Post-Procedural Swelling – A Word from Injector Zoe

This is for all my newbies – swelling will occur when you leave my office and it can be pretty significant at times. One side of our face is longer and stronger. We do NOT swell equally on both sides so YES, your face, lips, tear troughs whatever you had injected may look crazy, distorted, and uneven. The first 48 hours is the worst. You have to be patient and follow my instructions and STOP looking at yourself in the mirror, get off Google, RealSelf, and IG searching for complications and botch jobs. Take Benadryl and get off the Internet.

After tear trough treatment, you can have delayed swelling 2-4 weeks after injection. HA holds 1000x it’s weight in water. Think about the water absorbed when you throw a sponge in a bucket of water. This is the same thing. If this occurs, take Zyrtec and you can also press the filler down to flatten it out. Sometimes it just expands a little too much and it needs to be flattened out. Don’t worry, you will not mess it up if you press it down. Avoid salty foods and alcohol. Be patient and get off the Internet. Some of the clients that this has happened to literally just needed me to press it down and smooth it out, and it has worked every time.

Botox

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate-to-severe frown lines between the brows in people 18 to 65 years of age for a short period of time (temporary). BOTOX® Cosmetic, introduced in 2002, is the first botulinum toxin to be approved by the FDA to temporarily treat moderate to severe glabellar lines between the brows. Botox should be used as a preventative measure for fine lines and wrinkles. We recommend starting botox in your 20s. Botox lasts 3-4 months and it takes 1-2 weeks to get the full effect after it has been injected.

Xeomin

Xeomin (incobotulinumtoxin A) is approved by the US FDA for the treatment of adults with moderate to severe frown lines between the eyebrows. Incobotulinumtoxin A is made from the bacteria that causes botulism. Botulinum toxin blocks nerve activity in the muscles, causing a temporary reduction in muscle activity. Xeomin has no additives, just botulinum toxin type A. This may mean that there is less risk of developing antibodies against Xeomin than other available neurotoxins. The body develops antibodies in response to a foreign invader and attacks. In theory, antibodies could prevent a neurotoxin from having its desired effects. The effects of Xeomin occur within one week, and the results last from three to six months, making it comparable to Botox in terms of both onset and duration of action.

Radiesse

Radiesse is a calcium-based filler that adds volume to help smooth moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases that extend from the corner of your nose to the corner of your mouth). Radiesse is considered a semi-permanent filler that’s ideal for chiseled cheek augmentations, jawline definition, and chin implants. The Radiesse solution itself consists of calcium hydroxylapatite microspheres in a gel-like solution. During the first three months after the injection has been administered, Radiesse acts like any other dermal filler. Then, after that period has elapsed, the microspeheres stimulate the production of new collagen under the skin, allowing the dermal filler properties to continue for up to two years.

 

Belotero Balance

BELOTERO BALANCE® (eye filler) is a hyaluronic acid (HA) injectable filler that completely integrates into the skin tissue. While some fillers are designed to rebuild facial volume and structure, BELOTERO BALANCE specifically treats moderate-to-severe etched-in lines and wrinkles such as vertical lip lines above and around the lips. Because of Belotero’s smooth consistency it is ideal for lip and under eye injections. Belotero lasts at least 6 months. Belotero is ideal for the treatment of tear troughs. It is a very thin and light filler that has low risk for Tyndall effect of the eyes.

Juvederm

Juvederm Ultra Plus XC
 is a filler made of hyaluronic acid. It is approved by the FDA to provide a smooth long-lasting correction of facial wrinkles and folds often lasting up to a year. Juvederm is my preferred filler for lip augmentations and nasal labial fold treatment. This filler lasts 6-9 months on average.

VOLUMA® XC

As you age, it’s not just about lines and wrinkles. It can provide you contour and a subtle lift for up to 12 months with optimal treatment. Voluma is excellent for non-surgical nose jobs, laugh lines, and cheek augmentations. Voluma is a thicker and more viscous filler than Juvederm. Not recommended for lip augmentation. Voluma is recommended for subtle cheek augmentations. I typically use 1-2 syringes depending on the patients desired result.

