Q. Is Emsculpt really safe?

RealSelf actual patient comment:

I have read that electromagnetic energy can cause cancer. If that is the case then how can this new device be safe? I understand it is FDA-approved, but I’m still trying to understand the safety aspect.

 

A. Great question, many patients are concerned about the safety of Emsculpt.  Prior to offering any technology or new treatment to my patients I must be sure that the treatment is both safe and effective.  Emsculpt meets both of those criteria.  The National Cancer Institute has an article that explains the difference between safe and dangerous electromagnetic energy (see below under Web reference for complete article link.)  Basically, low frequency electromagnetic energy (used in Emsculpt) is safe, high frequency electromagnetic energy (like X-rays) are not.  BTL, the company that manufactures Emsculpt has used EM energy for many years in the therapeutic treatment of muscles without any adverse events.  There have been no reported complications of Emsculpt.  Prior to treatment, the treating physician must take a complete history of the patient to make sure that there are no contraindications to treatment that would cause problems such as metal implants, pacemakers, hernias, and other medical conditions.  Make sure to choose your treating physician most carefully. Good luck and be well.

 

Q. Is feeling sore after emsculpt to be expected?

RealSelf actual patient comment:

Just finished my 4th emsculpt treatment. Had my abdomen and buttocks treated. Is it normal to not have ANY soreness whatsoever after each treatment? Kept waiting to feel at least some sort of soreness. But, nothing. Not even a little bit. All four treatments were on 100% power. So far, not impressed with the results. I realize that results are supposed to show more after a few weeks. Is that correct? Thank you for your answers!

 

A. Some patients may feel a little soreness 2 to 3 days after Emsculpt, others don’t feel much at all.  Whether you have soreness or not will not affect your results. I personally had a single paddle 30 minute session immediately followed by a two paddle 30 minute abdominal session and did not feel sore afterwards.  Though some patients may see results after 2 to 3 sessions, we ask our patients to return for their initial post treatment photos at 6 weeks.  Results should be seen by 2 months.  Results vary depending on the individual patient, their body shape, their overall health, fitness, diet, etc.  Good luck and be well.​

Q. Emsculpt: are there any side effects and what does it cost?

 

A. Our practice was fortunate to be one of the first practices in the world to use Emsculpt.  Our patients and I have been very happy with Emsculpt.  Before incorporating any technology or treatment in my practice it must be proven to be both safe and effective. Fortunately there have been no complications reported in the Emsculpt studies over the past year, and no clinical adverse events reported.  It is important that your treating physician takes a complete medical history to insure that you are a candidate for Emsculpt.  There are a few absolute contraindications to the treatment such as metal implants, pacemakers, and poor health to name a few.  As long as you do not have any contraindications, Emsculpt is extremely safe and effective.  As with any treatment, choose your treating physician most carefully.  The cost ranges from $3000 to $4000 for either an abdominal or buttocks treatment.  In our practice we will be offering better prices for patients who wish to maintain their results over time.  We also work with our patients if they wish to pay per treatment it is about $750-$1000 depending on the treatment. ​Depending on the physician and practice, additional maintenance sessions of Emsculpt may be given at a discounted cost.  Good luck and be well.

Q. Can you have Emsculpt on the abdomen area if you have had a naval hernia?

RealSelf actual patient comment:

Can you have em sculpt on the abdominin area if you have had a naval hernia repaired 2 1/2 years ago? I am not overweight, work out 5 + times a week, and I am 20% body fat but can’t seen to loose the last of my belly. I am 65 and female.

 

A. As with any treatment it is most important to make sure that you are a candidate for Emsculpt and that there are not any contra-indications to having it prior to your procedure.  If you were my patient I would have you see your hernia surgeon to make sure that it is well healed and that your surgeon okays you having the treatment.  If your hernia is healed, you should be able to undergo the Emsculpt procedure.

There are a few contraindications for Emsculpt treatment.  Patients should not have any metal or electronic implants near the treatment area, no history of heart arrhythmia, cardiac pacemaker, implanted defibrillators, implanted neurostimulators, drug pumps,recent surgery, malignant tumors, excessive fat (the EM energy penetrates about 7 centimeters), epilepsy, pregnancy and breast feeding,the  procedure on women preferably should be done when not menstruating as it may cause period to come earlier and cramping may be greater, and recent surgery.  Make sure that your treating physician takes your complete medical history to avoid any adverse events or complications (no significant complications have yet to be reported with Emsculpt.)  Choose your treating physician most carefully. Good luck and be well.

 

Q. Will Emsculpt make my loose skin from childbirth worse?

RealSelf actual patient comment:

I am 62, 5’10” and 167 lbs. I do go to the gym and watch my weight. I now have a small belly but also already have some loose skin from childbirth, which has gotten worse in the last few years. What will happen with the loose skin? Will Emsculpt make it better or worse?

 

A. Emsculpt builds muscle by electro-magnetic energy stimulating the nerves that cause supra maximal contractions of the core abdominal muscles.  Emsculpt is the only FDA approved safe, easy, and clinically proven technology that builds muscle and decreases abdominal fat.  As your muscle mass increases, some of your loose skin slack should be taken up.  Emsculpt also is useful in post partum woman who have diastasis recti (separation of the connective tissue between the abdominal muscles after giving birth), strengthening the muscles and decreasing the separation/weakness caused during pregnancy.  In our practice we add Venus Legacy treatments if any loose skin persists.  Choose your physician most carefully.  Good luck and be well.

Q. Emsculpt: What is a good starting BMI. Is it effective for the deeper fat?

RealSelf actual patient comment:

170 pounds 50 years old . Upper abdomen fat. And hips is it effective for this area. I am about 33 bmi

 

A. Each individual should be examined by a physician prior to Emsculpt treatment to determine whether they are a candidate for the procedure.  Ideal patients are those with a BMI of 30 or below, but there are exceptions depending on the individual.  Most importantly a detailed past medical history must be taken insure safety and efficacy.  We had a patient today who remembered that as a child she had surgery and that metal clips were used internally in her abdomen.  Metal in the body close to the area treated is a contraindication to Emsculpt so she was not treated.  The fat that Emsculpt reduces is peripheral fat (that fat between the skin and muscle).  It does not decrease visceral fat (the fat below the muscle around the intestines, “beer belly” fat.)  Interestingly, the love handle fat is often decreased when the abdomen is treated with Emsculpt because of the supra maximal contractions of the core abdominal muscles.  Good luck and be well.

Q. Emsculpt and compression garments – will wearing them after Emsculpt help at all?

RealSelf actual patient comment:

Either in end results or speeding along the process? Or would they be problem in some way?

 

A. Just like you don’t wear compression garments after intensely working out, it is not necessary to wear them after Emsculpt.  There is no swelling though some patients may have minimal soreness of the muscles for a day or two, just like after a great workout at the gym.  Good luck and be well.

 

Q. Does Emsculpt hurt?

RealSelf actual patient comment:

How much discomfort is there?

 

A. Emsculpt is an exception to the old adage, “No pain, no gain!”  Emsculpt sessions should not ever be painful, they should be intense, not painful.  The Emsculpt device allows the physician to control the power intensity of the treatment while the patient gives real time feedback.  The power is gradually increased as the patient is able to tolerate the pulses.  The goal is to get to supramaximal contractions of the large muscles which the patient can feel, and the physician can see.  All of my patients have been able to reach 100% power shortly into their Emsculpt session.  The other old adage that Emsculpt seems to be an exception to is, “If it sounds to good to be true….”  Good luck and be well.

 

Q. Am I a candidate for Emsculpt? I’ve had a BBL years ago but over time my butt has drooped a bit.

RealSelf actual patient comment:

I’ve had a bbl years ago but over time my butt has drooped a bit and when I gain weight I gain a lil too much there . I would like to know will emsculpt help noticeably decrease some of this fat and lift the butt area ? Also does this tighten the skin area? Was interested in tummy tuck , will this help with tightening the ab/muffin top areas equivalent as a tt?

 

A. As your name and your question implies, there is a lot to cover in answering your inquiry.  Emsculpt should lift the buttock without reducing fat.  The tone of your skin should improve as muscle tone and mass increases.  We have seen improvement of the love handle area with abdominal treatment even though the love handles were not specifically treated.  As with most non-surgical procedures, if surgery such as a tummy tuck is really indicated because of excessive skin and fat, then Emsculpt will not be an equivalent treatment.  It is best to see an expert physician for an in person consultation and examination to determine what is the best treatment (or combination of treatments) for you.  Good luck and be well.

Q. Can Emsculpt be carried out on tummy and butt on the same day?

RealSelf actual patient comment:

For example, I will start with tummy and once 30 mins session done, I will do the treatment on my butt. Will it be too much or I should do it on a separate day.

 

A. You are now officially the Emsculpt Most Asked Questions on RealSelf Champion of 2018!!!!  Congratulations!!!  It is perfectly safe to have Emsculpt on your abdomen and on your buttocks during the same treatment session, just like we sometimes will work these same areas at the gym.  Good luck and be well.

Q. I am interested in Emsculpt but had a tummy tuck 5 years ago and was wondering if I would be a candidate?

RealSelf actual patient comment:

Are you able to use the emsculpt machine on your abs if you previously had a tummy tuck? I haven’t gained any weight and don’t have any fat on my abs, I would just like to increase my muscle tone in that area.

 

A. Having had a previous tummy tuck is not a contraindication for Emsculpt, it is a safe and effective procedure after a tummy tuck.  One should wait long enough for the tummy tuck surgery to have healed well before having Emsculpt, certainly 5 years is plenty of time for you to improve your abdomen with Emsculpt.  Good luck and be well.

 

Q. Can I do more than 4 Emsculpt sessions?

RealSelf actual patient comment:

Can I do more than 4 sessions. I am thinking if I can do 6 sessions for the period of 3 weeks to achieve better result or it is totally unnecessary?

 

A. With your xs to s size,as well as your doing Pilates (from your previous questions here on RS), and now doing an extra two sessions of Emsculpt​, you should be a poster woman for Emsculpt results.  The Emsculpt was studied at 7 independent US medical practices, the protocol for the treatment was 2 treatments a week, separated by 2 to 3 days for two weeks, a total of 4 Emsculpt 30 minute treatments.  One would think that adding more treatments should help you achieve a better result.  Good luck and be well.

Q. How to make Emsculpt more effective?

RealSelf actual patient comment:

I am Wondering if I should do Pilates after the 4 sessions of emsculpt to enhancing the muscle building. Pilates seems to work on core very effectively. I am doing emsculpt on both tummy and butt next week for 4 sessions each, 2 days apart.

 

A. Well, as it is said about chicken soup, “It can’t hurt!”  Pilates is an excellent exercise for toning the body and the core.  It should only enhance and help to maintain the results from your upcoming Emsculpt treatment. Good luck and be well.

Q. Will Emsculpt enlarge muscle?

RealSelf actual patient comment:

I am very confused. I read that building muscle will cause the muscle to grow in size. Will the growing of muscle cause a bulge or will it tighten up and shrink muscle? So it will be flattened? I am in between xs and s size person and I’m wondering if I should buy a dress in XS or S? i am getting the dress online for an occasion next week.

 

A. Emsculpt has been shown to increase muscle mass by 16% and decrease fat by 19% after a series of treatments.  Having said that, I would buy the dress size that you would normally get that fits you best.  I believe that the effect of Emsculpt “building muscle” and Emsculpt “toning the abdomen” will offset each other, I doubt that your clothing size will be affected.  Emsculpt patients should be toned, not built into a “Charles Atlas” or Arnold Schwarzenegger body builder type of result.  Have fun at your upcoming occasion, good luck and be well.

 

Q. Can this procedure be used on upper arms? I lost muscle tone in upper arms from having had a bilateral mastectomy.

 

A. Emsculpt has been FDA approved for the treatment of the abdomen and the buttocks.  There are practices that will treat other areas such as the arms.  I agree with Dr. Avaliani ​that it depends on the expertise of the practitioner to decide the safety and efficacy of treating “off-label” areas with Emsculpt.  There is not a contraindication to treating the arms of patients who have had mastectomy.  Good luck and be well, God Bless.

Q. Can I combine a PRP and Profound treatment?

RealSelf actual patient comment:

I am going to get a Profound treatment on my face in a couple of weeks. I would like to combine this with a PRP treatment. Has this ever been done? I am thinking it might boost the effectiveness of the Profound treatment.

