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Celebrating 25 years as East Tennessee's Plastic Surgeon
Awarded one of America's Top Plastic Surgeons by the Consumer's Research Council of America.
Compassionate Doctor Recognition, 2009, 2010, 2011
On-Time Physician Award, 2009, 2010, 2011
Patients' Choice Award, 2009, 2010, 2011
2011 Top Doc Selected Again as Cityview Magazine's "Top Doc".
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Both Botox and Dysport are used to help eliminate frown lines on the forehead, crow's feet and brow area. They are used to prevent the muscle activity which causes wrinkles. Aside from younger looking skin, patients are also pleased that there is no recovery time and the side effects are minimal. And it only takes 10 minutes!
Everyone always asks which is better. It's really a toss-up. As you can see by the results of our unscientific poll below, more patients prefer Botox, some like Dysport, and others don’t see much of a difference. Dr. Reath shares his thoughts on the video at the bottom of the page. Just for fun, if you've tried them both, let us know what you think!
For those of you motivated by rebates, Dysport is offering a $50 rebate through the end of the March 2012, while Botox is offering an anniversary special on Botox to celebrate 10 years of FDA approval. For the very latest rebate information visit our Plastic Surgery Rebates page.
Xeomin: Knoxville's Newest Wrinkle Relaxer
There is a new kid on the block that has just been cleared by the FDA called Xeomin. We will have an extremely limited supply starting early November and will be closely evaluating it to decide if we will be carrying it and recommending it to our patients.
Xeomin's onset is more similar to Botox then to Dysport in that it takes a full week to see the effects. However, the longevity of Xeomin should be the same as both Botox and Dysport. It is manufactured by Merz Pharmaceuticals, the company that produces Radiesse.
Unlike its predecessors, Xeomin does not have to be refrigerated. That is a great benefit to us in terms of storage, but that's not something that you would ever notice. Another purported benefit to Xeomin is that it's "naked." There are no additives — just the active ingredient. This may lessen a patient's likelihood of developing antibodies to Xeomin when used in large quantities for medical procedures making it ineffective. However in the small doses used for cosmetic purposes, you rarely, if ever, see antibodies develop.
The advantage of Xeomin certainly isn't its catchy title (it's prounounced Zeomin and we're wondering who comes up with these names, aren't you?) Rather, we predict the main benefit will be the increased competition. Expect to see more agressive rebates and patient friendly promotions with the approval of Xeomin over the next couple of months.
Needless to say, things are heating up in the wrinkle-relaxing world. We expect Xeomin will not be the only product to challenge Botox and Dysport. PurTox, by Mentor Corporation, is in the process of obtaining FDA clearance and should also be available very soon.
Before and After Photos of Botox and Dysport
Before and After Botox- Here you can see the incredible improvement by using Botox on Mandi's crow's feet.
How Botox and the Other Wrinkle Relaxers Work-
An ultra-fine needle is used to precisely inject small amounts of Botox into the muscles that cause facial expressions. By relaxing specific muscles, the wrinkles and lines they cause disappear. After one treatment you can still laugh and smile, but your wrinkles will begin to fade. Within a week (sooner with Dysport), your skin will be significantly smoother and your wrinkles will be drastically reduced. The results of Botoxinjections generally last four to five months and subsequent treatments sometimes last even longer.
Video: You Will Still Be Able to Make Facial Expressions After Botox or Dysport.
On this recent Truth-O-Meter Tuesday video, Dr. Reath and Jill Maze, RN have some fun with the common misconception that if you have Botox or Dysport treatments you will have a frozen face. Finally here is scientific proof that if you have Botox and Dysport, you can still make facial expressions. Thanks Jill for settling this once and for all!
Shopping for Wrinkle-Relaxers
There are many physicians's offices that are injecting Botox and Dysport. Why come to us?
Experience combined with artistry- You will benefit from an injectable plan designed personally for you by Dr. Reath. The injectable consultation with him is free and patients find it very helpful. Working under the direct supervision of Dr. Reath, our nurse injector, Jill Maze, RN, trains with the most renowned experts in cosmetic injectables. It requires a unique blend of artistry and science, as well as the need to stay current. Consequently, she periodically travels the U.S. to observe the leaders in her field. Patients routinely comment on her caring manner and her fabulous results.