Volbella is an HA filler by Allergan that was recently FDA approved October 2016 specific for lip augmentations. Allergan studies have shown that Volbella lasts up to 6-9 months. Volbella is a butter-smooth HA filler that plumps like a pillow and you cannot feel where injected. Although Volbella comes in a 0.5cc (half) syringe, we have found with experience that a full 1ml (1cc) of Volbella is needed to achieve the perfect result for lips and tear troughs. Because of the consistency and smoothness of Volbella, it is Zoe’s lips. Volbella lips are pillow soft without the feeling of the HA “lumps” like other fillers. Due to the elasticity of Volbella, the product moves naturally with the movement of your face without creating a “fake” or overdone look yet achieving voluptuous results. For first time filler patients, it is recommended you do one syringe at first, with a second syringe to maintain the augmentation a month to 2 months after initial injection.

 

Restylane Lyft

Formerly known as Perlane, Restylane Lyft has the highest G-prime (thickness) than any other HA filler. What does that mean? It means that this product is ideal for “building” and “molding” such as creating high cheek bones, chin implants, and building nose bridges for non-surgical nose jobs. The higher the G-prime, the thicker and more viscous the product is and hence, lasts longer. If you’re looking for chiseled cheek bones, a straight nose, or a more pronounced chin, Lyft is the way to go. I personally think that Lyft lasts longer than volume due to the higher viscosity and you get more bang for your buck with this one.

 

Bellafill

Bellafill uses an innovative blend of 2 distinct components to create results that are both immediate and long lasting. Suspended within its smooth collagen gel base are tiny polymethyl methacrylate (PMMA) microspheres. Once it’s injected, the collagen goes to work immediately, adding natural-looking volume to soften smile lines or acne scars. Over time, your body naturally metabolizes the collagen — but that doesn’t mean your results disappear. The PMMA microspheres work as a scaffolding system, supporting the development of your own collagen and laying the foundation for long-term smoothness. Bellafill is 80% Bovine collagen and 20% PMMA.

Bellafill is indicated for the correction of nasolabial folds and moderate to severe, atrophic, distensible facial acne scars on the cheek in patients over the age of 21 years. Patients who have had a positive reaction to the Bellafill. Skin Test, have a history of severe allergies, have known bovine collagen allergies, beef allergy, are allergic to lidocaine, have bleeding disorders or are prone to thick scar formation and/or excessive scarring should not receive Bellafill. You may experience temporary swelling, redness, pain, bruising, lumps/bumps, itching, and discoloration at the treatment site. These side effects are usually transient and typically resolve within 1–7 days. You may experience lumps/bumps/papules that may occur more than one month after injection and that may persist. Less common side effects include rash and itching more than 48 hours after treatment, persistent swelling or redness, lumps/bumps, acne, and increased sensitivity at treatment sites. Infrequently, granulomas may occur and may be treated by your licensed physician provider. Based on the 5-year Post-Approval Study on nasolabial folds with 1,008 patients, long-term safety of Bellafill or up to 5 years has been established.

Platelet Rich Plasma (PRP) / Stimulation of Hair Growth / Micro-needling

PRP is a natural product created from your own body. A small amount of blood is drawn from you and placed in a sterile tube that is spun down in a centrifuge to separate the different components of the blood. Red and white blood cells are divided from the platelets and the plasma (the gold serum). This plasma now contains a higher than normal number of platelets and is called platelet rich plasma, or PRP.

Face – Platelets are the cells in the blood that help tissue to heal and grow new cells. The PRP, injected into specific areas of the skin, act as a matrix that promotes your own collagen to grow, regenerates tissue, and naturally smooths and tightens the skin. In this way, PRP softens wrinkles and creates smoother skin texture and tone. PRP is an excellent treatment for acne scarring and pitting, deep and fine lines, texture issues, scars, and wound healing. The way we do our microneedling with PRP is by drawing your blood and separating the RBCs from the plasma. We microneedle the affected area and infuse the PRP on top. We then inject the extra PRP in the dermis using a microdroplet technique all over or to the areas that need it the most. Treatments are done on monthly intervals and we recommend 3-6 treatments for optimal results. Results are seen gradually over time.

