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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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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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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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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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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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Laser hair removal

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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