Have you been the victim of Dilutox? You know, when you finally get some Botox and it just doesn’t seem to last very long? This is most likely due to a provider diluting the Botox, Dysport or Jeuveau with excessive amounts of liquid and thus undertreating an area. Usually, when you see a ‘too good to be true‘ deal advertised, or several areas for a “low, low” price, this could be the reason. The result of your Botox injection has little to do with how many injection sites are being used, and everything to do with what the dosing is per spot. Many injectors charge by the area of treatment, such as the frown lines, they may charge a certain price, let’s say $200. That sounds like a great price, but if they only give you 10 units, you are paying $20 per unit! Or ion the case of Dilutox, the injector may be over-diluting the Botox and giving you less number of units when then required and charging you the same amount. At the Aesthetic Associates Centre, we inject the exact number of units required for the maximum results with the least amount of dilution needed. This ensures that whatever area on the face we are treating becomes wrinkle free for the longest amount of time, on average, 3-4 months. In addition, we use fresh vials almost daily. Our team trains health professionals, in our Aesthetic Learning Academy, on the proper techniques of injectables. Using the right dose per injection is critical to getting the best result. Do your homework. Beware of the “Special Deals”. Don’t be a victim of Dilutox!

Michelle McCarthy- PA-C

Physician Assistant– Aesthetic Associates Centre for Plastic Surgery and Advanced Skin Care



Maskne (or mask-related acne) breakouts are becoming part of the “new normal”. Aggravating as the COVID epidemic is, it may becoming increasingly difficult to maintain healthy skin while wearing a mask.

I for one have never had issue with my skin getting irritated due to waring a mask in surgery. Sometimes, I perform surgical cases which last several hours, but generally, the surgery is done in a cooler operating room space which limits the amount of heat and moisture under the mask. More recently, I have found my skin to be more sensitive due to wearing a mask the entire day while seeing patients or in surgery.

Why it happens.

Warmth and moisture buildup under the mask is a perfect environment for buildup of yeast, bacteria and other irritants to the skin. Breakouts in the form of small pimples and rosacea can develop, leaving one with red and inflamed skin. Friction from the mask can also create issues, particularly with those individuals with acne prone skin.

For men, late in the day, I notice that my mask will create some irritation from the 5 0’clock shadow. Some masks with a soft lining may reduce this sensitivity.

Avoid wearing a mask if possible.

As annoying as it is, not wearing a mask is NOT AN OPTION! Be considerate to people around you. Limiting the time of mask use may be helpful. Stay home if possible. Do not take the risk of going out without a mask. If you get the Coronavirus, your skin may be the least of your worries.

What can you do to treat Maskne?

The key to limiting Maskne, and for that matter, general acne issues, is to keep your skin clean. Using toner and a cleanser with salicylic acid or alpha hydroxy can help prevent breakouts.

Once acne breakouts develop, consider using an Oily Skin Detox Mask. The mask can be used once a week or more frequently if needed.

Come in for a skin care analysis and consultation. Our Aesthetic Team is here to offer assistance with Maskne and any other skin issues you may have.

Why go to Dr. Shatkin?

Why go to Dr. Shatkin?

Dr. Shatkin is an Expert Surgeon

  • Dr. Shatkin performs over 800 face, breast, and body procedures each year.
  • He is a Diplomat of the American Academy of Plastic Surgeons
  • Dr. Shatkin has annually been recognized as a top doctor in both Castle Connolly’s America’s Top Doctors since 2012, and Who’s Who in Healthcare for Plastic Surgery since 2013.
  • Dr. Shatkin has a reputation of always being available for his patients. He shares his cell phone number for post-op questions and concerns.
  • His office surgery center has been accredited since 1989 and utilizes only Board Certified Anesthesiologists.
  • He has lectured worldwide on topics in Plastic Surgery, Skin Care and Wellness.
Filler Longevity

Filler Longevity

Injectables are becoming more and more popular as a way to soften lines and create balance for the aging face. We all would like them to last forever and selecting the right filler for each area is something an experienced injector can provide.

We use dermal fillers for a variety of treatments, including filing fine lines and valleys and adding volume to areas such as the cheeks or lips.

Unfortunately, dermal fillers are temporary and will gradually be absorbed by the body over a 6-12 month period.

So how can you get the best results and have your dermal fillers to last?

Here are a few things that you should consider.

Choose a reputable provider

Make sure you choose the right injector. Very often patients price compare. Shopping around for the best price may be the right thing to do when looking for a refrigerator or camera, but the quality of your result will be a direct reflection on who does the injection and what product your expert selects. Don’t bargain shop! Look at the filler provider’s background, experience and reputation. Referrals from friends can be an excellent source. Check out their credentials. Also, many times a filler is not the right choice and non-surgical treatments may leave a less than ideal result. Going to a center that can offer all aspects of aesthetic treatments, such as fillers and skin treatments, as well as surgical options if needed, will assure you will receive the optimum treatment. Ideally, injectable fillers are performed in a plastic surgeon’s office by a provider who understands both proper injection technique and aesthetics.

Watch out for marketing ploys and advertising that sounds “too good to be true”. Many injectors, mainly non-aesthetic health professionals trying to tap in to the aesthetic market, will advertise an unbeatable price, and yopu may not be getting the product you expected. Extremely low pricing can come from manufacturer rebates, but if now, the provider may just be using a different product or diluting the product to keep the cost down. Check for reviews online, a reputable website, and before and after photos, and during your consultation, ask plenty of questions! Do your research before the visit. Injectable fillers can cause untoward effects when not done properly. Safety first! Do your research prior to scheduling a filler appointment to ensure not only your health and safety but the best possible results as well.

Follow instructions

Your provider will recommend being gentle on the areas that were treated and not to rub for 1-2 days. You may use ice to limit bruising and swelling. In addition, you should limit sun and heat exposure as well as alcohol for 1-2 days.

Follow your injectors guidelines closely and contact them with any questions.

Use the proper skin care routine

To achieve an optimum aesthetic result, you should maintain good healthy skin care including cleansing and moisturizing. Your skin care provider will often recommend a good skin care routine that is customized for you to help maintain healthy looking skin on the surface, while the fillers can reduce lines and add volume where needed. Healthy skin will make your results even more aesthetic. Using a skin care regimen customized for you will help improve skin texture, elasticity and tone.

Stay healthy inside out!

The best way to maintain an attractive, youthful appearance is by maintaining a healthy lifestyle. Here are some to focus on.

Lifestyle factors:

  • Maintain well balanced diet with plenty of fruits and vegetables and limit calories from carbohydrates.
  • Reduce stress which can accelerate aging
  • Get 7-8 hours of sleep daily
  • Stay hydrated, drink plenty of water.
  • Protect your skin from the sun, and use sunscreen.
  • Avoid smoking and excessive alcohol consumption

Fillers do not last forever

I discuss with my patients the need for maintenance. Rather than having the filler be gone completely, I instruct my patients to come in to layer the filler at the appropriate time. No filler will last forever and some fillers will last longer than others. Proper timing for treatments will maintain a softer, natural look without dramatic changes from one injection to the next. Most dermal fillers can last anywhere from six months to two years – sometimes even more, depending on the type. Most hylauronic acid fillers (most common type used) last between 6-9 months and will depend on type and location of injection.