Hair Restoration – PRP contains special cells called Platelets, that can cause growth of the hair follicles by theoretically stimulating the stem cells located in the Dermal Papilla as well as other structures of the hair follicle. These special Platelet cells promote healing and accelerate the rate and degree of tissue healing and regeneration, response of the body to injury, and formation of new cellular growth. The primary purpose of using PRP in hair restoration is to stimulate inactive or newly implanted hair follicles into an active growth phase. PRP hair restoration does not have an immediate result. Results show 4-6 months after in conjunction with a prescription of Hair Restore by The Skin Salvation. You typically need a solid 3 treatments 3-6 weeks apart with touch ups 1-2 times a year. Unfortunately hair loss and hair thinning is an ongoing issue and needs maintenance.

Micro-needling – Micro needling is a very safe, effective non-surgical and non-ablative treatment for various skin conditions such as fine wrinkles, acne scarring and hyper-pigmentation. Clinical studies have shown professional micro needling to be comparable to fractional laser treatment.  By creating micro-injuries to the skin, it initiates skin-healing response and stimulates collagen and elastin production resulting in thicker, younger looking skin. This procedure is combined with other rejuvenation treatments, including PRP to create maximal benefit and improve penetration of topically applied vitamins, peptides, and other ingredients. Microneedling is excellent for overall skin texture, scarring, laxity issues. Microneedling is contraindicated for patients who have a propensity to keloid. Microneedling is a maintenance procedure for those who want to maintain their skin tight, smooth and glowing. I recommend 3-10 treatments depending on each persons skin issues and goals. Average downtime is 2-3 days. You still get superficial PRP benefits with your own blood during the procedure with microneedling alone.

 

 


Lipotropic Injections/ Kybella 
AKA Deoxycholic Acid

Lipotropic Injections/ Kybella 
AKA Deoxycholic Acid and phosphatydlcholine , is a non-invasive procedure that requires multiple fine injections of active ingredients into the treatment area beneath the skin to seemingly melt away fat and expel it from the body. The theory behind lipolysis is that together the ingredients cause fat to liquefy, dissolve and be eliminated from the body. A combination of phosphatidyl choline and deoxycholic acid is used. This can be an effective treatment to remove pockets of fat on the face, neck and body. Unlike surgery, these treatments are usually relatively simple, require no post-operative recovery time, require no heavy bandages or garments, and no anesthetic is necessary.
The cosmetic application includes removal of small, stubborn, unwanted pockets of fat that are resistant to diet and exercise. Lipolysis is not suitable for weight loss and should be combined with a healthy lifestyle including a sensible exercise and dietary program for optimal results. Some fat deposits are especially suited for treatment while others are not.
Treatments consist of 1 to 4 treatments (usually 2 or 3) approximately 4 to 6 weeks apart, depending on healing. The results are permanent and the length of swelling depends on the patient. The more fat you have, the more swelling you will have. The swelling an last from 2-6 weeks. There is usually no down time with the exception of the swelling. Some minor soreness may be experienced after.

 

The Perfect Peel:

The Perfect Derma Peel combines powerful ingredients with effective acids to deliver outstanding results after one treatment. This unique formula allows for an increase in lifting of fine lines and wrinkles as well as reducing hyperpigmentation including Melasma. The Perfect Derma Peel is a non-invasive, virtually painless treatment with only 2-4 days of peeling. The Perfect Derma Peel formula was designed to help improve various problematic skin conditions, including acne. The Perfect Derma Peel helps minimize the damage and scarring that can result from acne. Glutathione helps increase cellular turnover thus reducing stubborn acne scars. A series of peels is required. The Perfect Derma Peel will reduce or eliminate hyper pigmentation, sun damage and Melasma. It will control Acne and reduce Acne Scars. In addition, it will help erase fine lines and wrinkles, reduce enlarged pores and build collagen and elastin for a healthier, firmer complexion.  The overall tone, texture and clarity of the skin will be improved.

After one treatment of The Perfect Derma Peel, overall skin tone and complexion will appear smooth, glowing and fresh. Depending on skin conditions, multiple treatments may be necessary for desired results. A series of 2-3 treatments applied once every 4 weeks will allow for optimal results for more severe skin conditions such as Melasma and active acne.

