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Botox – Dysport

Botox is great for helping to reduce the lines on the forehead, between the eye brows and around the eyes.  Botox works in the muscle by blocking the impulse going to the muscle which causes it to contract.  When there are strong muscles, it causes micro injuries into the epidermis of the skin which cause lines to form where the muscle squeezes together.  Botox or Dysport will not fill in deep lines or wrinkles, so we suggest a “filler” at the point.  Fillers are gel substances that help plump up sunken areas or deep lines. What is a good age to start Botox?  It is hard to say exactly what age is appropriate, but we typically recommend around the age of 30.  A lot of this has to do with the strength of the muscles, and not so much about the age of the person.  We have had 20 year old women with very strong muscles, and I have had 60 year old women with no lines and have never had Botox or Dysport before.  When you are younger, we typically recommend Botox every 6-9 months as more of a preventative measure. Is Botox Safe?  We uses thousands of units every month and have never experienced any severe side effects.  Possible side effects may include a slight headache, blurred vision and flu like symptoms.  These possible side effects only last 24-48 hours and resolve on their own.

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Trusculpt ID kills fat in 15 Minutes and only 1 treatment

TruSculpt ID is new technology for body contouring that blows away all others.  What makes TruSculpt ID better than Coolsculpting?? TruSculpt ID is ONLY 15 minutes.  TruSculpt leaves no signs of treatment and offers Zero downtime.  TruSculpt can be used in areas that have small amounts of fat.  TruSculpt leaves NO Divots or “Shark Bites” like Coolsculpting can.  TruSculpt ID will kill fat AND tighten the skin at the same time!!!  Coolsculpting does NOT tighten skin, so you would have to pay for different treatments to tighten the skin.  TruSculpt can be used in small tight areas.  Typically only 1 treatment is needed. Coolsculpting can leave the area numb with nerve irritation and possibly nerve damage.  Coolsculpting can also leave behind “divots” where it kills the fat, unlike TruSculpt ID.  After I had Coolsculpting I was in SEVERE PAIN while the area was warming back up.  Coolsculpting left me with huge bruising on my sides, TruSculpt leaves NO marks.  They both take the same amount of time to see results (12 weeks). Biggest difference is… Coolsculpting is OLD TECHNOLOGY (over 10 years), TruSculpt ID is NEW TECHNOLOGY.  Would you use a cell phone from 10 years ago, or something new?

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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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Facial Injections

When performing facial injections I prefer to achieve a natural look.  One way of avoiding over filling of the face is to make sure you see plenty of before and after photos.  I always recommend asking for photos and bringing a photo of what you looked like 10 years ago.  A major problem as we age is volume loss.  We loose fat, muscle and bone over the years.  This fat loss will lead to sagging of the face, because fat acts as a support structure under the skin.  There is deep fat as well as superficial fat.  Area that may have a lot of animation, such as around the mouth area, tend to get more lines and wrinkles.  Over filling the face may leave you with no lines or wrinkles, but it will also make people appear very artificial and overweight.  There are many fillers on the market such as Juvederm, restylane, voluma, radiesse.  A good provider will know which filler is appropriate for different parts of the face.

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Will I bruise with Botox

When doing Botox, it is hard to say if you will bruise.  There area areas that have a higher tendency to bruise, such as around the eyes.  There area a few things that will help reduce the chances of bruising, but there is never 100% chance of not bruising.  Many times it depends on the injector, whether they are aggressive with the needle, or do they take their time to look for blood vessels.  Things you can do to help reduce your chances of bruising are – Arnica Montana is a great homeopathic drug sold over the counter.  I typically recommend starting Arnica 3-4 days before injections.  Avoiding alcohol for a couple days before any injections will also help keep your blood from getting too thin.  Do not apply numbing cream to the area where you are getting injections.  Numbing cream causes the blood vessels to become dilated and puts you at a higher risk.  Ice before hand can help, but I never recommend ice after Botox, because it will interfere with the absorption.  If you get a really bad bruise, IPL laser can help break down the blood and help it heal much quicker.

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Laser Hair Removal

Laser hair removal is a great way to reduce and eliminate unwanted hair.  Laser hair takes time and patience to see the desired results since hair grows in different cycles.  After about 6 treatments you should be seeing the desired results you want, and then you only need to have maintenance once a year.  Laser hair removal works best on darker hair since the laser targets darker hair. Before your treatment, you should not wax the area.  When you wax the area it removes the hair and the treatment will not be effective.  We recommend shaving the day you plan to have the treatment performed.   We recommend not tanning for 2 weeks prior to your treatment as well, since the laser will have a difficult time distinguishing between the hair and the skin pigment. *burns can sometimes occur over areas where it is bony such as the ankle area.

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Fibroblast Skin Tightening

Fibroblast skin tightening has become a hot new trend in 2018 for achieving permanent, long lasting results.  Fibroblast has been very popular in Europe and Canada, and now made its way into the US.  Fibroblast creates small currents of plasma energy to burn off a small portion of the skin, causing a reaction that tightens the skin.  The plasma energy stimulates the small fibroblast cells to produce more collagen and tighten up the skin. During the procedure, you are first numbed with a topical numbing cream to decrease the amount of pain.   Depending on the size of the area being treated, the procedure may take 20-30 minutes.   We generally suggest to split up big areas to allow swelling to resolve.  Areas you can treat would include upper eye lid, lower eyelid, face, labia, stomach, stretch marks, jowls, and much more. The downtime is about 5-7 days where you will have small dots from the device creating small burn marks.  These spots will scab up and flake off in about a week.  We recommend not picking at them or scratching them off since this may cause scars or hyperpigmentation. This is a fantastic new procedure that offers long lasting results.

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Non-Surgical Blepharoplasty

We are the only medical facility to offer a Non-Surgical blepharoplasty.  A surgical blepharoplasty removes excess skin from the upper eyelid when it is interfering and hanging over the eye. A non-surgical approach to a blepharoplasty is to use a small hand help device to perform “Fibroblast Skin Tightening”.  Glo Medspa is the ONLY place in all of Arizona to perform this procedure. The upper and lower eyelid can be corrected by performing a series of small burns with a plasma laser to tighten the skin.  Results are permanent, and there is very minimal downtime associated with this procedure.  There will be small marks on the eyelid that will flake off after 5-7 days. This treatment can also be used on any other past of the body to help tighten loose skin.  This is great for stretch marks, crepey skin on the face, sleep lines, neck, arms, knees, stomach.

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Lip Injections

Lip injections are defiantly an art.  Before getting your lips done, always look for pictures of what you like.  By showing photos to the injector, this will help them get a better idea of what they need to do.  Before lip injections, it is good to know if you have a tendency to get cold sores.  If you are prone to getting cold sores, I would highly recommend starting on an antiviral such as Valtrex the day before and day of the procedure. Do you research as far as what type of product they like to use for lip injections.  I prefer to use Juvederm Ultra XC, because of its longevity.  Other fillers such as Restylane, Volbella, Vallure, Bellotero are a total waste of time and money.  The reason I say this is due to the fact that the molecules in these fillers are very small and break down quickly.  Many inexperienced injectors like these fillers because they are easily correctable when they make a mistake. Always research and look at their before & after photos of lip injections that they have done.  Believe it or not, some places do a very poor quality of lip injections and actually steal pictures from other medspas and take credit for the work.  I hope this blog helped inform you about the decision to get your lips filled.  We perform thousands of lip injections and create some of the best lips.

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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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