Archive | September 2015

Are Dysport and Botox the same?

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I have this conversation with patients several times over the day….“Are Botox and Dysport the same? What is the difference? How much do they cost? “The answer is yes and no!   Confusing I know.

So here is the low down….

Size: There is no magic ratio, but I consider 1 unit of Botox to equal 2.5 u of Dysport.  So, 20 units of Botox will be around 50 u of Dysport. ( This would be a standard dose in the area between the eyebrows.)  They are not 1:1 and if anyone tells you otherwise, you are being under treated! The molecule of Dysport is smaller so you need more of it. Also because of the size, there is more of a possibility that Dysport will feather or disperse beyond the treatment area.  This can aide in my treatment protocol if I would like my neuromodulator to spread over the treatment area. However, it could cause some concern if I really need it to be fixed.

Price: This can be confusing as well especially when someone is advertising Dysport prices and calling it Botox.  I charge $12 per unit for the Botox and $4.80 for unit of Dysport because I am truly charging by the Dysport unit. The way I generate a price is $12/2.5! Some practices try to make them “equal” and charge $12 each, but this is not the case.  You are still getting way more Dysport units than Botox units if they are treating you correctly.

Longevity:  They should last around the same time.  I truly feel it depends on the individual.

Onset of action:  Some people feel Dysport kicks in faster, but I feel there are mixed reviews on it.  Again, I feel this is based on the individual.

My overall opinion: If someone really likes that stiff feel or has really stubborn muscles, I recommend Botox.   If someone does not want a stiff feel and desires more motion, I recommend Dysport.  Everyone in between, I feel could go with either product and encourage everyone to try both.  They both have great Rewards Programs and are owned by very good companies!

So, give them both a try!  You ca decide if YOU have a favorite! Hope to see you soon! Loralee

#Botox #SouthTampa #Ultherapy

Weathering through a conversation with your loved ones!

There is one thing that my mom does with me almost every time I get on the phone with me….She asks me “how’s the weather down there? Did ya’ll get any rain there today?”  It drives me CRAZY!!!! If I am not worryied about my house flooding and needing to evacuate, the weather is NOT something I care to chat about.wrgb_weather_689x387

Years ago I read The Work by Byron Katie.  She talked about 3 types of business.  There’s your business, the other person’s business, and God’s business.  And she encourages you to manage y
our own.  The weather falls under God’s business.  So worrying or bitching about it is just going to
stress you out because you can’t do anything about it.  Just like trying to manage someone else’s business and trying to change who they are is just going to stress you out.

So when my mom asks me about the weather, it even stresses me out to chat about it.  It seems like such wasted conversation, right?  Or is it?

I recently visited my great aunt over the Labor Day weekend.  She’s in her late 80’s.  We talked about a few things and then a conversation about tv shows came up.  She said “I really don’t watch tv, but I like to watch the news so I can see what the weather is doing.”  It made me wonder what is the deal with the freaking weather?  I have no time to worry about it and they are so focused on it?  So, the next time I was in the car alone I started to think about the weather…..

I mean it’s so variable….It can change at the drop of a hat.  You can be really screwed for forgetting your rain boots, but ya live!  There is so much variance in my life on a daily basis….take the kids here, meeting after work here, call to get the oven repaired, schedule a dentist appointment….so, the fluctuations of the weather has little significance to me….

….But to my great aunt, there is not much diversity in her days.  She sits at home.  She may work a little in the yard.  No one really comes to visit.  She may clean her house, but she lives alone with no pets so it’s usually quite clean. It made me realize that the weather gives her a little variety.  It may brighten up her day with lots of sunshine or make her feel gloomy because it’s going to pour, but it’s a variance in her day.  And she feels prepared for it! It’s what old people need to focus on so they can break away from the mundanes of the golden years.

So, the next time your loved one asks you about the weather, remember it’s what is giving them some excitement… and you will weather the conversation well! (say that 3 times fast Ha!)

Fat can be a good thing! Say what?

 

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New Beauty did a story on Looking Younger with fat a few years back.  You can see their full article at http://www.newbeauty.com/hottopic/slideshow/37-defy-aging-with-fat.  They have several Canfield Simulated photos like the one above.

I have said for years to my patients that you can’t be super fit and be aging gracefully.  My exact words are “face or fanny? You can’t have both…naturally!” It’s pretty unfair! Luckily, I have solutions.

With bone and fat loss, we look tired and unfortunately…Old!  Ugh! But, by mimicking restoration of  these 2 aging factors, we can look refreshed and rested.

My choice for replacement of bone and fat loss is Sculptra.  I will use Voluma, but prefer Sculptra for it’s collagen stimulating action. Typically I start with 2 vials of Sculptra and follow up with the patient in 8 week.  At that time, we reassess if more is needed.

So, you can continue your runs on Bayshore, Paleo diet, and Tough Mudders.  You keep working on your bottom line….Leave the face to me!  I’ll help you look rested and refreshed in no time!  I want you looking as young as you feel! Cya soon! Loralee

 

Where did these wrinkles come from?