This peel is good for ALL ethnicities.

The patient may feel a slight stinging or tingling sensation which will subside after 30-60 seconds. Numbing takes place once the first pass of The  Perfect Derma Peel solution is applied. A fan or cool breeze may be used for the comfort of the patient. The Perfect Derma Peel application only takes 15 minutes to administer. The amount of peeling skin associated with The  Perfect Derma Peel is mainly a sloughing of thin sheets of epidermis skin that begins around day three and generally is completed by day six or seven. Immediately after the peel has been applied the skin will either appear red, like a sunburn, or darker. On day three, peeling will begin. The Perfect Derma Moisturizer will reduce the visibility of peeling by hydrating. By day six or seven the peeling process should be complete. Normal activities may be resumed immediately post peel. We recommend avoiding heavy exercise and excessive sweating during the peeling process. The day the peel is applied the patient should not put any make up or other products on his or her face post peel. Make may be worn on day 2 of the peeling process. The Perfect Derma Peel may be applied initially every four weeks if necessary. Thereafter, we recommend once every 3 – 6 months to maintain improved skin results, as well as to prevent further aging and environmental damage.

Aquagold Facial:

AQUAGOLD® fine touch™ has the proven ability to deliver the desired amount of drug or biologic, just under the dermis, at a consistent depth, pain-free, and over a large surface area.  This is a major advantage over the conventional syringe approach. The microneedles are 600 micrometers (0.6 mm) long and 130 micrometers (0.13 mm) wide, thinner than human hair. The purpose of AQUAGOLD® fine touch is to micro channel and deliver treatments directly to the skin. The purpose of other common micro needle devices is to puncture the skin for stimulation. Why are the AQUAGOLD® fine touch needles gold-plated stainless steel? The surgical grade stainless steel provides the structural integrity of the microneedle. Pure gold has high biocompatibility with human skin, preventing irritation and allergic responses after use. Impurities and other metals may result in unnecessary irritation. I put xeomin, hyaluronic acid, peptides, antioxidants, and vitamin C into the device to infuse it into the skin. Down time is typically 2 -3 days similar to microneedling.

PDO threads:

It’s a synthetic, absorbable surgical suture composed of polydioxanone. PDO sutures are used to perform cardiothoracic surgery (such as open-heart surgery). It’s one of the safest materials to be implanted in the body. Your skin fully absorbs it within 4 to 6 months & won’t leave you with any scar tissue.

How does it work? In medical terms “Selective Inflammatory Response”, it is the principle behind a lot of aesthetic procedures (such as Fractional Laser, Chemical Peels & MicroNeedling). Our skin is very good at repairing itself, and by inserting PDO threads we make it ‘heal’ itself by creating new collagen, naturally! your skin gently reacts to the inserted threads

Yes, PDO is fully absorbable, but that doesn’t mean your skin won’t react to it. During the 4 to 6 months needed to fully absorb the PDO suture, your skin is also repairing itself around it. It’s “controlled healing” happening underneath the skin! NO CUTS OR INCISIONS. PURELY INJECTIONS!

The PDO threads are needles that are pre-loaded with a PDO thread. Simply insert the whole needle in the interstitial tissue at subdermal level, parallel to the surface of the skin, & pull the needle out.

The PDO thread remains under the skin.

NECK & JAW

Although PDO threads can be inserted almost anywhere, one area where they are especially effective is the neck and jawline. The lower third of the face is challenging to treat effectively with botulinum toxin or injectable fillers, which are most effective in the upper and middle third of the face, respectively.

RESTORING THE V-SHAPE

A beautiful and healthy face has a “V-shape”. With the aging of tissues and the action of gravity, this “V-shape” diminishes or inverts. The idea behind the NovaMesh and the NovaLyft technique is to either create a scaffolding in order to support the tissues and keep them in the “V-shape” or where necessary to delicately lift the tissues and reposition the skin to recreate the “V-shape” where it’s been lost.

 

MICC Injections for Weight Loss:

M: methionine-is one of the sulfur-containing amino acids that acts as a lipotropic agent to prevent excess fat build up in the liver and body.

