Botox FAQ: Board-Certified Plastic Surgeon Dr. Wigoda Tells All

botox questions

We’ve written about social media selfies and plastic surgery before, but as the selfie plastic surgery craze  continues to rise so does the desire for treatments like Botox is growing stronger every year.


Last year plastic surgery stats show there was a surge in requests for aesthetic procedures created by social media “selfies,” and with the selfie stick being the year’s trending gift item there are no signs of slowdowns.

Dr Wigoda Botox and Selfies Plastic Surgery

We asked Dr. Wigoda, board-certified plastic surgeon by the American Board of Plastic Surgery to share frequently asked questions on Botox procedures and here is what he had to say: 

6 Things to Know When Getting Botox


  1. How Is Botox Administered

The injection is made into the muscle. Dr. Wigoda will determine the muscle(s) in need of treatment.


  1. Does The Treatment Hurt?

A very fine needle is used for the one to three injections that are usually given per muscle. Some patients report minor and temporary discomfort from treatment.


  1. When Does It Start To Work?

Usually, you will see the effects of Botox within three days. The maximum benefit is reached in one to two weeks.


  1. How Long Does The Effect Last?

The results you will see from a single treatment of Botox will normally be sustained for approximately three to six months. You will notice a gradual fading of its effects. At this point you will return for your next treatment.


  1. Is It Right For Me?

Botox should not be used during pregnancy, if you are nursing, or if you are taking certain medications.


  1. How Long Can I Be Treated With Botox

Treatment with BOTOX® can typically be repeated indefinitely. It has been used for over 10 years worldwide. Acceptable safety in long-term treatment has been established.


Watch as Dr. Wigoda shares the differences between Botox and Fillers:

If you are thinking of having Botox, contact board-certified plastic surgeon, Dr. Wigoda for a free consultation.

The Breast Vacation Ever? @DrDrewHLN Panel Injects Opinions


vacation breast implants

Insta Breasts, a 24-hour saline solution that allows patients to “test drive” a breast augmentation, is making plastic surgery news. The one-day enhancement created by Dr. Norman Rowe is actually the first step toward what he calls “vacation breast implants” which is in the works and is expected to last two weeks. But are women in the market for breast enhancement really looking for this type of temporary fix, or is it just a hoax? Dr. Wigoda addresses his major concerns for the temporary procedure and why he thinks vacation breasts may disappear just as quickly as they appeared.

Are Temporary Breast Implants Safe?

If it’s done with sterile technique and by a qualified plastic surgeon it is probably safe with little risk of complications. Furthermore, the saline solution is the same that is used in long-term breast implants which, when an implant ruptures, is safely absorbed in the body.


How Much Do Temporary Implants Cost?

Rowe quotes his prices at between $2,500 and $3,500 for a procedure that can take less than 20 minutes in some cases! For three to four times that amount, patients can get amazing implants that last well more than 24 hours.


Who Should Consider Vacation Breast Implants?

Because it only lasts one day, and there is a high cost involved, it’s not likely that it will be very popular. Even if it lasts two weeks, is it worth having them done for say a vacation when you would have to buy clothes and bras to fit your new shape? Honestly, Victoria’s Secret has a line of swimsuits that can give you an entirely new shape and you can use it year-round, not just during those two weeks.

The main audience for this type of cosmetic surgery would probably be brides, and it is unlikely that they will risk this sort of procedure on their wedding. Will the dress fit? Will they feel well enough to dance, or a little off balance? When brides-to-be are considering any type of plastic surgery before the big day they need to do it in a reasonable amount of time. Bridal breast implants should be planned at least three to six months before you walk down the aisle.


Will The Vacation Implants Trend Continue?

It’s quite possible that this vacation implants fad will disappear faster than it takes the saline solution to absorb. Most women who come in for breast augmentation consultations know they want to have larger, fuller breasts. There are very few that are “on the fence” and would like to do a test run. The primary issue is usually how big to go and it is unlikely that this procedure will help answer that question very well as the patient would have to redo it with a variety of sizes to know for sure what they want.

