@Obi wan
On 10/6/2018 at 7:18 AM, Obi wan said:Most good guys won't put filler till the end. Why? Because if you tethers are broken down, and you can stimulate collagen over time - only the truely atrophic areas need to be filled.
Wouldn't the tethers re-tether if no spacer is added?
Hi, Beautiful Ambition
Last week I had cannula subcision with DR. Rullan and tomorrow I'll have sculptra injected by him.I'll post pics next month.
What else should I talk to him about other than aftercare before flying back to Texas? like obi had mentioned something about fibrosis. Thank you for your time.
@GallantNightTalk to him about future subcisions and filler. There is not a ton of aftercare with his package procedure. The basics you can do at home once you heal. Sunscreen is a must. Swelling and redness will go away with some time.
At home you can work on rf needling ... some do this between their subcisions locally to where you live at a med spa or dr and finding someone to do co2 laser for after you complete the manual methods. He is not the best with these.
Is there any concerns with the procedure or complications.
Fibrosis is caused by lack of filler and just doing subcision, ... they also don't do the alternative of Chinese cupping for a month after. You are doing a vial of sculptra so you should not have this issue. Allow yourself 3 months at least or more if you need between treatmetns.
At home you can also derminator or dermastamp monthly and alternate with glycolic peels. USe a retinoid nightly.
Sime people wear concealer 24 hrs once the subcision would is closed up.
* Nightly for when you heal a bt more...before and after treatments until the issue is taken care of:
Use nightly: Retin-a or tretinorin(prescription), or Differin (Target/Walmart), The Ordinary Granactive Retinoid (if you can't get the above) or Avene or Osmosis (I am not a big fan of their other products) "Retinaldehyde" product (for sensitive skin). Cureology(USA) & Yoderm(USA) provide monthly - online prescriptions with customized skin care creams for your concerns, those in UK Dermatica provides the same thing. Apply a moisturizer when your face is dripping wet. Wait 5 minutes for it to dry, and then apply the tretinoin. This cuts down on irritation, you can also skip days of application (or do one or two days a week) if it's irritating and you need to build up %. This provides skin turnover - new collagen. To prevent (reds & browns from all Dr-treatments to ethnic skin or to work on current skin discoloration), try PCA hydroquione free gel for Hyperpigmentaion (Amazon) or Cureology/Yoderm/Dermatica includes this in their products if ordered. Using this prevents hyperpigmentation from treatments. Hydroquinone has side effects for some people, natural options are better with ingredients like: kojic acid/Konjac, Alpha Arbutin, Niacinamide by The Ordinary is great for large pores, discoloration, and inflammation. The Ordinary, Cerave, Eucerin (QV Skincare in AUS), Dr Sam Bunting Flawless Cleanser, Avene, La Roche-Posay (sensitive), and Acne.org's products are all great options for moisturizers and cleaners without fragrance / dyes / allergens. The Three most important things one can use are: Vitamin A skin turnover (retinol, retinaldehyde, retinoid), Vitamin C Serum which makes collagen, and a sunscreen (zinc oxide physical for sensitive skin - DRMTLGY Active Sunscreen, Elta MD Physical, La Roche).
@GallantNightHmm, depends how much HA filler. If it's only a little bit in certain areas you should be fine. Just do your rf needling at least 3 months from the time you had it injected.
Intracel is fine... again it's the operator not so much the device - unless the needles are not insulated.