Anti-aging Treatments

Young beautiful woman having an injection

Fillers: How Long Do they Really Last?

I had my first filler injection in the the late 1990’s and have tried every filler on the market except Bellafill, a permanent filler.

There are more FDA approved fillers on the market today and more are awaiting approval.  The documented  length of time a Filler lasts is based on the results from the manufacturer’s clinical trials. Millions of dollars are spent on marketing campaigns and provider training courses.

Consumers should be aware that these results are guidelines only. 

The results that you get from any filler injection and how long it will last for you may differ than the documented results seen in the clinical trials. If you think that your filler will last 9 months and it only lasts for 6 months, don’t blame your injector. It’s not the product or the injector’s fault, it is the way your body metabolizes the filler and where it has been placed in your face. Lip filler is not going to last as long as filler under your eyes.

As a plastic surgery and aesthetic coach, I hear all too often from my clients that they are disappointed with their Dermatologist or Plastic Surgeon after getting for example, Voluma because it did not last 2 years as advertised. This is an average only. As the product is on the market longer the documented results may change.

Here is a realistic guideline to keep in mind when you budget for fillers.

  • All HA fillers are temporary. They will last between 6-9 months.
  • Fine line fillers Restylane Silk and Belotero may only last 6 months. In some cases less.
  • Voluma, a deeper filler may last UP TO 2 years. However, you will probably need more filler at 9 -12 months to give it a boost
  • Juvederm may last 9 months depending on placement
  • Restylane Lyft which is the same as Perlane lasts UP to 18 months. Realistic expectation 9-12 months

Non- HA Fillers

  • Radiesse lasts 9- 12 months. Realistic expectations- 9 months. Radiesse hand injections may last 9 months with a boost
  • Sculptra can last up to 25 months after the last treatment. You may need a touch-up in 12- 18 months
  • Bellafill is a permenant filler

If you have any questions or comments, I’d love to hear from you.

Remember: You Only Have One Face and One Body, Choose Wisely!

-Michele Garber

The NipTuck Talk Show

The NipTuck Talk Show is on the Move

We’re expanding. We are no longer broadcasting live on Blog Talk Radio. 

Please visit us on our new website  www.niptucktalk.com where you can listen to our latest episodes or catch -up on some old ones. You can also listen and subscribe on iTunes and Stitcher.com.  To stay up-to-date on our upcoming guests and topics, please subscribe to our Newsletter.

We’ll be interviewing some very special guests and have some exciting show topics lined up for 2015.

Don’t miss an episode – Subscribe Now.

Past Episodes Playing

*NY Media Personality and Dermatologist  Dr. Doris Day talks about Aging Successfully, Not Helplessly

*Celebrity Hair Stylist Dustin David, Los Gatos, Ca., shares some hot styling tips, expert advice on to communicate with your stylist for the best look and how to hide scars after a Facelift.

*How to Navigate Your Beauty with internationally renowned Plastic Surgeon, Dr. Rod Rohrich.

*Advances in Breast Reconstruction surgery with San Francisco Plastic Surgeon, Dr. Scott Mosser

*Lipstick and Floss with Washington’s Top Aesthetic Dentist, Dr. Claudia Cotoca

*MicroNeedling Guru, Dr. Lance Setterfield.

*Past episodes from Blog Talk Radio will be available shortly on iTunes and our website. Guests include medical experts such as Washington’s Celebrity Dermatologist, Dr. Tina Alster, Internationally recognized Hair transplant Doctor, Dr. Alan Bauman, Host of “The Bald Truth” Spencer Kobran, Marina Bay Plastic Surgeon, Dr. Grant Stevens plus many more.

*We’ll cover hot topics, patient stories, consumer safety issues, marketing gimmicks and hypes, and more.

If you have suggestions for a show topic, or comments I’d love to hear from you please email me at info@niptuckcoach.com or leave a comment here.

Rejuvenate Your Skin: Micro-needling New

Does the thought of tiny needles rolling across your skin scare you? No need to fear. Micro-needling  is actually an age-old treatment used to treat scars and stimulate collagen and ellastin.

Many clinical studies have shown that micro-channeling (Needling) is more effective than other methods of treatment including laser resurfacing, chemical peels and microdermabrasion.

Micro-needling or micro-channeling uses a micro-needle roller to painlessly penetrate the epidermis in order to stimulate collagen and elastin growth and to create clear routes to increase absorption of topical serums into the skin. This system also benefits acne scars.

Micro-needing became popular in 2004-2005, however the theory of puncturing the skin has been around for a long time.  Have you ever punctured a zit?  Afterwards, the healing process begins.  Tattooing is also a form of micro-needling with a penetration depth of about 1.2 mm.

Histological findings of skin tissue that was microneedled with 0.5 to 1.5 mm long needles (according to facial skin thickness) revealed that they stimulated massive growth of elastin- and collagen fibres (in some cases up to 1,000%). The inventor called this form of microneedling COLLAGEN-INDUCTION-THERAPY (CIT in short). In the Nineties the Canadian surgeon Camirand used tattoo-guns without colour pigments to treat operation scars after plastic surgery. His intention was to perforate scars to take off their tension. They became softer and pigmentation sometimes came back. This post-operative microneedling technique soon disappeared from the operation rooms because it was a tedious job without income.

There are several micro-needling devices on the market for at home use.  One product such system  DermaFIT™ combines a dermaroller with a topical peptide serum to encourage the growth of collagen, elastin, keratin skin to give you a more youthful, smooth appearance.   What I like about this system is that it comes with a topical peptide that has been specifically formulated for micro-needling, plus a sunblock and instructions.  Your skin will be more sensitive to after each treatment. The roller is easy to maneuver and the needles  are .25mm.   It takes a little practice to learn how deep to press to the roller into your skin to get a uniform treatment.

The DermaFit is only sold to medical practices and spas, the aesthetician or MD demonstrate will demonstarte how to  it effectively for home use.

An at home micr-needling treatment will not take the place of an in -office micro-needling treatment with DermaFrac, a new micro-needling office treatment.

I will post an update on this treatment is a couple of weeks.

Fat Transfer or Not

Have you ever considered Fat Transfer instead of dermal fillers such as Sculptra, Radiesse, Juvederm or Resytlane for your cheek pad area? Puffing up the pads of the cheek area has become very popular lately. Check out all the model in the magazines and look at their cheeks. Madonna, Barbara Walters are 2 faces that come to my mind.

According to Matthew Schulman, MD., Board Certified Plastic Surgeon in NY City. “Fat can last forever if it takes. if it “takes”-problem is even best techniques only have 50-60% “take”. I never put it in the face though because it is unpredictable.

As we age the underlying collagen and elastin fibers break down and wear out, resulting in wrinkles. We also lose what is called “subcutaneous fat” on our faces. This can causes us to look haggard, or hollow. There are many fillers on the market which when injected into the hollows of the cheek can give you a more youthful appearance. Many Plastic Surgeons use fat transfers in conjunction with face lifts to give the cheeks a fuller appearance. But this can also be overdone…causing an unnatural freakish appearance.

Fat grafting is the process of taking small amounts of fat from one part of the body and reimplanting it elsewhere, where it is needed. It takes about 30-45 minutes depending on how easy the fat is to harvest. However, because it is unpredictable, you should consult with your doctor, do your research and make an informed decision. Fat transfers are also widely used for other part of the body. The risks are minimal, there may be some soreness or swelling. The main downside is your body tends to absorb it and it can be lumpy.

When I asked four different Plastic Surgeons about Fat Transfer to the face area, only one would recommend it.