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PDO Threading For Face

PDO facial threading has become very popular in the last few years.  The reason people like it so much is that it is a minimally invasive procedure that helps lift sagging jowls, tighten the skin, lift the neck, plump up the cheeks and create new collagen.  Some results are much better than others, mostly due to technique. I have taken the basic technique I learned and have modified it to get astounding results that last.  I have redone other peoples facial thread lifts due to poor placement and technique.  Another issue that arises that may result in poor results is the use of too few threads being placed.  Many times I see people try and get by with only using 3 or 4 threads to lift a whole face.  Unfortunately that is not enough to get great results.  Generally I will use 8-10 threads per side, and the results will last 18-24 months. Just remember that results depend on technique.

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nonsurgical “mini face lift” with PDO facial threading

There has been going popularity for nonsurgical procedures to help people look their best.  Noninvasive procedures offer little to no downtime, less complications and little risk of complications or infections. PDO facial threading uses small surgical sutures to help lift sagging jowls and give you a younger more youthful appearance.   The threads I typically like to use are a large barbed suture, that will give maximum results and last the longest.  Threads will generally last about 1 1/2 years to 2 years when the large threads are used. The PDO thread is placed under the skin through a small hole.  The entry point in numbed with a local anesthetic as well as under the skin.  Pain during the procedure is mostly felt while the numbing agent is being injected. Areas that PDO threads can be used on are the knees, elbows, face, breast lift, butt lift and more.  As like any other procedure, the results are only as good as the person performing the procedure.  I believe our results are some of the best possible results out there.

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Botox or Dysport

The question for years has been which is better, Botox or Dysport?  A lot of this depends on what your trying to accomplish.  Botox is a very well known brand and does a great job.  Dysport has been out for about 8 or so years and also does a great job, but not as well known as Botox.  The molecular structure of each is slightly different.  Botox has a small extra protein strand attached to it that Dysport does not have. Dysport will tend to have a faster onset (the time it takes to kick in) where as Botox will take about 5-7 days.  The length of time the both last has been argued, but they should both last about 3-4 months.  I do have a few clients that Botox will last up to 6 months on.  I highly recommend trying both and seeing which one will last longer for you, which will save you money in the long run. At the end of the day, Dysport will end up saving you more money, but there are some people who simply respond better to Botox.  Both do the exact same thing in the end.

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Botched?

So we all read articles and see things on TV about botched procedure in surgery and the cosmetic world.  In fact we are fascinated by other peoples mistakes that we created a reality show based solely on it.    In the area I deal with, which is all non-invasive injectables I have seen my far share of “botched” jobs.  I hate to say it but dermatologist rank the highest for the botched jobs I have had to correct.  Are they great at other things…sure, so lets let them practice what they are great at and keep them away from the face.  In the time I have been doing injections, I have seen everyone getting in on the game of fillers and botox.  In Scottsdale there is such a high demand to look and feel great, so everyone is trying to get in on the game. What you need to know is that if you can easily get in for a “same day appointment” they are most likely not who you should go to for advanced procedures.  I am typically booked out 2 weeks for fillers and all advanced injections, unless I get a last minute cancellation.  Remember that your face is hard to hide, and you get what you pay for.  I find it difficult to treat people who hop from one Groupon to the next, because I can never get an accurate sense of what injections have been done.  Establish yourself with someone you trust so that you can make changes to your treatment to achieve the best possible outcomes. Fillers like Juvederm and Restylane can easily be dissolved.  Radiesse can also be dissolved.  Botox…sorry, but it will have to wear off in 3-4 months.

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PDO Facial Threading

PDO (Polydioxanone) threads have been around for about 10 years.  Many people refer to the use of PDO facial threading as “mini face lift”.  The PDO threads are made of the same material that is used for surgical procedures such as open heart surgery.  These are specially made sutures that have small fine barbs on them to anchor them into place.  There are several different types of threads for different types of applications.  Some are smooth, barbed or twist depending on the results you are trying to achieve. In my practice I use a majority of barbed threads for lifting the facial tissue and giving people a more youthful appearance.  Results can vary widely depending on the skill level of the person performing the procedure and the amount of threads being placed.  I have found that the more threads that are used, the better the results will be. The procedure itself is not painful.  I typically like to inject the area with a small local anesthetic at the place of insertion.  under the skin is numbed to help with patient comfort.  The cannula are placed under the skin to place the thread.  The thread is placed in the proper position and the cannula is removed.  The thread then trimmed and slips under the skin and not visible.   The procedure takes about 45 – 60 minutes.

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Earlobe Filler (rejuvenation)

We all know about filling our lips and cheeks with “fillers”, but now there are more options to maintain that youthful look.  People are now learning that they can put filler, such as Juvederm, in their ear lobes to help plump them up.  By filling and plumping the ear lobes, they can support the weight of ear rings much better. Many times people focus on the face and forget about everything else that helps a woman to look young.  I always suggest to look at the hands, neck and chest…and ear lobes.  Looking as young as you feel is an ongoing process, and can get expensive.  Fortunately, things such as fillers in the hands and ear lobes tend to last anywhere from 1-2 or 3 years.

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What type of filler should I use??