 

A. Great question, in fact in our practice we now routinely recommend that patients combine their Profound RF treatment with Platelet Rich Plasma (PRP).  When a patient​ arrives on the day of their treatment our nurse draws a small tube of their blood in a special PRP tube which is then centrifuged to separate the patient’s red blood cells from their plasma (the yellow part of blood serum which is concentrated with platelets.)  Profound RF uses micro needles which cause microscopic holes in the skin through which the platelets in PRP seep into, attracting growth factors and possibly stem cells which result in greater rejuvenation from the treatment.  You are correct in believing that PRP will boost the effect of your Profound RF treatment.  Good luck and be well.

Q. Profound microneedling. Is it safe?

RealSelf actual patient comment:

I am a 33 years old with great skin but need more volume in my cheeks.. I am looking for the most natural treatment that can safely build my collagen to more youthful plump skin look. A doctor advised me to try PRP with Profound Micro-needling. Then if I need more volume I can do fillers such as voluma Should I do what he suggests? is Profound Micro-needling safe? I heard it has swelling and bruises as side effects. .. is it right it has 100% response rate ?

 

A. One of the most commonly seen results with Profound RF treatment is that cheeks look elevated and larger, almost as if they have been lifted.  Not only is Profound RF effective but it is extremely safe when performed properly.  As with any facial aesthetic procedure, the most important aspect of the treatment is making sure that you choose your treating physician very carefully based on their experience, skill, knowledge, and natural artistic vision.  I have treated hundreds of patients with Profound RF and have fortunately not had an adverse event or complication.  There is significant swelling which maximizes at about 2 days and resolves by 5 days at which time we allow our patients to resume exercising.  There is also significant bruising which maxs out at about 3-4 days and is gone from 7 to 12 days after the treatment.  By 5 days concealer may be used. We have seen a response in all of our patients, though results may vary from patient to patient.  The young patients that we have treated such as yourself have enjoyed excellent results and have been very happy that they underwent the Profound RF treatment.  Good luck and be well.

Q. Can I gain weight after Emsculpt?

RealSelf actual patient comment:

If Emsculpt is taking away fat from my abdomen, what happens if I gain weight? Will it go back to the abs or will it go to another area so that my thighs, etc are bigger than they were before?

 

A. Emsculpt treatment results in a loss of abdominal fat and a building of abdominal muscle, just like working out intensely, say like doing 20,000 crunches or squats in 30 minutes!!!  Just like working out, if weight is gained, it will be distributed throughout the body in the usual areas that fat accumulates.  Hopefully your Emsculpt treatment serves as motivation to continue diet and exercise programs that keep you from gaining excess weight.  Good luck and be well.

Q. Strange side effect from Profound RF.

RealSelf actual patient comment:

Procedure was 16 days ago. The only bruising left is under my eyes. By day 2, I developed an indescribable smell inside my nose. Most everything I eat takes on the bad aroma. On day 5, I worried there was an infection & started amoxicillin. My only other symptom is tenderness around neck & lower cheeks. Antibiotics haven’t helped yet & now it seems the smell is also in my urine. Supplements: Arnica, Bromelein, multi-vitamin, extra c, e and added k on day 6. Please advise. Thank you.

 

A. I am sorry that you are having your most unusual symptoms after your Profound treatment. I have never heard of such a thing!!!​  It is likely due to something other than your treatment and the timing may be coincidental.  I would advise consulting with a ENT physician who will listen to your history, exam you, and hopefully find an answer and curative plan for your dysnosmia (stinky odor).  Now if you had said that you had eaten asparagus after your Profound treatment then I would be able to make the connection between the smell in your nose then showing up in your urine.  Good luck and be well.

Q. Can Profound be performed on the forehead, around eye areas?

RealSelf actual patient comment:

During my consult with a doctor, he said profound can only be done on lower face, not around eyes or forehead. Is there a reason why? And why are some doctors doing it on you tube?

 

A. I nearly always treat my Profound patients on their forehead and around their eyes.  As a facial plastic surgeon I am very comfortable using tumescent local anesthesia (the same type of facial injection of local anesthesia that is used during face, neck, and brow lifts) which is necessary to treat these areas.  The anatomy of the forehead and underlying skull bone requires tumescent infiltration of local anesthesia so that the dermal micro-needles which penetrate 1 to 2 millimeters beneath the skin do not hit bone and are damaged.  The company that manufactures Profound, Syneron, does not encourage treatment of the forehead or eye area.  Once again, as a facial plastic surgeon I am fully comfortable treating these difficult areas safely and effectively.  By treating a greater surface area, the results of Profound rejuvenation are greater.  It takes more time, skill, knowledge, and experience to treat the forehead and eye region, but it is worth the effort. As with any aesthetic procedure please be sure to choose your treating physician carefully based on their skill, knowledge, experience, and most importantly their natural artistic vision.  Good luck and be well.

Q. Emsculpt and exercise during treatment period?

RealSelf actual patient comment:

I have another Emsculpt question. Think I’m gearing up to try it. Do you just refrain from exercising the body parts being treated during the two-week period but can do other exercise? So if getting abs and butt treated, avoid direct abwork and squats but could otherwise lift, run, and play sports during the 2 week treatment period? Thanks in advance!

 

A. Common sense is one of our greatest senses.  It is fine to maintain your activities after Emsculpt treatments, but if specific anatomic muscle groups are targeted during the treatment, then those areas should be rested for a day or two.  For instance if the buttocks are treated then squats can be avoided for a day.  If the abdomen is treated then avoid crunches for a day or two. Running, yoga, golf, and scrabble are all okay following your Emsculpt treatments. As with any aesthetic procedure please be sure to choose your treating physician carefully based on their skill, knowledge, experience, and most importantly their natural artistic vision.  Good luck and be well.

Q. I had a hip replacement in December 2017. Should I avoid Emsculpt? Could it damage the new joint with the energy waves?

 

A. Emsculpt may be used on patients with hip replacement.  The electromagnetic energy should not be directed over the hips. Emsculpt should not be used immediately above any metal implants in the abdomen or buttocks.  As with any procedure it is very important that you share with your treating physician any history of implants.  Good luck and be well.

Q. Is Emsculpt cost effective? I don’t have much fat in me but like to tone and lift my bottom.

RealSelf actual patient comment:

Emsculpt cost effective. I don’t have much fat in me but like to tone and lift my. bottom Please give me advice I don’t want waste big cost if results are minimal and not long lasting. Thank You

 

A. Emsculpt is a great new safe and effective non-invasive treatment that lifts the “bottom” like no previous technology that I have seen.  Cost effectiveness is relative.  It has been said that most of us either have time or money.  For those with time and no money, it’s time to start doing your squats and crunches.  For those with money and no time, Emsculpt is a no brainer.  The treatments are fairly priced for having the equivalence of 20,000 crunches or squats in a 30 minute time period. That’s going to save you a great deal of time.  ​As with any aesthetic procedure please be sure to choose your treating physician carefully based on their skill, knowledge, experience, and most importantly their natural artistic vision.  Good luck and be well.

Q. Will Emsculpt work for me?

RealSelf actual patient comment:

Dear Doctors please give me your opinion on none invasive laser technology EM SCULPT which is promise to induce strong muscular contraction not achievable through workout and promise to lift and firm buttocks. I am 48 years old woman in very good shape and weight 115 lb all my life but for several years my buttocks do not look firm and really need some lift, i even thought about fillers please give advise to woman who strives for perfection

 

A. Thank you for asking!  You appear to be a very good candidate for Emsculpt technology and treatments.  Emsculpt is a great treatment for individuals who are in good shape, who workout, and who wish to push their body to it’s greatest potential.  My office staff who have had the treatment relate that they have seen immediate lasting results on lifting their buttocks.  As with any aesthetic procedure please be sure to choose your treating physician carefully based on their skill, knowledge, experience, and most importantly their natural artistic vision.  Good luck and be well.

Q. With Emsculpt how many treatments are needed for “maintenance”? 1? 2? Etc.

RealSelf actual patient comment:

I am going to give this a try. Everyone references maintenance. What number of treatments does it require?

 

A. I once asked three beautiful women, “What is Beauty?”  The first answered, “It’s a feeling in your heart.”, the second answered, “You know it when you see it.”, the third said, “Beauty is maintenance!!!”​  Once a patient has had their twice a week for two weeks treatment with Emsculpt, the “beauty” and effectiveness of their results will depend on maintenance.  There has not been a studied maintenance protocol as the safe and effective technology is brand new.  In my practice Emsculpt treatments are individualized.  As a baseline I recommend a maintenance single treatment anywhere from 3 to 12 months after the initial treatment.  Since the benefits of Emsculpt treatments are the equivalent of doing 20,000 crunches or squats in only 30 minutes, some patients will continue their “workout” maintenance treatment every month. As with any aesthetic procedure please be sure to choose your treating physician carefully based on their skill, knowledge, experience, and most importantly their natural artistic vision.  Good luck and be well.

Q. How many treatments of Emsculpt for abdomen? How long between treatments?

A. For the abdomen we treat patients for 30-min 2 times a week, spaced 2-3 days apart for 2 weeks, a total of 4 treatments.  Patients will likely be treated for maintenance after about a year.  Depending on the individual patient in my practice I may adjust the treatment for their particular needs.  Having had the treatment myself, I can see where Emsculpt can become almost addicting.  I am sure that the device will be used more than indicated, particularly by my staff, family, and friends during off hours.  As with any aesthetic procedure, make sure that you choose your treating physician most carefully.  Good luck and be well.

 

Q. Are Emsculpt results permanent?

RealSelf actual patient comment:

How long do Emsculpt results last if I maintain a normal body weight?

 

A. Emsculpt results are long lasting, permanency depends on the patient. Just like going to the gym and working out, the results that you see must be maintained.  Patients who have Emsculpt are loving their treatment results for up to a year before having “maintenance” treatment.  If a patient maintains their normal body weight through healthy diet and exercize then the results should last longer than someone who like the lazy kangaroo is a “pouch potatoe.”  For the abdomen, fat loss can be permanent but the muscle tone must be maintained.  Same for the buttocks, to keep the butt-lift up, one must maintain the muscle tone.  Many of the early patients using Emsculpt are finding that they like the results so much that they are having additional treatments for continued improvement.  Choose your treating physician most carefully.  Good luck and be well!!!

Q. Is the Emsculpt procedure known by a different name? I’ve tried Googling “Emsculpt” and only see realself.com in my results.

RealSelf actual patient comment:

Where do I go to get more information on this procedure, how it works, who is a good candidate, how much it cost, and who provides this service? Thank you.

 

A. Emsculpt is a brand new technology that flattens and tones the abdomen and lifts the buttocks without any cutting, needles, or pain.  It is a quick and easy, safe and effective treatment.  Paddles are placed on the area to be treated (FDA approved for the abdomen and buttocks), then electro-magnetic pulses cause the muscles to contract equivalent to doing 20,000 sit-ups or squats in a 30-minute time period.  The treatment is repeated twice a week for 2 weeks, results are usually seen shortly after the treatment.  If you google “Emsculpt” it should come up.  The technology is made by BLT (see video below).  Good luck and be well.

Q. Emsculpt for arms and shoulders (off label)?

RealSelf actual patient comment:

Wondering if any of you doctors have tried Emsculpt off label for biceps, triceps, or shoulders since the results for abs and butt are so great? Or does the present applicator not allow for it? Is the company testing/working to develop protocols for other body parts?

 

A. Great question, while I was getting my first Emsculpt treatment we discussed the treatment areas of the the body other than the FDA approved treatment of the abdomen and the buttocks.  The current hardware is able to be applied to other areas and the company (BLT) may be working on other applicators for other muscle groups.  The only area that will likely not be treated are the pectoral muscles as the heart muscle is under it.  The Emsculpt technology is unique and exciting.  Good luck and be well.

Q. I heard Emsculpt builds muscle in addition to melting fat. Can it help build my muscles for me?

RealSelf actual patient comment:

I recently lost 80lbs (went from 220 to 140) and was told by my personal trainer at the gym that I need to build muscle to help with my excess skin. Can Emsculpt help me with this? I do not want to get a tummy tuck.

 

A. Emsculpt does build muscle as well as decreasing fat cells in the abdomen in general.  It is a great treatment for those patients who do not wish to undergo tummy tuck or butt lift surgery.  Individual patients need to be evaluated by their treating physician to determine whether the treatment is indicated for their needs.  Most likely you will be a good candidate for the treatment.  Choose your treating physician most carefully.  Good luck and be well.

Q. How much does Emsculpt cost?

RealSelf actual patient comment:

Is the price per treatment or do you pay all at once?