I often get patients asking me get to get rid of these asymmetrical wrinkles on their face.  I usually hand them a mirror to get them to animate and demonstrate that they are not from repeated motion.  I then ask them what side of the face they sleep on.  I then start mashing on their face and demonstrating what smashing their face in the pillow does.  Ouch! Almost 100% of the time, it’s that side!  It’s so unfair that during the safest time of our day, when we are restoring the rest of our body, we are damaging our face, especially if we are a side or stomach sleeper.

So roll on that back and try to stay off the face, so you don’t get these:

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Because They are hard to fix!

#wrinkles #sleep #beauty

Who wrote that manual?

Often times I think we are unhappy because we live our lives like someone gave us an “Employment Manual” to abide by.  We think there are all these rules and regulations that must occur to be accepted by others and to succeed.  Sometimes these rules we are abiding by are not our soul’s intention. We did not write them or have any input.   So, it does not feel right or comfortable.  Over time, I have realized if something is not feeling “right,” it’s because it’s not my authentic self.  I am not meant to act or proceed in this manner.  It could be something as simple as losing sleep or that yucky feeling in the solar plexus.  Whatever it may be, I called it a “friction rub”.  It is how my soul brings something to my attention. So I go in an write an addendum to the manual. Maybe I am breaking someone else’s rules, but as I get older, I realize it does not really matter.   I am thankful for the wisdom and know one manual does not for for everyone! I encourage you to think about your friction rubs and get those addendums written!another_year_older-01_1024x1024

Detours!

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Oh! How I am a creature of routine.  I think as humans we all like it.  And we can get in such routine, we function on autopilot.  Have you ever driven home and not remembered the drive? Been there!

So, being a routine kind of girl, it makes me frustrated when there is road construction and I can’t take my normal route.  The guys shuffle all us cars down a new street and we have to weave through neighborhoods or wrong way streets.  Just not my ideal situation.  But maybe with that detour I see a new little shop I had not heard of?  or a cute house with the greatest curb appeal? Or what about that awesome tree-what kind is it anyway?  So many new things.  All in all the detour is blessing me with all this newness.  It’s like getting glasses if I had bad vision?

As I walk through this earth school, I need to realize the detours of life are growing and expanding my awareness as a human just as the driving ones.  If we want to evolve, we have to welcome the detours and break free from the autopilot. There is so much newness out there to continue to awaken us!  Think about what detour you took this week?

Ashes, Ashes they all…

ARE SO BEAUTIFUL!

chewy

If you have been in the office recently, you probably know my beloved golden retriever, Chewy, passed at the end of July unexpectedly.  She was the half sister of Leia, whom we had to euthanize 2 1/2 years ago. Leia is the beloved teacher I speak of in my “About Page”.

Leia was buried in our backyard in February of 2103.  Chewy passed during all that torrential rainfall at the last week of July that created so much flooding in south Tampa.  Needless to say, we could not dig a burial site in our yard because the ground was so saturated.  So, we elected to do a private cremation.

Monday was the day for me to go pick her up.  I exited my car to enter the emergency vet and past and sweet four-legged friend.  Luckily, this friend was not a golden, so I could maintain my composure until I was able to converse with the office staff.  I spoke with the receptionist and she handed the bag over to me.  As I turned to leave the counter and head to the car, I could feel the tears beginning to swell in my eyes.  As I got to the car, everything was just blurry because all the tears coming down.  In the car with the bag, I sat and just felt weird.  I felt as if the world had stopped.  Was I breathing? Was there still oxygen to breathe in? I felt as if I could not move.  Nothing seemed to matter at this moment.  All that mattered was my sweet puppy was sitting next to me…in a box! I was a little weirded out that this was her body in this tiny little box.  I felt guilty I could not open it at this time.  But, this was my first experience with ashes; I did not know what to expect.  After I sat and cried for about 20 minutes and listened to Tracy Chapman’s The Promise, I felt like I could finally move again.

I drove home and placed the bag on the formal dining room table until Tuesday night.  I felt I had enough heartache for the evening.  Tuesday evening, I gathered up the courage to open the bag. First there was a grieving book.  I read over that.  Then I read over the medical records to help me try to put closure on the emergency.  As I completed the last page, it concluded with her going into cardiac arrest and “the owner” electing to euthanize prior to onset of agonal respiration.  I layed the papers on the table and subconsciously, I said to myself, “and that’s how it ended.  I felt like I closed a book. It was the last page of that book.  And, I needed to start a new book. She would want this.

I then unwrapped up the mahogany box.  Tucked inside was a Burgundy velvet bag.  As I was not ready to look at the ashes, I mashed on the bag.  I was taken by the density and mass inside that bag.  As I sat there for a few more minutes, I knew I needed to look inside.  I picked up the velvet bag and again was amazed with the weight… I finally was brave enough and I peeked inside….

Such Beauty radiated from it! While there was no extreme colors, beige and sand and gray were all mixed up.  Such subtleness creating beauty.   It reminded me of the recent gem mining trip we took in North Carolina with the boys.  I felt like I was looking at small gems.  And if anyone had ever met Chewy, you would agree that if we put all this back together, she made a marvelous gem!

I miss her terribly, but I look forward to the next book….until we meet again!