FAQs

Got questions? Doctors Studio has the answers! Review the most frequently asked questions about each of our cutting edge procedures. If you don’t find the answers here, we are always happy to help – contact Doctors Studio at info@doctorsstudio.com or at 561.444.7751.

General PRP FAQ’S

How does Platelet Rich Plasma (PRP) work?

PRP contains platelets and signaling proteins. The Platelets contain growth factors that signal your bodies "stem-cells" and facilitate regeneration of tissue (collagen, elastin, blood vessels, nervous tissue, cartilage, etc.). The PRP "fluid" is absorbed in a few days, however the signaling continues to "work" recruiting stem cells and repair proteins to come to the site of injection to heal and regenerate. This process is similar to dropping off a work crew onto a worksite - and waiting for the tools to arrive. The "work crew" is the PRP (growth factors and signal proteins), and the "tools" are the stem cell and cytokines that are recruited to the site. This process starts immediately and is still working at 12 weeks and beyond.

Example: When you scrape your knee, platelets are activated. The activated platelets spill their contenets. Growth factors and cytokines (proteins) are released to signal the healing elements to the injured area. All the healing cells go to work over time to repair the area of damage. The repaired skin on your knee is new skin with improved blood flow and collagen. Your body gets the 'signals' to regenerate the dysfunctional or aging cells by the injection of PRP into the desired area. Activated platelets are creating a scaffolding of growth factors and stem cells to regenerate the tissue - including blood supply.

Annual PRP procedures could be helpful to address the normal on going cellular degenerative aging process.

Are Platelet Rich Plasma (PRP) procedures FDA approved?

Platelet Rich Plasma (PRP) procedures are not approved or disapproved by FDA because PRP is not a drug. The FDA has approved the PRP harvesting kits that are used in the platelet collection process and they have been deemed safe. PRP has always shown to be safe and is effective at regeneration, healing and rejuvenation in many different medical specialties.

What is the Future of Platelet Rich Plasma (PRP)?

As people seek out alternative options to surgery for injuries and other conditions, therapies using PRP are becoming in demand. Patients and physicians alike are excited about PRP because PRP is a regenerative therapy. Treating patients with the healing power offered from their own body is revolutionary. Further research will occur and the use of these treatments will continue as long as they prove to be effective.

Why is the same dose given to everybody?

The equipment that is used by Studio PRP Trained Providers is all the same. Studio PRP insists on utilizing the best quality protocols and equipment necessary to achieve the best results. Studio PRP Trained Providers do not work for a manufacturer of PRP devices. Studio PRP Trained Providers are a group of physicians dedicated to collaborating for the good of Patient outcomes. We want to achieve the best results. Therefore, we share ideas, techniques and expertise among the group.

The dosage of platelets can vary between patients because each persons starting platelet count can be a bit different. The PRP harvesting system used by Studio PRP is validated and proven consistent in concentrating the platelets, decreasing inflammatory causing WBC, increasing anti-inflammatory WBC, increasing growth factors and delivering a high quality PRP product.

Are there any considerations before having a PRP procedure?

Certain factors (ie, smoking and alcohol intake) diminish stem cell release. Avoiding these will increase the success of any PRP procedure.

NSAIDS are found to inhibit degranulation. This means that there is a reduction in growth factor release from PRP when NSAIDS have been used by the patient 1 week before the procedure. For this reason, the use of anti-inflammatory drugs before and after the procedure is not recommended. We recommend that you do not take NSAIDS or Steroid medications for 1 week before the procedure and 2 weeks after. You may take Tylenol for pain or discomfort both before and after without diminishing PRP effectiveness.

Who should not have PRP Treatment?

Although PRP is a promising therapy for most patients, there are a few special considerations.

CONTRAINDICATIONS: PRP use is safe for most individuals between the ages of 18- 80.

There are very few contraindications, however, patients with the following conditions are not candidates:

