Cosmetic Procedural Services with Dr. Ali Famouri, ND
Please note all Cosmetic Procedural Services are not claimable under extended health plans, and are a private, elective service.
Clostridium botulinum bacteria produce a class of chemical compounds known as "toxins.” The Botulinum Type A Toxin is processed and purified to produce a sterile product (neuromodulator) branded as BOTOX®/DYSPORT®/NUCEIVATM that is suitable for specific therapeutic uses including temporary muscle relaxation. Neuromodulators are injected into the selected muscles to produce a temporary paralysis of them by preventing transmission of nerve impulses to the muscle.
Botox Cosmetic is approved by Health Canada for the treatment of upper facial dynamic wrinkles by reducing or eliminating the patient’s ability to contract certain muscles responsible for forehead lines, crow's feet lines, and frown lines. There are other cosmetic uses of Botox which are considered "Off-Label" meaning that it is not specifically approved by Health Canada. Knowledge, experience, and precision are collectively important determinants for achieving a natural aesthetic outcome.
An initial assessment is needed to determine how many units are needed. Aside from that, neuromodulator injection per se is a quick procedure that usually takes about 15 minutes. There is almost no downtime for this procedure. Neuromodulators effect starts to appear 4-7 days after the injection and maximizes in about 2 weeks. The temporary muscle paralysis generally lasts approximately 3-4 months. Therefore, the injected muscles would gradually return to their normal activity without periodic treatments. The treatment interval differs from patient to patient. Based on the patient’s preference, treatment sessions can be spaced 3-6 months apart.
Pricing 20 minute Cosmetic Consultation: Complimentary 30 minute Botox Injections Appointment: $400-500 + GST (price point discussed during consultation) 15 minute follow up with no injections: Complimentary
Hyaluronic acid fillers such as Revanesse®, Restylane®, Teosyal®, Belotero®, etc. are injectable gels composed of cross-linked hyaluronic acid. Hyaluronic acid is naturally occurring in the body and can be manufactured in special labs as well. Hyaluronic acid fillers that are approved by Health Canada can be used for non-surgical facial shaping and augmentation: correction of severe facial wrinkles and folds such as nasolabial folds and marionette lines or improvement of the elasticity of the skin in the face and upper neck. The gel adds volume to the tissue thereby restoring the skin contours of the face to the desired level or the gel naturally integrates into the skin where it helps to improve the elasticity of the skin. The volume and lifting capacity originate from the ability of cross-linked hyaluronic acid to bind water. As dermal fillers are made of hyaluronic acid, results are easily adjustable and even reversible. Lidocaine is added to the formulation to diminish the pain resulting from the injection during the treatment.
Potential downtime might include degrees of bruising and/or swelling which vary in each individual. Eventually, fillers will be broken down into complete disappearance over time. Therefore, this treatment is temporary, and re-injection may be necessary after several months (6-12 months).
Pricing 20 minute Cosmetic Consultation: Complimentary 30 minute or 45 minute Injection Sessions (depending on of fillers injected) $400-$650 + GST 15 minute follow up with no injections: Complimentary
Deoxycholic acid (DC) is an active ingredient of typical Fat Dissolving Injections. It has been used for more than 10 years for fat reduction and body contouring. The results are not immediate. At your first treatment visit you will receive a series of injections in the treatment area. At the time of injection and for several days following the injections you will have swelling in the area. The active ingredient will cause the fat cells to diminish gradually over the course of the next month following your injection in the treated area. A series of treatments may be necessary to achieve optimal results, and these will occur at no sooner than the one-month interval. Your doctor will determine the appropriate number of treatment sessions and the amount of injections you will need at each session.
DC is available as the brand name product BELKYRA™ and a generic compounded injectable: • BELKYRA™ BELKYRA™ is a Health Canada approved cosmetic injection indicated for improvement in the appearance of submental fullness associated with submental fat in adults. Injection of BELKYRA™ to other body and facial areas are considered “off-label” use as there has not been adequate studies and Health Canada approval to support its use in other areas.
• Compounded Deoxycholic acid (DC) Compounded DC uses a natural source of DC whereas BELKYRA™ uses synthetic DC whereas the compounded injectable. Effects may or may not be equivalent as there are no comparative studies.
Pricing 20 minute Cosmetic Consultation: Complimentary 20 minute Submental Injections | 20-40 minutes for other areas : $200-900 + GST 15 minute follow up with no injections: Complimentary
Moles are skin growths made up of cells that produce color (pigment). A mole can appear anywhere on the skin, alone or in groups. Most people get a few moles during their first 20 years of life. They are usually brown in color but can be blue, black, or flesh colored. Most moles are harmless and don't cause pain or other symptoms unless you rub them, or they bump against something. Skin Tags are small, soft pieces of skin that stick out on a thin stem. They most often appear on the neck, armpits, upper trunk, and body folds. The cause of skin tags is not known. They are harmless.
Most moles and skin tags don't require treatment. But sometimes people want to remove them for cosmetic reasons or because they cause discomfort when they rub against clothing or get caught in jewelry. We may need to do a biopsy of the mole if it looks different than other moles, which means removing the mole and sending it to a lab to check it for cancer.
Treatment options: No treatment – as mentioned above, most moles and skin tags don't require treatment. Cutting it off – Skin tags may be snipped off with a scalpel or surgical scissors. Some moles can be "shaved" off flush with the skin. Other moles may have cells that go underneath the skin, so a deeper cut may be needed to remove the entire mole and prevent it from growing back. This cut may require stitches. Freezing it with liquid nitrogen – we can swab or spray a small amount of super-cold liquid nitrogen on the mole or skin tag. You might have a small blister where the mole or skin tag was, but it will heal on its own. Multiple sessions might be needed to achieve the desired results. Burning it off. An electric current passes through a metallic tip that becomes hot and is used to burn off the upper layers of the skin. You may need more than one treatment to remove a mole. Skin tags are removed by burning through the narrow stem that attaches them to the skin. The heat helps prevent bleeding.
Every patient is unique in their goals and how their mole presents itself, which ultimately determines the technique required for its removal. All these procedures are purely elective and will be done under local anesthesia in sterile conditions.