I: Inositol-is a nutrient belonging to the B vitamin family and closely associated with choline. It aids in the metabolism of fats, helps reduce blood cholesterol and participates in the action of seratonin production.

C: Choline– Supports the health of the liver in its processing and excretion of chemical waste products within the body. It is required for the transport and metabolism of fats and cholesterol within the body, which is important for the healthy support of the endocrine, cardiovascular, and hepatic system.

When i prescribe my MICC Kit to you, I will show you how to inject yourself intra-muscluarly twice a week for a 6 week cycle. My pharmacy will send you the kit with everything you need for a 6 week cycle directly to your house the next business day. You MUST be my patient and I have to see you in office for the first consultation and first injection in office. I sometimes combine this treatment with oral prescription weight loss pills for maximum effect.

MICC is made out of vitamins and minerals compounded in a pharmacy. The injections are done 2 times a week spaced at least 3 days apart for 6 weeks total (1 cycle). The injections are done intramuscularly preferable in the deltoid or glut muscle. Zoe will teach you and do an in office demo at your visit along with your first injection in office. You will be injected yourself. All the supplies needed will be included in the kit. The medication does not burn when being injected. There are no known serious side effects since these are all vitamins and minerals. B12 may cause rapid heat beat but it is rare. All results vary between patients and it cannot be predicted how much weight you will lose nor can it be guaranteed. You still have to diet and exercise for maximum results. The number of cycles needed also depends on you and your goals. Most people do 2-3 cycles back to back. There is no specific diet to follow however you do want to follow some sort of clean balanced diet and exercise a minimum of 5 times per week. MICC is good for all patients who are clinically overweight. If you have 10 or more pounds to lose, MICC is a good option. MICC is also a good option for patients needing to lose weight prior to surgery.

Botox

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate-to-severe frown lines between the brows in people 18 to 65 years of age for a short period of time (temporary). BOTOX® Cosmetic, introduced in 2002, is the first botulinum toxin to be approved by the FDA to temporarily treat moderate to severe glabellar lines between the brows. Botox should be used as a preventative measure for fine lines and wrinkles. We recommend starting botox in your 20s. Botox lasts 3-4 months and it takes 1-2 weeks to get the full effect after it has been injected.

Xeomin

Xeomin (incobotulinumtoxin A) is approved by the US FDA for the treatment of adults with moderate to severe frown lines between the eyebrows. Incobotulinumtoxin A is made from the bacteria that causes botulism. Botulinum toxin blocks nerve activity in the muscles, causing a temporary reduction in muscle activity. Xeomin has no additives, just botulinum toxin type A. This may mean that there is less risk of developing antibodies against Xeomin than other available neurotoxins. The body develops antibodies in response to a foreign invader and attacks. In theory, antibodies could prevent a neurotoxin from having its desired effects. The effects of Xeomin occur within one week, and the results last from three to six months, making it comparable to Botox in terms of both onset and duration of action.

Radiesse

Radiesse is a calcium-based filler that adds volume to help smooth moderate to severe facial wrinkles and folds, such as nasolabial folds (the creases that extend from the corner of your nose to the corner of your mouth). Radiesse is considered a semi-permanent filler that’s ideal for chiseled cheek augmentations, jawline definition, and chin implants. The Radiesse solution itself consists of calcium hydroxylapatite microspheres in a gel-like solution. During the first three months after the injection has been administered, Radiesse acts like any other dermal filler. Then, after that period has elapsed, the microspeheres stimulate the production of new collagen under the skin, allowing the dermal filler properties to continue for up to two years.

 

Belotero Balance

BELOTERO BALANCE® (eye filler) is a hyaluronic acid (HA) injectable filler that completely integrates into the skin tissue. While some fillers are designed to rebuild facial volume and structure, BELOTERO BALANCE specifically treats moderate-to-severe etched-in lines and wrinkles such as vertical lip lines above and around the lips. Because of Belotero’s smooth consistency it is ideal for lip and under eye injections. Belotero lasts at least 6 months. Belotero is ideal for the treatment of tear troughs. It is a very thin and light filler that has low risk for Tyndall effect of the eyes.