  • Pregnancy or Lactation
  • Acute and Chronic Infections
  • Skin diseases (i.e. SLE, porphyria, allergies)
  • Cancer
  • Chemotherapy treatments
  • Severe metabolic and systemic disorders
  • Abnormal platelet function (blood disorders, i.e. Haemodynamic Instability, Hypofibrinogenemia, Critical Thrombocytopenia)
  • Chronic Liver Disease
  • Anti-coagulation therapy (Coumadin, Warfarin, Plavix, Aspirin, Lovenox)
  • Underlying Sepsis
  • Systemic use of corticosteroids within two weeks of the procedure.
  • re any adverse effects of PRP treatments?
  • effects are rare.
  • COMPLICATIONS: Some of the Potential Side Effects of Platelet Rich Plasma include:
  • Pain at the injection site
  • Bleeding, Bruising and/or Infection as with any type of injection
  • Short lasting pinkness/redness (flushing) of the skin
  • Allergic reaction to the solution, an/or topical anesthetic
  • Injury to a nerve and/or muscle as with any type of injection
  • Itching at the injection site(s)
  • Nausea /vomiting / Dizziness or fainting
  • Temporary blood sugar increase
  • Swelling at treatment site
  • Minimal or no effect from the treatment

Can I have a consultation without having the procedure?

Studio PRP providers encourage you to schedule a brief consultation before scheduling the procedure. It this consultation (which can be done over the phone) you will have an opportunity to have all of your questions answered. You will also be provided important information to help you have the best possible experience and results.

Can I have a consultation and the procedure in the same day?

You may have services on the same day as a consultation as long as you make your desire for service known at the time of scheduling.

What should I expect during my appointment?

Your Studio PRP provider will review your medical history. You will have an opportunity to ask questions should you have any. A topical numbing cream is applied to the injection area (s). Your blood is then drawn and prepared. Once your PRP is ready, the doctor will inject into the desired area.

Will I need to bring anything with me?

You do not need to bring anything with you.

Can I have a consultation and the procedure in the same day?

You may have services on the same day as a consultation as long as you make your desire for service known at the time of scheduling.

Will I need to bring anything with me?

You do not need to bring anything with you.

Vampire Facelift FAQ’S

What is the Vampire Face Lift®?

The Vampire Face Lift® is a custom-designed procedure that combines the science of hyaluronic acid (HA) fillers, such as Restylane, Belotero and Juvederm; Platelet Rich Plasma and the artful eye of a skilled physician to deliver youthful, natural beauty that is as unique as you are.

How does the Vampire Facelift® Work?

The initial injection of hyaluronic acid fillers is injected skillfully to create a more youthful shape. One the desired shape is accomplished PRP is injected strategically to start the rejuvenation process. PRP ultimately contributes to the appearance of a younger version of you, with improved skin quality, color and texture. With the Vampire Facelift®, you can achieve youthful, natural all without surgery and minimal downtime.

What can I expect from the Vampire Facelift® Procedure?

Each patient will experience a fresher, more youthful appearance artfully designed to meet your needs. Benefits of The Vampire Facelift® include:

  • The skin “glows” because of new blood vessel formation.
  • New collagen forms in the dermis and lifts and refines the skin.
  • Because the growth factors are working to build a new dermis, the epidermis (the outer most layers of your skin) appears smoother.

Unlike the Vampire Facial™, fillers are used in the Vampire Facelift™ so patients will see the immediate volume effect and improved facial contour. During the following weeks new collagen will form, generating more healthy cells underneath the skin. There is typically a noticeable change in your skin quality.

Can I go to Work immediately after Vampire Facelift™?

Some people do. Dermal filler and PRP is injected into the face and therefore you may experience mild redness, bruising and/or swelling. It is best to expect the worst and allow yourself time before important events, photos, etc. Swelling resolves in 24-48 hours but a bruise can last up to 2 weeks for some people. It is best to avoid strenuous workout for 48 hours after procedure to minimize bruising and swelling.

Is Vampire Facelift™ better than traditional facelift surgery?

Traditional facelift surgery may be necessary for some patients who have the need for more extensive correction. However, traditional face-lift procedures not only exposes patients to many after surgery complications but can also cause a lot of inconvenience due to the long healing time (usually 7 to 10 weeks).

One advantage of the Vampire Facelift™ is that the procedure only involves needle injections to the desired areas of patient’s face and requires minimal healing time. And because the patients own blood is what is used, there are virtually no side effects.

Vampire Facelift™ should also be considered after a traditional face lift so that proper volume can be added and skin rejuvenation can occur. Traditional facelift simply lifts the skin but does nothing to facilitate a more youthful shape nor does it improve skin quality, texture and elasticity.

Who is a candidate for Vampire Facelift™?

Well, generally speaking anyone can have the Vampire Face Lift™ as it is a non-invasive cosmetic surgery. Though traditional facelift surgery is perfectly fine for certain patients, more and more people are opting for non-invasive options because it is less expensive and safer than surgery, more effective and offers very minimal downtime if any.

How do you know the Vampire Facelift® is right for you?

