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    Why I Like Options

    I am not talking about the kind of options that are traded on the Chicago Board of Options Exchange. I am not referring to any financial instruments. What I am referring to are treatment choices that exist and that should be looked at very carefully. When you have choices, I believe you should always accept the least risky and most predictable.

    A real-life example of this is the patient who comes in who is unhappy with some of the aging features of their face. While there are some surgical procedures that would be appropriate, there are also some nonsurgical techniques that can be very helpful. So, you do have options. You have an option between a forehead lift to help elevate the eyebrows and, perhaps, soften those frown lines between the eyebrows. Also, though, you have Dysport or Botox, which could paralyze the muscles which are causing the downward migration of the eyebrows and causing that scowl-like look.

    If there is an in-office, non-surgical treatment that is less expensive and less invasive with almost no recovery time, you would want to look at that option pretty carefully. You can try it; if it works – great. If it does not work, you still have the surgical option. Think about that when you are consulting with the doctor for any cosmetic procedure. Ask if there is a nonsurgical, less invasive, less expensive alternative to surgery. Many times there is not, but if there is, you need to know about it. If the surgeon himself does not offer that service, ask which of his colleagues does.

    - Robert Kotler, MD, FACS


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