into the idea of medical spas just doing research on women owned businesses. I went on to get my nursing license so I could own the business and also be a provider of the services. My favorite part of the business is the ongoing relationships I've formed with my customers. My success I believe is a direct reflection of being relatable to my customers. Starting out I was just turning 40, I'm now 51. Of course I'm interested in any and all anti-aging treatments. I think it really helps put customers at ease knowing that I am where they are in terms of seeking a healthy, non-surgical approach to aging. I hear a lot from patients that they are so relieved when they come into my office and that everyone that works for me and myself look natural and not "overdone". I still get asked if I do the treatments which cracks me up...OF COURSE I DO!!! My goal is that everyone who comes to my office has a great experience whether they are in their 20s or 70s. I hope they decide they have found their home when they think about healthy skin and anti-aging.
So everyone is getting Botox! We are seeing it from all ages from the Kardashians to even my grandparents. So when is a good time to start?
Honestly, this is an internal battle I continue to have within myself. I look at a person like you in your early 20s and think, don't start focusing on all the tiny lines on your face...that's 20 more years of thinking about wrinkles than what I had. Occasionally, I think it's reasonable to get Botox in your 20s for prevention if there are legitimate lines forming and they show when you have a resting face and are not expressing. You have amazing skin and definitely do not "need" Botox. I do see the lines forming on the forehead and so in your case I think it's ok to put a very, very small dose to soften up the lines and relax the muscle that is causing the lines. I have had a lot of ladies in their 20s come in for Botox and I tell them to just protect your skin from the sun with a sun block containing Zinc or Titanium, don't smoke and come back and see me in your mid thirties. I don't think there is a magical age to start prevention, but I do think it can be too early in many cases. Botox has a protein molecule that our bodies can develop an immune system response which means used too frequently over an extensive period of time could cause a person to develop an antibody where the drug simply won't work.
Speaking of preventive Botox.. what exactly is that? Can you explain to the readers about the process of the muscle in the forehead and how this will stop future wrinkles?
I want to mention one thing when it comes to preventative Botox. There are so many other things that must be in place in terms of prevention that will make a bigger impact in the long run for anti-aging. Genetics plays a role in aging but many fine lines and eventually wrinkles can be prevented through lifestyle choices. Get enough sleep, don't go into tanning beds or lay on a roof tops with baby oil and absolutely, positively do not smoke. If you do those three things alone you have far exceeded what Botox can do alone. Botox is an amazing drug and one, many, including myself, would not survive without. Early to mid-thirties is the time when collagen starts to break down, this is a better age to start thinking about preventative Botox. If someone such as yourself that has some forehead lines showing then I would say a good preventative plan would be very low dose and no more than once a year. Botox works by blocking the nerve ending within the targeted muscle group. The protein binds to the area of the nerve that sends the message to the next nerve to fire the muscle much like a disconnected phone call. It causes a temporary paralysis of the muscle. The muscle movement with lost collagen is what carves a line into the skin. Botox will help the muscle learn to relax on it's own.
For someone that has not gotten botox before can you explain the cost per unit and the general overall cost a person in their 20s would need!
This cost of Botox can be very confusing for the consumer. Botox comes in a 100 unit vial. The easiest way to let patients know what dose they are receiving is by pricing the drug by the unit. Think of units of Botox much like milligrams of an aspirin. Unit is just a measurement for appropriate dosing. A person in their 20s can expect anywhere from 5-10 units in for example a forehead as a dose for the expected outcome. A cost around $120. Price range in the Portland area can range greatly from 10-$15 per unit.
What is the biggest misconception about botox? I feel like so many people do it now and there is so much room for error. Like we talked about in my appointment everyone's face is so different!