A surgical facelift may be useful in very specific cases, but it is not a cure-all for the aging face. The surgical facelift can contribute to a collapse of the face as the skin is stretched tightly over the bone, leaving a skeleton-like appearance and does nothing to improve the quality of the skin. The Vampire Facelift®, however, lifts the face away from the bone, creating youthful volume and restoring shape. In combination with HA fillers, the Vampire Facelift® also improves the skin’s texture, color and integrity.

Your Studio PRP provider is happy to consult with you to provide you the best options for achieving your goals.

Are there any side effects of the Vampire Facelift™?

As the Vampire Facelift procedure involves injecting a mixture of the patient’s blood and placing it back into the patient’s own body, the possibility of having side effects and allergic reactions after the procedure is greatly reduced. Having said that, below are some of the common side effects that can occur when dealing with any sorts of facial filler injections:

  • Mild irritation & itching (depending on the sensitivity of your skin)
  • Mild swelling or edema
  • Bruising (caused by the reaction of your skin to the physical injection)

Is The Vampire Facelift™ Safe?

Although the name is a little frightening, the procedure is a very safe and effective way to lift up the skin and smooth out the wrinkles without distinguishable side effects.

How long will the effects last of the Vampire Facelift?

Each Vampire Facelift™ procedure is usually going to last for about 9 to 12 months. Just like getting your haircut is not a one-time event, cosmetic procedures require maintenance ongoing treatments to restore youth.

Vampire Facial FAQ’S

What is the Vampire Facial®?

The Vampire Facial® is a very simple yet incredibly effective strategy for rejuvenating the skin. Platelet Rich Plasma (PRP) derived from your own blood is applied and worked into the skin with a professional micro-needling tool.

How does the Vampire Facial® Work?

The micro-needling tool is used to create micro punctures in the skin thus activating the collagen and elastin cascades to create new cells and rejuvenation. PRP is filled with growth factors and once applied and absorbed into the skin, it begins to work immediately to simulate these new stem cells that exist in the face.

What results can I expect from the Vampire Facial™?

Just a few short weeks after the Vampire facial, the newly formed collagen is growing and generating more and more healthy cells underneath the skin. That is when patients will begin to see improvement in the skin quality, color and texture.

Benefits of The Vampire Facial® include:

  • A fresher, more youthful natural appearance
  • The skin color becomes a “younger” color because of new blood vessel formation.
  • Because the growth factors are working to build a new dermis, the epidermis (the outer most layers of your skin) appears smoother.

What is the downtime associated with Vampire Facial™?

Vampire Facial™ is a simple in office procedure that takes less than an hour to complete. Because micro-needling is involved, which includes tiny punctures in the skin, the face will be red with a very mild swelling. Patients should refrain from exercises that will heat the face, but by the very next day the redness is significantly diminished and regular activity can be resumed.

Are there any side effects of the Vampire Facial™?

The great news about Vampire Facial™ is the process uses nothing more than a patients’ own blood so there is no risk of any side effects. In fact, this benefit is one of the reasons that Vampire Facelift™ is so popular.

How long will the effects last?

The glowing effects of the Vampire Facial™ typically last between 6-9 months, but it is encouraged to have the procedure 3-4 times a year to maintain optimal skin quality, texture, elasticity and the most youthful appearance possible.

The O-Shot® FAQ’S

What Should I Expect During My O-Shot® Procedure Appointment?

Dr. Roy will review your medical history. You will have an opportunity to ask questions should you have any. A topical numbing cream is applied to the injection area (s). Your blood is then drawn and prepared. Once your PRP is ready, the doctor will inject into the desired area.

You will then be instructed on how to use the APEX device for the best regenerative results. The entire visit will last approximately 30 minutes.

What Is The Clinical Protocol?

For several weeks after the O-Shot® procedure, you are asked to use the APEX pelvic bowl exerciser device to stimulate and strengthen the pelvic floor muscles. Please use the device daily for a minimum of 10 minutes for 2 weeks. The more you use the device the better. You may continue daily or weekly use indefinitely for continued benefit.

Does The O-Shot® Treat Urinary Incontinence?

Many women report significant improvement of stress and urge incontinence. There are many reports of total resolution of the problem. Strengthening the pelvic floor musculature in conjunction with PRP can significantly impact urinary incontinence. StudioPRP Providers recommend using the APEX medical device in combination with PRP for the best outcome.

Does The O-Shot® Procedure Hurt?

Most women are quite comfortable during the procedure. The discomfort is often described as a mild pinch or mild sting, lasting only a few minutes. The numbing feeling may last 30-60 minutes after the procedure.