Pricing that makes sense- Botox and Dysport are both distributed in a powder form intended to be mixed by the person doing the injections. Because it is expensive, variations in price can be attributed to different dilutions or the actual amounts injected. Many patients have told us they were disappointed in wrinkle-relaxinginjections that were not done in our office.
That's why we price by the area treated, not by the unit. And why we have a courtesy touch-up policy.
Botox and Dysport are priced the same: One Area $350, Two Areas $500, Three Areas $750
(Treatment of excessive underarm sweating: $800Learn More)
Check this out!-If you are also considering a laser treatment along with your Botox or Dysport, we have a special promotion available for new laser patients. Buy any laser package of $1500 or more and get one area of Botox or Dysport absolutely free!
(A $350 Savings)
Video: Why we price Botox and Dysport by the area and not by the unit.
Some of the most amazing results occur when dermal fillers, like Juvederm or Prevelle, are used in conjunction with Botox. It makes such a difference for patients who have deeper lines that still show after the facial muscles have been relaxed. See Results using Botox and Fillers together.
Both Botox and Dysport frequently have manufacturer's rebates available. We have a page on our website dedicated entirely to keep you updating on what's out there to save you money. Click Here to visit our Plastic Surgery Rebates page.
Reath Rewards is a loyalty program that everyone loves. For every dollar you spend on Botox and Dysport you earn points towards special discounts designed exclusively for Reath Rewards members. These discounts are over and above any advertised specials and rebates. Click Here to Understand Why Our Patients Love Reath Rewards.
New! Check Your Reath Rewards Balance
Wondering what your current balance is? You can check it right here by entering in the number on the back of your card. (FYI, all of our cards start with nine zeros, so enter in the zeros and then the rest of the number.)
Note: You will actually see two balances since our cards can be used either as a gift card or a loyalty card. The first is the gift card balance if you have one, the second is the number of Reath Rewards points you have.
Card Balance Inquiry
Check your Reath Rewards balance by entering your card number in the box above then click on the submit button.
More Before and After Botox and Dyport Photos
Before and After Dysport- Here is a 47-year-old woman who never had injectables before. She was concerned about the wrinkles on her forehead and also in her crow's foot area. Jill Maze, RN used Dysport to smooth these wrinkles and take years off her face. She is thrilled and feels she looks much more relaxed.
Before and After Prevelle Silk and Dysport- Here is a perfect example of dramatic improvements that can be made without surgery, recovery time and at a relatively low cost. She is 48 and was concerned with aging around the eyes. Nurse Injector Jill Maze used Dysport in her crow's feet and a tiny bit of Prevelle filler under the eyes. What a difference!
Before and After Botox Forehead- Below are two patients in their early 40's who are pictured lifting their eyebrows before and after their Botox procedures. Both said they look at least five years younger now.
Botox and Dysport Safety
Injectable pharmaceutical therapies are readily available but there are many unqualified providers offering treatment. Often, these unqualified providers entice consumers with deep discounts, and in some cases, treatment is provided with an unknown or imported substance that is not FDA approved. It's so important that you visit the office of an appropriately trained, board-certified practitioner, namely a plastic surgeon or a dermatologist. Accept treatment only with a brand-name substance that is cleared for use in the United States by the FDA. Approval may be specific to your planned treatment or the substance is openly accepted for off-label use.
Anatomies differ and determining the best injectable or combination of injectables and exactly where to place them should not be left to chance—a bad shot and you could be looking weird rather than wonderful. And even though fillers and Botox are not permanent, you'll need to learn to live with your results until the injectable wears off.
Don't get injected without consulting with the doctor first. All patients considering injectable treatments in our office meet with Dr. Reath first to precribe a treatment plan and go over safety information before they proceed with our nurse injector.
Be mindful of the setting in which the procedure is performed. Spas that are not part of a physician's office (medi-spas), or friends' house parties are not the place for treatments of this kind. Injectables should only be administered in a medically appropriate environment.
Bottom Line: Establish an working relationship with a great injector at the office of a board-certified plastic surgeon and then stay there. You'll have a chart with a record of exactly what was injected and how much. This gives your injector a ongoing medical history enabling you to get the correction you want. Our Reath Rewards program is designed as a thank-you card to our loyal patients. This way you know you are getting the best price, while being confident in your result.
