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Get Rid of Cellulite Permanently

qwo /

The newest drug on the market for cellulite is called Qwo.  Qwo is an injectable medication that is painless, and uses a very small needle to administer it under the skin.  QWO is the first and only FDA-approved injectable for moderate to severe cellulite in the buttocks of adult women.  Visible results may be achieved in 10 weeks. In clinical studies, women received 3 treatments of QWO, 21 days apart. After the injections, there is typically some bruising that occurs, which is to be expected.  You should not receive QWO if you are allergic to any collagenase or the ingredients in QWO, or have an active infection in the treatment area.

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Dark circles under eyes

Injections /

One of the biggest complaints that people have are the dark circles under the eyes.  There are many different causes of darkness under the eyes, such as being tired, lack of volume under the eye, thinning skin, blood vessels, dehydration.  Unfortunately there are no creams out there that will cover this up or make it better.  Most people are not aware that there is a simple fix.  By placing dermal fillers under the eyes, called the tear troughs, this restores lost volume.  In most people, there is a fat pocket in this area that keeps it full and plump.  Many people have had sunken in areas around there eyes for many years, while others notice it later in life.  As we age, we loose fat (deep fat and superficial fat), by simply replacing the lost volume it will bring about a more youthful appearance. Our technique is different…  We use what is called a “Microcannula” to access the area under the eye.  Why is this important?  By using a microcannula, it travels under the skin and is a small flexible tube.  Due to the flexibility, the microcannula will not puncture blood vessels as easily as a standard hypodermic needle.  For this reason, areas that were thought to be too difficult to get to, can now be easily accessed.

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TruSculpt for Killing Fat !!

Body Contouring /

Some great new technology to hit the market with amazing results is… TruSculpt ID.  What is TruSculpt?  TruSculpt uses radio frequency and heat to destroy fat cells.  Fat can be destroyed with heat, cold or chemical injections such as Kybella.  Up until now Coolsculpting was the most well known non-surgical way to destroy fat.  The problems with Coolsculpting was that it could cause nerve damage and leave the area numb for a month.  Coolsculpting also would cause a lot of bruising after the treatment.  Trusculpt ID leaves no signs of treatment, and there is no downtime.  The radio frequency used with TruSculpt also helps tighten the skin, whereas Coolsculpting kills fat and leaves the skin loose.  Multiple treatments are great to get to the ideal body that you are looking for.  The best part is that the treatment is ONLY 15 minutes!

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Restylane Kysse for lips

Injections /

For many years Restylane Kysse has been used overseas in Europe for lip injections.  Recently Restylane Kysse was approved by the FDA in 2020 for use in the lips for plumping and making fuller lips.  Restylane Kysse is also approved for perioral lines above the lips as well.  Up until now Juvederm has been our favorite filler to use in lips due to its longevity and ability to hold a shape longer.  The makers of Kysse have promised us that this new filler will last 12 months, which we are currently putting to the test.  The nice thing about this filler is that it is very soft and natural feeling.  As far as swelling goes, it is difficult to say if the swelling is less than that of Juvederm or other fillers.  As far as bruising, this all depends on the injector and their technique. Traditionally in the past, soft fillers would mean that it would not last long in the lips.  Because there is so much movement in the area of the mouth, soft fillers tend break down quicker.  Restylane Silk still remains our least favorite and we do not use it in the lips.  Restylane silk breaks down far too fast and we have many unhappy customers who were talked into Silk at other facilities.

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Best Filler For Lip Injections?