Are There Any Side Effects Or Downtime With The O-Shot®?

There are typically no side effects or downtime. There may be a few drops of blood from the injection site. You can return to work, exercise and any other activity the same day (including sexual activity).

Do I Need To Come Back For A Follow Up Visit After The Procedure?

Generally a brief phone conversation or office visit (15 minutes) at 4 weeks is recommended. (No charge). A plan for further care will be considered at that time.

Will I Need A 2Nd O-Shot®?

Some women choose to have a 2nd O-Shot® for various reasons. You may have a 2nd O-Shot® after 4 weeks should you desire.

How Many O-Shots® May I Have?

There is no limit to the number of O-Shots® a woman can have safely. Evaluation by a physician skilled in the use of PRP is necessary to determine potential risk and benefit.

Is The O-Shot® Covered By Insurance?

Currently this procedure is not covered by insurance including Medicare.

Are There Any Studies Or Research On The O-Shot® Procedure?

(see PRP FSD 7.2014)

Can I Have The O-Shot® Done If I Am Pregnant?

NO -Women who are pregnant or lactating should not have the O-Shot® procedure.

If you are not sure – a pregnancy test will need to be done prior.

You will be asked to sign a document to verify that you are not pregnant or lactating at time of the procedure.

Can I Have The O-Shot® If I Am Menstruating?

Yes, you can have the procedure done during menstruation. Anytime of the month in a woman’s cycle is acceptable.

Are There Any Guarantees With The O-Shot® Procedure?

This is an elective procedure and there are no guarantees that you will achieve the desired results. It may take more than one procedure to reach your desired goals.

Are There Any Side Effects Or Downtime With The O-Shot®?

There are typically no side effects or downtime. There may be a few drops of blood from the injection site. You can return to work, exercise and any other activity the same day (including sexual activity).

The P-Shot® FAQ’S

What Should I Expect During My Appointment?

Dr. Roy will review your medical history. You will have an opportunity to ask questions should you have any. A topical numbing cream is applied to the injection area (s). Your blood is then drawn and prepared. Once your PRP is ready, the doctor will inject into the desired area.

You will then be instructed on how to use the pump for the best regenerative results. The entire visit will last approximately 30 minutes.

Are There Any Side Effects Or Down Time?

There are typically no side effects or downtime. A small superficial bruise may develop at the injection site. Patients can return to work, exercise and any other activity the same day (including sexual activity).

What Is The Priapus Shot® Post Procedure Protocol?

After the Priapus Shot® procedure you are instructed to use a vacuum pump device to stretch the tissues of the penis for 10 minutes twice daily a minimum of 6 weeks to get the maximum benefit. You may pump for 10 minutes in same session with 5-minute break between. It is ok to continue pumping past 6 weeks. It is also OK to pump up to 30 minutes twice daily, allowing 60 minutes between sessions. The mechanical stretching of the tissue acts as a catalyst to continue the regenerative process. If increased girth and length are desired, you will likely need to pump frequently until your goal is reached (months to years). Subsequent Praipus Shots may help to facilitate this process.

Do I Need To Come Back For A Follow Up Visit After The Priapus Shot® Procedure?

Generally a brief phone conversation or office visit (15 minutes) at 4 weeks is recommended after your procedure. (No charge). A plan for further care will be considered at that time if necessary.

Will I Need A 2nd Priapus Shot®?

Some men choose to have a 2nd Priapus Shot® for various reasons. You may have a 2nd Priapus Shot® after 4 weeks should you desire.

How Many Priapus Shots® Can I Have?

There is no known limit to the number of Priapus Shots® a man can have safely. Evaluation by a Studio PRP provider skilled in the use of PRP is necessary to determine potential risk and benefit.

Is There Any Research Or Current Studies Involving PRP And Priapus Shot®?

There are published studies showing effectiveness in animals and small groups of men for. There are current studies underway. The results of these studies will be reported and published as soon as possible. Studio PRP is involved in clinical research as the leader in PRP treatments for men and women.

Is The Priapus Shot® Covered By Insurance?

Currently this procedure is not covered by insurance including Medicare.

Will The Priapus Shot® Help With Erectile Dysfunction (Ed)?

Erectile Dysfunction is often due to cardiovascular disease, diabetes, anxiety and medication side effects. Having satisfying sexual function depends upon blood flow, nervous system function, and the overall quality of tissue, health and hormone levels.