A good plastic surgeon will educate the patient on all of their options. Saline vs. silicone, over or under the pec, size and shape recommendations, and so on. During your consultations, you should also be able to try on various sizers. While this won’t allow you to feel exactly what it’s like to have that new weight on your chest, it will allow you to see how you will appear with various sizes.

To learn more about Painless Breast Implants, contact board-certified plastic surgeon Dr. Wigoda for a face-to-face or virtual consultation!

Dr Wigoda Plastic Surgery Trends: Couples Getting His and Hers Nip and Tuck


Fort Lauderdale Plastic Surgeon Dr. Paul Wigoda is a trend watcher when it comes to his patients: Couples going under the knife together and having plastic surgery together. Four kids and 18 years of marriage result in – Tummy tucks for her and chin lifts for him.

Nowadays, couples are embarking on a new chapter of their relationship by going under the knife together – undergoing plastic surgery and cosmetic procedures together.

There have even been some cases where married couples do away with the jewelry and fragrance and exchange cosmetic surgery procedures over the holidays! Additionally, it’s more affordable, accessible and acceptable these days. If Brangelina and the Beckhams can get work done, why can’t any household couple?

Doctors are seeing this new trend of husbands and wives undergoing procedures simultaneously to rejuvenate their bodies and alleviate some of the stress of work, aging and parenthood. You may have noticed a growing trend in consumer advertising geared toward men’s skin care and health and beauty and these men are more receptive than ever to cosmetic surgery. In the United States, there has been an 88% increase in male plastic surgery since 1997. In 2010, men underwent 1.1 million cosmetic procedures, both non-invasive and surgical.
Marriage and parenthood can take a toll emotionally and physically. A mother of multiple children will never feel as beautiful and pure as she did before. So mothers are craving the benefits of a painless tummy tuck. And gentlemen know the old adage, “A happy wife equals a happy life!” So the men who may have gained some extra pounds over the years or developed man boobs are open to plastic surgery procedures like liposuction or pectoral augmentation.

Getting older isn’t always fun – we gain weight, excess skin comes out of nowhere, wrinkles come out of the woodwork, stress sets in and our perception of our appearance wanes with every glance in the mirror. In recent years, couples are taking a spin on a new adventure by going under the knife together. Consider it relationship building (or rebuilding) to an extreme. However, don’t we want to look good for our spouse for years to come? We want to vacation together, live a healthy lifestyle and feel youthful and energized forever. Whether minimally-invasive procedures like Botox, laser removal and fillers or face lifts and liposuction, a few weeks of healing lead to a happier and more invigorated life for years to come and help couples rediscover that spark from the good old days.

The first step is to visit a board-certified plastic surgeon you feel comfortable with and who will evaluate and recommend the optimal procedures for you. Interested in getting a consultation and finding out more ways to look and feel younger, consult Dr. Wigoda for a professional, renown plastic surgeon you can trust. For more information, visit

Social Media Influences Cosmetic Surgery, Florida TV Station Reports

Have you ever obsessed over an online photo update?

If so, you’re not alone. Cell phone cameras and social networking sites are blurring the boundaries of geography, communication, image and reality.

We’ve all have searched for the perfect image, but Facebook has sent some after more than just better photo angles.
In Miami, breast augmentation, liposuction, face lifts and other procedures aren’t out of the question, the local CBS affiliate reported last month.  The women interviewed said they wanted to look good online.
Dr. Paul Wigoda, Chief of Plastic Surgery at Broward General Medical Center, said people have always contacted him in conjunction with big life events, such as class reunions, at his private practice in South Florida. Cosmetic surgery, he emphasized, isn’t to be taken lightly, however.

“You can’t just walk into the office and say you’d like to look good for Facebook, or you have an important meeting on the horizon, and get a tummy tuck. Miami and South Florida are image-conscious places, but we won’t perform a procedure that isn’t well thought through for the patient. This must be something you’re absolutely sure about, and you must be a good surgical candidate.”
People today are documenting their lives more than ever, but many still aren’t comfortable with the way they look on-camera. How many times have you been tagged in a photo online and wondered, “Is that just a bad picture, or is that how everyone else actually sees me?”

