Tag Archives: plastic surgery

New Year Another New Doctor (or Getting Ready To Get Some Stitches)

I am not a fan of changing doctors. I like having a medical team that knows me and understands whatever issues I’m going through. I’m a medical weirdo so it can take a while to update a new doctor on my current situation and I’d rather avoid doing that. I’ve been lucky that many of the doctors I see on a regular or semi-regular basis are doctors that I have had for years, but occasionally I have to switch doctors for one reason or another.

I mentioned that my body is starting to show signs of stress. Some of the stress was showing up as odd bumps on the back of my neck that I didn’t know what they were. I tried not to freak out about them, but they weren’t getting smaller and they were sore so I knew I needed to make an appointment to see my dermatologist. Unfortunately, this time of year seems to be very popular with all dermatologists and the doctor I have been working with for a while wasn’t available for at least a month. I didn’t want to wait that long, so I asked if I could see a new doctor and I was able to get an appointment for earlier this week.

By the time I had my appointment, the bumps on my neck were almost gone. But I still wanted to get them checked out along with a few other skin issues I wanted to ask about. I don’t like to stack up medical issues, but this time that’s just what happened naturally.

Fortunately, the bumps I had on the back of my neck were nothing bad. It was more to do with my hair follicles than my skin and I got a recommendation for a new soap I could use that would help prevent them and make them go away if they return. I also asked if my recent hair loss in the spot that I had the bumps was related, but they weren’t. I just happened to have a bald spot in the same spot and that may have been the reason I noticed the bumps. If they had been covered by my hair, while I might have still had a bit of pain I wouldn’t have noticed them or realized they were bumps instead of a bruise.

And since I was seeing a new dermatologist, I also wanted to ask about the wart that I’ve had for over a decade. My last dermatologist considered doing a biopsy because she questioned if it could be a wart (typically even without treatment they will go away within 6 months), but it got postponed and I honestly forgot to do a follow-up to schedule it. I haven’t done anything to treat it recently and it’s been bothering me just as much as it always has.

This new dermatologist had the same hesitation as the last one about whether or not I have a wart on my face, but he didn’t hesitate on what we should do. He suggested that I come back for an in-office surgical removal. This is what I had discussed with a plastic surgeon a long time ago and that doctor made it seem like it would be a very difficult process with a very horrible scar. I didn’t want to disfigure my face, so I didn’t pursue the surgery with the plastic surgeon further.

And my last dermatologist never felt like it was the right option to take. I don’t know why I didn’t push the issue further and see what she felt would help this go away since all the treatments she had been trying had failed, but I know what hasn’t worked for over a decade. And while there are a few other options that I know I could ask to try, I also know the success rate of those other options are usually under 50% and most of them are painful.

This surgery is super minor and will be done with just a numbing shot. I will have stitches in my chin for about a week before they are removed and I will have a scar. The scar might be very obvious at first, but the dermatologist feels like it should be faded within 6 months and it will be easy to cover with makeup. And even with having a scar there, it will be less noticeable than what I have now. But to me, it’s not about how I will look. This wart has been painful for years and I want that pain gone.

I know it sounds like a rash decision and that I’m just hurrying things along. But this is something I have considered for a very long time and every doctor I have brought it up to has hesitated and told me that they didn’t feel this was a good option. This doctor was very confident in being able to make it work and to make the scar as small as possible. And for me it is so important to work with doctors who feel confident. I don’t always need my doctors to have all the answers, but they need to be confident in what they say even if they are saying they don’t know the answer at the moment. And I like the confidence of this doctor and I am ready to take the leap and finally get rid of something that has bothered me for years!

Birthday Botox! (or Technically Birthday Xeomin But That Doesn’t Sound As Cool)

My entire life, my eyes have been sensitive to light. When I was a kid and still wore glasses, I had an extreme version of transition lenses. When the light was too bright, my glasses would darken. This was all the time when I was outside and they would sometimes darken a little when I was inside in bright light. They darkened so much that as a kid people would ask my parents if I was blind.

Once I got contact lenses when I was 9, I wore sunglasses outside when it was bright. It could even be too bright for me when it was a cloudy day and I would be wearing sunglasses then. I always have sunglasses on me and have several spare pairs in my car. But even with sunglasses, my eyes are still sensitive to light and sometimes it bothered me.

I didn’t realize it until recently, but I started to squint a lot in bright light. And when I squinted, I furrowed my brow. That was fine for a while, but then it started to cause me some tension headaches. I thought maybe I was overusing the muscle in-between my eyebrows and the headaches were more about the muscle being sore. And the last time I saw my dermatologist, she confirmed that my idea was very likely what was going on with me.

My doctor gave me 2 options to work on fixing this. The cheaper option was a type of medical tape that I would wear on my face to train my face not to squint and furrow my brow. But I would have to wear this tape almost all the time for several weeks and it wasn’t something that I could really hide. The other option was to get Botox. Getting Botox would paralyze the muscle and after a few rounds of injections my face should be trained to not do it anymore.

For me, there was no question. I was going to get Botox. I didn’t want to have to wear tape on my face for weeks and even though I hate needles the injections still seemed like the easier option for me. I discussed with my doctor about if my insurance would cover it. But I would have to have several appointments with a neurologist to approve the injections and those appointments would be more expensive than what going to a medical spa would charge me. So I decided to ask around for recommendations from friends to get it done outside of my insurance coverage.

