Tag Archives: botox bakersfield

Aging and Car Exhaust

In sunny California, cosmetic procedures have a lot to do with fixing aging skin. The more wrinkles we have, the more we worry about how old we appear to others. To combat wrinkles I perform procedures and treatments such as face lifts, Botox and laser skin resurfacing. But have you ever wondered if it’s not just age causing your wrinkles?

Recent studies show that car exhaust and soot is now deemed the third major modifiable factor that causes skin to age early. The top factor is ultraviolet rays, while second place is taken by tobacco smoke. This means that living in a highly populated area could be part of the reason your skin has begun to wrinkle earlier than expected.

It’s been known that soot and car exhaust can be bad for the respiratory system and that it causes minor cognitive failure in the elderly. It even has been linked to type 2 diabetes and is now being studied to see if it is involved in the pathogenesis of Alzheimer’s disease. But the fact that it can induce skin aging is yet another strike against industrial areas.

Unless you literally live in the country, it’s hard to avoid excessive car exhaust and soot. But you can contribute to the environment by cutting back on the amount you drive, and walk or ride a bike instead. If you live in a heavily populated industrial area, be sure to take extra care of your skin. And when all else fails, there are treatments to combat those early wrinkles at my California plastic surgery practice.

To your health and beauty,

Dr. Vip Dev, MD


Survey Says: 30% of Women Over 40 Want a FaceLift

According to a new survey, over a third of women over 40 are concerned enough about their appearance that they would definitely consider plastic surgery if they could afford it. The average age the women surveyed believed was the best age for plastic surgery is 52, 41 weeks and four days. Also, according to those surveyed, 20% of the surveyed women between 40 and 60 said they would gladly get a face lift to smooth out the signs of aging if money were no object.

In my Bakersfield plastic surgery practice, women start coming to us on a regular basis in their early 30’s, principally to put off facial rejuvenation surgery, such as a face lift, by having dermal fillers and Botox injections, as well as facial treatments with our aesthetician, Terra. Through the judicious use of these facial treatments, patients can forestall the need for more invasive treatments for many years.

Did you know that dermal fillers, for example, can be injected to lift the cheek area, which also lifts the jowls, one of the first signs in an aging face? It’s true. You can literally have a “liquid facelift” through the proper placement of these fillers, all without surgery. Now, eventually, aging will continue to the point where even the best and best-placed fillers won’t do the trick, and at that time you’ll need to decide whether or not you want to have surgical face lift. However, as fillers become more and more advanced, that stage is put off longer and longer. If you aren’t certain whether your facial aging can be managed with fillers vs surgery, give Terra a call and ask for her consultation. I can also examine your face to help you understand your options.

What do you think about this? Are you taking advantage of skin treatments and dermal fillers to put off surgery until much later?

To your health & wellness,

Dr. Vip Dev

New Supplement Increases Effectiveness of Botox/Dysport by 93%!!

Dr. Charles Soparkar, an oculoplastic surgeon at The Methodist Hospital in Houston, Texas and his fellow researchers have performed a study showing that by ingesting a combination of organic zinc plus the enzyme phytase for a period of four days before receiving Botox or Dysport injections made the toxin 93% more effective. As a result of this good news, the researchers have filed for a patent of the two supplements. It’s called ZYTAZE™ and will be available any day now. Although most of the patients in the study were being treated for a rare form of eyelid spasm, this research is great news for everyone who gets injections of Botox or Dysport for cosmetic reasons.

“Surprisingly, the results showed that in over 90% of the patients studied, the zinc/phytase combination resulted in a remarkable improved responsiveness to treatment of blepharospasm using the same amount of botulinum toxin as previously used,” said Soparkar. “The toxins seemed to have greater effect and last longer. Potentially, this could mean using less toxin, offering patients financial savings, greater safety, and more consistent results.”

ZYTAZE is licensed to OCuSOFT, Inc., a company that focuses its efforts on ophthalmic research and development.

If the prescription isn’t too expensive, it could result in an overall savings for those using Botox or Dysport for wrinkle reduction, as less of the toxin will be needed and the results will last longer. I’ll update you as soon as I hear any further news on this topic.

To your health & beauty,

Vip Dev, MD

Whatever happened to Silicone?

Although liquid silicone injections were banned by the FDA is 1992, many unqualified providers will still administer them off-label, with potentially deadly effects. I’m willing to bet that if you asked 5 friends who are “in the know” about cosmetic procedures, that at least 3 of the would not know that silicone was banned. Take a look at Priscilla Presley. That’s how she got that look.

Silicone was used as long ago as the 1950s to augment breasts, and then became very popular in the 1970s and 1980s to fill in wrinkles and enhance lips. However, studies discovered that the injections caused infections and deformities, as well as potentially migrating via the bloodstream and causing blood clots. Just last year, a 43-year old woman died after having black market silicone injections to her thighs and buttocks.