Juvederm

Juvederm Ultra Plus XC
 is a filler made of hyaluronic acid. It is approved by the FDA to provide a smooth long-lasting correction of facial wrinkles and folds often lasting up to a year. Juvederm is my preferred filler for lip augmentations and nasal labial fold treatment. This filler lasts 6-9 months on average.

VOLUMA® XC

As you age, it’s not just about lines and wrinkles. It can provide you contour and a subtle lift for up to 12 months with optimal treatment. Voluma is excellent for non-surgical nose jobs, laugh lines, and cheek augmentations. Voluma is a thicker and more viscous filler than Juvederm. Not recommended for lip augmentation. Voluma is recommended for subtle cheek augmentations. I typically use 1-2 syringes depending on the patients desired result.

Volbella is an HA filler by Allergan that was recently FDA approved October 2016 specific for lip augmentations. Allergan studies have shown that Volbella lasts up to 6-9 months. Volbella is a butter-smooth HA filler that plumps like a pillow and you cannot feel where injected. Although Volbella comes in a 0.5cc (half) syringe, we have found with experience that a full 1ml (1cc) of Volbella is needed to achieve the perfect result for lips and tear troughs. Because of the consistency and smoothness of Volbella, it is Zoe’s lips. Volbella lips are pillow soft without the feeling of the HA “lumps” like other fillers. Due to the elasticity of Volbella, the product moves naturally with the movement of your face without creating a “fake” or overdone look yet achieving voluptuous results. For first time filler patients, it is recommended you do one syringe at first, with a second syringe to maintain the augmentation a month to 2 months after initial injection.

 

Restylane Lyft

Formerly known as Perlane, Restylane Lyft has the highest G-prime (thickness) than any other HA filler. What does that mean? It means that this product is ideal for “building” and “molding” such as creating high cheek bones, chin implants, and building nose bridges for non-surgical nose jobs. The higher the G-prime, the thicker and more viscous the product is and hence, lasts longer. If you’re looking for chiseled cheek bones, a straight nose, or a more pronounced chin, Lyft is the way to go. I personally think that Lyft lasts longer than volume due to the higher viscosity and you get more bang for your buck with this one.

 

Platelet Rich Plasma (PRP) / Stimulation of Hair Growth / Micro-needling

PRP is a natural product created from your own body. A small amount of blood is drawn from you and placed in a sterile tube that is spun down in a centrifuge to separate the different components of the blood. Red and white blood cells are divided from the platelets and the plasma (the gold serum). This plasma now contains a higher than normal number of platelets and is called platelet rich plasma, or PRP.

Face – Platelets are the cells in the blood that help tissue to heal and grow new cells. The PRP, injected into specific areas of the skin, act as a matrix that promotes your own collagen to grow, regenerates tissue, and naturally smooths and tightens the skin. In this way, PRP softens wrinkles and creates smoother skin texture and tone. PRP is an excellent treatment for acne scarring and pitting, deep and fine lines, texture issues, scars, and wound healing. The way we do our microneedling with PRP is by drawing your blood and separating the RBCs from the plasma. We microneedle the affected area and infuse the PRP on top. We then inject the extra PRP in the dermis using a microdroplet technique all over or to the areas that need it the most. Treatments are done on monthly intervals and we recommend 3-6 treatments for optimal results. Results are seen gradually over time.

Hair Restoration – PRP contains special cells called Platelets, that can cause growth of the hair follicles by theoretically stimulating the stem cells located in the Dermal Papilla as well as other structures of the hair follicle. These special Platelet cells promote healing and accelerate the rate and degree of tissue healing and regeneration, response of the body to injury, and formation of new cellular growth. The primary purpose of using PRP in hair restoration is to stimulate inactive or newly implanted hair follicles into an active growth phase. PRP hair restoration does not have an immediate result. Results show 4-6 months after in conjunction with a prescription of Hair Restore by The Skin Salvation. You typically need a solid 3 treatments 3-6 weeks apart with touch ups 1-2 times a year. Unfortunately hair loss and hair thinning is an ongoing issue and needs maintenance.

