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Submitted by Admin on Fri, 04/18/2014 - 01:23
Chicago Neurotoxins

While the word Botox, may seem like a relatively new treatment, its history is long and well detailed. Botox has been used clinically for over 50 years.

Botulinum toxin comes from a bacteria called Clostridum botulinum. This bacteria was first identifed in 1897 by Emile van Ermegen. In 1928 Sommer and Snipe isolated the toxin from the bacteria. The mechanism of action of botox was then found in 1949 to decrease acetylcholine release. Acetylcholine is released from nerves to stimulate muscles to move.

The first clinical use of botulinum toxin was around 1968 by Dr. Scott ad Schantz who used it in strabismus. Rather than perform surgery for this condition, the innovators injected botulinum toxin into the muscles.

The cosmetic use of botulinum toxin was noted after patients reported improvement in their lines from injection of the toxin as a side effect. Dr. Carruthers (husband and wife) first described the us of botox toxin in a study in 1992. After exhaustive testing, Botox was approved by the FDA for cosmetic use in 2002. Later on, Dysport and Xeomin were similarily approved for cosmetic use.

1895 Bacteria Identified
1928 Sommer and colleagues purify type A toxin
1949 Burgen identifies Botox decreases Ach release
1968 Botulinum type A toxin used for strabismus
1992 Botulinum toxin type A use for glabellar lines
1989 Botulinum toxin approved for distribution
2002 Botox Cosmetic approved for glabellar lines
2009 Dysport Approved for glabellar lines
2010 Xeomin approved for glabellar lines

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Submitted by Admin on Thu, 04/17/2014 - 00:37
Flow Charateristics of Fillers Elasticity and Viscosity | Chicago, IL

Facial fillers are some of the most popular plastic surgery procedures. This has created newer products on the market, each with its own specific qualities. One way clincians try to define the "feel" of a filler is through its physical properties.

One way fillers are quanitfied by their "feel" is their G prime or elasticity. The G' (G prime) or elasticy describes how the filler is able to retain its shape when a force is applied. G primes are firmer to palpate, more contour stable, and lift tissue better. Fillers with lower G primes are softer, spread through tissues easer and move with the face better. For a nasal labial fold or smile line, a firmer product will be a better choice due to the amount of movement and need for contouring. Along the lower lid of the eye, a lower G prime may be better suited. An analogy of higher G prime product would be Jello versus a lower G prime product of pudding.

Another property measured for filler is the viscous nature of the filler. The viscocity is related to the flow of the filler and how spreadable the filler is. The more viscous filler is able to keep its shape better while a thinner filler will conform to the underlying tissues better. Keep in mind there is an artistic element to fillers where experience with fillers not quantifiable with a number. The following chart demonstrates the properties of fillers as a general guide.

So what facial filler does Dr. Shah recommend? He choses facial fillers based on patient's individual anatomy and goals and customizes the product to better suit a specific area and places the product in an artisic manner.

Filler Name Elasticity Viscosity
Radiesse 1,407 349,830
Radiesse + lidocaine 554 143,100
Restylane L 565 131,310
Perlane 549 127,090
Restylane 514 119,180
Juvederm Voluma 274 92,902
Juvederm Ultra Plus XC 139 32,152
Juvederm Ultra XC 11 27,034
Juvederm Ultra Plus 75 17,699
Belotero Balance 30 9,217
Juvederm Ultra 28 7,307

Table taken in part from data from Sundaram H, et al. Dermatol Surg 2012;11(8 suppl)S12-24.

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Submitted by Admin on Tue, 04/15/2014 - 00:26

Citrus fruits, in particular lemons and limes, contain limonene. This substance can give some people watery eyes and a burning senstation in the nose. Some people are sensitive to just touching it. The medical community is becoming more aware of irritants and allergic substances that were previously considered safe.

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Submitted by Admin on Mon, 03/24/2014 - 07:32

The symbol on Dr.  Anil Shah's door | Chicago

The symbol on Dr. Anil Shah's door is a cursive font showing the letters A and S intertwined. Many people think the A stands for Anil and the S for Shah. However, the A and S also stand for other divisions within Dr. Shah's brand system including Aesthetic Skin, Aesthetic Surgery, Aesthetic Spa.

The design was created by Baade Graphics and was meant to interpret the flow of figures and help represent the harmony and balance of aesthetics and surgery (hence the musical flowing quality of the logo) and a balance of forms.

Finally, the standard of attractiveness and beauty continues to rise. Many patients are now incorporating minimally invasive procedures as part of a maintenance program to help look their best. Despite eating right and working out, some patients will still notice changes that might bother them, such as lines, brown spots, hollowness around the eyes, etc. Minimally invasive procedures offer a quick, reliable solution to these aesthetic issue to help restore youthfulness to one's face.

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