Patients often report a boost in self-confidence from cosmetic surgery.  Miami CBS viewers were told by one patient that she underwent the procedures to coax out more “likes” on her Facebook wall. Another said she had family abroad, and she wanted them to see her in the best possible light. She also said knowing that ex-boyfriends have the ability to look her up online provided additional motivation to look her best.
Dr. Wigoda, who operates his own accredited Fort Lauderdale plastic surgery center, said he isn’t surprised to hear more people are interested in undergoing procedures. South Florida, where he grew up, is in one of the country’s most popular metropolitan areas for cosmetic procedures.

“People have always been invested in their appearance,” Dr. Wigoda said. “Self-confidence is incredibly important. But it is equally important to set realistic expectations and select the most qualified surgeon you can find.
“Check your doctor’s credentials. A number of South Florida physicians in practice were trained for a different specialty, so they only got a few hours of instruction. You want a board-certified plastic surgeon handling your surgery to minimize the risk of scarring and complications.”

Dr. Wigoda’s Patient Testimonial – Meeting by ‘Accident’ in ER Room

Darren is a long-time patient and friend of Dr. Wigoda. The two first met when Darren was admitted to Broward General’s trauma unit after being involved in a car accident. Dr. Wigoda performed plastic surgery to repair the eye and facial damage Darren suffered, which allowed Darren to return to his job as a commercial pilot. Years later, Dr. Wigoda came to the rescue again to help Darren with gynecomastia, which is abnormal mammary gland development in men. After undergoing cosmetic surgery to fix the problem, Darren is now free from the pain and embarrassment of gynecomastia and looks forward to returning to his active lifestyle.


Dear Doctor Wigoda,

I would first like to thank you for all that you have done. In October 2009, we met as strangers in the ER of Broward General’s trauma unit where I was rushed in as a trauma patient from a hospital that couldn’t handle my case. I was adamant about receiving the best surgeon at the hospital and was told that you would be coming on call in a few hours. The entire staff at Broward General held you in such high regard, and now I know why.

I arrived with a fractured cheek, a lacerated eyelid that had been torn from my face, a nose that was broken and mangled, and severe road rash covering my arms and face. I was ejected from my vehicle and dragged down I-595 approximately 30 yards. I was a complete mess.

I am a commercial pilot and my eyes are everything. You not only repaired my face and lacerations, but restored all normal function as well. Despite my numerous questions and the early hour you were called in, you had a huge smile on your face and turned my personal tragedy into a triumph of surgical professionalism.

In the days and months that followed, I regained the face that I recognized from before the accident, and I am still soaring through the sky thanks to you. My scarring is minimal, despite what the first initial hospital had predicted. I am so blessed and grateful that you were my surgeon. In the years that have followed, you have taken care of many of the people I care the most about in my life.

Whether it has been a breast augmentation, face lift, eye lid rejuvenation, or a nose job, you have surpassed everyone’s expectations and made a huge difference in their lives. Now, two years after meeting you, I have come to you again. This time for elective plastic surgery. I had a large mass in my chest (gynecomastia) and it was distorting my physique, very uncomfortable and awkward. After changing my diet, extensive exercise, and trying everything possible, I knew you could fix me up.

I came in to see you, and like you had done two years ago in the hospital, you greeted me with a big smile. You were full of options and understanding. You navigated around my demanding work schedule, and administered the best treatment available. I left my surgery with immediate satisfaction! I was in minimal pain, and up and about in record time. I am now looking forward to returning to the gym, beach and getting back to being myself again.

You are more than a physician, I think of you as my friend. You are honest, kind, professional, and the example of what a physician should be. Thank you for always being there, and doing everything with so much class. You are the best in the business!



