Agent D


“Agent B” has been without doubt the single most amazing and influential cosmetic medical substance over the last 20 years. It was the first non-surgical treatment doctors could offer aside from face creams to make a significant difference to wrinkles.“Agent B” is better known by a brand name of anti-wrinkle muscle-relaxing medication produced by Allergan in the USA.


Now “Agent B” has a rival. From Europe comes “Agent D” an alternative form of anti-wrinkle muscle-relaxing medication.


“Agent D” has been in Australia for a few years now. Over this time it has gradually built a following of patients and doctors who prefer it over Agent B. Of course, others prefer to stick with the original Agent B brand of anti-wrinkle muscle-relaxing medication.


As Peach Cosmetic Medicine has become busier and busier, and as our usage of Agent B has continued to grow, and as the evidence in favour of Agent D has accumulated, we now feel the time has come to offer both Agent B and Agent D brands of anti-wrinkle muscle-relaxing medication through this practice.


Now our patients have a choice, and people who specifically seek Agent D treatment can find it at Peach.


Which is better: Agent D or Agent B?


As far as Peach is concerned, this is like comparing Holdens with Fords. Some love one, some love the other. We don’t take a position on this question because there isn’t conclusive scientific evidence either way. The question is particularly perplexing because there is no internationally recognized standard way in which the doses of the two can be compared.


Both Agent B and Agent D are measured in “units”, but the units are completely different, and the conversion ratio between the two is not established. Some writers claim that 2.5 units of Agent D equals one unit of Agent B, others will claim that 3 units of Agent D is required to equal the effect of a unit of Agent B.


For example, many of our female patients would have just 10 units of Agent B injected into their glabella or frown lines every three months. In offering a trial of Agent D, some doctors would give 25 Agent D units and others would give up to 40 Agent D units.p>


How are we going to do it at Peach?


In order to be as fair as possible in offering both Agent B and Agent D through this practice, we are going to use a conversion rate based solely on the cost of Agent D per treatment versus the cost of Agent B per treatment, and charge the two treatments exactly the same way.


Based purely on the wholesale cost of the two products, our conversion rate at Peach will be 3.8 Agent D units for every Agent B unit.


So, if you are accustomed to getting 10 units of Agent B for $195, now you have the option of getting 38 Agent D units for the same treatment fee of $195.


Those usually needing 20 units of Agent B can get 76 Agent D units for their $345, and those who require 30 units of Agent B can opt for 114 Agent D units for $470.


We know that is great value either way.


Patients who are happy with their Agent B treatments ought to stick with them, particularly those who are getting just the right amount of movement reduction, since we cannot guarantee that switching to Agent D will have the same effect.


Those who feel that Agent B gives them inadequate movement reduction in the doses they have tried can now decide to either increase the dose of Agent B, or try the Agent D alternative.


Those who have never had either probably ought to start with Agent B. It’s the original, it’s the “real McCoy”.


Experienced cosmetic patients familiar with the effects of Agent B but who like to try new treatments will probably want to give Agent D a go. There are reports of it lasting longer and giving a more profound movement reduction, depending on the conversion ratio used between it and Agent B. However, these are just reports, and we at Peach do not enter an opinion (yet) on this subject.


We will offer equal doses of Agent B and Agent D, based on their wholesale price, for equal treatment fees, and we will see, along with our patients, which gives the better results.


That’s fair, and we can’t wait to see your results.