Micro-needling – Micro needling is a very safe, effective non-surgical and non-ablative treatment for various skin conditions such as fine wrinkles, acne scarring and hyper-pigmentation. Clinical studies have shown professional micro needling to be comparable to fractional laser treatment.  By creating micro-injuries to the skin, it initiates skin-healing response and stimulates collagen and elastin production resulting in thicker, younger looking skin. This procedure is combined with other rejuvenation treatments, including PRP to create maximal benefit and improve penetration of topically applied vitamins, peptides, and other ingredients. Microneedling is excellent for overall skin texture, scarring, laxity issues. Microneedling is contraindicated for patients who have a propensity to keloid. Microneedling is a maintenance procedure for those who want to maintain their skin tight, smooth and glowing. I recommend 3-10 treatments depending on each persons skin issues and goals. Average downtime is 2-3 days. You still get superficial PRP benefits with your own blood during the procedure with microneedling alone.

 

 


Lipotropic Injections/ Kybella 
AKA Deoxycholic Acid

Lipotropic Injections/ Kybella 
AKA Deoxycholic Acid and phosphatydlcholine , is a non-invasive procedure that requires multiple fine injections of active ingredients into the treatment area beneath the skin to seemingly melt away fat and expel it from the body. The theory behind lipolysis is that together the ingredients cause fat to liquefy, dissolve and be eliminated from the body. A combination of phosphatidyl choline and deoxycholic acid is used. This can be an effective treatment to remove pockets of fat on the face, neck and body. Unlike surgery, these treatments are usually relatively simple, require no post-operative recovery time, require no heavy bandages or garments, and no anesthetic is necessary.
The cosmetic application includes removal of small, stubborn, unwanted pockets of fat that are resistant to diet and exercise. Lipolysis is not suitable for weight loss and should be combined with a healthy lifestyle including a sensible exercise and dietary program for optimal results. Some fat deposits are especially suited for treatment while others are not.
Treatments consist of 1 to 4 treatments (usually 2 or 3) approximately 4 to 6 weeks apart, depending on healing. The results are permanent and the length of swelling depends on the patient. The more fat you have, the more swelling you will have. The swelling an last from 2-6 weeks. There is usually no down time with the exception of the swelling. Some minor soreness may be experienced after.

 

The Perfect Peel:

The Perfect Derma Peel combines powerful ingredients with effective acids to deliver outstanding results after one treatment. This unique formula allows for an increase in lifting of fine lines and wrinkles as well as reducing hyperpigmentation including Melasma. The Perfect Derma Peel is a non-invasive, virtually painless treatment with only 2-4 days of peeling. The Perfect Derma Peel formula was designed to help improve various problematic skin conditions, including acne. The Perfect Derma Peel helps minimize the damage and scarring that can result from acne. Glutathione helps increase cellular turnover thus reducing stubborn acne scars. A series of peels is required. The Perfect Derma Peel will reduce or eliminate hyper pigmentation, sun damage and Melasma. It will control Acne and reduce Acne Scars. In addition, it will help erase fine lines and wrinkles, reduce enlarged pores and build collagen and elastin for a healthier, firmer complexion.  The overall tone, texture and clarity of the skin will be improved.

After one treatment of The Perfect Derma Peel, overall skin tone and complexion will appear smooth, glowing and fresh. Depending on skin conditions, multiple treatments may be necessary for desired results. A series of 2-3 treatments applied once every 4 weeks will allow for optimal results for more severe skin conditions such as Melasma and active acne.

This peel is good for ALL ethnicities.

The patient may feel a slight stinging or tingling sensation which will subside after 30-60 seconds. Numbing takes place once the first pass of The  Perfect Derma Peel solution is applied. A fan or cool breeze may be used for the comfort of the patient. The Perfect Derma Peel application only takes 15 minutes to administer. The amount of peeling skin associated with The  Perfect Derma Peel is mainly a sloughing of thin sheets of epidermis skin that begins around day three and generally is completed by day six or seven. Immediately after the peel has been applied the skin will either appear red, like a sunburn, or darker. On day three, peeling will begin. The Perfect Derma Moisturizer will reduce the visibility of peeling by hydrating. By day six or seven the peeling process should be complete. Normal activities may be resumed immediately post peel. We recommend avoiding heavy exercise and excessive sweating during the peeling process. The day the peel is applied the patient should not put any make up or other products on his or her face post peel. Make may be worn on day 2 of the peeling process. The Perfect Derma Peel may be applied initially every four weeks if necessary. Thereafter, we recommend once every 3 – 6 months to maintain improved skin results, as well as to prevent further aging and environmental damage.

