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injections

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

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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PDO Threadlift

Glo Medspa has been performing the PDO facial threadlift for over 2 years, and was the first in Arizona to offer this service.  We have seen many other medical facilities that have attempted to perform this procedure, but the results were very poor.  A few things I highly recommend before having this procedure performed.  First I highly recommend that you ask the person performing injections for “Before & After” photos.  Many medical professionals try and use 3 or maybe 4 threads to lift the face. Complications – Unfortunately when you only use 3-4 threads, the results are not the best.  The reason clinicians will use only 3-4 threads is to save money.  A few complications I have seen from other facilities are threads that are poking out, or threads coming out of the mouth.  When a thread is poking out against the skin, it means the thread was placed too shallow.  When a thread protrudes into the mouth, that means it was placed too deep.  There are other complications such as puckering or buckling that may resolve on it’s own.  Threads can also slip out of place or even break. Facial threading is a great alternative to a face lift if you are a candidate.  PDO threads will last up to 18 months and then slowly breakdown and are absorbed by the body.  The best thing about threads are that they appear very natural and reduce the amount of dermal fillers by over 50%.  There is generally no downtime with this procedure, but swelling can be expected for 4-5 days and tenderness for 2 weeks.

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Sculptra Butt Lift

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

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

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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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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Restylane Defyne – New Lip Filler

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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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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