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MEET OUR TEAM

Why Choose Cindy Nickel Aesthetics

I strongly believe in making treatments as comfortable as possible. “No pain, no gain” is not part of my philosophy. I always err on the side of caution and safety and work very slowly so there is less trauma to the tissues. I always err on the side of caution and safety. Every meeting I attend reminds me to be that much more careful because the potential complications and risks are real. I work onsite with Board Certified Plastic Surgeons in both my Oklahoma City and Dallas offices. Although I have access to a wide variety of neuromodulators and fillers, I know what they can and cannot do and I make recommendations based on patient need, not just what I provide. Patients can be sure if they trust me with a treatment plan that they are getting the highest value for their investment.

What I love about what I do

Even after over 15 years of having my own practice, I still enjoy every day. My staff and I know our patients’ preferences and cater to each of them. Patient retention is high and we have grown almost exclusively through word of mouth. It keeps me humble and feeling blessed for all the great relationships that have been built. I never knew so much satisfaction was possible in a career.

Cindy Nickel, R.N., B.S.N.

SPECIALTY

Aesthetic enhancement through minimally invasive injectables and dermal fillers.

 

EDUCATION

Registered Nurse with a Bachelor of Science Degree from the University of Central Oklahoma, 2000.

SPECIAL RECOGNITION

Expert injector and part of the educational faculty of Allergan Medical Institute. When my schedule permits, I train physicians, nurses and physician assistants on a nationwide basis. Statistics show that while over 1.2 million practitioners are legally allowed to perform injectables in the United States, less than 7% quality as “expert injectors.”

ONGOING EDUCATION

Regular attendance at annual aesthetic meetings hosted by the Association of Aesthetic Plastic Surgeons (ASAPS) and the Association of Plastic Surgeons (ASPS.) Yearly commitment to the Las Vegas Cosmetic Surgery and Aesthetic Dermatology meeting attended by international practitioners where I take 40 hours of accredited continuing education courses. This ongoing education keeps me at the forefront of all the new products, techniques and nuances associated with the specialty.

APPROACH & PHILOSOPHY

Educating patients on how they are aging and what might improve their appearance is the foundation of any treatment plan. That is the reason I spend an inordinate amount of time in consultation. Often where a patient thinks they want product and where they need them are two different things. I help them understand what will make the biggest difference to achieve what they desire–holistically. I believe less is more with fillers because they are so easily overdone. Evidence of overly aggressive “corrections” are everywhere. Yes, injectables are “minimally invasive” and temporary, but when done poorly you can look just as bizarre as plastic surgery gone wrong.

MY BEST ADVICE TO PATIENTS

All injectors are not created equal. Product and price are not as important as the provider. A great experience and optimal outcomes are predicated upon the skills and expertise that come from training, judgment and a keen sense of artistry.

MEET OUR TEAM

Lyndsay’s warm approach, work ethic, and attention to detail are key components in making her a successful patient coordinator. She has worked with Cindy since 2013. “Cindy is so amazing at what she does. Her technique is pure artistry. I was thrilled when she asked me to join the practice.” Lyndsay’s primary role is scheduling prospective patients for consultations and visiting with them before and after their consultation and/or treatment with Cindy. She also manages the day to day operations of the practice including financial accounts, ordering and inventory of products and keeping patient records organized. Cindy describes Lyndsay as being “the perfect partner both in her careful follow-up and genuine concern that each patient has the best experience in our care.” Lyndsay often accompanies Cindy to cosmetic surgery conferences and training. “I love learning new and exciting things about the specialty. It helps me build rapport with patients when they sense I am a knowledgeable, trusted extension of Cindy.” With the practice continuing to grow at a rapid pace, Lyndsay helps Cindy maintain a high level of responsiveness and individualized attention. “We’re a great team,” says Lyndsay. “Patients can feel the positive vibe between us and sense we are devoted to their comfort and exceptional results.”

Trained in both Otolaryngology (head and neck surgery) and Plastic Surgery at The University of Texas Southwestern and University of Kansas, respectively, Dr. Hill has been part of the medical community in the greater Oklahoma City area for over 25 years. Dr. Hill’s specialties include both cosmetic and reconstructive procedures, specifically rhinoplasty, eyelid lifts, breast enhancement and body sculpting including “mommy makeovers.” Respected by patients and peers alike, Dr. Hill practices primarily in Edmond and Ponca City and holds leadership positions at the hospitals with which he is affiliated. His “high touch” reputation and personalized approach contribute to his practice being almost entirely referral based.