The biggest misconception about Botox I'd have to say is that it is just a commodity item, like going to the store and buying a harmless tube of mascara. Thanks to Groupon, Botox house parties and "deals" on Botox, many people have forgotten that Botox is a drug with very real potential side effects and complications. Price shopping should not be your only focus when you are looking to have the treatment done and you are talking about your face. If the drug is used incorrectly and by an inexperienced injector the result can be disastrous. Safety and results should be the number one and two priorities when finding a place to go and have Botox. An example of the wrong candidate would be someone who has an autoimmune disease such as Lupus. You are injecting a substance into a muscle, even if it's a small muscle like those in the face, will result in a level of immune system response. In a healthy person it's very, very safe but in an autoimmune compromised person it can have significant health consequences. Also, poor placement of Botox into the wrong muscle can result in an eye lid droop and asymmetry in the face. The good news is it will wear off but 3 months with a half open eye lid would feel like a very long time.
What is the difference between filler and Botox, I know many people have heard both terms, but what is each especially used for?
Botox is only used for the muscles that animate and over time build strength that causes a frown between the brows, crows feet from smiling or lines on the forehead from eye lifting expressions. Dermal fillers which are typically a gel form of hyaluronic acid are completely different and used for areas like plumping lips and can even be used as extensively as offering a "liquid facelift" to an aging face.
Okay let's talk about aftercare. I heard the scariest story on a podcast about someone who went and got botox then tried on shoes and ended up with a droopy eye! What is the deal with that?
After care with Botox is relatively simple. Don't exercise or lay your head down for 4-6 hours. Any jarring exercising can potentially cause the migration of the drug to an undesirable muscle group like the orbicularis oculi, the muscle that would droop the eyelid. If you follow those basic instructions and you go to an injector with experience a droopy lid is very unlikely. Trying on shoes should not be enough movement to have this effect. My guess is the drug was place poorly to begin with.
How long until you have to get Botox redone? I know the plan for me because I am on the younger age of the spectrum we said I would do mine about every 9 months to a year. Would you recommend that to everyone in my situation?
For people in their 20s I would say no more than one time per year. Getting into the 30s, 40s and beyond the drug will typically last 3-4 months but gets better with consistency because the muscles look relaxed even if the drug isn't actually still working.
Super curious what is one trend you are seeing in the skincare and injectable world that is becoming more popular?
The biggest trend is a shift from people automatically assuming they will need a facelift on their 40 or 50th birthday. I honestly believe we have so many non-surgical options today that less and less people are going to the drastic step of surgery and are doing maintenance treatments that build collagen and keep you looking younger and prolonging the need for surgery by 10-20 years. I have no plans to ever doing a facelift, there are just way to many non-surgical options these days. Dermal fillers have really advanced in their capability to lift an aging face, they can last 2-5 years depending on the person. Defying gravity by keeping facial structures in their more youthful shape and continuously building collagen in the skin is the ideal approach for anti-aging.
Lastly we want to know besides SPF and staying out of tanning beds (I'm quitting I swear!) What is your skincare tip you swear by?
I can't sell anything I don't 100% believe will be a huge benefit to my patients. The SkinMedica line is the only skin care line owned by a drug company and has to go through the scrutiny of the FDA, in other words, the ingredients and claims made have to do what the company says they will do. No other skin care line can say that. If the product is cosmetic it's like vitamins, any claim can be made and no legitimate science is needed to prove the claims. Ingredients alone does not make a good skin care product. The ability of the product to penetrate and work from the inside out is the most important component to good skin care. That was a long winded answer I know but it is such important information. Going to Walgreen's, Costco, Macy's or any other department store where marketing in the prettiest packaging is more important than what the product does in terms of skin health. Invest in your skin with products that really work, it will pay dividends in the long run. Also, in terms of SPF, that isn't really the main issue. Purchasing a sunscreen with a physical block the product must have either titanium or zinc. If the product doesn't have one of these two ingredients it will not be enough to protect the skin from the sun's harmful rays. I promise self tanners these days are amazing, the orange color of the old ones is gone. There are many, many available now that give a beautiful sun-kissed glow and you would never know you haven't spent a week in Hawaii if you choose to say so.
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