Finding Dr. Right

Finding Dr. Right is just as important as avoiding Dr. Wrong says Fort Lauderdale plastic surgeon  Dr. Paul Wigoda. When researching a plastic surgeon or cosmetic surgeon, there are several key factors that should be taken into account in your decision-making process. You need to choose a surgeon that is right for you, your personal needs and expectations. You want to ensure that you have an unparalleled outcome both aesthetically and personally, as your doctor becomes your “beauty partner,” enhancing your appearance physically and emotionally.

One of the first places to begin is with family and friends: who can they recommend? What were their outcomes? Take a moment to speak with your current medical professionals. Who can they suggest and why?

Eight Tips to Finding Dr. Right for Plastic Surgery

1. Know the lingo
Doctors can now become weekend “certified” in many different types of procedures and have created their own terms which are NOT recognized by the American Board of Medical Specialties. Many doctors understand that cosmetic surgery is big business, big dollars and want market share. “Cosmetic Surgeon” and “Anti-Aging Specialist” are two terms that have been coined by the industry, yet are unrecognized by the ABMS. You might even notice your  OB-GYN is now doing Botox.

2. Advertising does not buy credentials
In most cases, a good doctor does not need to have major advertise campaigns on billboards or radio stations– it is word of mouth that drives their business. That is not to say a doctor should not let his potential patients know about his awesome track record through testimonials and sharing his expertise with the media as a means to educate the public. Paid print media does not make a doctor qualified.

3.  Get different opinions
Meet with several doctors to discuss your plan and your options. It can be overwhelming but knowledge is power.

4. Stay away from the online forums
Often times the patient reviews are not actual or authentic. Many times doctors write the testimonials under assumed screen names. Be wary. Legitimate testimonials can typically be found on Google reviews, YouTube, Yelp, etc.

5. Be realistic about the recovery
Some doctors will downplay the recovery time. Know what to expect in real terms. You may be able to go back to work in just a few days, but will you want to? Today’s recovery time in many cases can be much easier and quicker when in the right care, but keep in mind surgery is surgery so have realistic expectations.

6. Review online and offline images
Keep in mind that some doctors have a fine-tuned finesse with Photoshop. If all of the after pictures look more like Joan Rivers, then run. Look at the details, carefully and with a critical eye. Does the surgeon over-operate or under-operate. Be careful and don’t just assume that the photos have not been retouched. None of Dr. Paul Wigoda’s pictures are enhanced or use Photoshop.

7. Your weight
When thinking about a facelift for example, many doctors will not want to perform the procedure on an obese person as there is only so much that can be lifted or tightened. These results will impact the surgeon’s reputation and if it does not look perfect, it is not a positive reflection on their skills. In addition, they are also concerned about the heart health and wouldn’t want to lose a patient on the table. Take care of your weight before you begin seeking surgical opinions.

8. Scheduling
Make your appointment and get started with your journey towards plastic surgery or cosmetic surgery or non-surgical cosmetic services such as Botox or fillers.

Dr. Paul Wigoda is Chief of Plastic Surgery at Broward General Hospital and has a private practice offering plastic and reconstructive surgery in Fort Lauderdale, Florida.

Note: Parts of this article originated in Departures Magazine January 2012 issue.

Painless Breast Implants by Dr. Wigoda in Florida

As demand for breast implants rises in Florida and beyond (a whopping 296,203 breast augmentations were performed on American women in 2010), Dr. Wigoda’s signature painless breast implant procedure has similarly risen in popularity among Florida women.

Thanks to Fort Lauderdale plastic surgeon Dr. Wigoda, getting a breast implant has now become virtually painless. On his Painless Breast Implants website Dr. Wigoda has gathered testimonials of many women who took the plunge and couldn’t be happier with their results. Last summer, one patient even blogged about the experience from start to finish.

Most Florida women can resume normal activities within a day or two after surgery and feel virtually no pain. Dr. Wigoda’s technique is very atraumatic with a quick recovery and almost no pain. Over the years, Dr. Wigoda has perfected his technique using ten-plus years of South Florida plastic surgery experience to match the correct incision and implant to each patient. Each year over 350,000 women have breast augmentation surgery in the U.S. and Dr. Wigoda offers potential patiends behind-the-scenes access via his Facebook Page, YouTube Channel and Twitter feed.

