Menu Contact Us

Topic: Cosmetic

How to Achieve a Natural Look with Botox and Fillers

As we age, environmental stress and collagen loss can cause wrinkles and frown lines around the eyes, mouth, and forehead. At our office, we offer non-surgical cosmetic treatments including BOTOX® and fillers to provide patients with options to reduce these signs of aging and feel younger and comfortable in their skin. Many patients shy away from having cosmetic treatments because over fears of a dramatic change. When administered properly and in small quantities, injectable treatments can be quite natural looking. The key is skill and moderation.

I’ve been receiving botox treatments for the past five years. We all have active lines that wrinkle when we animate our face, and I wanted to prevent those permanent lines that appear with age. I’m very happy with the results botox has given me over the years, and I personally recommend the treatment to patients who come to me with concerns about facial aging.



So, what is Botox?

BOTOX® Cosmetic is made from a neurotoxin produced by the bacterium clostridium botulinum and is used to minimize the appearance of wrinkles and crow’s feet. There is no “generic’ version of BOTOX®, which means that you can be sure the treatment you receive is safe and well-regulated.


How does it work?

To inject the BOTOX® formula, the botulinum toxin powder is diluted in saline solution before being administered by syringe. After injected, BOTOX® temporarily reduces muscle activity in the injected areas and works under the muscle to repair the area. The procedure takes no longer than around 10 minutes and most patients report little to no pain from the needle prick. Patients can see results as early as 24 to 72 hours after the injection.



What are Fillers?

Fillers are a different type of injectable cosmetic treatment used to add volume to cheeks and under eye areas, plump lips, and smooth laugh lines. Unlike BOTOX®, dermal fillers are made from naturally-derived or synthetic materials, and synthetic fillers can be semi-permanent, lasting up to 5 years.


How do fillers work?

Dermal fillers are injected into the area the patient requests using a syringe. The treatment takes around 15 minutes and patient can begin seeing results as soon as right after the injection, with full results visible around 48 hours after treatment.


What to Know Before Deciding to Get Cosmetic Injections

When considering BOTOX® or fillers, it is important to ensure that your treatment is performed by a skilled dermatologist or plastic surgeon who has received their product from a licensed provider. You can find professional reviews on RateMDs and realself. It is also important to have a consultation with your doctor before receiving treatment, so they can review your medical history and any allergies you may have and give you a realistic idea of possible outcomes.

juvederm (1) 2

The Recovery Process

Non-surgical cosmetic procedures are routine and have few associated risks. There is very little recovery time needed, and patients are free to continue living their lives as they normally would as soon as the procedure is completed. The only thing your surgeon may advise against is visiting the gym or working out the same day as your procedure, as the activity can increase the patient’s risk of bruising. Patients may experience some redness or swelling around the injection site, however these effects tend to clear up within around a week.
How Often Should I Get Botox and Fillers?

It is important to remember that neither BOTOX® nor fillers are permanent fixes, and most patients schedule follow-up appointments for 3 months to a year from their first treatment. How long each treatment lasts depends on what kind of material is used and how many units are injected. I always recommend my patients opt for a smaller unit size of each treatment the first time they have the procedure, so they can visualize the results before “overdoing” it.


If you are interested in finding out more you can book a consultation with Dr. Sheina Macadam to discuss your options and address any concerns you may have. Get in touch with our office here.





Improved Quality of Life with Breast Reduction Surgery

Many women feel that oversize breasts prevent them from living a happy and full life. Breast reduction surgery – reduction mammoplasty – can significantly improve a woman’s health and quality of life while allowing her to feel comfortable and secure in her body.

There are many reasons why women choose to undergo breast reduction surgery, including long term effects of neck, back and shoulder pain caused by disproportionately large breasts. The surgery can also reduce future medical costs associated with these health issues including mental health issues and diseases caused by a sedentary lifestyle.

Breast reduction surgery can also have long-term physical and psychological benefits for the patient. A BREAST-Q© study led by Andrea Pusic, MD. evaluated the benefits of breast reduction surgery for patients and found a significant correlation between breast reduction surgery and higher happiness measures in patients after their surgeries. The study also found that patient’s satisfaction with breast appearance increased from about 20% to 80% after surgery. Beyond satisfaction with the cosmetic outcome, patient’s psychosocial well-being, sexual well-being, and physical well-being increased from around 40% to 80% in all areas, showing that breast reduction can have positive effects on the patient that extend far beyond physical well-being.

After breast reduction surgery, women are able to more fully engage in physical activities and sports while feeling more at ease in their bodies in social settings.


The Surgery

During the surgery, the patient’s breast size is reduced through the removal of excess tissue. Then, the nipple position is raised and the breast width is narrowed. A surgeon may also alter the shape and size of the areola, the dark skin around the nipple, during the surgery.


The surgery is performed with either a “lollipop” or “anchor” scar incision. Surgery can take between 3-4 hours depending on the size of the breast and patients are put under general anesthesia for the duration of the procedure. Although there are risks associated with the surgery, most have an occurrence rate of less than 1% in patients. You can learn more about these risks and the surgery here.


The Recovery Process

After surgery, gauze is placed over the incisions and the breasts are wrapped with elastic bandage. It is recommended that women take 2-4 weeks off from work after surgery in order to fully recover. It is also recommended that patients not engage in vigorous physical activity for three to four weeks after the surgery. Your plastic surgeon will monitor the recovery and make sure there are no complications after the procedure.

In order to begin the process of determining whether or not you are eligible for the surgery and health coverage, talk to your family doctor or book a consultation with a plastic surgeon. Many women with oversize breasts are candidates for the surgery, however patients that smoke and women with a BMI > 32 are not eligible.