Contact Us
9101 N. Central Expwy.
Suite 600, Dallas, TX 75231
Tel: 214.827.2814

Cutting back on Botox does not compromise results after two-years of regular treatments

Cutting back on Botox does not compromise results after two-years of regular treatments

A new study from scientists at Oregon Health & Science University confirms what many patients have suspected for some time: After undergoing regular treatments with Botox, patient can space out the length of time between treatments without sacrificing results. In the study, 50 women between the ages of 30 and 50 underwent Botox injections every 4 months for 2 years. After that time, the patients only underwent injections every 6 months without sacrificing results. Furthermore, the study showed, as many patients suspect, that Botox is actually effective in preventing wrinkles from forming.

Treatments with Botox are one of the most popular cosmetic procedures worldwide, with millions of patients treated annually. It is FDA-approved for treatment of glabellar frown lines (the “elevens” or wrinkles between the eyebrows) and is commonly used off-label for treatment of forehead wrinkles and crow’s feet. This study demonstrates that patient’s undergoing chronic treatment can anticipate lowering the yearly cost of treatment after two years of regular treatments.

If you have questions regarding Botox or other facial injectables, do not hesitate to contact Dr. Jejurikar’s office Dallas Plastic Surgery Institute at 214-827-2814.


Important Considerations Before Cosmetic Surgery

Many people ask preoperatively what they can do to minimize the chances of problems after surgery.  Although the possibility of complications always exists, there are very things that you can do to minimize complications and to speed up the recovery process.

First, it is very important to stop using tobacco. Many clinical studies have shown that tobacco usage significantly impairs wound healing and can lead to healing complications. Stopping all tobacco use at least 4-6 weeks before surgery will lessen the chances of wound healing complication and infection.  Although quitting tobacco is not easy, it is incredibly import to optimize the safety of surgery.

Second, it is important to eat well. A diet high in protein improves the ability of the body to heal large surgical incisions. The interval of time just before surgery is not the time to diet and to become malnourished, as it will increase your risk of complications.  In addition to adequate protein intake, a well-balanced diet supplemented with a multivitamin can be helpful.

Third, it is important to be in a good overall state of health.  What does this mean exactly?  It means that, if you have diabetes, make sure your blood sugars are well controlled. If have heart disease, make sure your blood pressure and cholesterol levels are optimizes preoperatively.  This may seem self evident, but having a major medical complication after elective surgery can not only be harmful to your health, but it could also lead to significant complications with healing after surgery.

Fourth, it is important that you have a support structure intact that allows you to recover after surgery.  What I mean by this is that patients who do not have help after surgery are oftentimes forced to do too much.  Straining and excessive movement can lead to increased swelling and to other potential complications after surgery.  In addition, if you do not give yourself enough time to recover from surgery and have to return to work prematurely, you can increase the risks of complications as well.

Should you have more questions about cosmetic surgery and aesthetic procedures at Dallas Plastic Surgery Institute, please contact Dr. Jejurikar’s office at 214-827-2814.

Nonsurgical nose job – case study

Here’s an interesting alternative to surgical rhinoplasty. This patient presented to my office a little more than a year after undergoing rhinoplasty (nasal surgery) in another city. He was unhappy with a depression along the left side of his nose, which, on my exam, seemed to be deficient or absent nasal cartilage. He was reluctant to undergo repeat surgery, but wanted to learn about nonsurgical options.

I recommended treatment with Juvederm, a hyaluronic acid filler. He was treated with one syringe of product. He is seen before the injection (left), immediately after the injection (center) and one week after the injection (right). The results are not permanent, but commonly last one year or more.

To learm more about injections with dermal fillers, Juvederm, or nonsurgical rhinoplasty, do not hesitate to contact Dr. Jejurikar at 214-827-2814.

FDA Approves Competitor to Botox

Get ready for a new competitor to Botox and Dysport. The FDA has approved Xeomin (incobotulinumtoxinA) for temporary treatment of glabellar frown lines (wrinkles between the eyebrows, otherwise known as the “elevens”).

Merz Aesthetics will distribute the product in the United States. According to a company statement, the approval is based on the results of two multicenter clinical trials involving 547 patients . In both studies, Xeomin injections significantly improved the appearance of glabellar frown lines in a month when compared with placebo. The product was not compared to Botox or Dysport.

Under a different brand name (Bocouture), Xeomin is already approved in 14 European countries. Merz officials says Xeomin will be available throughout the United States in the spring of 2012.

Panniculectomy versus Tummy Tuck

Patients often come to the office seeking third-party insurance coverage for their abdominoplasty (tummy tuck). That almost never occurs, as, by definition, tummy tuck is an operation performed for cosmetic procedures, and, as such, is not medically necessary. With a tummy tuck, the abdominal wall is aesthetically re-shaped, the abdominal wall muscles tightened, the belly button is re-shaped, and liposuction is often used to recontour the love handles and upper abdomen. To see many examples of before and after tummy tuck pictures, see Dr. Jejurikar’s photo gallery.

Insurance companies may some times cover the cost of panniculectomy. Patients often believe that this is equivalent to a tummy tuck, which could not be further from the truth. Panniculectomy is a functional operation that is not cosmetic in any way. With extensive documentation of skin rashes or infection, nonhealing wounds, or interference with walking. This is a typical before and after picure of a panniculectomy; note the drastic differences compared to abdominoplasty.


