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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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Botox or Dysport

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 (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)

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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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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PRP Injections

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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Mini Facelift – PDO Facial Threading

In facial threading, I am basically the ONLY one in all of Arizona that does PDO Facial Threading…and has amazing results!!  I have been seeing a few places try and attempt facial threading in the state of Arizona, but the results are just very poor.  The training they received was very inadequate and patients were not happy with the results. I have been performing facial thread lifts for a year now and get really astounding results.  Of all the people I have performed this procedure on, not one person has been disappointed.  I honestly would say that I get better results than the plastic surgeon who I learned from. PDO is an abbreviation for ” Polydioxanone  ” which are sutures that dissolve slowly over time.  The number of threads that are placed in the mid-face and lower face depend on the amount of sagging in the jowl.  These threads are placed under the skin and slowly start to build up new collagen .  The great thing about threads is that it will reduce the amount of fillers needed in the face.  Having fewer fillers in the face will give you a more “Natural” look.  I will typically follow up in 2 weeks with my patients to place any additional threads.  Results will look better over the following weeks after the procedure. This procedure will last you about 2 years, and has very minimal pain and rarely any bruising.  The face will feel tight for about 5-7 days following the procedure.   This is one of the latest cutting edge procedures that can take years off your face, and has no real downtime.

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Juvederm or Botox?

Many times people who are new to having procedures done are not familiar with terminology used.  I many times hear people ask for Botox to be placed in the nasolabial folds “Laugh Lines”.  An easy way to remember the difference is that fillers like Juvederm “Fill In” low spots or wrinkles.  Botox works on the muscle to help it not move.  Botox does not paralyze the muscle, but rather weakens it so that it does not temporarily not move.  Botox typically comes in units whereas Juvederm and fillers come in a pre-filled syringe.  Juvederm is a gel like substance, and Botox is a fine powder until mixed with sodium chloride to reconstitute it.  Can you “water down” juvederm or fillers?  Absolutely not.  I have read about people thinking they are getting scammed on juvederm by someone watering it down…impossible.  Can Botox be over diluted and “watered down”…yes!  In my own personal opinion I don’t feel it is morally right to cheat someone out of something if they paid for it, but other shady med spas have no problem doing it.  How do you know if it is watered down?  It is extremely difficult to determine if Botox is over diluted, unless your the one doing it.  This is why it is so important to deal with a reputable office.  A few times I have treated people and they said it didn’t work completely, so I re-treat them at no charge.  Do your homework and find a great place to go, and more importantly people you trust.  I always recommend Yelp for honest reviews or Google+.

Juvederm or Botox? Read More »

Forma- Neck & Face Tightening

Have you ever wondered if you can tighten your neck and face with no downtime?  There is a new machine on the market called “Forma” which uses radio frequency and heat to help tighten the skin on the face and neck.  How it works is by passing a specific frequency down through the skin to help tighten up the elastin fibers and collagen to produce a tightening effect.  Over time as we age, the elastin fibers relax which lead to loose skin.  By passing a frequency down through the fibers, it helps to tighten these specific fibers and produce tighter skin.  This machine will not produce collagen, so I recommend a good dermal filler to add volume to areas deficient in volume. The Forma is completely painless, and you may actually fall asleep during the procedure.  Results can typically be seen after 3 treatments, and 6 treatments is what I generally recommend.  I recommend this for the mid-face to jaw line area, and the neck.  Other places people use the Forma are for above the knees and arm areas.

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Affordable Mini Face Lift

There are so many new options out there, that getting a face-lift is no longer the only solution to look younger.  Many people are using dermal fillers such as Juvederm, Voluma, Volbella, Restylane, Radiesse to achieve a youthful appearance.   Dermal fillers a great and I love them, but many times over use of fillers in the face can lead to a “moon face” that is big and round with no defined shape. The PDO thread lift is also known as the “Mini Face-Lift”.  This procedure takes about 1 hour and will rid your face of those jowls and tighten you up.  A cannula with a suture is placed under the skin into the soft tissue.  The suture has fine barbs on it that anchor it into the tissue.  The cannula is removed and the suture stays in place.  The suture will very slowly dissolve over a period of 1-2 years depending on the size of the “thread” suture.   There is no “bunched up” skin by the ear and it is very soft and natural looking.  This is a very highly skilled procedure and should only be performed by trained and certified professionals.  We perform the most PDO thread lifts in all of Arizona and are highest rated!

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