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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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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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Botched?

Botched /

So we all read articles and see things on TV about botched procedure in surgery and the cosmetic world.  In fact we are fascinated by other peoples mistakes that we created a reality show based solely on it.    In the area I deal with, which is all non-invasive injectables I have seen my far share of “botched” jobs.  I hate to say it but dermatologist rank the highest for the botched jobs I have had to correct.  Are they great at other things…sure, so lets let them practice what they are great at and keep them away from the face.  In the time I have been doing injections, I have seen everyone getting in on the game of fillers and botox.  In Scottsdale there is such a high demand to look and feel great, so everyone is trying to get in on the game. What you need to know is that if you can easily get in for a “same day appointment” they are most likely not who you should go to for advanced procedures.  I am typically booked out 2 weeks for fillers and all advanced injections, unless I get a last minute cancellation.  Remember that your face is hard to hide, and you get what you pay for.  I find it difficult to treat people who hop from one Groupon to the next, because I can never get an accurate sense of what injections have been done.  Establish yourself with someone you trust so that you can make changes to your treatment to achieve the best possible outcomes. Fillers like Juvederm and Restylane can easily be dissolved.  Radiesse can also be dissolved.  Botox…sorry, but it will have to wear off in 3-4 months.

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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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Earlobe Filler (rejuvenation)

Injections, Juvederm, Uncategorized /

We all know about filling our lips and cheeks with “fillers”, but now there are more options to maintain that youthful look.  People are now learning that they can put filler, such as Juvederm, in their ear lobes to help plump them up.  By filling and plumping the ear lobes, they can support the weight of ear rings much better. Many times people focus on the face and forget about everything else that helps a woman to look young.  I always suggest to look at the hands, neck and chest…and ear lobes.  Looking as young as you feel is an ongoing process, and can get expensive.  Fortunately, things such as fillers in the hands and ear lobes tend to last anywhere from 1-2 or 3 years.

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Restylane Defyne – New Lip Filler

Injections, Juvederm, Uncategorized /

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??

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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