Panniculectomy only removes the lower abdominal skin (pannus) is removed – that’s it. Because of that, the abdomen still has excess skin, a misshapen belly button, fat excess of the love handles and upper abdomen, and an overall flaccid appearance. A panniculectomy can be combined with a tummy tuck, but the tummy tuck is, yet again, considered a cosmetic procedure, not eligible for insurance coverage.

If you have questions, or would like a complimentary consultation, contact Dr. Jejurikar’s office at 214-827-2814.

Beware of Liposuction performed by inadequately trained doctors

A Phoenix-area physician was found guilty of second-degree murder and manslaughter on Friday, July 15th, after having three patients die during procedures in his clinic. The physician, Dr. Peter Normann, was an emergency-room physician, certified as an internist, and had never done a residency in plastic surgery or anesthesiology. He maintained he was qualified to perform liposuction because he had taken a six-day course and had done “hands-on” training in breast augmentation. The details of the case are shocking:

  • The operating room lacked oxygen or monitoring devices
  • The operating room did not have anesthesiologists
  • The operating room did not have nurses, relying on a massage therapist and a former restaurant worker with little or no training as medical technicians.
  • At least two of the patients died of lethal doses of improperly administered medications.
  • The physician had no training in fat grafting. One of the patients had fat injected into a vein, which carried it to her lungs and caused her death.

Board-certification in plastic surgery ensures that your physician is fully trained and meets the high standards established by the American Board of Plastic Surgery. Although other physicians and clinics may offer cosmetic surgery services at a cheaper price, often times the physicians performing the procedures lack basic training and experience, and perform the procedures in an enviroment fraught with danger, as in this case. Safety must always be the highest priority, and that includes appropriate monitoring, appropriate medication and oxygen, and fully trained doctors and nurses caring for each patient.

To learn more about liposuction and other cosmetic procedures, call Dr. Jejurikar’s office at 214-827-2814. To learn more about this horrific case, read more at:

The Results of Brazilian Butt Lift Do Not Appear on X-ray

Many of you have seen the picture posted all over the Internet: Kim Kardashian is proudly posed next to an x-ray, which reveals no evidence of buttock implants.  This is meant to be proof that she has not undergone any type of buttock augmentation or buttock enhancement.

I have no personal knowledge as to whether or not Ms. Kardashian has undergone buttock augmentation.  However, the most commonly performed method of buttock augmentation, the Brazilian butt lift, does not utilize buttock implants.  In this procedure, extensive liposuction is performed elsewhere in the body, most commonly the inner thighs, outer thighs, lower back, and abdomen.  After a purification process, the fat is re-injected into the buttocks.  With the Brazilian butt lift, patients experience a very natural result using their own fat.  Because the results are so natural, and no implants are utilized, there is no evidence on x-ray that the patients have undergone surgery.

Thus, although Ms. Kardashian may be telling the truth, and she may not have undergone buttock augmentation surgery, the x-ray proves little.

If you would like to learn more about the Brazilian butt lift or other forms of cosmetic surgery, please do not hesitate to contact Dr. Jejurikar of Dallas Plastic Surgery Institute at 214-827-2814.  He has offices in Plano and Dallas, TX.

Summer Skin Care is Essential

With the brutal summer heat in full force, it’s important to be mindful of caring for your skin this summer. The most important tool in the prevention of skin cancer is sun block. Apply lotion every time you go outside, even if you will only be in the sun for a few minutes. Protective clothing and hats can also reduce the damage prolonged sun exposure can cause your skin. If you notice any new moles or freckles, or if you notice changes in moles or birthmarks you already have, be sure to visit your doctor for a check-up.

If you do have blemishes or sunspots, a visit to a plastic surgeon certified by the American Board of Plastic Surgery can help you learn about your options for treatment. Even in the absence of skin cancer, severe sun-damaged skin can make you look older and haggard. Skin resurfacing, including laser treatments and chemical peels, can help treat fine wrinkles and brown spots or blotches caused by prolonged sun exposure. If you don’t have time to recover from an invasive procedure, lower intensity lasers and chemical peels can allow you to recover from an effective resurfacing procedure relatively quickly.

For more information, please contact Dr. Jejurikar’s Dallas and Plano offices at 214-827-2814.

Skin lightening without hydroquinone

Recently, the state of Texas banned the dispensing of hydroquinone, the most popular skin bleaching cream, in concentrations of 4% of more, because of safety concerns. Hydroquinone had been used by many patients in pre-surgical and post-surgical therapy, as well as by many patients as part of their skin care reigmen. So what are patient’s to do?

Elure™ Advanced Skin Lightening Technology ( is a new topical cosmetic product available at EpiCentre Park Lane and EpiCentre Legacy. The appearance improvement provided by elure is based on a patented natural enzyme, known as Melanozyme™, which temporarily reduces the dark-colored pigment in your skin. In several clinical studies, elure produced a brighter and more even toned skin appearance for most subjects in just 28 days. Elure™ does not contain hydroquinone. Early results with this product have been quite promising.

To learn more, contact Dr. Jejurikar’s office at 214-827-2814.

Free Latisse or Botox with your Breast Implants

Allergan, one of the major breast implant manufactures in the United States, is offering patients a free one-month supply of Latisse or 20 units of Botox free with purchase of breast implants. If you’ve been thinking of having breast augmentation surgery, take advantage of this great special today! Call Dr. Jejurikar’s office at Dallas Plastic Surgery Institute (214-827-2814) to set up a complimentary consultation.



Our Location Dallas Plastic Surgery Institute

9101 N. Central Expwy.
Suite 600, Dallas, TX 75231
Tel: 214.827.2814
Dallas | Dr. Jejurikar

Stay Connected

Ready to get started?
Request a Consult