Residency and fellowship training are the most important aspects of any doctors’ education. Dr. Constantine was fortunate to have been chosen to train at The University of Texas Southwestern Medical Center, one of the leading medical education training facilities in the country. He subsequently was accepted for fellowship training in Aesthetic Surgery at the renowned Manhattan Eye, Ear and Throat Hospital in New York City. Dr. Constantine learned from and work alongside some of the nation’s leading educators and innovators in the field of plastic surgery, laying the foundation for his success in the specialty.

At his Dallas practice, Dr. Constantine performs the most delicate and demanding plastic surgery procedures of the face, breast and body and is known for creating beautiful, natural results. From consultation to post-operative care, Dr. Constantine’s personalized approach, devotion to detail and dedication to educating every patient on their customized treatment plan contribute to a special patient experience.

IINTERVIEW WITH CINDY ON INJECTABLE TRENDS, MYTHS & FACTS

The ‘Fountain of Youth’ disguised as a syringe?

  • An update on injectables

    Since injectables burst on the scene, many have embraced and enjoyed their aesthetic benefits. There seems, however, to be a thin line between magic and madness blurring the boundaries between beautiful and bizarre.

    Registered Nurse and expert injector, Cindy Nickel “fills us in” on the abuse and proper use of these powerful, yet often misunderstood enhancements. Here, Cindy addresses common questions, trends, and misconceptions along with her special techniques.

  • What are some of the biggest misconceptions about injectables?

    Some people still associate Botox with botulism or poison, but it is actually a protein derivative. No one has ever gotten botulism from Botox. It is FDA approved and has been used successfully for over 20 years both medically and cosmetically. Many patients believe Botox will give them a frozen face, devoid of all expression. This will not happen if the injector is cautious and understands facial anatomy. Muscle structure and strength must be assessed and when using the proper dosage in the right location, the patient is left with plenty of expression and movement, so they look natural. I often give new patients a bit less than I think they will need and have them return in 2 weeks to determine if they need more. That is how you design the “recipe” for their particular face.

    The other myth I hear from new patients is that fillers don’t last. The fact is, most fillers will last 10 months to over a year or more, but if the practitioner doesn’t use the proper dosage whether intentional or not–the results will be compromised.

  • Wouldn’t a permanent injectable be the best?

    This is a reasonable assumption, but misleading if you think about it. As we age our face changes, Where you need filler when you are 40, will not be where you need it at 45, 50 and beyond. Fillers don’t age with you–they are static, not dynamic. In fact, there was a permanent filler on the market for a while but practitioners quickly realized its long term effects were not aesthetically beneficial. The popularity of cheek implants have waned for exactly that reason. As you age, they begin to slip from their original position as the face loses elasticity and volume. The temporary and semi-permanent nature of today’s fillers (8 months to 2 years) should be viewed as an advantage.
  • Are injectables used only in the face?

    Botox and dermal fillers are primarily used in facial rejuvenation, but it might surprise you what other areas truly benefit from them. As we get older, our hands are likely to give away our age. The skin on our hands becomes thin and less elastic, veins are pronounced and the hands themselves can appear bony. In less than 20 minutes, you can take 10-15 years off those hands with fillers. A topical anesthetic absorbs very well, so there is no discomfort. A couple injections will plump the skin and fill in the hands.

    Botox is most commonly injected in and around the forehead to smooth lines, but it can also relax teeth grinding muscles, which in turn enlarge the masseter muscle on the upper jaw if not treated. Another condition Botox treats is hyperhidrosis, or excessive sweating. One vial can control underarm perspiration for up to 10 months.

  • How do I know what products to ask for?

    You don’t have to worry about requesting certain products. Products change all the time and sometimes the newer ones are not necessarily better. Find someone whose recommendation you can trust. There is no “one best filler” on the market–but there is a palette of fillers that will optimally suit you. Maybe your friend got Restylane, but that doesn’t mean it is right for your particular concerns. This is why patients should seek a practitioner who is experienced with many different types of injectables. Simply put, the injector is more important than the injectable. Every injector gets the same product, but application is key. My consultations take extra time because I view them as an opportunity to educate my patients on what-why-where and how much product it will take to accomplish their goals.
  • I need Botox and Fillers but everyone knows it is painful.

    It doesn’t have to be. From patient to patient, there is a wide range of tolerance for discomfort. Because of that, I always err on the side of “chicken.” Seriously, my philosophy is that comfort during the procedure is as important as a great result. By using a variety of topical and oral medications my patients feel very little if any pain. I recently trained an office and it never occurred to them to use numbing for injectables–so that might be the majority. I may go above and beyond, but I consider it my role to make things as comfortable as possible. I find numbing and then injecting very slowly is less traumatic. I also mix lidocaine with epinephrine and sodium bicarbonate with some dermal fillers. This closely mimics the PH in our bodies and lessens the discomfort. My sessions last longer because of the prep, but it is well worth it for those who anticipate having to suffer.
  • Are there any side effects I should worry about?

