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Botox, Dysport, Xeomin or Jeuvveau?

Botox & Dysport…What is it used for and what age should I start? It might seem hard to imagine there was ever a time before Botox, but it is actually newer than you probably think. Botulinum toxin A has only been used for cosmetic purposes since 1996.  Over the course of its short history, Botox has become a household name. New applications have also been found for Botox in the cosmetic realm, from scalp injections to keep hair clean and styled longer, to foot injections to help avoid the pain associated with wearing high heels. Botox is used for treating areas of the face that are prone to developing lines and wrinkles from muscle activity.  Botox will typically last about 3-4 months, depending on the person and their activity level.  We find that people who workout a lot tend to need Botox / Dysport much sooner.  Immediately after the injections you can expect small bumps in the area that the Botox / Dysport was injected.  These small bumps will resolve in about 5-10 minutes as it is absorbed into the muscle. How long until it begins to work?  Botox will usually start working in 8-10 days, where Dysport will begin working in 3-4 days.  Xeomin and Jeuveau will typically take about a week to start working.  We recommend waiting at least 2 weeks before you see your final results. Which one will last the longest?  This is a very difficult question to answer, because there are many factors.  Some men have very strong muscles and may need more botox than others.  The more Botox, Dysport, Xeomin ect. that you put in, the longer it will typically last.  When you only use a small amount of Botox, Dysport the results tend to not last as long.  It is a very personal preference regarding how much Botox a person may want, and how much movement they want as well.  Too much Botox or Dysport may tend to have a negative effect by causing the eye lids to become droopy. What age should I begin Botox or Dysport?  This question should really be – How strong are the muscles?  I have women in their 50’s who have never had Botox or Dysport and they have no wrinkles.  I have women in their early 20’s already developing deep lines, so I goes to show age has nothing to do with it.  I generally recommend around 30 being a good age to start with a small amount.  Women doing Botox or Dsyport in their early 20’s as a means of prevention, I will recommend smaller doses at 6-9 months or even once a year.

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Science behind Facials

Have you ever wondered what are the actual benefits of a facial?   Many people enjoy a facial because it is very relaxing and makes your skin glow.  There are actually many benefits you can gain from having a facial or HydraFacial. If you think that facials are a waste of an hour (and money), think again! Because your skin is missing out on something that’s good for it.  There are hundreds of pressure points on your face that are connected to various systems in your body. When these pressure points are massaged, your body will respond.  A good facial massage not just keeps your skin glowing, but it also affects the functioning of the other organs.  And since it is not possible for you to know all the pressure points, you need to visit a professional to get that facial massage. Facials help to thoroughly clean the face by unclogging the pores and exfoliating dead skin.  Exfoliation is the process where the dead skin cells are gently sloughed off your skin’s surface. The cells die and tend to pile up on the surface (if not removed), making your skin rough and dry. While you can exfoliate your skin using a scrub at home, if you want to remove the dead skin cells properly, going for a facial is the best option. It involves using chemical peels that thoroughly clean the skin surface, revealing a healthy layer of skin beneath. Regular facials and face massages increases cell regeneration and promotes collagen.  This gives you younger looking skin!  With age, your skin loses its elasticity as the production of collagen diminishes. During facial treatments, the professionals use chemical peels, face packs, masks, lotions, and creams that are enriched with botanical extracts that stimulate the production of collagen and reduce the signs of aging. Even if you do not have blemishes, hyperpigmentation, severe acne, or any other problems, your face needs to be pampered by a trained professional to keep it healthy. How often should you have a facial?  In an ideal world, a facial should be performed every 4-6 weeks to keep your skin looking fresh and remove old dead skin. HydraFacial uses patented technology to cleanse, extract, and hydrate. HydraFacial super serums are made with nourishing ingredients that create an instantly gratifying glow. HydraFacial is a skin treatment available in medical spas and dermatology offices. It’s also sometimes called “hydradermabrasion” because it involves microdermabrasion-like exfoliation combined with hydrating serums. Known for its three-step process, the HydraFacial works to deep-clean, exfoliate, and hydrate your skin. This professional procedure may help treat a variety of skin conditions, including acne, dryness, and wrinkles. The noninvasive procedure is similar in principle to a regular facial you might get from a spa but is said to provide more dramatic results. This is achieved by a mechanized wand used on your skin to deeply clean and exfoliate while delivering serums customized to your skin type. If you’re curious about whether a HydraFacial is worth the hype, read on to learn more about the potential benefits, the possible side effects, and how it compares to similar treatments.