Many men with ED seek treatment and are given the option from medications both oral and injectable to surgical implants.

The Priapus Shot® is an excellent treatment for ED and for men interested in better sexual function and the prevention and preservation of sexual function. PRP can be used safely in conjunction to other treatments you may be using for ED.

It may be necessary for more than one Priapus Shot® to achieve the functional goals. There is usually additional benefit with subsequent Priapus Shot® procedures spaced at a minimum of 4 weeks apart.

For preventative care or to maintain good erectile function and sensitivity it is recommended that you consider an annual Priapus Shot®.

What Can I Expect If I Have Tried Other Medications For Ed?

The Priapus Shot® procedure can rejuvenate the tissue so that other treatments work more effectively. The results are variable and there has not been enough data collected to provide success rate statistics. Most men report benefit but the specifics are variable. It sometime takes more than one Priapus Shot® to reach desired goals.

Are There Any Guarantees With The Priapus Shot® Procedure?

This is an elective procedure and there are no guarantees that you will achieve the desired results. If you are seeking enhancement as your main goal, you may need a 2nd or 3rd shot along with the pumping protocol to achieve your goals.

Does This Procedure Help With Peyronie's Disease?

There have been reports of improvement with Peyronie's Disease by several physicians using PRP. Pain, discomfort and curvature are reported to decrease in most men. It may take several PRP injection series in order to reach your goal. There have been no reports of worsening your condition with this procedure.

Pain Free PRP FAQ’S

What are Pain Free PRP Injections?

Pain Free PRP Injections are used to stimulate healing using one’s own blood components. The procedures begin with a simple blood draw. The blood is processed to concentrate the platelets, which are filled with growth factors and healing proteins. The PRP is then injected directly into the painful site (joint, muscle, tendon). Platelets then release their growth factor. Growth factors recruit stem cells to the area and work to stimulate repair and regeneration at the site, offering the patient pain relief and faster healing rates. In some cases, 1-3 injections are required.

What conditions are treated with Pain Free PRP?

PRP Injections can treat a number of conditions for the hip, knee, arm, shoulder, lower leg and feet. It is best to consult with your physician for a complete listing. However, below is an abbreviated list of conditions that are commonly treated with Pain Free PRP.

  • Muscle injury and strains
  • Chronic Tendinopathies (tennis elbow, Achilles tendon, patellar tendon and rotator cuff)
  • Ligament injuries (ie: medial or lateral collateral ligament-MCL/LCL)
  • Osteoarthritis – joint pain
  • Lower Back and Pelvic Pain

Why use Pain Free PRP injections?

Platelet injections can an alternative to surgery or can add benefit before, during or after surgery to facilitate healing and improved tissue quality. Ideal candidates are those who prefer a less invasive option to surgery or those who are unable to undergo a surgery. It also allows for a much quicker recovery period and is much less painful than a surgery.

It is important that patients considering Pain Free PRP find a doctor with experience in these types of injections. Not all Studio PRP providers offer Pain Free PRP. You can be confident that the Studio PRP providers that do offer Pain Free PRP are among the most skilled in this area of medicine. It is more likely to have a favorable outcome if the doctor administering the injections is experienced and skilled.

How does Pain Free PRP work?

A large amount of growth factors are released at the site of injury upon injection. These platelets induce an inflammatory response to initiate healing. The platelets are able to restore tendons and ligamentous proteins as well as strengthen cartilage allowing it to become firmer and more resilient.

Does Pain Free PRP injection hurt?

Patients usually tolerate the injection well. However, there can be soreness after the injection due to the PRP-induced inflammatory response. You can expect swelling and soreness during the first 48 hours post injection and can use an over the counter pain medication such as Tylenol to help alleviate the discomfort.

How quickly does Pain Free PRP work?

Most patients see some improvement within 2-6 weeks. The pain becomes less and less as the weeks pass with most clinical trials reporting improvement up to 6-9 months post injection.

Are these Injections Safe?

Platelet injections are safe. Since you are using your body’s own blood components and there are no foreign substances being injected into your body, the injections are considered safe.

Infection is a risk with any injection. It is not unique to platelet rich plasma injections. Infections are very rare with PRP.

Using one’s own body as a healing mechanism is a relatively new concept in the world of medicine, and an exciting one at that. As therapies such as these begin to prove they are beneficial and effective, you will likely see similar therapies develop in other medical areas.

Is there any Patient who would not be a good candidate for Pain Free PRP?

Patients with severe anemia, low platelet count, abnormal platelet function, active systemic infection or those with an active cancer are not recommended to be administered Pain Free PRP.

