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Juvederm or Botox?

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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The Difference Between Botox & Juvederm

Many times I am asked the difference between Botox and Juvederm.   With so many names of different products out there it can be hard to figure out what goes where.  I always recommend coming in for a consultation first, because there may be a primary issue that solves a secondary issue. Botox, Dysport & Xeomin are neurotoxins that work with the muscle to block impulses to the muscle that cause it to move.  Most times Botox is used between the eye brows, forehead, and crow’s feet (around the eyes).  Botox will typically last 3-4 months.  For many women in their early 20’s using botox for preventative measures I recommend every 6  to 12 months.  For women looking to reverse the signs of aging I recommend Botox every 3-4 months.  Botox typically will take about a week to start seeing the results, so be patient.  Dysport will typically start working in 3-4 days.  Dyport is a smaller molecule than Botox and theoretically should not last as long as Botox, but there are always people who get the opposite effect.    I have stopped using Xeomin due to the short duration it works. Juvederm, Restylane, Voluma, ect…are all “Fillers” or “Dermal Fillers” which is a broad term.  The main purpose of “Fillers” is to plump up and fill in lines and add volume.  A common area for volume deficit is in the cheek area under the eyes.  Juvederm is what I typically use in the lips for lip augmentation.  I have tried in the lips Belotero, Restylane, Voluma, Volbella, Juvederm and I find Juvederm lasts the longest.  The worst thing to place in the lips is Restylane, due to the small molecular size it breaks down very quickly.  You will find inexperienced injectors will use Restylane because it allows a lot of room for error.  With fillers, simply think of “Plumping up” areas or filling in cracks and lines.  With so many different dermal fillers, I highly recommend a consultation first.

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Forma- Neck & Face Tightening

Have you ever wondered if you can tighten your neck and face with no downtime?  There is a new machine on the market called “Forma” which uses radio frequency and heat to help tighten the skin on the face and neck.  How it works is by passing a specific frequency down through the skin to help tighten up the elastin fibers and collagen to produce a tightening effect.  Over time as we age, the elastin fibers relax which lead to loose skin.  By passing a frequency down through the fibers, it helps to tighten these specific fibers and produce tighter skin.  This machine will not produce collagen, so I recommend a good dermal filler to add volume to areas deficient in volume. The Forma is completely painless, and you may actually fall asleep during the procedure.  Results can typically be seen after 3 treatments, and 6 treatments is what I generally recommend.  I recommend this for the mid-face to jaw line area, and the neck.  Other places people use the Forma are for above the knees and arm areas.

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Juvederm and Fillers

With so many different dermal fillers to help plump up the face, which one is right for you?  Understanding what each “filler” is intended for helps you create a better idea of what to ask for and how much to budget.  Each company makes a slightly different filler, but is still similar to others. A filler with a smaller molecule will typically be used in fine lines and wrinkles.  Larger fillers, such as Voluma or Radiesse are used a lot in the mid-face area to help build up large areas.  The mid-face can hold a large volume of filler, so don’t be shocked if you may need 3-4 syringes.  I will typically use 1 syringe for a very soft and subtle look and 2-3 syringes for a more noticeable and drastic appearance.   The most syringes I have used about 18 syringes for a full liquid facelift. In the lips a great filler is Juvederm Ultra or Ultra plus.   Restylane is typically my last choice for injecting the lips due to it’s small molecular size.  Generally people who are not proficient in lip augmentation like Restylane because it allows you more room for error.  I have tried Voluma in the lips and not overly impressed. If you are ever in doubt…just have a few consultations with different people and go with the best.