 

A. Emsculpt is the newest cutting edge non-surgical, non-invasive technology that tones muscle and eliminates fat in the abdomen.  It can also create a non-invasive butt lift.  The treatment consists of 2 30-minute treatments, 2-3 days apart for 2 weeks, a total of 4 treatments.  The cost ranges from $3000 to $4000 for either an abdominal or buttocks treatment.  In our practice we will be offering better prices for patients who wish to maintain their results over time.  We also work with our patients if they wish to pay per treatment it is about $750-$1000 depending on the treatment.  As with any aesthetic procedure make sure to choose your treating physician most carefully.  Good luck and be well.

Q. I am thinking of having profound on my face and neck, is it safe to go to the beach 10 days later?

RealSelf actual patient comment:

I will be getting profound on my face and neck but will be leaving for the beach 10 days later, my skin gets dark very easily and even a pimple leaves a mark for days, also a scar leaves discoloration, thank you

 

A. One of the nice aspects of Profound RF is that you may resume normal activities relatively soon following the treatment.  Since your skin is sensitive, it would be best to plan your treatment at a time when you would not be exposed to intense sun for at least 3 to 4 weeks.  Usually all of the micro-needle tiny punctures are well healed by one week, but why take chances with your sensitive skin?  Of course make sure that you use and reapply sun block daily, especially when at the beach.  Good luck and be well.

Q. Is it ok to get Profound treatment when I have fillers and Botox in my face?

RealSelf actual patient comment:

I had Juvederm and Botox done a week ago, and love the results. My doctor suggested I have the Profound procedure in about a month. What will happen with the Botox and Juvederm? Will they be destroyed in the procedure?

 

A. Ideally patients should have any tightening, lifting treatment prior to having injectable facial fillers (other than Sculptra which is not affected by heat.)  It depends on the area and depth of the Juvederm or other facial filler that you have had and how long ago it was injected whether Profound RF will affect it.  We encourage our patients to have Botox treatment prior to their Profound RF treatment as studies with laser recovery have shown that the results are better when the treated area moves less (new collagen formation is facilitated.) Good luck and be well

Q. Has anyone used Profound for bra bulge? I was told it was fat.

RealSelf actual patient comment:

But lose skin from losing skin elasticity from menopause (my skin has dropped all over). I work out a lot. I am 5’8″, 157 lbs. I am 53 yrs old. Does anyone know if it will work for this area? I hate the bulge over a swim suit top.

 

A. I have not used Profound RF for “bra fat” though with the subcutaneous tip it should be effective.  We have successfully used CoolScupting in this area to help decrease the fat bulges.  Good luck and be well.

Q. Is Profound RF as effective as fat or Sculptra in restoring volume to the perioral area?

RealSelf actual patient comment:

I have three parallel folds a little over one inch long extending from below my oral commissure toward my lower cheeks (not mesolabial folds) on a bit of a diagonal (NW to SE) due to loss of fat and collagen and (maybe) bone. I have some lipstick lines as well. This is an aging problem, not a congenital problem. I do not have skin laxity, therefore I do not need skin tightening. I don’t want fillers in these areas unless absolutely necessary. About how many Profound sessions might be required?

 

A. In patients with your described condition, I recommend Profound RF with simultaneous use of Platelet Rich Plasma (PRP).  Profound RF alone stimulates the new production of collagen, elastin, and hyaluronic acid, and with the addition of PRP (the platelets attract growth factors and stem cells to the treated skin) there is a magnified synergistic response with improved results.  It is an excellent treatment for crepe skin. Sculptra and  pen Micro-Needling with PRP also help with problematic lines and wrinkles. As with any facial aesthetic treatment it is essential to make sure that you choose your treating physician carefully based upon their skill, knowledge, results, experience, and most importantly their natural artistic vision.  Good luck and be well!!!

Q. Is there a danger with the Profound of similar problems like the Ulthera?

RealSelf actual patient comment:

There are several reviews on here of the Ulthera ” melting the face, skin sagging, needing facelifts andfat transfers after Ulthera procedure, I don’t want to take that chance w profound.

 

A. Your concern is shared with many patients that I see in consultation.  Since Profound RF dermal treatment is directed only 1 to 2 mm below the skin surface, it does not effect fat.  The subdermal Profound RF micro-needle tip is used to purposely eliminate fat cells (for double chins and body fat.) I do not believe that Profound RF patients need to worry about unde​sired fat loss with the consequent need for correction.  As with any facial aesthetic treatment it is essential to make sure that you choose your treating physician carefully based upon their skill, knowledge, results, experience, and most importantly their natural artistic vision.  Good luck and be well!!!

Q. My skin under my chin is loose and jiggly after Profound RF treatment?

RealSelf actual patient comment:

I had the Profound RF treatment 5-6 days ago. The swelling is still evident in my lower face and neck. My main concern is the skin under my neck is loose and jiggly like jello. It was not like this at all prior to the treatment. Will this go away? How long approximately?

 

A. It sounds as if your treating physician used the subdermal micro-needles which are inserted deep into the submental (double chin) fat to decrease fat and tighten the area.  When this is performed with Profound RF it is normal to have swelling along with the jiggles. It is the same swelling and jiggling that we see in patients who are treated with Kybella injections.  It does take some time (days to weeks) to resolve depending upon how aggressive your treatment.  As with any question or concern following a procedure, it is best to contact your treating physician.​ Good luck and be well.

 

Q. How does Ultherapy compare to Profound?

RealSelf actual patient comment:

I had Ultherapy a few years ago. It really did nothing. It was painful and expensive. If Ultherapy didnt work for me how can I expect Profound to be any different?

 

A. Sorry to hear about your poor experience with Ultherapy.  The results of both Ultherapy and Profound RF are dependent upon appropriate patient selection (age, life style, sun damage, tobacco use, etc.), realistic physician and patient expectations, as well as the treating physician.  These devices are not commodities, rather they are safe and effective non-surgical skin lifting and tightening tools that when used properly on carefully selected problems work well.  Profound RF is a different technology and works at a different depth of skin than Ultherapy.  As long as you are in good health with a normal healing response with collagen production then Profound RF (though also pricey) should help.  I would advise consultation with a few experts in the field before committing your time, money, and “comfort or lack thereof” to any treatment.As with any facial aesthetic treatment it is essential to make sure that you choose your treating physician carefully based upon their skill, knowledge, results, experience, and most importantly their natural artistic vision.  Good luck and be well!!!

Q. Compare Ultherapy Results with Eprime Results?

RealSelf actual patient comment:

I suspect the downtime is longer with eprime and the pain is greater with ultherapy. However, I would tolerate both in exchange for results. Any head to head comparisons on skin tightening results? Thanks!

 

A. Profound RF is an improved more effective and safe evolution of “ePrime”.

Profound RF and Ultherapy are different non-surgical device skin lifting and tightening treatments that are both safe and effective.  Profound RF uses paired micro-needles that emit radiofrequency energy while deployed 1 to 2 mm beneath the skin for 3 to 4 seconds creating a controlled temperature of 67 degrees C.  Ultherapy uses the topical application of micro-focused ultrasound energy at different skin depths (4.5, 3.0, 1.5mm) creating heat.  Both technologies work by stimulating new collagen over time.  Both continue to improve over a 6 to 9 month period and both are thought to last about 5 years, though you will look better for the rest of your life compared to how you would have looked without having the treatment.  The downtime for Profound RF is 7 to 10 days due to bruising and swelling.  There is little to no downtime with Ultherapy.  In some patients, the two procedures may be combined for even better ultimate results. The results of each treatment are dependent upon the individual patient (age, health, skin damage, smoking, etc.), they are both effective, but in general Profound RF is a more aggressive treatment. The discomfort of both procedures is controlled in my practice with local anesthesia. As with any facial aesthetic treatment it is essential to make sure that you choose your treating physician carefully based upon their skill, knowledge, results, experience, and most importantly their natural artistic vision.  Good luck and be well!!!

Q. Profound Laser: Can you tell me the pros/cons compared to Ultherapy and also compared to a facelift? I’m 47 years old.

RealSelf actual patient comment:

I am 47, fighting the aging battle and am looking into some options to help overall sagging appearance. My eyelids are sagging enough to have become uncomfortable and my cheek area is sagging so my face shape does not look defined… I’m not sure which option would be the best for me.

 

A. Profound RF and Ultherapy are both safe and effective skin lifting and tightening non-surgical procedures good for the face and neck.  Neither is a treatment of choice for eyelids, though both may help with crow’s feet wrinkles and slight elevation of the eye brows.  Facelift and blepharoplasty are surgical options to treat facial sagging skin.  To decide the best option for you, it would be best to consult with a few facial plastic surgeons in person (or at least with photos.)

Profound RF and Ultherapy are different non-surgical device skin lifting and tightening treatments that are both safe and effective.  Profound RF uses paired micro-needles that emit radiofrequency energy while deployed 1 to 2 mm beneath the skin for 3 to 4 seconds creating a controlled temperature of 67 degrees C.  Ultherapy uses the topical application of micro-focused ultrasound energy at different skin depths (4.5, 3.0, 1.5mm) creating heat.  Both technologies work by stimulating new collagen over time.  Both continue to improve over a 6 to 9 month period and both are thought to last about 5 years, though you will look better for the rest of your life compared to how you would have looked without having the treatment.  The downtime for Profound RF is 7 to 10 days due to bruising and swelling.  There is little to no downtime with Ultherapy.  In some patients, the two procedures may be combined for even better ultimate results. The results of each treatment are dependent upon the individual patient (age, health, skin damage, smoking, etc.), they are both effective, but in general Profound RF is a more aggressive treatment. The discomfort of both procedures is controlled in my practice with local anesthesia. As with any facial aesthetic treatment it is essential to make sure that you choose your treating physician carefully based upon their skill, knowledge, results, experience, and most importantly their natural artistic vision.  Good luck and be well!!!

Q. Profound RF after having Infini RF; good idea or waste of money?

RealSelf actual patient comment:

I had an Infini RF treatment to full face and neck on Jan 7th. I’m seeing good results but am considering doing the Profound RF instead of a second Infini treatment. I’d rather not have to suffer the downtime repeatedly and Profound is supposed to be one and done. My goal is lift & tightening; neck, cheeks, mouth and brow. I am thin with prominent cheekbones and have maxed out on the potential for fillers. Is Profound the way to go? If so, how long should I wait before having Profound done?

 

A. Both Infini and Profound are excellent safe and effective non-surgical skin lifting and tightening procedures that use micro-needles and radiofrequency energy to heat the skin and induce new collagen production.  Infini may require multiple treatments with less down time for each treatment while Profound RF is a one time treatment with a longer downtime (7 to 10 days.)  You may have Profound RF about 4 weeks after recovering from your Infini treatment.  ​

As with any aesthetic procedure, you must choose your treating cosmetic physician carefully based on their experience, skill, knowledge, and most importantly their natural artistic vision.  Good luck and be well!!!​

Q. Is it possible to have Profound RF done on the forehead and temple area?

RealSelf actual patient comment:

At 38 I am seeing the start of eyelid creepiness. I am reluctant to rely on Botox for this as it is costly and I’m not sure about the long term effects of using it. I am more interested in a procedure that will address the laxity and can be repeated over the years. Is this recommended and are there doctors near me who do it. I live in Northern California.

 

A. Yes, Profound RF can be used to treat the forehead and temple area for improvement of forehead lines, wrinkles, and skin tone/texture as well as slight brow lifting and improvement of “crows feet” lines around the eyes.  I routinely treat these areas with the face and neck as it is thought that there is a better overall result proportionate to the total surface area treated.  There is the possibility of increased bruising when the temple and crows feet areas are treated, and the forehead requires tumescent infiltration to avoid breaking the micro-needles.  ​In the NoCal bay area I believe that James Newman, MD is expert at the Profound RF treatment.

As with any aesthetic procedure, you must choose your treating cosmetic physician carefully based on their experience, skill, knowledge, and most importantly their natural artistic vision.  Good luck and be well!!!​

Q. Profound RF for loose stomach skin?

RealSelf actual patient comment:

5’2″ 120 lbs, no kids. Lost 10 lbs in 2 weeks and it damaged my body. It was only 2 months ago, is recency of event in my favor? Can Profound RF help me? Can Profound combined with Ultherapy help more? I saw amazing before/after pics of an ab with “rolls” & crinkles looking 80% better on one doctor’s website but I’m skeptical…

 

A. Yes, Profound RF is a safe and effective non-surgical treatment to improve loose abdomenal skin.  The subdermal micro-needles emit radiofrequency energy deep below the skin to create tightening of the tissue as well as decreasing fat cells. As with any aesthetic procedure, you must choose your treating cosmetic physician carefully based on their experience, skill, knowledge, and most importantly their natural artistic vision.  Good luck and be well!!!​

 

Q. Profound RF: What are the risks and side effects of this machine? How long does it last?

RealSelf actual patient comment:

HI doctors, can the heat from this machine melt facial fat? Does results look good initially but cause more laxity/saging down the road?