Here is an Interesting Wrinkle: Dysport
Botox finally has competition. The "new" injectable Dysport, a form of botulinum type A, is available after being cleared by the FDA. Dysport is the first product to challenge Botox in the United States. You should know that it has been competing with Botox in Europe for over 20 years; yet, Botox dominates with an 83% market share throughout the continent.
There is a learning curve with any new product, but particularly so with Dysport. Because Dysport is diluted more than Botox, clinicians not adept at determining how many units to inject may be confused with the new product. It is important to understand that they are not interchangeable as it takes more units of Dysport than Botox to treat an area. Unlike other offices, we will use whatever is needed of either product to guarantee you get the results you want.
Clinical studies of Dysport report that it "spreads more" during injection. This can be both a good and a bad thing. It is good in large areas like the forehead or the armpits to treat excessive sweating. It is bad for an inexperienced injector without a good understanding of the more complex musculature (around the eyes, between the eyebrows).
Based on the European experience and a recent study in the Journal of the American Academy of Dermatology, we originally thought that Botox would have the advantage. On the other hand, Dysport does take effect quicker. If you are short on time before a big event, we do have Dysport available.
Our patients know and love Botox. We are very pleased that they have designed Brilliant Distinctions, an aggressive new loyalty program designed to keep Botox patients happy. Meanwhile, Dysport is getting very agressive with rebates in an unprecedented attempt to tempt Botox users to give it a try. Click Here for the Latest Botox and Dysport Rebates.
After two years, it seems to be a matter of personal preference as to which is the better product. Some of our patients prefer Botox, some have preferred Dysport, and others don’t see much of a difference. And, other than the onset of action, we aren’t seeing major differences in our patients. For your best results, find a good injector who knows you, and knows both these products well. This is the key to getting the best results.
Dr. Reath speaks to the Botox/Dysport debate in a recent Truth-O-Meter Tuesday video. Take a look.
Meet Jill Maze, RN
Jill Maze is a welcome addition to our practice. Her patients attest to both her caring bedside manner and her skilled professionalism. Working under the direct supervision of Dr. Reath, Jill’s extensive training and gentle touch is a winning combination. She is an active member of the American Society of Plastic Surgical Nurses.
Since the FDA’s Juvederm approval and other fillers, Jill has been focused on training with the southeast’s most renowned experts in Cosmetic Injectables in both Atlanta and Boca Raton, Florida. This year she traveled to Las Vegas to be in the first class in the country to attend the Advanced Injector Competence Training Course designed by the American Society of Aesthetic Plastic Surgeons. In addition, she received specialized instruction on techniques for using Botox® for areas other than the upper face. She is also trained and experienced with the recently FDA-approved semi-permanent filler Radiesse.
This area requires a unique blend of artistry and science as well as the need to stay current, so Jill will continue to travel the U.S. to observe the leaders in her field. When she is not traveling and taking care of patients Jill likes to spend time with her husband and two teen-aged daughters camping in the great outdoors (and beating them at poker.)
If you have questions about Botox, Dysport, Restylane, Juvederm, Prevelle or Radiesse, email Nurse Injector Jill Maze at JillM@dbreath.com
BOTOX® is a registered trademark of Allergan, Inc., and JUVEDERMtm is a trademark owned by Corneal Industries SAS.
David Reath, MD Knoxville Plastic Surgeon
109 Northshore Drive, Suite 101
Knoxville, TN 37919 phone: 865-450-9253 · fax: 865-450-9949
For excellence in plastic surgery, please consider the office of renowned Knoxville plastic surgeon David B. Reath, MD. We offer the latest advances in cosmetic surgery to help you look and feel your best.
Copyright 2011 David B. Reath, MD, PLLC Plastic Surgery Knoxville
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personally for you by Dr. Reath. The injectable consultation with him is free and patients find it very helpful. Working under the direct supervision of Dr. Reath, our nurse injector, Jill Maze, RN, trains with the most renowned experts in cosmetic injectables. It requires a unique blend of artistry and science, as well as the need to stay current. Consequently, she periodically travels the U.S. to observe the leaders in her field. Patients routinely comment on her caring manner and her fabulous results.