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PDO Thread Lift

PDO Thread lifts have become a very popular procedure for lifting up sagging jowls and creating “Natural” volume from collagen production.  We have been performing for over 4 years and were the first in Arizona to perform this procedure.  Over the years our technique has changed and evolved to what we consider to be the best in all or Arizona.  PDO threads can be very difficult to place unless you have performed many of them.  Threads (sutures) are placed under the skin and anchor into the soft tissue to help lift the face and jowls.  The threads slowly dissolve over the period of a year.  The thread is placed in the hairline so that it is not visible and the end is cut off and slips under the skin.  Lidocaine in injected under the skin where the insertion point will be as well as under the skin.  The procedure takes about 45 minutes, and some times we like to also add a little filler to replace areas of bone and fat loss.  This is a great procedure to help lift and tighten and still maintain a natural appearance.

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Botox – Dysport

Botox is great for helping to reduce the lines on the forehead, between the eye brows and around the eyes.  Botox works in the muscle by blocking the impulse going to the muscle which causes it to contract.  When there are strong muscles, it causes micro injuries into the epidermis of the skin which cause lines to form where the muscle squeezes together.  Botox or Dysport will not fill in deep lines or wrinkles, so we suggest a “filler” at the point.  Fillers are gel substances that help plump up sunken areas or deep lines. What is a good age to start Botox?  It is hard to say exactly what age is appropriate, but we typically recommend around the age of 30.  A lot of this has to do with the strength of the muscles, and not so much about the age of the person.  We have had 20 year old women with very strong muscles, and I have had 60 year old women with no lines and have never had Botox or Dysport before.  When you are younger, we typically recommend Botox every 6-9 months as more of a preventative measure. Is Botox Safe?  We uses thousands of units every month and have never experienced any severe side effects.  Possible side effects may include a slight headache, blurred vision and flu like symptoms.  These possible side effects only last 24-48 hours and resolve on their own.

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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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Botox

Botox is a great way to help reduce and eliminate wrinkles and fine lines.  I typically recommend starting Botox when you start to see fine lines in the forehead or around the eyes.  When adding Botox into your routine of anti-aging the benefits will pay off greatly down the road.  Many people ask what a good age to begin Botox?  Unfortunately there is no right answer since everyone has different types of muscle strengths.  I have had clients as young as 20 begin Botox, and other women starting at the age of 45.  When getting Botox for “preventative” measures, I generally let people know they need a smaller amount and not as frequent.  The best idea is to have a consult to determine whether Botox is right for you. Dangers of Botox… When injected incorrectly, Botox can cause a “Droopy eye” or when injected inside the orbital rim it can migrate into the muscles that move the eye causing a lazy eye.  I have personally injected hundreds of thousands of Botox units and have never had any serious problems.  The good thing is that Botox is not permanent and will wear off in 3-6 months.  I always encourage people to do their research before undergoing any type of cosmetic procedure.  There are plenty of good injectors, but finding the one you like can take time, so be patient and do your homework.

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Fractora

Fractora is a great non-invasive skin renovation without surgery.  Fractora is a subdermal tissue coagulation device that bridges the gap between fractional lasers and surgical procedures.  This is NOT a laser treatment.  Fractora has multiple functions such as helping to even out skin texture and improve collagen production.  Fractora is great for removing fine lines and wrinkles, cystic acne, scars, eliminate hyperhydrosis (excessive sweating), skin tightening, and stretch marks. Treatments with Fractora will not cause damage to the epidermis which typically leads to Post inflammatory hyperpigmentation (PIH) as most other lasers will.  Another amazing benefit is that Fractora can be used on darker skin types, which traditionally are not candidates for many laser treatments.

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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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