Dr. Wigoda in the Sun Sentinel: A Consumer’s Guide to Cosmetic Surgery

Before you go under the knife, know the risks, the costs and how to shop for a good plastic surgeon

Subscribe and join us for a discussion Jan. 21, at 12:00pm (EST) on what consumers should be thinking about before deciding whether to go under the knife. On hand, we will have South Florida plastic surgeon Dr. Paul Wigoda and Sarah Steinbaum, a Miami lawyer who specializes in personal injury and medical malpractice cases, to answer your questions.
Dr Wigoda in the Sun Sentinel: A consumer's guide to cosmetic surgery
Some topics we will go over include: Shopping around for a good plastic surgeon, checking the background of a doctor and a surgery center, questions to ask the doctor beforehand, typical costs for various procedures, tricks and traps in advertised prices, what to look for in the contract, safety issues and risks of surgery, getting medical clearance from an independent physician in advance, realistic expectations for the results and what to do if something goes wrong.

Dr. Wigoda is a board-certified plastic surgeon and microsurgeon who has been practicing in Fort Lauderdale since 1998.

Sarah Steinbaum has been practicing in Florida since 1994, after getting her law degree from the University of Miami School of Law.

Can’t make the chat? E-mail your questions to [email protected].

For more up-to-date news, subscribe to Dr. Wigoda’s email list or “like” us on Facebook.

Dr. Paul Wigoda Reviews Joan Rivers’ Plastic Surgery

Legendary comedian, TV personality and “Fashion Police” host Joan Rivers is known for her brash personality, strong New York dialect – and equally bold plastic surgery procedures.

Lifts Lead the 2016 plastic surgery List,

In this video, Dr. Wigoda describes Rivers’ various cosmetic surgery procedures through the years, from the 1980s to present.

Dr. Wigoda’s advice to Rivers, not surprisingly, is to ease up on the plastic surgery procedures a bit: “I would definitely stop all surgical procedures on her. I think she can continue with Botox…her lips look fine, I might fill in her nasal labial folds a little bit. I definitely wouldn’t do anything to her cheeks, other than possibly take out a little of the fat.”

To learn more about Fort Lauderdale plastic surgery procedures from Botox to painless breast implants from Dr. Wigoda visit: or

About Dr. Wigoda
Dr. Paul Wigoda is a board certified plastic surgeon and a member of the American Society of Plastic Surgeons, the Florida Medical Association, and the Broward County Medical Association. Dr. Wigoda specializes in Fort Lauderdale breast augmentation, breast reduction, breast lift, liposuction, rhinoplasty, tummy tuck, facelift, brow lift, eyelid surgery, Juvederm, Radiesse, Restylane, Botox, laser hair removal, and spider vein treatments.

Father’s Day Shots from Dr. Wigoda!

We’re not just talking drinks, we’re talking Botox! The men in our life could use a dose of wrinkle smoothing, frown erasing and sag relieving innovation.

In celebration of father time, Dr. Wigoda invites men to get more for less on Father’s Day!

Double Shots

Treat Dad to Dr. Wigoda’s Father’s Day Botox Special. Buy one Botox zone, get a second zone half off. Try Radiesse or Juvederm injectibles at the same Dad’s Day Discount!

Massage Deals

Help Dad rejuvenate with our L’ Pour Homme Special Mini-facial with scalp massage: 30 minutes for $50. Or relax with a 45-minute Deep Tissue and Hot Stone Massage for the same great price.

Dial us up for details on anti-aging cocktails designed just for men in mind. Get dad looking great and feeling fresh at either of our two locations!

The Aesthetics Institute South Beach

1439B Alton Road

Miami Beach, FL 33139

305-534-MeMe (6363)

The Aesthetics Institute Fort Lauderdale

1404 E Broward Blvd.

Fort Lauderdale, Florida 33301

(954) 463-7088

Stay up-to-date on the latest news and offers from Dr. Wigoda through our Facebook Fan Page and through Twitter @DrWigoda.