Since silicone is permanent and does not adapt to aging tissue, surgery is required to remove it. Lisa Rinna recently had surgery to improve the appearance of her lips, which were affected by silicone injections administered in the 1980s.

Silicone injections have been replaced by FDA-approved alternatives such as: Botox, fat injections, collagen and Restylane. Most of these treatments last between six months to a year.

So, if anybody asks you about silicone or tells you there’s a great, cheap offer for fillers at Dr. X’s office in Bakersfield, keep in mind, t’ain’t so! And if there IS anybody injecting silicone, don’t get any.

To your health & beauty,

Dr. Dev


If you suffer migraines at least 15 days a month and have pain lasting at least four hours each time, your insurance may pay for you to have Botox injections to bring relief. The FDA has recently approved Botox as an injectable solution to migraine headaches when injected into the face and neck every three months.

You may have read that Allergan, the makers of Botox, were sued by the Feds for their previous unauthorized promotion of Botox for cerebral palsy and headaches between the years 2000 and 2005. The firm accepted the determination and paid the government $350 million plus $25 million in assets, along with an agreement for monitoring. In light of the fact that stock analysts estimate the revenue from this new approval for Botox will be in the billions, that’s a small price for Allergan to pay.

Two studies show proof that it works. In one, men and women suffering with chronic migraines reported 9 fewer migraines a month, compared with those who were given a placebo injection, who reported only 6.7 fewer migraines a month. That’s about a 30% difference. Allergan funded its own study which showed its users having 7.8 average fewer headaches per month compared with those getting the placebo, who reported only 6.4 fewer days of headaches a month.

Caroline Van Hove, Allergan spokeswoman, believes that health insurance companies will cover use of the drug because “this is a population that hasn’t responded to any of the conventional treatments.” Botox has already been approved for migraine treatment in the UK and Allergan is anticipating more approvals in the rest of Europe and Canada yet this year.

We provide this service for those of you suffering from migraines, so pick up the phone and put a stop to your chronic migraine headaches. Share the word with friends, family and co-workers and schedule time with us to treat this problem. You’ll feel so much better.

Study: Dysport More Effective Than Botox for Crow’s Feet

Since its FDA approval for cosmetic purposes in 2002, Botox has been used for the purpose of wrinkle reduction. Up until the FDA approval of Dysport in May of 2009, there was no other botulinum toxin treatment on the market other than Botox. While Dysport has had a slow introduction into the market, a new study may give it the extra boost it needs.

According to the study, which was presented at the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) 2010 Annual Fall Meeting, Dysport is significantly more effective than Botox Cosmetic for the treatment of crow’s feet.

Ninety subjects were assessed on day zero and day 30 following treatment by both Botox and Dysport. The double-blind study found that Dysport was hands-down more effective than the well-established Botox Cosmetic.

Botox has long been considered the gold standard of injectables, so this data showing Dysport’s stronger efficacy is compelling,” Corey D. Maas, MD, AAFPRS Group Vice President for Public and Regulatory Affairs, told Plastic Surgery Practice.

Based on the findings, patients who are interested in treating their crow’s feet may want to reconsider what product they ask for. The study also found that Dysport is more effective in treating hyperfunctional frown lines. For more information on Dysport in Bakersfield, please contact The California Institute of Cosmetic & Reconstructive Surgery for a consultation.

To Your Health & Beauty,

Vipul R. Dev, M.D.

Allergan Settles Botox Case for $600 Million

Allergan, the Orange County-based maker of Botox, has settled a case with the federal government for over $600 million. The L.A. Times reported that the settlement came about after the Justice Department pursued criminal charges against Allergan for marketing Botox for off-label use.

Allergan reportedly marketed Botox, the popular anti-wrinkle injectable, for the off-label purpose of migraine relief. While pharmaceutical firms are allowed to use their products for unapproved purposes, FDA approval is necessary in order to market the product to doctors and consumers.

It is estimated by the Justice Department that the settlement was one of the top ten largest healthcare settlements by the department.

The case came about more than two years ago following scrutiny by whistle-blower groups. Allergan promoted the popular injectable by lobbing health insurance companies to cover the off-label uses and by offering incentives to physicians who actively treated migraine patients with the drug. According to the Justice Department, Allergan spent $8 million alone on an online neurotoxin education organization to “stimulate increased use of Botox.”

was also promoted to treat a plethora of medical conditions—including blepharospasm, pain and cerebral palsy—that it was not FDA approved for. While cosmetic doses, which are relatively small, carry minimal side effect, therapeutic doses can be more dangerous. Botox and competing products carry “black box” warnings that the toxin can spread from the injection site and cause life-threatening symptoms, such as trouble swallowing or breathing.

Allergan is currently awaiting FDA approval for the use of Botox on migraine sufferers. With the decision expected at the end of October, the timing of this settlement may affect the FDA’s final verdict on Botox.

To Your Health & Beauty,

Vipul R. Dev, M.D.