 

A. Profound RF is a safe and effective non-surgical treatment for tightening and lifting the skin of the face and neck, including the jawline and wrinkles.  The swelling is maximum about 48 hours after the treatment and resolves by 5 to 7 days.  You may apply concealer make-up by day 4 or 5 to hide bruising.  It is the bruising that takes from 7 to 14 days to resolve.  The treatment of the skin does  not remove fat.  In patients who do have excessive fat under the chin or in the neck, a separate handpiece is used that penetrates 6mm to purposely reduce fat cells.  I have not seen any patients appear older and gaunt after the treatment, only younger and tighter!!!  Profound RF stimulates the production of new collagen, elastin, and hyaluronic acid all of which add volume to the face.  It has been used since 2014 and there have not been any reports of more sagging or laxity “down the road”, just natural continued aging.  Patients will always look better than they would have had they not had Profound RF.  Fortunately, the risks and side effects are minimal for the degree of improvement.  The most common side effects are bruising (7-10 days), swelling (5-7 days), and dermal papules (days to a few weeks).  The complications of burns and scars are extremely rare, I have not seen any in my patients. As with any aesthetic procedure, you must choose your treating cosmetic physician carefully based on their experience, skill, knowledge, and most importantly their natural artistic vision.  Good luck and be well!!!​

Q. Wait time for fat grafting after Profound RF?

RealSelf actual patient comment:

Hi Doctors, How long would I have to wait to get facial fat grafting after a full face profound RF treatment? I’m considering doing profound RF for some lifting and volume restoration. But if it isn’t enough, I’d like to do fat grafting. How long would I have to wait to be safe? Many Thanks

 

A. I would wait at least 6 months after Profound RF before having fat transfer to the face.  The facial improvement from Profound RF continues for 6 to 9 months.  There is usually improvement of the cheeks and jawline.  Fat transfer is a permanent filler therefore it is important to see the areas where fat is needed, as well as not over-doing an area where volume will increase over time from the Profound RF.  Good luck and be well.

Q. How long can the Profound procedure last long term?

 

A. The best answer to your question is that patients will look better for the rest of their lives compared to how they would have looked if they did not have the Profound RF procedure.  This is the same answer for facelifting and Ultherapy.  The results do vary depending on how individual patients respond and heal.  Most would say that you should continue to appreciate the benefits of Profound RF for about 5 years.  I just consulted with a single patient who had her treatment one year ago, she loves her results, has nice before and after photos, yet she is scheduling another treatment in about 3 months because of how much improvement she has seen.  These treatments are just “tools” that help with rejuvenation.  Many patients have just one treatment and are satisfied, others wish to have more.  Improvement after Profound RF continues for 6 to 9 months, therefore the earliest re-treatment is not before 6 to 12 months. As with any facial aesthetic treatment it is essential to make sure that you choose your treating physician carefully based upon their skill, knowledge, results, experience, and most importantly their natural artistic vision.  Good luck and be well!!!

Q. Severe bruising and swelling post Profound treatment, is this normal?

RealSelf actual patient comment:

I had profound 6 weeks ago. My bruising and swelling were severe and took 2 weeks to heal. My festooning , which was to improve post procedure is now worse. I have dark circles under my eyes as well. I look worse then I did prior to the treatment. My doctor says that he has never had this result and there isn’t a fix except adding filler. This is quite honestly not an acceptable response. Does anyone have advise?

 

A. Sorry to hear about your experience.  Bruising and swelling are normal after Profound RF, swelling usually takes about 5 to 7 days to come down,  bruising usually resolves after 7 to 12 days.It is difficult to make recommendations without seeing photos or examining you.  It is best to discuss your concerns with your treating physician or another facial aesthetic expert in your area.  Dark circles and festoons are difficult problems to treat.  Fillers may help while the expected improvement from your Profound RF treatment occurs over the 6 to 9 months following your procedure.  Good luck and be well.

Q. Does Profound RF or Infini RF generate the most volume in facial folds?

RealSelf actual patient comment:

My nasolabial folds are deepening with age. I am developing marionette folds, too. Will treatment with Infini RF or Profound RF to these areas markedly reduce these folds given the fact that they both generate one or more of the components of facial volume (elastin, collagen, hyaluronic acid)? Can they increase volume (with enough treatment sessions) as effectively as Sculptra or fat grafting? Or are these two devices better suited to treating lipstick lines?

 

A. Both Profound RF and Infini are safe and effective non-surgical lifting and tightening treatments.  They both use micro-needles that emit radiofrequency energy creating heat that stimulate natural collagen production.  I find that the nasolabial folds improve in a natural fashion as the cheeks seem to have increased volume and lift. These devices are the best non-surgical lifting and tightening devices and do work on improvement of fine lines and wrinkles.  I often use them in combination with fillers when needed.  Sculptra, Voluma, and other fillers are used on an individualized basis depending upon the unique needs of each patient. As with any facial aesthetic treatment it is essential to make sure that you choose your treating physician carefully based upon their skill, knowledge, results, experience, and most importantly their natural artistic vision.  Good luck and be well!!!

Q. Does Profound RF require multiple treatments?

 

A. Profound RF is thought to be a one time procedure.  Unlike many other facial aesthetic treatments, Profound RF does not require multiple treatments to see results.  Many patients are happy with their results and request a second or third treatment for further rejuvenation.  The results of the treatment continue to improve over a 6 to 9 month period.  For those patients requesting another Profound RF treatment it is advised to wait at least 6 to 12 months.  ​As with any facial aesthetic treatment it is essential to make sure that you choose your treating physician carefully based upon their skill, knowledge, results, experience, and most importantly their natural artistic vision.  Good luck and be well!!!

Q. Is Profound the same treatment as Ultherapy?

 

A. Good question!  Profound RF and Ultherapy are different non-surgical device skin lifting and tightening treatments that are both safe and effective.  Profound RF uses paired micro-needles that emit radiofrequency energy while deployed 1 to 2 mm beneath the skin for 3 to 4 seconds creating a controlled temperature of 67 degrees C.  Ultherapy uses the topical application of micro-focused ultrasound energy at different skin depths (4.5, 3.0, 1.5mm) creating heat.  Both technologies work by stimulating new collagen over time.  Both continue to improve over a 6 to 9 month period and both are thought to last about 5 years, though you will look better for the rest of your life compared to how you would have looked without having the treatment.  The downtime for Profound RF is 7 to 10 days due to bruising and swelling.  There is little to no downtime with Ultherapy.  In some patients, the two procedures may be combined for even better ultimate results. ​As with any facial aesthetic treatment it is essential to make sure that you choose your treating physician carefully based upon their skill, knowledge, results, experience, and most importantly their natural artistic vision.  Good luck and be well!!!

Q. I had a Profound treatment done almost three weeks ago. Is it normal for my jawline to be numb and sore?

RealSelf actual patient comment:

I also have soreness and numbness in my neck. Area under chin feels kind of jiggly and is still swollen. Does my healing fall within the normal time range for this procedure? The treatment focused on my lower face/jawline and neck.

 

A. It is always best to address questions and concerns about a procedure that you have had to your treating physician.  In general, patients may have some numbness and fullness for a few weeks after Profound RF treatment. If your “double chin” area was treated to reduce fat then it is common to have some “jiggly” for a few weeks. Please contact your treating physician for follow up.​  Good luck and be well.

Q. Profound treatment with broken needle

RealSelf actual patient comment:

One of the needles broke or bent during the treatment and they switched out the head. It happened again with the second head and they would just shut off the alarm and keep going. My question is if I received less treatment because of one or more less working needles?

 

A. Great question.  The Profound RF “heads” or tips that contain the paired micro-needles are complex state of the art technology.  There are 5 pairs of very delicate micro-needles​ in each tip.  They have intricate micro-chip technology that precisely controls the temperature and time of exposure.  If a micro-needle is damaged (usually by the needle striking bone), the needle withdraws back into the tip and no longer deploys.  If this should happen, then only 4 of the original 5 pairs of needles are working, giving only 80% of treatment per insertion into the skin.  The feedback of the broken needle sounds an alarm after 5 insertions with a compromised tip.  If the tip is detached from the handpiece and re-attached, 5 more insertions are allowed before the alarm sounds again.  By continuing with a damaged tip, you may still receive a full treatment as long as you receive 20% more insertions to make up for the broken needle pair. The tips cost hundreds of dollars.  If a needle breaks near the end of a treatment session,  a physician may choose to continue with the damaged tip, but should be giving more insertions to cover the same surface area, though it may take longer, patients should receive a full treatment.  Good luck and be well.

Q. What are the risks associated with Profound RF?

A. Profound is an excellent skin lifting and tightening non-surgical treatment that is both safe and effective.  Fortunately the risks, complications, and adverse events associated with Profound RF are rare.  The most common side effects to be expected with the treatment are swelling and bruising. The next most common occurrence is small raised bumps on the skin that called dermal papules.  Dermal papules usually disappear on their own within a few days, though they may persist for a few weeks.  I have personally not seen the extremely rare complications of burns or permanent scarring.

As with any aesthetic procedure, you must choose your treating cosmetic physician carefully based on their experience, skill, knowledge, and most importantly their natural artistic vision.  Good luck and be well!!!

Q. Profound RF to lift jawline and treat wrinkles. How long does swelling last and can you apply makeup to cover bruising?

RealSelf actual patient comment:

I’m inquiring about the profound treatment to lift my jawline & treat some wrinkles & sagging on my face …doesn’t this treatment remove fat cells? Will it make your face appear older & guant? I’ve read to drink water to flush the “dead” fat cells out …but that not really what I want to happen .. also..can you apply makeup to cover bruising & how long does the swelling really last?

 

A. Profound RF is a safe and effective non-surgical treatment for tightening and lifting the skin of the face and neck, including the jawline and wrinkles.  The swelling is maximum about 48 hours after the treatment and resolves by 5 to 7 days.  You may apply concealer make-up by day 4 or 5 to hide bruising.  It is the bruising that takes from 7 to 14 days to resolve.  The treatment of the skin does  not remove fat.  In patients who do have excessive fat under the chin or in the neck, a separate handpiece is used that penetrates 6mm to purposely reduce fat cells.  I have not seen any patients appear older and gaunt after the treatment, only younger and tighter!!!  As with any aesthetic procedure, you must choose your treating cosmetic physician carefully based on their experience, skill, knowledge, and most importantly their natural artistic vision.  Good luck and be well!!!

Q. How long do the results from Profound RF last?

RealSelf actual patient comment:

I know the technically “correct” answer is that it takes off X number of years and that we continue to age afterward, but is this actually true? For Ultherapy, I basically returned back to baseline after one year even though I did look quite a few years younger right afterward. I was wondering if the results from Profound last longer, and how often we should repeat the procedure? Thank you!

 

A. The best answer to “How long will the results for Profound RF treatment?” is the same answer that I give to patients who ask how long a facelift or Ulthera will last.  Patients will look better for the rest of their lives compared to how they would have looked had they not had the procedure.  (Joan Rivers once said that she wished that she had an identical twin so that she could see what she would have looked like without all of her plastic surgical treatments!!!)  I believe that most experienced practitioners tell their patients that the treatment should last at least 5 years.​

As with any aesthetic treatment choosing your treating physician is essential for excellent results.  Choose your treating physician based on their judgement, skill, experience, knowledge, and most importantly their natural artistic vision.  Good luck and be well.

Q. 1 month post Profound RF and I have more laxity. Is this due to all the residual swelling dissipating?

RealSelf actual patient comment:

I’m not expecting results yet but three weeks post profound my face looked and felt firmer. Within the past five days my face started to noticeably sag. I’m a good healer and according to the dr only had mild laxity. At a month post , I look worse than before I went in. My regular dr confirmed this today when I went in to see about fillers. The dr who did the profound is well respected. Is this part of the healing process for some? It definitely caused my filler to metabolize faster.

 

A. Depending on what kind of filler and where your filler was placed, it is possible that the heat from your Profound RF treatment may have caused some loss of the filler volume which would lead to the effect that you are noticing.  I do not believe that the skin “stretches” from the swelling.  Over the next 6 to 9 months after Profound RF your body should produce collagen, elastic, and natural hyaluronic acid adding​ volume to your face, especially to your cheeks.  In the meantime your treating physician may use Voluma and/or Sculptra to strategically add volume until the effects of your treatment take hold.  Good luck and be well.