    The most common after effects are slight bruising and swelling and even those are patient dependent. Avoiding aspirin, Advil,–any anti-inflammatory or blood thinners will certainly minimize bruising. Lyndsay, my patient coordinator reminds our patients 2 weeks prior to their appointment about products to avoid. Our patients leave with a specially formulated topical cream that counteracts bruising. We also advocate the use of certain herbal remedies that work.

    There is a big difference, however, between a side effect and a complication. There are real complications to consider. An untrained or careless injector can cause eyelid droop, tissue death, nerve damage, hematomas or even blindness. This is the reason I am dedicated to continuing education beyond that which manufacturer reps provide. I stay educated and cautious. The best way to avoid complications is to choose your practitioner very carefully.

  • How expensive is it? Groupon seems to offer some great deals.

    Another way to ask this is, “Are you getting what you paid for?” If someone is diluting their syringes or trying to treat a larger areas than is reasonable with the amount of filler you will get an abbreviated result. Longevity and dosage are related. Done properly, Botox lasts 3-4 months and fillers last 10 months to 2 years. Be an educated consumer. Botox advertised for $99 is probably diluted at best.

    The other question to ask is, “…compared to what?” Injectables are less than the cost of plastic surgery but more than creams that pretend to deliver the same results and don’t. If you are on a budget, consider doing the area of highest concern and wait a few months to treat the next area. But treat each area adequately. My patients rely on me to help them budget over time and prioritize for impact.

    Finally, understand you are not paying for product, but for the experience, training and artistry of the injector. The price may be higher for an expert injector, but the cost of putting your face in untrained or careless hands is more than anyone can afford.

  • How long does it take?

    That depends upon the amount of filler and number of areas you want to treat at one time. You should allow 30 minutes for the topical anesthetic to take effect. I have found the slower I inject, the less bruising my patients experience so avoid anyone who equates good results with speed. An hour to an hour and a half is average for fillers. Botox only, 45 minutes to an hour.
  • How long does it take?

    That depends upon the amount of filler and number of areas you want to treat at one time. You should allow 30 minutes for the topical anesthetic to take effect. I have found the slower I inject, the less bruising my patients experience so avoid anyone who equates good results with speed. An hour to an hour and a half is average for fillers. Botox only, 45 minutes to an hour.
  • I heard the most qualified professional to do my fillers is a Board Certified Dermatologist or Plastic Surgeon.

    There is no doubt there are some (not all) dermatologists and plastic surgeons who are great injectors. Surgeons specialize in surgery, and dermatologists in a myriad of skin conditions. Many are busy with their specialty and simply don’t have time. My expertise is predicated upon singular focus, advanced credentials and doing a lot of injecting. Having said that, I will never practice independent of a licensed physician. Aligning myself with two prestigious board certified aesthetic surgeons – Dr. Hill in Oklahoma City and Dr. Constantine in Dallas gives patients extra confidence.Save

     

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  • Can Botox and Fillers take the place of plastic surgery?

    Realistically, most people can benefit from noninvasive or minimally invasive aesthetic treatments, but some are surgery candidates so it is important to manage patient expectations. In general, a facelift lifts, fillers volumize, and neuromodulators relax. One cannot substitute for the other. Filling pockets of loose, sagging skin with more and more filler will not lift the face–it will only make it look bizarre. This is why the term “Liquid facelift” is an oxymoron (and the reason many look like a caricature of themselves.) However, Botox and dermal fillers are a powerful complement to plastic surgery. It is the combination of surgery and volume replacement that will inspire a more youthful appearance. Even if fat grafting is done to replace lost volume, not 100% “takes,” so often fillers are used to refine the result.
  • I am afraid I will look “done” like so many people I see–even celebrities.

    Celebrities have never been a trusted barometer of good choices. All the money and fame in the world doesn’t guarantee an optimal outcome. Keep this in mind: overdone, underdone, or done wrong will all look “done.” I’ll add that you can also tell when someone has had nothing done. They just look their age–or older. Understanding balance and proportion is paramount. That is why injecting is an art form. Knowing the right product and its optimal application and dosage is the other part of the equation. Seeing an injector with the perfect combination of skill and judgment, and you will never look “done” but rather a refreshed version of yourself.