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Affordable Mini Face Lift

There are so many new options out there, that getting a face-lift is no longer the only solution to look younger.  Many people are using dermal fillers such as Juvederm, Voluma, Volbella, Restylane, Radiesse to achieve a youthful appearance.   Dermal fillers a great and I love them, but many times over use of fillers in the face can lead to a “moon face” that is big and round with no defined shape. The PDO thread lift is also known as the “Mini Face-Lift”.  This procedure takes about 1 hour and will rid your face of those jowls and tighten you up.  A cannula with a suture is placed under the skin into the soft tissue.  The suture has fine barbs on it that anchor it into the tissue.  The cannula is removed and the suture stays in place.  The suture will very slowly dissolve over a period of 1-2 years depending on the size of the “thread” suture.   There is no “bunched up” skin by the ear and it is very soft and natural looking.  This is a very highly skilled procedure and should only be performed by trained and certified professionals.  We perform the most PDO thread lifts in all of Arizona and are highest rated!

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Vaginal Rejuvination

After having children, you may experience some vaginal laxity.  Other women suffer from stress urinary incontinence.  The good news is that there is a fix for that!  The Femilift helps increase sexual stimulation of the vagina, as well as increase the moisture of the vagina while having intercourse.  Many post menopausal women suffer from dryness in the vagina resulting in painful intercourse.  Many other women, as much as 50%, suffer from stress urinary incontinence.  Urinary incontinence is when you may sneeze or cough and a little bit of urine escapes and come out of the bladder.  The Femilift helps tighten and support the bladder leakage from happening.  The Femilift will also tighten the vagina after having children.  The Femilift is also great for labia reduction. The Femilift consists of 3 treatments that are spaced 1 month apart.  After the treatment you may have some spotting, so we recommend wearing a maxi pad for a few days after.  After the treatment we recommend no sexual intercourse for 3 days as well as no tampons.

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eMatrix – Sublative fractional skin resurfacing

There are a few things to help you looking young, and the eMatrix is one of my top picks.  I always like to try new things each month to maintain great looking skin.  Botox of course is the fountain of youth , but recently I tried our new eMatrix machine around the eyes and I was blown away. The eMatrix is a sublative radiofrequency machine that delivers a fractional energy into a small grid pattern.  The eMatrix delivers an area of microscopic zones that penetrate into the epidermis and dermis and are  thermally ablative.  What does this mean in simple terms??  The ablative frequency goes down into the skin and causes a healing phase to begin after the sublative fractionated  frequency disturbs the tissue.  This in turn causes the body to repair itself and create more collagen, giving you wrinkle free skin! Who can benefit from this treatment?  Anyone with moderate to severe acne scars, stretch marks, wrinkles and fine lines.  There is 4-6 weeks between treatments to allow your skin to recover.  Each treatment takes only 20-30 minutes and is great for ALL skin types.  I  recommend 3-5 treatments for best results.  Trust me… You will LOVE the eMatrix!!

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Skin Care Tips by Randi

It happens too often, people come into the office and want to get treatments done to improve their skin, but then go home and use Neutrogena on their face.  Your daily skin care routine at home is crucial. Using professional products and following the correct steps in your regimen can make the biggest difference in your skin.  Yes, it is important to get treatments done from your esthetician, but we always say, “you can pull the bed sheets tighter, but if the sheets are wrinkled, it still won’t look good.” We stress the importance in investing in quality products because many people don’t realize the harm in putting cheap, drug store products on their skin. The problem occurs when  they strip the natural lipid barrier from your skin, leaving it dry and irritated. The pH levels of cleansers like Neutrogena, L’Oreal, etc., are usually around 10, when a preferable PH for your skin should be 5.5. Most  products also contain harmful alcohol as an ingredient.  Many people with oily skin gravitate to alcohol based products because of the matte finish it leaves them with.  The use of alcohol based products actually makes oily-skin worse, and depletes vital substances needed for healthy skin.  Glo Medspa carries IS Clinical, which are results based and great products. The steps you should follow for healthy skin are: Cleanse- find professional cleanser to compliment your skin type (Normal, Dry, Oily, Combination, Sensitive, Aging) Exfoliate- depending on the product, exfoliate 1-2 times a week to remove dead skin and allow products to penetrate deeper Moisturize-collegian thrives in moist environments! Protect- one of the most important steps for anti-aging. SPF 30 is recommended, and make sure it says broad spectrum!

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