Q. Skin Tightening? Any doctors have experience with “Profound RF” treatment?

RealSelf actual patient comment:

The Profound procedure looks very promising. Is any doctor doing it? What can one expect as far as down time? What is the typical pricing?

 

A. Profound RF is a safe and effective non-surgical device for lifting and tightening the skin of the face and neck.  Our patient’s experience has been positive.  The results do vary, but the overall patient satisfaction rate is very high (the “Worth It” rating here on RealSelf is 97%, and the one not worth it was based on a different technology.)  The cost is dependent on the extent of the treatment.  My philosophy is that if I am treating someone then they should get the absolute best treatment to maximize their chances for great results.  I treat the entire face and neck (twice the surface area) and recommend the concurrent use of platelet rich plasma (prp) which stimulates growth factors and stem cells, facilitating healing and ultimate results.  There is additional cost if the deeper subcutaneous micro-needles are used to melt fat.  The downtime also varies depending on the aggressiveness of the treating physician, my feeling is that if you are having the treatment, you might as well get the most bang for your buck.  Our patients are told to expect at least a 5 to 12 day downtime depending on their bruising.  Many patients can use concealer or tinted sunblock (in men) and be presentable within 5 to 7 days.

As with any aesthetic treatment choosing your treating physician is essential for excellent results.  Choose your treating physician based on their judgement, skill, experience, knowledge, and most importantly their natural artistic vision.  Good luck and be well.

Q. Is 30 years old too young for Profound RF if you’re dealing with facial skin laxity from weight loss?

RealSelf actual patient comment:

Although it’s been over a year since I lost weight, I’ve noticed that my face seems saggier than before. I’m only 30 and know that I would look better if it were slightly tighter. Am I too young for this type of procedure?

 

A. It is difficult to answer your question without a photo or better yet an in person examination.  For the most part, if you do have the “S” word skin (sagging) then either Profound or Ultherapy are great safe and effective device non-surgical treatments to address your concerns.  You should get a fantastic result since you are young and your healing response with be boosted.

As with any aesthetic treatment choosing your treating physician is essential for excellent results.  Choose your treating physician based on their judgement, skill, experience, knowledge, and most importantly their natural artistic vision.  Good luck and be well.

Q. Am I a candidate for profound RF skin tightening procedures/fillers even with the metal wires in my face? (photos)

RealSelf actual patient comment:

I had cheekbone reduction surgery to make the upper face less wide. There are tiny wires stabilizing the new bones. Am I still a candidate for profound RF skin tightening procedures as well as fillers to add a little volume in my cheeks even with the metal wires in my face?

 

A. I would likely treat you with Profound RF after a consultation and examination.  You should bring your x-rays to your consultation.  The Profound RF micro-needles are deployed 1 to 2 mm beneath the skin.  I would avoid insertions directly above the wires to be extra cautious. Good luck and be well.

Q. Injectable laser” for tightening?? Profound?? Has anyone used it on legs yet?

RealSelf actual patient comment:

I recently read about a new laser that is supposed to be “injectable” for tightening?? I think that it is called Profound? I think they have been using it on the face but going to be getting a new way to use it on the legs for loose skin? Has anyone heard of this and what kind of results it is having? I’m curious about it. I would love to have tighter skin on my legs.

 

A. Profound Lift is a micro-needling device with radiofrequency heating of the undersurface of the skin that is a safe and effective non-surgical facial and neck lifting and tightening treatment.  It is not a laser.  It is not an “injectable”, though the paired tiny needles apply the radiofrequency energy 1 to 2 mm beneath the skin surface (6 mm beneath when fat is being dissolved.)  In my practice it is an excellent procedure for face and neck rejuvenation.  There are some practices that promote the treatment of the entire body, usually under general anesthesia in an operating room that takes hours to complete.  I have not seen any impressive photos of the treatment on body areas other than the face, though if you have the time, money, and patience, it should work to tighten any skin.  In our practice we have found that Venus Freeze, a non-invasive topical radiofrequency application has been effective at helping the loose leg skin above the knees as well as helping with thighs.  Good luck and be well.

Q. What is the recovery from Profound RF like?

 

A. Profound Lift is a wonderful lifting and tightening treatment of the face and neck, it stimulates your own collagen, elastin, and hyaluronic acids resulting in a natural rested, healthy, and rejuvenated appearance.  It is safe and effective.  The recovery is predictable and involves some downtime that varies among patients.  All patients are swollen and bruised for the first few days, maximizing at about 2 to 3 days after the treatment.  The swelling resolves by day 5, and sometime bruising may as well, but I inform my patients that there is a good possibility that they will have some residual bruises for 8 to 14 days. After discussing the treatment with my patient, I will usually treat them with an aggressive treatment for best results (this includes treating the forehead, the entire neck, and using PRP as well, areas not included in the standard Profound protocol.)   Bruises can usually be hidden with appropriate cover-up concealer.  My wife said that the weird thing about the recovery was that after the first 24 hours she felt completely normal except when passing by a mirror, at which time she looked as if she had lost a boxing match.  The good news is that there is no pain during the recovery.  It is an excellent time to catch up with things on the “to do” list around your home, and catch up on those binge watching Netflix shows.  Patients may return to full physical activities and working out after 5 days. Results can be noticed as early as a week or two, in other patients it may take up to

As with any aesthetic treatment choosing your treating physician is essential for excellent results.  Choose your treating physician based on their judgement, skill, experience, knowledge, and most importantly their natural artistic vision.  Good luck and be well.

Q. How Does Uthera Differ from E Prime?

 

A. We are fortunate to live in age when non-surgical skin lifting and tightening devices are available to treat patient who wish facial and neck rejuvenation without having to go to undergo “the knife.”  Both Ulthera and Profound stimulate new collagen formation.  Dr. Cho and other physicians have given excellent answers here regarding the differences between these two safe and effective technologies. I agree with them.  In my practice, the main difference in my recommending one treatment over the other is the time that a patient has for recovery.  For those patients who can afford 7 to 10 days for bruising and swelling to resolve while they catch up with reading, Netflix, housework, etc. I recommend Profound lift with PRP (plasma rich platelets).  For those patients who request little to no downtime, Ulthera is their treatment of choice.  As with any aesthetic treatment choosing your treating physician is essential for excellent results.  Choose your treating physician based on their judgement, skill, experience, knowledge, and most importantly their natural artistic vision.  Good luck and be well.

Q. Looking for a doctor to do facial sculpting with injectables. Is saline preview a good idea?

RealSelf actual patient comment:

Someone told me to look for a doctor who will help me see what the result will look like by injecting saline into the areas where I’ll be getting fillers. Do you do this? Is it a good idea? I am looking to erase/ flatten out deep nasal labial folds and lines to bring out my youth. Soften a sharp jawline. And also looking to balance out symmetry. I want to make sure the doctor and I are on the same page before I get the real injectables. So I am looking for the best way to do that.

 

A. The most important aspect of any facial aesthetic treatment is making certain that you have chosen your physician most carefully based on their experience, skill, knowledge, and natural artistic vision.  You may have a “preview” of what to expect with facial fillers by having normal saline solution injected.  I am happy to do this for selected patients.  At your consultation, before and after photos of patients with similar facial rejuvenation treatments are reviewed.  Most patients at that time decide to go ahead with treatment, but if you still desire a saline preview, then that is performed.  It sounds as if you are an excellent candidate for facial rejuvenation with volume replacement.  Good luck and be well.

 

Q. How can I make my face look less round and flat? (Photos)

RealSelf actual patient comment:

I feel like my face is so flat on my side profile how do I bring out my features more? Would fillers help that? Is there something I can do to make my face look less round? Thanks

A. Yes, fillers properly placed should add to your natural beauty.  I would treat your with Voluma on your cheek bones.  There are other treatments that can be done after Voluma treatment depending on how you respond.  ​Your job to choose your injecting physician most carefully based on their experience, skill, knowledge, and most importantly their natural artistic vision.  You should look great, but your treatment results should not look obviously plastic.  Good luck and be well.

Q. Good candidate for nasolabial fillers? (Photo)

RealSelf actual patient comment:

Hello! I’m a late-20s female who is starting to notice pronounced nasolabial folds, primarily on the left side of my face. I think this might be due to having “flat” anterior cheekbones and fairly low body fat or some other anatomical thing that has to do with my smile (I included an image in case that’s helpful). I’d like to have a career in front of the camera so I’m trying to age as gracefully as possible. Any thoughts on whether I should look into fillers? Thanks!

A. Your request is a common complaint that we see in our facial plastic surgery office.  Beginning at about age 25 there is loss of bone in the cheeks.  This results in the formation of early nasolabial folds (NLFs).  Rather that treating the result of the bone loss (the NLFs), today we treat the cause of NLFs, the volume loss in the cheeks.  For a patient such as yourself, one syringe of properly placed Voluma should correct the slight aging that you are experiencing.  We like to call it going from “Hotty to Oh My G-ddy!!!”  Your job to choose your injecting physician most carefully based on their experience, skill, knowledge, and most importantly their natural artistic vision.  You should look great, but your treatment results should not look obviously plastic.  Good luck and be well.

Q. Is volume the only way to eliminate smoker lines?

RealSelf actual patient comment:

Dr. has used Juvaderm UP for smoker lines on my lips however he’s doing this by adding volume I believe is creating a puffy look on my upper lip ,According to him it’s the only way to erase those lines.Any suggestions? Can the little lines be addressed one by one?I don’t want to look over done should I look for other options? Also I want to get rid of my puppet lines what you recommend? Also is there anyway to get rid of the very fine lines in the middle of my cheeks? Thank you

A. There is more than one way to skin a cat and there are more ways than inflating lips to treat “lip lines.”  The best treatment for these lines is a fractionated CO2 laser with PRP (platelet rich plasma) which requires some downtime.  The lip lines can be individually filled using a thin hyaluronic acid filler such as Restylane Refyne or Vobella without adding volume to the lips. Another treatment is Profound Lift with PRP.  Lastly, microneedling with PRP can be helpful.  Most importantly always choose your treating physician carefully based on their knowledge, skill, experience, and natural artistic vision.  Good luck and be well.

Q. Would a Silhouette lift or Juvederm Voluma in the upper and mid cheeks be best?

RealSelf actual patient comment:

I’m looking for a natural looking lift for my sunken lower face.My jawline is not smooth and the orbital bones are showing. I just don’t want to look inflated but I want the lower jowls to be lifted. Would 1 syringe of Juvederm voluma for each cheek be enough to lift the minor sagging? I am considering a sillouet lift but i hear negative reviews….and I don’t want too many syringes of Juvederm. Recommendations?

A. You are not alone, one of the most common requests for facial rejuvenation is improvement of the jawline, jowls, and the area under the eyes.  These are the most common early signs of facial aging and are related to volume loss.  I would treat you with 2 syringes of Voluma and then wait, letting you live with your new rejuvenated naturally volumized face. After a few weeks, we would re-evaluate your face.  At that time you may be fine or we may decide that more rejuvenation would benefit your very pretty face.  Whether that would involve more hyaluronic acid filler, or Sculptra, or even Silhouette thread lifting would then be determined.  There are excellent safe and effective non-invasive lifting and tightening devices ​that are great for your goals, including Profound Lift (micro-needles with radiofrequency heat energy) combined with PRP (platelet rich plasma), or if you do not have the 7 to 10 day “downtime” Ultherapy would be a good alternative choice.

The most important aspect of your treatment is making sure that you take the time to choose your treating physician most carefully based on their experience, skill, knowledge, and natural artistic vision.  Good luck and be well!!!

Q. Is Sculptra okay for smile, loss of volume, and lips? (Photos)

RealSelf actual patient comment:

Can scultpra be used for all areas where I’ve lost volume or have fine lines? If not, what the risk of getting it in my smile line or lips? I’m concerned about using juvaderm in my cheeks again because I smile so much- it looked unnatural last time.Last of all, how would I find a facial sculpting expert in my area?

A. Sculptra is a great natural facial volume replenisher.​  It can be used everywhere on the other except the lips.  Based on your photos, I would treat you with a combination of Sculptra, Voluma (for your cheeks), and Volbella (for your lips.)  The best way to find an expert injecting physician in your area is by word of mouth.  Visit multiple offices, look at their before and after photos, check out the appearance of the physician’s staff, and ask to speak or meet with their past patients.  Choose your injecting physician based on their experience, skill, knowledge, and natural artistic vision.  Good luck and be well.

