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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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Sculptra Butt Lift

Sculptra /

Sculptra is a great product for building new collagen that has been lost over time.  Sculptra has been out since 1999 and has become a great alternative to fillers for facial injections. Sculptra will last for approximately 2 years when injected correctly with the proper amount of product.  In most instances, you will see an improvement immediately followed by a decrease in volume.  Results with Sculptra takes time, since the collagen needs to build up to see the results.  People may require 2-3 treatments with 1 treatment each month. Sculptra has recently shown great results when injected into the buttocks.  Candidates for the sculptra butt lift (aka Brazilian Butt Lift) are people who do not have enough fat to transfer.  The sculptra is injected into the proper areas to give a fullness and projection to make it appear larger and rounder.  The procedure is performed under a local anesthetic with no downtime.  I long cannula is placed under the skin which delivers the product to the desired area.  Possible side effects include swelling, bruising, pain at the injection site, tenderness.  The area needs to be massaged to help evenly distribute the product throughout the area.

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Bellafill

Injections, Uncategorized /

Bellafill is a great filler that will last for 10 years!!  For many people are tired of getting juvederm injections every year, here is a new option…Bellafill.  Bellafill is used in the same manner as a traditional dermal filler to help plump up areas and get rid of deep lines.  Bellafill is also great for filling in acne scars as well.  Bellafill is a collagen based product that also has small spheres to plump up and create new collagen. Belafill is great for areas such as the nasolabial lines (laugh lines), marionette lines, and cheeks.  Bellafill should never be used under the eyes or in the lips.  This filler will end up lasting longer than anything else on the market and save you money in the long run.  Over a period of 10 years, traditional juvederm fillers will cost you $2500-5000, whereas Bellafill will cost you around $1000.

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Botox

Uncategorized /

Botox is a great medication to use to prevent wrinkles from forming or to help reverse the signs of aging.  When I see a client for the first time for Botox, I generally like to start off on the more conservative end of treatment.  I always stress that you can add more, but you can never take it out.  Botox will typically last you 3-4 months.  When doing Botox for preventative actions, I suggest having injections every 6-12 months.  For women who want to turn back time, every 3-4 months is going to be a good amount of time.  If Botox is not lasting at least 3 months, the person injecting it may be using a small amount or have poor technique.  Sometimes Botox can be over diluted (watered down) which will require more units to effectively work and will end up costing you more money.

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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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Laser hair removal

Laser Hair Removal, Uncategorized /

There are many types of different laser hair removal places out there, but which one is the best?  I can honestly tell you that corporate run medical spas will over charge you.  If you are paying $5000 for laser hair on your legs, your getting ripped off.  If you are paying for a Groupon, your probably getting ripped off.  I few tips for getting the most for your money… IPL laser hair removal is a total waste of your time and it will do nothing!  They love to market this type of hair removal as “Painless”.  It is painless because it does not work.  You need to be looking for a newer machine that is no older than 5 years old.  Technology in this industry changes so rapidly that better lasers come out every couple of years.  You also want to have the energy level turned up each time, if you can tolerate the pain since you will get better results.  If you do your laser hair at the same energy level every time it will not do anything.  Shave before your treatment, and do not wax.  When you wax the hair is removed and leave nothing for the laser to detect.  If you wax before laser treatments you will not get results and be wasting your money. I hope these tips help you get the best bang for your buck!!

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Botox or Dysport

Botox, Uncategorized /

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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PDO Facial Threading

PDO Facial Threading, Uncategorized /

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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What type of filler should I use??

Botox, Uncategorized /

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, Uncategorized /

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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