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PDO Thread Lift

PDO Facial Threading /

PDO Thread lifts have become a very popular procedure for lifting up sagging jowls and creating “Natural” volume from collagen production.  We have been performing for over 4 years and were the first in Arizona to perform this procedure.  Over the years our technique has changed and evolved to what we consider to be the best in all or Arizona.  PDO threads can be very difficult to place unless you have performed many of them.  Threads (sutures) are placed under the skin and anchor into the soft tissue to help lift the face and jowls.  The threads slowly dissolve over the period of a year.  The thread is placed in the hairline so that it is not visible and the end is cut off and slips under the skin.  Lidocaine in injected under the skin where the insertion point will be as well as under the skin.  The procedure takes about 45 minutes, and some times we like to also add a little filler to replace areas of bone and fat loss.  This is a great procedure to help lift and tighten and still maintain a natural appearance.

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Botox

Botox /

When injecting Botox, you can not inject everyone the same way.  Muscles vary in location from one person to the next.  Having a trained injector who has a great deal of knowledge about the facial muscles will make your Botox come out much better.  When doing an assessment of a person’s facial muscles it is best to have them make different facial expressions to evaluate the muscles. When going to a new place, it is important to know what you want and what you don’t want.  Many places work on commission and will try and up sell you on more Botox than you may even need.  The problem is, when you have too much Botox it can cause the forehead to get very heavy and make the eyelids droopy.  If you don’t get enough injected you will still have a lot of movement and the lines will never go away.  The other problem with treating sub-therapeutically, or placing too small of an amount is that it will not last very long. Typically for the forehead I find the sweet spot to be 30 units of Botox or 60 units of Dysport.  Around the eyes can be a tricky place to inject because it is the highest rate of bruising associated with this area.  Blood vessels are very difficult to see around the eyes and it is a very tender area.  If you place too much Botox around the eyes it will effect the way you smile.

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Botox

Uncategorized /

Botox is a great way to help reduce and eliminate wrinkles and fine lines.  I typically recommend starting Botox when you start to see fine lines in the forehead or around the eyes.  When adding Botox into your routine of anti-aging the benefits will pay off greatly down the road.  Many people ask what a good age to begin Botox?  Unfortunately there is no right answer since everyone has different types of muscle strengths.  I have had clients as young as 20 begin Botox, and other women starting at the age of 45.  When getting Botox for “preventative” measures, I generally let people know they need a smaller amount and not as frequent.  The best idea is to have a consult to determine whether Botox is right for you. Dangers of Botox… When injected incorrectly, Botox can cause a “Droopy eye” or when injected inside the orbital rim it can migrate into the muscles that move the eye causing a lazy eye.  I have personally injected hundreds of thousands of Botox units and have never had any serious problems.  The good thing is that Botox is not permanent and will wear off in 3-6 months.  I always encourage people to do their research before undergoing any type of cosmetic procedure.  There are plenty of good injectors, but finding the one you like can take time, so be patient and do your homework.

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PDO Facial Threading

PDO Facial Threading /

PDO facial threading has become a very popular procedure recently.  This procedure has actually been around for over 10 years, but has again gained traction in aesthetics.  Many years ago the “Threads” were made of a material that did not dissolve.  The new threads are now made of a material called Polydioxanone which dissolves over a period of time.  There are many different types of threads, which all depend on what area of the body you are working on. The results all depend on the providers experience and training.  Many providers try and use 3 or 4 threads to lift sagging skin.  When I perform a “thread lift” i generally do not like to limit myself on how many threads I use.  I always explain to people that the more threads I use, the better the weight is distributed and not relying on a few threads to hold everything up.  This is one of my favorite procedures because I get such great results.

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Botox

Botox /

What to know before getting your first Botox treatment.  First, it is important to know if you have any muscular issues such as myasthenia gravis or bell’s palsy.  Many times when someone is getting Botox for the first time I recommend being a bit conservative.  With Botox, you can always put more in, but you can’t take it out.  By being a little more conservative it will possibly keep you from having any complications.  The dose of Botox needs to be enough to achieve results, but too much may cause complete lack of movement or possibly a droopy eye.  Typically it is not recommended to have Botox when you are pregnant or breast feeding.  Although Botox does not have systemic effects, I always recommend to be safe, rather than sorry. Is bruising common?  The face have many blood vessels and the chances of bruising is always present.  The most common place for bruising to occur is around the eyes.  The bruising has no effect on the results of the Botox.  Above all else, I always recommend doing your research and you get what you pay for.

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nonsurgical “mini face lift” with PDO facial threading

PDO Facial Threading, Uncategorized /

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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Botched?

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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Earlobe Filler (rejuvenation)

Injections, Juvederm, Uncategorized /

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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Restylane Defyne – New Lip Filler

Injections, Juvederm, Uncategorized /

For many years I was using Juvederm Ultra XC for doing lip augmentation.  I recently started using Restylane Defyne and I have really been liking it.  The feel of it from an injecting standpoint is semi-firm which I like.  Many fillers I have used in the past are too soft and do not hold the shape very well.  I have been switching a lot of my clients over to this product and seeing the results last longer as well.  I have been getting closer to 12 months with this new filler. The only thing I do not like is the cost.  The price Galderma charges for this product is a bit higher which is discouraging, because then I have to charge more.  I have always tried to find the best products for the best prices which will last the longest.  If you have not yet tried Restylane Defyne, I think you will be impressed with the results.

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Juvederm or Botox?

Botox, Uncategorized /

Many times people who are new to having procedures done are not familiar with terminology used.  I many times hear people ask for Botox to be placed in the nasolabial folds “Laugh Lines”.  An easy way to remember the difference is that fillers like Juvederm “Fill In” low spots or wrinkles.  Botox works on the muscle to help it not move.  Botox does not paralyze the muscle, but rather weakens it so that it does not temporarily not move.  Botox typically comes in units whereas Juvederm and fillers come in a pre-filled syringe.  Juvederm is a gel like substance, and Botox is a fine powder until mixed with sodium chloride to reconstitute it.  Can you “water down” juvederm or fillers?  Absolutely not.  I have read about people thinking they are getting scammed on juvederm by someone watering it down…impossible.  Can Botox be over diluted and “watered down”…yes!  In my own personal opinion I don’t feel it is morally right to cheat someone out of something if they paid for it, but other shady med spas have no problem doing it.  How do you know if it is watered down?  It is extremely difficult to determine if Botox is over diluted, unless your the one doing it.  This is why it is so important to deal with a reputable office.  A few times I have treated people and they said it didn’t work completely, so I re-treat them at no charge.  Do your homework and find a great place to go, and more importantly people you trust.  I always recommend Yelp for honest reviews or Google+.

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