Q. Does Sculptra treat smile lines?

RealSelf actual patient comment:

I am in my late 20s and I am interested in Sculpta. Does it treat nasolabial folds? Does the treatment hurt? Do I get a local anesthetic? Does sculptra come with lodocaine?

A. Sculptra is a biostimulating injectable filler that helps with the nasolabial folds (smile lines).  The treatment involves multiple injections, but the discomfort can be minimized by having topical anesthetic ointment for 30 to 60 minutes before treatment.  There is lidocaine local anesthesia in the Sculptra mix.  In patients in their 20’s often times we prefer the use of a little Voluma to lift the nasolabial folds (nlfs form because of loss of volume in the cheek bones.  By replacing that, the nlfs lift in a naturally beautiful way.)  The most important aspect of your treatment is making sure that you choose the best physician injector based on their experience, knowledge, skill , and natural artistic vision.  ​Good luck and be well.

Q. Is Juvederm Voluma filler good for cheekbone enhancement?

RealSelf actual patient comment:

I’m 27 and want to get cheekbone enhancement with Juvederm Voluma but I”m terrified. Although it pretty much says no real serious side effects because this product hasn’t been used for long I cant trust that it’s a good idea. I ‘m thinking it will cause changes in elasticity of my skin, the serious side effects that can come on later that no one has seen yet such as tissue scar formation/firmness and discoloration. Getting filler at such a young age and continue to do so, how will this fare?

A. Facial fillers are not tissue expanders.  Voluma is an excellent filler, especially for eloquently enhancing the cheeks, under eyes, nasolabial folds, and generally lifting the face in a naturally beautiful manner.  Fortunately you are young enough that a very small amount of Voluma (1 ml or 1 syringe) will give you results that take you “from hotty to oh my goddy!”  The most important aspect of having a Voluma treatment is making sure that you take the time to select your injecting physician most carefully.  You should base that decision on the physicians experience, skill, knowledge, and most importantly their natural artistic vision.  I treat patients in the mid to late 20’s frequently and they are among our most happy and satisfied patients.  Good luck and be well!

Q. What to do about a huge bump on the side of my nose that appeared 1 year post-op. It’s is still there a year later? (Photos)

RealSelf actual patient comment:

Post surgery I noticed a huge bump on the side of my nose, which feels like hard bone so there is nothing to do to fix it. Its more vissable in certain lightings&makes the front of my nose look crooked. I know to fix it would require me to go under the knife again, but I’m happy with my side profile, it’s just the front which now looks crooked post surgery. Been over one yr all my swellings gone down so I know the bump won’t either. It’s permanent unless I do something.What are my best options?

A. It appears that your nasal bone moved laterally after your osteotomies (breakage of nasal bones.)  Depending upon your physical examination, a one sided lateral osteotomy may correct your deformity.  Speak with your rhinoplasty surgeon, or consult with a rhinoplasty expert.  Good luck and be well!

Q. Fillers or fat transfer when yet to have babies? 28 y/o suffering from upper cheek hollowness.

RealSelf actual patient comment:

I’m yet to have babies. I’ve been contemplating to get either filler or fat transfer. In my case the doctor said i will need 2 cc of filler. I cant decide between fat transfer or filler. I am afraid that if i get fillers done then i will have to stop when I get pregnant and I will again be seeing hollowness and if i get a fat transfer done, the grafted fat might increase in size as many doctors say. Please help me in reaching some decision.

A. I would strongly recommend that you consult with an expert in facial injectables.  If you were my patient, I would likely use a little Voluma to restore your early loss of facial volume.  It results in a beautiful, natural transformation that let’s you look like yourself, just a younger and more rested appearing you.  As many of my patients say immediately after their treatment, and their initial, “Wow!”, they say, “I love the treatment, Voluma takes me from hotty to oh my goddy!”  Please be sure to take your time and choose your injecting physician most carefully based on their experience, skill, knowledge, and most importantly their natural artistic vision.  It is not the filler that will give you great results, it is the injecting physician whom you choose.  Good luck and be well.

Q. Can years of under eye Botox create Malar Mounds? (Photo)

RealSelf actual patient comment:

For the last two years I have been getting Botox under my eyes. I was starting to get deep creases under my eyes not cried feet. The last 2 times that I went for Botox it was with a new doctor. She injected 10 units and 6 of them were directly below my lower lid. I now how lower eye bags that are almost unbearable and they are worse in the am. I am only 29. Is this a result of Botox? Will it get better when the Botox wears off or is it permanent since I have been getting Botox for two years?

 

A. The relatively high dose of Botox for your lower eyelids is preventing your muscles from contracting and squeezing accumulated fluid from your malar area.  This should resolve when the Botox wears off, avoid injecting this area in the future and look to other ways to treat what bothers you.  Good luck and be well.

Q. I want to have my upper eyelids done and originally was going to go under anesthesia but now I don’t know?

RealSelf actual patient comment:

The 1st quote i was givin was including anesthesia but then they gave me a different price all together which added 1000 $. How “awake” are you under local only and which do most people do? I have extreme anxiety so i dont know if i could sit still during the procedure.

A. We perform upper eyelid Blepharoplasty under local anesthesia all of the time.  With proper pre-medication the surgery is very well tolerated.  We give Xanax 30 minutes before to help with anxiety and then give weight appropriate Demerol injection about 15 minutes prior to the surgery.  Most of our patients are in and out of sleep during the 1 hour procedure.  Love Austin! Good luck and be well.​

Q. Nose and neck nightmares! What procedures are available to correct these unflattering features? (Photo)

RealSelf actual patient comment:

As I age what used to be the “tip” of my nose is turning into the ” ball” of my nose. When I first noticed it I thought no biggie however the ball is GROWING! And my neck no doubt the formation of a turkey neck has began this is NOT something I am comfortable with! What procedures if any are available to correct these very unflattering facial features???

A. If those are your nightmares, I would like to see your sweet dreams!  The tip of your nose can be refined with a conservative rhinoplasty while there are a number of treatments both surgical and non-surgical that will address your neck concerns.  The most important aspect of your prospective treatment is to make sure that you choose your treating aesthetic physician/surgeon most carefully based on their skill, knowledge, experience, and natural artistic vision.  Boomer Sooner.  Good luck and be well.

Q. Could both Rhinoplasty and Septoplasty be done together? (Photo)

RealSelf actual patient comment:

When i consulted an ENT SURGEON, he suggested me to undergo septoplasty, to rectify the curve in my nose since birth. I asked him whether Rhinoplasty be done together, although i want to change my nose shape because it doesn’t suites me. He answered me with a no. Can it be done together?? Thank you

A. Unfortunately your ENT gave you bum advice.  Rhinoplasty and septoplasty are performed at the same time more often than not.  It sounds as if your particular ENT surgeon is not comfortable performing the aesthetic rhinoplasty portion of a septo-rhinoplasty.  Most ENT surgeons are very well trained in both septoplasty and rhinoplasty.  As long as you are going under anesthesia to correct your septum, you might as well consult with surgeons who are facile at doing both procedures at the same time.  Make sure to choose your nose surgeon most carefully.  Good luck and be well.

 

Q. The swelling is out of control after lip filler. Is this normal? (photo)

RealSelf actual patient comment:

I had lip injections yesterday, they were really painful after but not so much any more. The attached photos show before and after then what they look like now.

A. Sorry to hear about your adverse reaction to filler in your lip.  You must return to your injecting physician for evaluation.  Most likely you are one of the extremely rare patients who may be allergic to filler.  Make sure that you know what type of filler was injected.  You should inquire about a steroid shot and taking antihistamine for immediate relief.  In the future you should have a forearm skin test prior to any filler injections.  Good luck and be well.

Q. How often for maintenance Sculptra? Can’t go by looks since you see yourself everyday.

RealSelf actual patient comment:

I know a good rule of thumb is one vial per decade, but that’s at first? I’m 35 and although I noticed fine lines and signs of aging, I didn’t realize it was volume loss. During a botox visit, I was offered a free Sculptra treatment to be a demo. They said I was a perfect candidate as I had volume loss around cheeks, temple and jaws. After a total of three vials spaced out accordingly, I couldn’t be happier. It was a mini face lift! So if I want to maintain, how often should I get a vial?

A. Great to hear that you are happy with your Sculptra treatment.  It is thought that once a patient reaches “full correction” after their injections they may benefit from “maintenance” treatment about 2 to 4 years later.  We are all unique so it is best to return to your physician for re-evaluation whenever you notice that you may be looking a little tired or that dreaded five letter word, saggy.  Good luck and be well.

Q. Will a closed rhinoplasty accomplish my desired effect? (photo)

RealSelf actual patient comment:

The hump needs to be shaved a bit. I don’t want a curve. The overprotection of my tip is the biggest issue I have and I’m afraid of the tip appearing more bulbous and projected by bringing in the bridge. Can the desired effect be accomplished with subtle alterations made via a closed rhinoplasty?

A. Yes, a properly performed closed rhinoplasty procedure can accomplish your nasal aesthetic goals.  The closed approach rhinoplasty is becoming somewhat of a lost art as the last generation of rhinoplasty surgeons have learning rhinoplasty from their professors under the “open” or “external” approach.  The closed approach avoids any external incisions or scars, but is much more difficult to teach or observe the intricacies, thus most teaching centers use the open approach.  Subtle results can be achieved without leaving you with an obvious “done-look” nose.  Go Bears!  Good luck and be well.

 

Q. I have a dip at the tip of my nose and would like it gone. Was wondering about approx. cost, time to heal, bandage time? (Photo)

RealSelf actual patient comment:

 

A. The tip of your nose can​ be shaped to your liking with a properly performed rhinoplasty.  The cost of the surgery varies depending on the surgeon. Costs will include the surgeon fees, operating room and anesthesiologist fees ranging anywhere from $7 to $25K.     It is and will be your nose for the rest of your life, so as they say about sushi, going for the cheapest is not always best. The most important aspect of your rhinoplasty is making sure that you choose your surgeon based on their skill, experience, knowledge, and natural artistic vision.  The time line for healing is about 5 days until the tape and splint are removed, one week for walking around the block or out and about, one week for work, 3 weeks for aerobic exercise, and 6 months before diving head first into the water.  Good luck and be well.

Q. I want a smaller, youthful, more feminine nose not an upturned pig nose – could I get closed surgery?

RealSelf actual patient comment:

I also don’t want the standard nose that is often given to everyone. Not too sure about a chin implant, was suggested to me, I may consider it if I am 100% satisfied with my nose. below are my pictures, & a nose style I like. I am also worried about my nostrils being uneven. Will they show up more asymmetrical if I remove the tip and the hump? I am willing to travel a bit to find the right doctor, but I am terrified my appearance will cause me to not look like “me”.

A. The most important aspect of your​ prospective rhinoplasty is making sure that you choose your surgeon most carefully.  You can achieve a smaller, youthful feminine nose with a “closed” approach rhinoplasty, all incisions are inside of your nose without any external incisions or scars.  The closed approach has become somewhat of a lost art as a generation of rhinoplasty surgeons have been trained with the “open” approach as it is much easier to see the anatomy and techniques in a teaching environment.  Your nostrils should have a symmetric result and should not be affected by hump removal and tip refinement.  A “pig” nose should not even be a consideration in a properly performed rhinoplasty on your nose.  I agree that a conservative chin implant will improve the proportions of your nose and other facial features.  Choose your rhinoplasty surgeon carefully based on their experience, skill, knowledge, and most importantly their natural artistic vision.  Good luck and be well.

Q. Will half a syringe of Voluma make a difference in the cheeks?

RealSelf actual patient comment:

“Hello, I purchased 2 syringes of voluma, but my doctor ended up only using 1.5 of it. I now have half a syringe left and I don’t want it to go to waste I know voluma is most commonly used for the cheeks…I have good cheeks but a bit of a lift and/or some more volume/definition would probably be nice since I am quite thin. Can half a syringe actually make a noticeable difference? Also, what does brushing/swelling look like this little amount injected? I always bruise with injections by this DR”

A. Voluma is a great filler when used by expert injecting physicians.  A small amount can make a big difference.  I can always find room for a bit more to make a face look more beautiful in a natural manner.  Though patients may bruise with any injection, it is certainly not normal that you should always bruise when injected.  The most important aspect of any aesthetic treatment is that you choose your injecting physician most carefully based on their skill, experience,knowledge, and natural artistic vision.  Good luck and be well.