Juvederm /

After using every filler on the market in search of the holly grail, I have narrowed it down to only a couple of fillers.  I have injected every type of lip, with every type of filler, and we are talking about THOUSANDS of lips.  If you ever spend enough time on Instagram you will see all types of fillers being used to perform lip injections.  I will list the worst and best for lip injections- Starting with the WORST…Restylane wins hands down.  Unfortunately this filler is a very thin filler and looks great for a couple weeks, then say goodbye to those lips and you money.  Restylane is a great filler for people who do not like to do lip injections, or they are not good at lip injections.  Restylane is very pliable and corrects easily after any mistakes.  I have so many complaints, and people upset that they were pushed to use Restylane in the lips.  Restylane is sold as a “Natural and Soft” lip filler.  Unfortunately these injectors are heavily influenced by sales reps who have never touched a syringe, but regurgitate what their company tells them to say.   The second worst filler for lips would be Volbella, Vollure, or Belotero.  Again, these are too thin of fillers and break down extremely quickly.  These fillers do not hold their shape and are just too soft to last in a very animated area of the face.  The sad thing is I see many plastic surgeons using these fillers for lips… most likely because they are not good at doing lip injections.  These fillers should be reserved for other areas of the face, which they work very well in. My favorite is good old Juvederm Ultra XC.  Many years ago the drug reps told me to use Juvederm Ultra Plus XC in lips because “It lasts longer” which was not true.  Why did the rep want me to inject Ultra Plus???  Because it cost more.  Unfortunately now both Ultra and Ultra Plus are the same cost to buy.  Juvederm Ultra lasts about 6-12 months.  This filler will have a stiffer fell for the first 3-4 weeks until it softens.  We have had patients lip filler last Juvederm last 2-3 years!!! A new filler on the market as of today is Restylane Kysse.  So far we have heard good things about this filler, but we have not injected enough to know its true potential.  This filler has a much smaller needle (which generally means it is not a thick filler) which makes it much less painful for patients getting their lips done. These views on fillers are strictly our own point view, and the findings are after thousands of lip injections performed.

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Why Trusculpt ID out performs Coolsculpting

Body Contouring /

Trusculpt ID is much newer technology than Coolsculpting.  We will list why Coolsculpting is outdated and why new technology beats old outdated technology. Trusculpt is a fast 15 minute treatment that is relatively painless.  There are 6 paddles that are placed on the skin and strapped into place.  Trusculpt uses radio frequency (RF) and heat to destroy fat cells.  You can destroy fat cells either by a thermal event such as freezing or heating, or chemically by injecting something such as Kybella.  Of course liposuction is the best, but not everyone wants liposuction or surgery.  Trusculpt provides results in about 8-12 weeks and has NO DOWNTIME.  There are no signs of treatment and you could literally go to the gym immediately after.  Trusculpt will NOT leave divots whereas Coolsculpting will.  There is also NO bruising involved, where Coolsculpting will. Coolsculpting takes about 45 minutes per area you are treating.  The area will be NUMB for about 4 weeks following the treatment.  Coolsculpting can also be used in limited areas, where Trusculpt can be used in many different areas.  The chances of bruising from Coolsculpting is very high and difficult to hide.  The area being treated with a Coolsculpting applicator must be massaged immediately after the applicator is removed.  The massaging part of the procedure is extremely painful due to the re-perfusion of blood into the area after freezing it. Both Trusculpt and Coolsculpting provide good results, but trusculpt provides a faster treatment.  Trusculpt can be used in tricky or hard to get to areas.  Cost is about the same on both.  Coolsculpting you will be numb for a month, and Trusculpt Zero downtime and no numbness.

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TruSculptID rates higher than Coolsculpting!!

Body Contouring /

TruSculptID is new technology that is gaining huge results in the noninvasive body contouring world.  Coolsculpting is slowly becoming outdated with all the new technology hitting the market.  TruSculpt used heat and radio frequency to permanently kill fat and tighten the skin at the same time, which is something Coolsculpting do not do. Unfortunatly Coolsculpting can cause nerve injury and damage, and will leave the area numb for a month or two.  Trusculpt has no downtime and no signs of treatment.  Coolsculpting can leave bruises, numbness, divots, and uneven areas on top of it being very painful after removing the applicator.  TruSculpt treatment in ONLY 15 minutes!!!  Coolsculpting is 30-45 min or even an hour.  Results for both are seen in the same amount of time. truSculpt iD offers a unique and personalized approach to improve upper arm contouring and definition. Unlike other devices, there is no placement limitation, it is easy to set up, and fast to treat. Provide your patients improved freedom to open their arms and wear sleeveless shirts with confidence. Unique approach to treat skin with laxity Sculpt challenging areas Synchronized treatment zones No downtime

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Benefits of a Facial

Uncategorized /

Facials can be very relaxing as well as great for your skin.  Many people do not understand how important a facial is when it comes to detoxifying and cleaning the skin. Even if you do not have blemishes, hyperpigmentation, severe acne, or any other problems a trained professional will help keep your skin healthy and free of skin issues. The best way to find out if your skin needs anything or how it is reacting to hormones, pollution, stress, and other elements is to have a professional examine the tone and texture of your skin. At 48-72 hours after a facial, the skin is hydrated and plump.  In 28-48 days, the long term benefits of a facial kick in when cells begin to regenerate.  Facials should be done every 4 weeks to help maintain the beauty of the skin.  Remember, skin is the largest organ and you need to take care of it.

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Botox

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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Laser Hair Removal

Uncategorized /

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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