A common question I get is… What is a good filler for my lips?  Companies put a lot of money into marketing new products and creating a “Buzz”.  I can honestly say that I have tried every filler out on the market, with the exception of Radiesse (which will cause granulomas) in the lips.  I have tried Voluma thinking that the larger molecule and G-prime would make it last longer, but no such luck.  I have tried Volbella, Belotero, Volure, Juvederm ultra, Juvederm ultra plus, Restylane and none of them lasted very long.  Restylane is by far THE WORST choice for lip filler.  The problem is that it is a very small molecule and spreads out too thin.  Many inexperienced people like Restylane because it is very forgiving if they make a mistake. In the past I used Juvederm Ultra Plus XC, because the drug reps at Allergan told me it is better than regular old Juvederm Ultra.  Guess what…Juvederm Ultra lasts longer.  Why did Allergan tell me to buy more Juvederm Ultra Plus?  Because it is more expensive! I have tried EVERYTHING in my years of injecting and I keep coming back to Juvederm Ultra XC.  Juvederm Ultra is a little stiffer feeling as you inject than Ultra Plus XC.  I have heard that there are some great products in Canada that will be coming down to the US for lips that last a very long time.  I will keep you posted if anything better comes onto the market.

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PRP Injections

PRP is quickly becoming very popular for the great results it produces.  PRP as we are finding out is great at helping the body to repair itself and heal.  So what is PRP?? PRP is an abbreviation for “Platelet Rich Plasma”.   In the past, PRP has been used to treat injuries such as injured ligaments and tendons.  Some places of the body have a better success rate than other areas.   PRP is collected when the person has blood drawn and then spun down in what is called a centrifuge.  The centrifuge separates the different parts of blood, and allows for the red blood cells to settle at the bottom since they are larger and heavier.   Sometimes a large amount of blood may be required, since the actual PRP is such a small portion of the blood.  The larger clear area called “PPP” or Platelet Poor Plasma is many times used by inexperienced people who do not actually know what true PRP is.  True PRP holds all the rich stem cells and growth factors that help create new tissue.  PRP has become extremely popular recently in the aesthetic world.  Finding the proper person to inject or microneedle the PRP can sometimes be tricky since everyone is jumping on the band wagon. PRP can be used to help regrow thicker and stronger hair and build up more collagen in the face.  Some other interesting areas PRP is being injected is the penis, the vagina, and the clitoris to enhance sexual intercourse and provide intense orgasms.

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Mini Facelift – PDO Facial Threading

In facial threading, I am basically the ONLY one in all of Arizona that does PDO Facial Threading…and has amazing results!!  I have been seeing a few places try and attempt facial threading in the state of Arizona, but the results are just very poor.  The training they received was very inadequate and patients were not happy with the results. I have been performing facial thread lifts for a year now and get really astounding results.  Of all the people I have performed this procedure on, not one person has been disappointed.  I honestly would say that I get better results than the plastic surgeon who I learned from. PDO is an abbreviation for ” Polydioxanone  ” which are sutures that dissolve slowly over time.  The number of threads that are placed in the mid-face and lower face depend on the amount of sagging in the jowl.  These threads are placed under the skin and slowly start to build up new collagen .  The great thing about threads is that it will reduce the amount of fillers needed in the face.  Having fewer fillers in the face will give you a more “Natural” look.  I will typically follow up in 2 weeks with my patients to place any additional threads.  Results will look better over the following weeks after the procedure. This procedure will last you about 2 years, and has very minimal pain and rarely any bruising.  The face will feel tight for about 5-7 days following the procedure.   This is one of the latest cutting edge procedures that can take years off your face, and has no real downtime.

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Botched lips can be fixed

Many times I hear the same concern… “I don’t want Duck lips”.  The intent of this blog is to help put your mind at rest and know that you will have a great outcome with lip fillers.  I have seen some really botched lips over the years, and I am never sure what went so terribly wrong.  I see everything from huge lumps of filler, to uneven lips as well as the wrong products being used. In lips, I prefer to use Juvederm.  I have tried everything from Restylane to voluma, bellotero, volbella.  I keep coming back to Juvederm for lips filler of choice.  I like Juvederm because it tends to last longer in the lips than Restylane.  Restylane is typically used by inexperienced injectors, or people who are not good at performing lip augmentation because it is very forgiving. I will typically numb the lips for about 20 minutes to help make the client more comfortable.  The poe of the needle will still be felt, but should not be too bad.  The thing I hear the most is “that was not as bad as I thought it would be”.  The fear of botched lips keeps many people from getting their lips done.  I also like to remind clients that I keep the size of the lips very “age appropriate”.  Many times men do not want their wife to get their lips enhanced because they see so many bad lip fillers out there.  I can let you rest assure that he will love your new lips as much as you do.  In the worst case scenario the lip filler can be easily dissolved with a special enzyme.  I carry a lot of this medication at my office due to the large amount of botched filler jobs I have fixed.  You would be surprised to hear that plastic surgeons are the ones who typically botch lips.  The problem is that surgeons do surgery all day, not lip fillers like I do.  You will always be better at something that you do a lot of.  As far as lip injections, I have done thousands of lip augmentations and been told I am the best one out there.

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