Q. Am I a good candidate for Rhinoplasty?

RealSelf actual patient comment:

“I know I’ll ultimately need an in person evaluation, but can my nose be fixed with rhinoplasty? It’s very downward facing and long and my gap between nose/lip is large (I don’t want to lengthen the nose more though as is already quite long) also, I have a small bump and possibly overall narrowing of bridge for my face? Should I keep it as is or can I gain some overall aesthetic improvement? Thank you!!”

A. Your areas of concern about your nose can be addressed with rhinoplasty.  I would advise a subtle, very conservative rhinoplasty plan in your case.  Your small bump can be taken down and your tip can be refined.  The lines from your brows to the tip of your nose can be smoothed.  It is essential that your choose your rhinoplasty surgeon most carefully based on their skill, experience, knowledge, and most importantly their natural artistic vision. Good luck and be well!

Q. Would Alar base reduction be enough?

RealSelf actual patient comment:

“Or would I benefit more from doing some work on nose bridge as well? What can you tell by just this one picture”

A. Based on your photo, alar base reduction only on your nose would alter the natural proportions of your nose, causing your nose to be an unwanted attention getter.  A great nose does not draw attention, rather it gets out of the way of other facial features, particularly your eyes (which should be the central focus of your face.)  Consult with rhinoplasty experts to address your nasal aesthetic concerns.  Be sure to choose your rhinoplasty surgeon most carefully.  Good luck and be well.

Q. What kind of rhinoplasty would be the best option for me?

RealSelf actual patient comment:

“I’m 20 years old considering a rhinoplasty i feel like the tip of my nose keeps getting bigger every year and also I’m wondering if i have a deviated septum, I would like to know what kind of rhinoplasty would be the best for me and the pricing in my area. it’s the thing that makes me the most insecure should i do it now or just wait and do it all at the same time with FFS. i posted a picture of my nose and the desire nose i would want, are those results achievable ?thank you.?”

A. You have a nice nose and realistic aesthetic goals.  I love operating on noses like yours using a closed approach (no external incisions or stitches).  I would “sand down” your bump and refine your tip cartilages.  No packing is used.  Noses such as yours respond very well to subtle rhinoplasty where “less is more.”  You should still look like yourself, just your nose will not be stealing attention away from your eyes and other facial features.  Make sure to choose your rhinoplasty surgeon most carefully based on their skill, experience, knowledge, and their natural artistic vision.

Q. Would Sculptra be the appropriate filler to treat my nasolabial folds? Which areas would you inject?

RealSelf actual patient comment:

“I am a 37 years old male with pronounced nasolobial folds. I always had a bit of nasolobial folds and to be honest never liked them, but they just start to look really pronounced and the line is getting more vertical which really creates a very tired look. Please let me know your professional opinion about the best treatment. I am also adding some photos to give you a clearer view of the issue. Thanks in advance for your help”

A. Yes, Sculptra would be an excellent treatment to treat the volume loss in your face that has resulted in prominent nasolabial folds.  Make sure to choose your treating physician most carefully based on their experience, skill, knowledge and natural artistic vision.

Q. What is the best treatment for nasolabial folds?

RealSelf actual patient comment:

“I am a young patient 24 and I was wondering what is the longest lasting and best treatment for my nasolabial folds, around the mouth area, corners of my mouth , cheeks? I have read good reviews about sculptra but not sure if that is going to be the best alternative for me. Thanks”

A. Nothing beats being 23 years old for nasolabial folds.  Unfortunately from age 25 on we all begin the process of losing volume (bone, fat, and muscle) from our face.  When there is volume loss from the maxilla (cheeks), the soft tissue above the nasolabial folds loses its scaffolding support and begins to head south.  The best treatment to correct nasolabial folds is actually to avoid treating the fold itself (which is the result of volume loss in the cheek) and to instead treat the cause of the fold using either Voluma or Sculptra to replace (not augment) the lost cheek volume in a natural way.  So many patients are concerned and share that they do not wish to look unnatural or have “bigger cheeks”.  I do not make your cheeks bigger, rather just restore them to their previous more youthful volume.  Make sure to choose your treating aesthetic physician most carefully.

 

Q. How much is the average lines of Ultherapy for face and neck, or the most frequent/common number of lines used?

RealSelf actual patient comment:

“I know individual treatment may vary. But I would like to know as doctors that perform ultherapy what the most common number of lines you use is.”

A. The average number of Ultherapy lines for the cheeks is 240 lines deep, 190 lines superficial;  for the eye and forehead area, usually about 70 deep, 100 superficial;  for the neck 110 deep and 120 superficial.  If an extended neck is included (down to the clavicles) then an additional 150 deep and 150 superficial lines are used. Make sure to choose your Ultherapy physician most carefully.

 

Q. Could my nose use surgery? Is the bump bad/ugly?

RealSelf actual patient comment:

“I’ve always been self conscious about my nose. I have a dorsal bump, and I hate it very much. My parents say I’m overreacting, and that it’s nothing, but I would like a professional answer as to if it would look better with surgery, and if my nose currently has bad form. Am I overreacting? Or is it truly ugly?”

A. You have a very nice nose with a small bump on the profile.  If it bothers you a lot then it is worth investigating rhinoplasty.  I love operating on noses like yours as it is possible with just a few small internal incisions (closed approach rhinoplasty) to take down the bump with minimal other changes to the nose resulting in a beautifully natural nose.  In your case it is most important to choose a rhinoplasty surgeon who will listen and understand what your aesthetic goals are, and who will honor your request without drastically changing your nose with an “obviously done” appearing rhinoplasty.

Q. Should I be more direct to the doctor when being treated with Botox?

RealSelf actual patient comment:

“I am 59. I’ve had Dysport and Botox and experienced the droop. I believe only the central glabella area should be treated not above my eyebrows. Last time I asked the doc not to do above my brows but she went ahead and did a couple injections just above the tail of my stronger side, hence droop. To get positive results, should I suggest she only do the glabella and possibly under (rather than over) the tail of my eyebrow to get a slight lift? Thank you for any help you can offer.”

A. Yes, you should definitely discuss what works and what doesn’t work for you with Botox.  Everyone’s anatomy is unique, every injecting physician should assess the patient’s anatomy prior to treatment.  If you are dissatisfied with your injector, make sure to choose your next doctor most carefully.

 

Q. Have you ever seen swelling this bad 8 days post-op?

RealSelf actual patient comment:

“I had septorhinoplasty (closed) with work done to my tip. I’ve never seen a photo like this…. all of the cast removal day photos of noses look so nice and mine just looks completely deformed. I had surgery exactly one week ago. I am so depressed.”

A. Sorry to hear about your post-rhinoplasty swelling.  You should have your rhinoplasty surgeon examine your nose to make sure that all of the “packing” has been removed and that you do not have an early infection.  I personally have not seen your amount of swelling one week post rhinoplasty.

Q. I had 1 cc of Juvederm injected into my lips yesterday and absolutely hate how they look….

RealSelf actual patient comment:

“Where should I ask for the dissolver to be placed so that I can have a more natural shape but still keep filler in my lips? Can I just partially dissolve it? How long should I wait? I’m very upset because I had put the money aside for it and cannot afford to pay for another syringe at the moment. Would wydase etc dissolve everything? I still want the filler but a more natural look! It also caused weird lines around my mouth.”

A. Sorry to hear about your lip injection dissatisfaction.  It appears that your lips were large and pretty to begin with, and then on top of that too much Juvederm was injected.  At this point it is best to wait a few days and then consult with someone whose artistic vision can be trusted.  Most likely you will have some of the recent filler dissolved with hyaluronidase.  I would begin with your upper lip because the natural ratio of beautiful lips is the lower lip being about 1.6 times larger than the upper.  As with all aesthetic treatments, the most important aspect of your treatment is making sure that you choose your physician most carefully based on their skill, experience, knowledge, and natural artistic vision.

Q. I had Ulthera on my neck November 2016…

RealSelf actual patient comment:

“5 months later I look just awful, what should I do to fix it?”

Ulthera Patient

A. The excess skin on you neck can be reduced by either surgery or minimally invasive non-surgical procedure called Profound. Profound uses radio frequency energy emitted through micro-needles below the skin to tighten lax skin of the neck, jowls, cheeks and forehead. As always, be sure to choose your treating physician most carefully.

Q. Bulbous nose reshaping – can it be done without redoing whole nose?

RealSelf actual patient comment:

“Can it be done without redoing whole nose? Not looking to have full reshape, but just the tip.”

A. Your question is a common one and is best answered in person after examination and evaluation by an expert rhinoplasty surgeon. ​Shaping a nose is like sculpting, once one part is changed it is essential to be sure that the rest of the nose is in harmony. Rhinoplasty has evolved over the years to where the surgery is more conservative, we consciously attempt to preserve more of your underlying bone, cartilage, and soft tissue. When I consult with a patient with your goals, we share a computer image of before and after, and then decide on the plan. Sometimes thinning and refining the tip is all that is needed, in other cases, small refinements of the rest of the nose is required for the best aesthetic outcome. The most important aspect of your rhinoplasty is making sure that you choose your rhinoplasty surgeon very carefully based on their experience, skill, knowledge, and natural artistic vision.

Q. If I decide on a tip rhinoplasty and then want a full rhinoplasty, is that bad?

RealSelf actual patient comment:

“What is your advice? I’m just a little too worried about actually having them hammer and break the nasal bone. I’m also terrified about anesthesia going wrong and being awake during.”

A. Rhinoplasty is an artistic procedure. Everyone’s nose is different. Some noses may lend themselves to just having the tip refined, and the majority of noses benefit from having the entire nose shaped to create nice harmony that does not attract attention to aspects that may be out of proportion. Fortunately, anesthesia today is much improved over years past. When my patient is undergoing anesthesia prior to rhinoplasty, I tell them just before the IV medication that lets them “go to sleep” to think of their favorite people, places, things to do (i.e. paddle boarding in Hawaii, etc.). Our patients experience what seems like a one minute dream and the next thing that they know is they are in the recovery room comfortably awake from the 2 to 3 hour rhinoplasty. There is no need to worry about “waking up” during the rhinoplasty surgery. You should not be aware that the nasal bones are being cut (“hammer and breaking”). I would not limit your rhinoplasty because of this fear, whether to address your nasal bones or not should be based on the goals of the surgery, your anatomy, and your shared artistic vision with your rhinoplasty surgeon. Choose your rhinoplasty surgeon based on their experience, skill, knowledge, and most importantly, their natural artistic vision.

Q. Skin Tightening? Any doctors have experience with “Profound RF” treatment?

RealSelf actual patient comment:

“The Profound procedure looks very promising. Is any doctor doing it? What can one expect as far as down time? What is the typical pricing?”

A. Profound uses paired micro-needles that emit radio frequency energy in a precise temperature controlled manner that maximizes the production of new elastin, collagen, and hyaluronic acid in the treated skin. I have used Profound on the face and neck (including the forehead to lift tired brows) resulting in impressive lifting, tightening, and natural rejuvenation. We have also treated cellulite of the thighs with Profound. Patients are quite swollen after the treatment, usually lasting 5 to 7 days. Bruising varies and also resolves within 5 to 7 days. Our pricing varies depending on the areas treated, anywhere from $4,500 to $8,000. I personally perform all Profound treatments on my patients. Make sure to choose your treating aesthetic physician most carefully based on their experience, skill, knowledge, and natural artistic vision.

Q. “Injectable laser” for tightening? Profound? Has anyone used it on legs yet?

RealSelf actual patient comment:

“I recently read about a new laser that is supposed to be “injectable” for tightening?? I think that it is called Profound? I think they have been using it on the face but going to be getting a new way to use it on the legs for loose skin? Has anyone heard of this and what kind of results it is having? I’m curious about it. I would love to have tighter skin on my legs.”

A. Yes, we have used Profound on the thighs to treat cellulite with nice results and no downtime. There are certain areas on the legs where if the skin is thick enough Profound can tighten loose skin. It does work very well on the face and neck to tighten and lift, rejuvenating the face in a natural rested fashion.

Q. Can you suddenly develop an allergy to Juvederm? What are the chances that the same thing will happen again?

RealSelf actual patient comment:

“I had a horrific and traumatizing experience with Juvederm Summer 2015, which has lead me to fear any type of lip fillers or fillers in general. I got a hematoma, which lead to an infection, which lead to a huge bump on my lip, which had to be drained at the ER. Before this happened, I had no problems with Juvederm, and had it done regularly over the Aquamid which I’ve had in my lips for over 8 years. I want to do Juvederm again, but I’m so afraid that the same thing will happen again!?”