Aquagold Facial:

AQUAGOLD® fine touch™ has the proven ability to deliver the desired amount of drug or biologic, just under the dermis, at a consistent depth, pain-free, and over a large surface area.  This is a major advantage over the conventional syringe approach. The microneedles are 600 micrometers (0.6 mm) long and 130 micrometers (0.13 mm) wide, thinner than human hair. The purpose of AQUAGOLD® fine touch is to micro channel and deliver treatments directly to the skin. The purpose of other common micro needle devices is to puncture the skin for stimulation. Why are the AQUAGOLD® fine touch needles gold-plated stainless steel? The surgical grade stainless steel provides the structural integrity of the microneedle. Pure gold has high biocompatibility with human skin, preventing irritation and allergic responses after use. Impurities and other metals may result in unnecessary irritation. I put xeomin, hyaluronic acid, peptides, antioxidants, and vitamin C into the device to infuse it into the skin. Down time is typically 2 -3 days similar to microneedling.

PDO threads:

It’s a synthetic, absorbable surgical suture composed of polydioxanone. PDO sutures are used to perform cardiothoracic surgery (such as open-heart surgery). It’s one of the safest materials to be implanted in the body. Your skin fully absorbs it within 4 to 6 months & won’t leave you with any scar tissue.

How does it work? In medical terms “Selective Inflammatory Response”, it is the principle behind a lot of aesthetic procedures (such as Fractional Laser, Chemical Peels & MicroNeedling). Our skin is very good at repairing itself, and by inserting PDO threads we make it ‘heal’ itself by creating new collagen, naturally! your skin gently reacts to the inserted threads

Yes, PDO is fully absorbable, but that doesn’t mean your skin won’t react to it. During the 4 to 6 months needed to fully absorb the PDO suture, your skin is also repairing itself around it. It’s “controlled healing” happening underneath the skin! NO CUTS OR INCISIONS. PURELY INJECTIONS!

The PDO threads are needles that are pre-loaded with a PDO thread. Simply insert the whole needle in the interstitial tissue at subdermal level, parallel to the surface of the skin, & pull the needle out.

The PDO thread remains under the skin.

NECK & JAW

Although PDO threads can be inserted almost anywhere, one area where they are especially effective is the neck and jawline. The lower third of the face is challenging to treat effectively with botulinum toxin or injectable fillers, which are most effective in the upper and middle third of the face, respectively.

RESTORING THE V-SHAPE

A beautiful and healthy face has a “V-shape”. With the aging of tissues and the action of gravity, this “V-shape” diminishes or inverts. The idea behind the NovaMesh and the NovaLyft technique is to either create a scaffolding in order to support the tissues and keep them in the “V-shape” or where necessary to delicately lift the tissues and reposition the skin to recreate the “V-shape” where it’s been lost.

 

MIC Injections for Weight Loss:

M: methionine-is one of the sulfur-containing amino acids that acts as a lipotropic agent to prevent excess fat build up in the liver and body.

I: Inositol-is a nutrient belonging to the B vitamin family and closely associated with choline. It aids in the metabolism of fats, helps reduce blood cholesterol and participates in the action of seratonin production.

C: Choline– Supports the health of the liver in its processing and excretion of chemical waste products within the body. It is required for the transport and metabolism of fats and cholesterol within the body, which is important for the healthy support of the endocrine, cardiovascular, and hepatic system.

When i prescribe my MIC Kit to you, I will show you how to inject yourself intra-muscluarly twice a week for a 6 week cycle. My pharmacy will send you the kit with everything you need for a 6 week cycle directly to your house the next business day. You MUST be my patient and I have to see you in office for the first consultation and first injection in office. I sometimes combine this treatment with oral prescription weight loss pills for maximum effect.

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