I have a friend (who I am not going to name because it’s not my business to share what she does) who has been getting Botox for a few sessions already and was going to go back to the medical spa that she goes to for some other injectable procedures. So she offered to call them and see if they could make an appointment at the same time for me to go in. I really liked how her Botox had been done because her face was not frozen at all. I’ve seen bad Botox and I was terrified that mine would be overdone. Even though I was doing this for something other than wrinkles, I wanted a doctor who believed less is more.

Fortunately, that’s exactly the mindset that the doctor my friend goes to has. So last week after work, we headed to Hollywood to go to Skinny Beach Med Spa (they are mainly based in San Diego, but they have a Hollywood office now too).

While I was excited about this because it was going to help with my headaches and I looked at it as an interesting adventure, I was also pretty scared on the drive there. I hate needles and I knew this was a needle. I didn’t want to faint even though it’s been a little while since I’ve fainted with a needle. I didn’t want this to hurt a lot and I didn’t want to have something go wrong and have to wait 4 months for it to wear off before I looked normal again.

When we got to the office and met Dr. Staley, I felt a bit better. He was very calm and said that it should be very simple for me. Based on my research, I read getting your “11” lines (your frown lines) done is usually between 10-20 units. I figured I would be on the higher end of things because it was for headache relief. But Dr. Staley said that I didn’t need that much and it would only be 8 units for me. Also, he told me that he recommended doing Xeomin over Botox. They are very similar but Botox has a protein in it that your body can get used to. So Xeomin is preferred so you don’t need more of it over time to have the same effect.

Originally, I wanted my friend to go first so I could watch her. But that wasn’t the way things were going to go. So I handled my phone to my friend so she could take photos and I sat in the chair. I tried to keep my breathing calm, but my friend said she could see how freaked out I was. Dr. Staley has a little buzzing device that helps to keep the pain from the injection lower and that’s the gold device you see above the needle in the photo.

The entire thing maybe took 10 seconds. I did have a moment where I blacked out a bit (what has been happening with needles but I don’t faint and am normal again quickly), but it was seriously so easy! I warned my friend that I might cry because of how much I hate needles and I think she was shocked that when it was done I was crying a bit. But I was able to calm down quickly and my friend got in the chair for her injections.

I was taking photos of her process being done, but I also couldn’t stop trying to squint and frown to see if I felt a difference. I did notice there was a bit of resistance in my forehead and it was a weird feeling. The full effects of the Xeomin can take up to a week, but even comparing how I looked before to how I looked 1 hour later shows a big difference!

I don’t really care if it gets that much better than how it is now. I didn’t do this for the wrinkle reduction and I have noticed that I’m not getting headaches the way I was getting them before. And hopefully the headaches keep getting better and soon I won’t have them anymore at all. The goal is that after a few sessions of Botox of Xeomin that my face is trained not to do this anymore and I won’t need it after that. From what I’ve read online, that can be between 4-6 sessions and you get them done every 4 months. So for right now, my plan is to go back at the beginning of December for another injection and see how things go.

I never really thought I would ever get Botox or something like it, but I’m so glad I did. There’s nothing wrong with getting it done for wrinkles if that’s what you want to do. That’s not my plan right now, but I’m glad I know what it’s like in case in the future I do want to do that. There is some stigma with getting Botox or other injections and that it makes your face look weird, and I’m glad I found a doctor to do this who believes that people should look natural and I still have so much range in my expressions.

Considering Plastic Surgery (or It’s Not What It Sounds Like)

Since I was out of work earlier this week (I’m actually starting back with a half shift today), I was trying to get a lot of maintenance stuff done. One of these things was going to the dermatologist.

My old dermatologist is no longer practicing at the Kaiser I go to, so I had a new doctor. Normally, I see the dermatologist once a year at the end of summer to get my moles checked for skin cancer (if you don’t do this, please consider doing it this year).

But this appointment wasn’t for something as glamorous as mole checks. This was for a wart on my face.

Yup, a wart.

It’s not as gross as it sounds. You can sometimes see it on my chin in pictures, but I can cover it up with makeup pretty well if I want. But it really hurts so I want it gone. I’ve had it frozen off once in 2001, but now it’s back.

So I go in for my appointment in what looks to be the scariest room ever.

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I’m shocked that when they took my blood pressure in this room it still came back normal!

I met with my new dermatologist, who’s very nice and willing to explain everything to me (as I always have a million questions). He gave me my treatment options: freezing or burning it off which has about a 70% success rate or having it cut out which has a 90% success rate.

Since it’s on my face, I said that if I was going to have it cut out, I wanted a plastic surgeon to do it. He agreed and said that that is what he would want me to do anyway.

I’m not exactly sure what I want to do. Freezing or burning leaves less of a scar, but I’m still unclear about how bad the scar would be. I left that doctor’s appointment with a referral to plastics, and I’m waiting on them to call me to set up my appointment.

So I’m turning to you, blog readers. Anyone have any experience with having a wart surgically removed? I don’t want a huge scar on my face, but I don’t want to have to deal with this again. I really don’t know what to do.