How common is Botox resistance?
April 10, 2024 - Rhys Branman, MD
Botox® is the household name for injectable Botulinum toxin, or neuromodulator—by far the most popular non-invasive cosmetic treatment. Botox is injected into millions of faces each year with successful outcomes, but in certain cases, its effects start to decline over time. This phenomenon is termed “Botox resistance,” and it happens when a patient’s body develops neutralizing antibodies that prevent Botox from working. Botox resistance is rare According to a 2023 meta-analysis of 5,876 Botox® patients, the incidence is low, occuring in about 0.5% of patients. Luckily, we have an easy fix—simply switching the formulation of Botulinum toxin used (i.e. from... 
Miss Arkansas Cori Keller gets a lot of folks asking her, “What is your skincare routine?!” We’re proud to say that Cori credits her gorgeous complexion to a routine she started right here in our Little Rock med spa! The Exhale Med Spa team helps Cori keep her skin bright and even with the following products from physician-trusted, professional skincare brands. View this post on Instagram A post shared by Exhale Med Spa @ LR Cosmetic Surgery Center (@exhalemedspa) Morning Routine 1. EltaMD Foaming Facial Cleanser This thick, rich foaming cleanser gently rinses away oil and other impurities, leaving your... 
The 58 year-old fashion icon and Sex and The City star Sarah Jessica Parker recently sat down with Real Simple to discuss the key elements of her skin and beauty routine. She revealed several skincare products she loves, plus her favorite tips and treatments—including one “skincare hack” she swears by for aging gracefully: Sofwave™️️️. But what is this skin treatment, and why do celebrities like SJP love it? Today, we’re dropping the deets about this popular non-surgical treatment. What is Sofwave, and why does SJP love it? Sofwave is a non-invasive skin tightening treatment designed to achieve a noticeable lift... 
Once you’ve decided that your bust could use a boost, one of the most important choices you’ll make is the size of your breast implants. At the Cosmetic Surgery Center, breast augmentation expert Dr. Rhys Branman and our team are dedicated to helping you make an informed choice that aligns with your aesthetic goals. Here are 5 essential tips to guide you in selecting the best breast implant size for you. Remember that bigger isn’t always better Larger implants, generally those over 400ccs - 500ccs, might seem appealing if you’re looking for the most voluminous curves, but they can carry... 
We firmly believe that the decision to have cosmetic surgery should come from a place of self-care and self-expression versus what’s trending, but there’s no denying some procedures are more popular and effective than others. With 2023 in the books, Little Rock cosmetic surgery expert Dr. Rhys Branman is revealing the three most sought-after cosmetic surgeries of the past year and shares why they resonate with so many of his patients. Breast augmentation This one’s for the girls! Breast augmentation remains the top choice for those seeking to both noticeably enhance their chest and boost body confidence. Our patients choose... 
Searching for the fountain of youth in a bottle? You came to the right place! Retinol and tretinoin are at the top of the list when it comes to anti-aging skincare ingredients. But because of these two retinoids’ potency, it’s a good idea to do your research before investing your hard-earned money in skincare products that could end up unused a year from now. Below, our experienced aesthetician, Crystal, dives into the specifics of these two treatments to help you determine which is best for your skin. Understanding retinoids Retinol and tretinoin are both forms of retinoids derived from vitamin... 
While we would love to play Fairy Godmother and make all your breast aug dreams come true with a swirl of a wand, the best results take a little time (and surgical skill!). So, understanding the journey your body will undergo after your breast augmentation is important to help you set realistic expectations during your recovery and the months leading up to your final results. This process, often referred to as “breast implant settling,” is a crucial phase of the postoperative period. Below, Little Rock breast augmentation expert Dr. Rhys Branman explains what you can expect during this time and... 
Leslie Branman, BSN, RN, is one of three board members newly appointed by Arkansas Governor Sarah Sanders. Little Rock, Arkansas, October 10, 2023/PR Newswire/—Dr. Rhys Branman, MD, and the Little Rock Cosmetic Surgery Center team are thrilled to announce that Leslie Harmon Branman, BSN, RN, has been appointed Vice President of the Arkansas State Board of Nursing (ASBN). The ASBN develops standards for safe nursing care, approves nursing schools, and regulates nursing licenses. Leslie Branman, BSN, RN, was appointed by Gov. Sarah Sanders as Vice President of the Arkansas State Board of Nursing. “I’m honored to be recognized and appointed... 
Dr. Rhys Branman and the Little Rock Cosmetic Surgery Center team are thrilled to announce they’ve chosen Miranda Drake as the 2023 Arkansas Rural Health Scholarship recipient. Ms. Drake currently attends Jefferson Regional Nursing School in Pine Bluff, AR to pursue an Associates of Applied Sciences to become a Registered Nurse. The Arkansas Rural Health Scholarship was founded to increase the number of quality healthcare providers in rural areas and comes at a crucial time: The need for healthcare professionals in these areas continues to surge, and this scholarship can help lessen the financial hardships that often deter students from... 
Dr. Rhys Branman and our team at Cosmetic Surgery Center have sponsored the Miss Arkansas pageant for the past 37 years, and we are passionate about both supporting young women’s educational journeys and helping patients feel like pageant queens. But we’re not the only folks in town who know about glamour and grace! Whether you are a pageant contestant looking to refine your presentation or simply in need of a confidence boost, there are several local Little Rock businesses offering top-tier beauty and wellness experiences served with charming Southern hospitality. Below, we highlight some of our favorites. Get Glammed Up... 