A. Sorry to hear about your bad experience with lip filler injection. What you experienced was not an allergy to the Juvederm injected into your lips, rather you had a vascular (blood vessel) event, either there was too much bleeding from a deep needle puncture, or you may even have had filler injected into a blood vessel which can cause overlying skin to break down. Aquamid has been known to have severe delayed response infections and that may have played a role in your complication. It is most important for you to consult with and be treated by only an experienced, skilled, and knowledgeable physician injector in the future. I believe that you may be able to have lip injections again, but only with precautions taken.

Q. How do I choose my rhinoplasty surgeon?

A. The absolute most important aspect of your rhinoplasty is your choice of rhinoplasty surgeon. Rhinoplasty is considered the most difficult of all facial plastic surgeries combining art and science. You should consult with at least 3 or more rhinoplasty surgeons prior to making your decision. Your decision should be based on the surgeon’s experience, skill, knowledge, and most importantly their natural artistic vision. Make sure that your rhinoplasty surgeon listens to your concerns about what bothers you about your nose as well as appreciating your aesthetic rhinoplasty goals. It is important to be on the same wavelength prior to surgery so that you are not left to be surprised by unwanted results. Look at before and after photos, ask to meet or speak with the surgeons rhinoplasty patients, ask if anyone in the office has been operated on by the surgeon. Computer imaging is helpful to communicate your goals for rhinoplasty, make sure that the imaging is realistic and not just a nice photo-shopping job. Should you have any further questions about selecting your rhinoplasty surgeon, feel free to contact me. Good luck and be well. ~Dr. P

Q. Can Sculptra Be Injected Into the Lips?

A. Sculptra is an excellent facial volumizer. It works by stimulating your body to make new natural collagen where it has been injected. There are areas where Sculptra should never be injected and the lips are one of those areas. Sculptra is injected deep to muscle and over bone in most facial areas. When injected in areas without underlying bone, Sculptra is injected beneath the skin. Sculptra is not injected in the lips or superficially around the eyes because unwanted lumps and bumps can form. We prefer to inject lips with Juvederm, Restylane, and Restylane Silk, all of which in our hands results in natural beautiful lips. Always make sure to choose your injecting physician most carefully to ensure safe, effective, and long lasting results. Good luck and be well. ~Dr. P

Q. Is Ultherapy permanent?

A. Patients often ask, “How long does Ultherapy last?”  The best answer is that when performed properly, a patient who has received Ultherapy will look better than they would have for the rest of their life had they not had the treatment.   I have personally performed Ultherapy for the past 6 years, and can only answer this question from my personal perspective.    The treatment is the best non-surgical lifting and tightening procedure available and is thought to be a onetime treatment.  I have seen many patients five years after their Ultherapy still looking better than they did before their treatment.  Other patients return after one year and are very happy with their results and wish to have more with another treatment.  Unfortunately the aging process continues with time, fortunately we have wonderful safe and effective treatments to help you keep looking your best.  Good luck and be well.

Q. Why does Ultherapy cost vary so much?

A. Ultherapy costs vary depending on the area(s) treated as well as on who is performing the treatment. In my practice, I perform all Ultherapy treatments because as a facial plastic surgeon I believe that my knowledge of anatomy and my ability to keep my patients as comfortable as possible leads to the best possible results safely while minimizing any adverse reactions or complications. My charges are slightly higher than the charges in a practice where the treatment is delegated to an assistant with little or no knowledge of vital facial structures and anatomy, and minimal experience in the treatment. The three main areas of Ultherapy treatment are the face, neck, and brows. The cost of the treatment varies depending on whether all three areas, or one or two areas are treated. Good luck and be well. ~Dr. P

Q. What constitutes of a thorough facial analysis?

A. Patients come to my practice not for a syringe of filler or a certain number of units of Botox. My patients benefit from my technique of full facial analysis using natural artistic vision to create the best naturally beautiful version of themselves. Over years of experience as a facial plastic surgeon treating thousands of patients, teaching others how to perform treatments, and staying up to date on the latest safe and effective facial rejuvenation treatments, I have developed the ability to thoroughly analysis your face and recommend the best individual plan to keep you looking your best. Leonardo da Vinci, hundreds of years ago described the “devine” or golden ratio that is found in nature as well as in beautiful faces. I use those natural ratios to create beauty on your face after careful analysis. At your consult, we will discuss the analysis of your face and give you a beauty plan for years to come. Good luck and be well. ~Dr. P

Q. When can a patient shoot a gun after otoplasty and rhinoplasty?

A. It is always best to consult with your surgeon when you have questions after surgery. We ask our patients to avoid strenuous activities for about 3 weeks after rhinoplasty at which time they may resume all physical activity other than boxing and diving head first into swimming pools, lakes, or the ocean. After otoplasty it is important to not traumatize the ears again for about 3 weeks. Good luck and be well. ~Dr. P

Q. Can all dermal fillers be dissolved?

A. Not all facial fillers can be dissolved. We prefer to use fillers in the face that can be dissolved, especially in areas of the face where there are significant blood vessels. Permanent fillers such as Bellafil and Silicone cannot be dissolved at all. Radiesse, though not a permanent filler, cannot be dissolved. The fillers that are made up of hyaluronic acid (Restylane, Juvederm, Voluma, Belotero) can be dissolved with an injection of hyaluronidase, an enzyme that rapidly breaks down the filler. The advantages of fillers that can be dissolved are that any lumps, bumps, or filling that is not good can be quickly corrected, and in the rare case of filler being injected into a blood vessel with vascular compromise, impending vascular necrosis can be avoided. Sculptra is a biological collagen stimulating filler that cannot be dissolved, yet is very safe as the fine Sculptra particles are dissolved in water and local anesthetic solution. My philosophy is to avoid the use of permanent fillers in the face because if there is a problem it can be very difficult to take care of….”Permanent filler, permanent problems.” Good luck and be well. ~Dr. P

Q. How long do dermal fillers last?

A. There are long lasting dermal fillers, short lasting dermal fillers, and those in between. The longest lasting dermal fillers are permanent fillers that include Bellafill, Silicone, and the patient’s own fat. The advantage of these fillers is that they last forever, the disadvantage is that they last forever and are very difficult to remove. The next longest lasting dermal filler is Voluma which is said to last up to 2 years. Sculptra is a bio-stimulating product that stimulates natural collagen production. Once patients have reached their “full correction” point with Sculptra, the results last for 2 to 4 years before additional treatment. Radiesse, Juvederm, Restylane may last from 9 to 12 months. Belotero is the shortest lasting dermal filler, lasting about 3 to 4 months. Make sure to choose your injecting physician most carefully to ensure that your treatment is safe and effective. Good luck and be well. ~Dr. P

Q. What is the difference between Fraxel restore and dual?

A. Fraxel restore laser was the first laser to use “fractionated” technology. Fractionated lasers treat a percentage or fraction of the skin surface area which is different from how older lasers treated the entire skin surface. The advantage of fractionated lasers is that normal skin aids in a more rapid and natural healing without the lines of treatment demarcation between treated and untreated areas. Fraxel restore laser is considered a non-ablative laser which means that it leaves the surface of the skin intact without removing any skin. Restore sends columns of heat through the skin which stimulates new collagen production and improves brown spot pigmentation. Restore treatment involves a 20 minute treatment, usually repeated 2 to 4 times every two to three weeks. Restore results in improvement of fine lines and wrinkles, better skin tone, texture, and color. The treated area is red and slightly swollen for 1-2 days, followed by a bronzing appearance that leads to a powdery flaking on days 3-5. By one week the skin looks beautiful.

A second type of laser was added to the Fraxel restore platform, this second laser is Thulium laser which specifically targets brown spots. The combination of the two laser systems is called Fraxel Dual. The Thulium laser is the best treatment for brown spots. The two lasers may be combined at the same treatment session to give patients a true “dual” treatment that results in beautiful skin. Good luck and be well. ~Dr. P

Q. What is the typical recovery after fillers?

A. Fortunately most of my patients are able to return to their normal activities immediately after their injectable filler treatment. In rare cases, there can be a small bruise which I minimize by using special advanced injection techniques. In the event of a small bruise, our patients are given arnica gel skin patches which have been proven to minimize bruises within 24 hours. We ask our patients to discontinue any medications that thin their blood for one week prior to treatment, and they can be resumed the day after treatment. We have found that not working out strenuously for one day after injections helps to decrease any late bruising or swelling. We like to see our patients back for follow up examination 10-14 days after their initial treatment to make sure that they have an excellent naturally beautiful result. As with any aesthetic procedure, be sure to choose your injecting physician very carefully based on their experience, care, knowledge, skill, and most importantly their natural artistic vision. Good luck and be well. ~Dr. P

Q. What is the best way to get rid of this “tired, saggy” look on my face?

A. Many of our 35 to 50 year old patients complain of looking tired and noticing that their face is sagging for the first time in their life. Fortunately there are some great choices of treatments that address the problem quickly, safely, and effectively. I particularly love to immediately correct “tiredness” with strategically placed injection of Voluma using The Master Injector Technique. With a 10 minute comfortable treatment, properly placed Voluma helps to rejuvenate the under eye area, the cheeks, the nasolabial folds, the corners of the mouth, and even the jawline. Ultherapy is the best lifting, tightening non-surgical treatment for the face, neck, and brows. Depending on the patient, Botox and/or Sculptra are used to complete their natural beauty rejuvenation. As with any aesthetic procedure, be sure to choose your treating board certified cosmetic physician very carefully based on their experience, care, knowledge, skill, and most importantly their natural artistic vision. Good luck and be well. ~Dr. P

Q. What makes Voluma different from other facial volume fillers?

A. Voluma has been a God send in my ability to rejuvenate patient’s face within 10 to 20 minutes. A small amount of Voluma is able to lift the face unlike any other facial filler. It is also the longest lasting non-permanent facial filler, lasting for up to two years. Voluma injection experts such as Dr. Persky are able to inject the product strategically to maximize the lifting effect while using the minimum amount of product to give you your best naturally beautiful results at the most economical cost…the biggest bang for your buck! More than any other aesthetic treatment that we perform, when patients are handed a mirror after their Voluma treatment, they respond with a spontaneous, “Wow!” As with any aesthetic procedure, be sure to choose your treating board certified cosmetic physician very carefully based on their experience, care, knowledge, skill, and most importantly their natural artistic vision. Good luck and be well. ~Dr. P

Q. How Often Do I Need to Repeat My Voluma Treatment?

A. The nice thing about Voluma treatment is that the effects are additive and cumulative. The first time that I treat a patient I like to remain conservative, usually using only 1 or 2 cc syringe(s) for a naturally beautiful result. I re-evaluate our Voluma patients about 10 to 14 days after their treatment to make sure that their results are maximized. Though Voluma lasts for a long time (when Voluma is injected properly, the results are very natural and long lasting, up to 2 years), I can usually find somewhere to place another little bit of Voluma to make you look even better. I recommend that patients consider a little more Voluma whenever they wish to look better, refreshed, rested, and beautiful. That can coincide with holidays, special occaisions, birthdays, etc. It is best to have your treatment 10 to 14 days before your special occasion. As with any aesthetic procedure, be sure to choose your treating board certified cosmetic physician very carefully based on their experience, care, knowledge, skill, and most importantly their natural artistic vision. Good luck and be well. ~Dr. P

Q. Why Do Many Voluma Patients Say That It Helps Them to “Go From Hottie to Oh My Goddie!”?

A. Recently while speaking to a new patient I asked whether she had ever had Voluma injected. She responded that she loves Voluma more than any of the other facial fillers that she has experienced and added, “In 5 minutes Voluma made me go from Hottie to Oh My Goddie!” Voluma results are immediate and long lasting. The injections are less uncomfortable than Botox injections according to our patients experience. As with any aesthetic procedure, be sure to choose your treating board certified cosmetic physician very carefully based on their experience, care, knowledge, skill, and most importantly their natural artistic vision. Good luck and be well. ~Dr. P

Q. What is The Dr. Persky Facial Beauty Plan?

A. Dr. Persky believes that each of his patients deserve an individualized beauty plan, not just for their immediate treatment but for the long term over many years. At your initial consultation with Dr. Persky, he will discuss what your goals and motivations are for your aesthetic needs. Next, Dr. Persky will perform a complete facial analysis discussing your unique rejuvenation. There will be recommendations made for immediate treatment, treatments for maintenance, and then long term treatment plans. Dr. Persky is conservative and usually proceeds with moderate improvement at a time. Included will be a discussion and recommendation of the best skin care products that will compliment and maximize your rejuvenation. As with any aesthetic procedure, be sure to choose your treating board certified cosmetic physician very carefully based on their experience, care, knowledge, skill, and most importantly their natural artistic vision. Good luck and be well. ~Dr. P