Botox FAQ’S

What Is Botox® Cosmetic?

BOTOX® Cosmetic is a prescription medicine that is injected into muscles and used to improve the look of moderate-to-severe frown lines between the brows in people 18 to 65 years of age for a short period of time (average 3-4 months).

BOTOX® Cosmetic is administered by Dr. Roy as a simple, nonsurgical treatment that is injected directly into the muscles between the brows and other areas where muscle contraction causes wrinkles. It works by blocking nerve impulses to the injected muscles. This reduces muscle activity that causes moderate to severe lines to form.

Can Botox® Treat Wrinkles?

Yes, Botox is an ideal treatment for wrinkles. Dr. Roy is an advanced, master artist who injects Botox with a keen, artistic eye for optimal symmetry. She uses a special, fast, gentle and painless technique to treat wrinkles in the forehead, between the brows, and around the eyes.

What Is Botox® Brow Lift & “Frown Prevention”?

Dr. Roy is an expert in a non-surgical BOTOX Brow Lift. This procedure elevates the brow and droopy eyelid skin, opening up your eyes for a more youthful invigorated look, but not an “overly frozen” or “surprised” look. Also, a frown can easily be prevented with his fast, easy and painless technique. She has helped countless patients avoid unnecessary plastic surgery with this procedure.

Can Botox Treat Excessive Sweating?

Problems with perspiration stains on your underarms? Excessive perspiration can be virtually eliminated for up to 10 months with Botox. Any areas can be treated, such as feet, hands or back. It is a very popular treatment that will help your clothing last a lot longer and remain stain free, eliminating your concern about embarrassing, underarm wetness. Just one treatment per year can get you through the long, hot summer months.

What Is The Botox® Procedure At Doctors Studio?

Dr. Roy will determine exactly where to administer several tiny injections to achieve the best result. No anesthesia is required. The entire procedure takes about 10 minutes. Most people return to work or normal activity immediately. Within days, you will see a marked improvement, which may continue to improve for as long as a week. The natural-looking result should last up to 4 months.

How Much Does It Cost?

The cost of treatment varies by patient, depending on the amount of BOTOX®Cosmetic required for the patient. It varies by gender and the type of wrinkles being treated. Men generally require more than women. Dr. Roy will discuss with you the treatment plan at your consultation. She will help you understand “where, what, why and of course how much”.

How Long Does Botox® Injection Take?

Generally, after the initial consultation, the treatment only takes about 10-15 minutes. The benefit is that you get dramatic results, usually within 1 week, and there is no downtime – you can go right back to work or whatever it was you were doing!

How Is Botox® Administered?

Tiny injections of BOTOX® Cosmetic are administered to the areas being treated. Dr. Roy will discuss with you the treatment plan at your consultation. She will help you understand “where, what, why and of course how much botox is necessary to achieve the best aesthetic result.

Does The Botox® Injection Hurt?

For most people, it feels like an insect bite. In general, it is not a prolonged pain, just the initial pinprick sensation. We provide small icepacks to ease any discomfort.

How Long Does Botox® Last?

Usually 3-4 months. When it wears off, you return for another BOTOX® Cosmetic visit to maintain the natural, relaxed and refreshed appearance.

Dermal Needling FAQ’S

What Is Dermal “Micro” Needling And How Does It Work?

Dermal needling is also called micro-needling therapy or collagen induction therapy. It is a minimally-invasive non-surgical and nonablative procedure for facial rejuvenation that involves the use of a micro-needling device to create controlled skin injury.

As each fine needle punctures the skin, it creates a channel or micro-wound. The controlled injury triggers the body to fill these micro-wounds by producing new collagen and elastin in the papillary dermis. In addition, new capillaries are formed. This neovascularisation and neocollagenesis following treatment leads to reduction of scars and skin rejuvenation, i.e., improved skin texture, firmness and hydration.

There are various professional skin needling devices and radial discs incorporating fine microneedles of various diameter and length, fabricated from a wide range of materials such as silicon, glass, metals, and polymers. The needles are up to 3 mm in length.

Professional skin needling is considered to be one of the safest skin treatment procedures. Unlike chemical peels, dermabrasion and laser treatments, skin needling causes minimal damage to the skin.

What Is Skin Needling Used For?

Skin needling is effectively used for:

  • Reducing scars (including hypertrophic scars) caused by acne, surgery or thermal burns
  • Fading stretch marks
  • Reducing fine lines and deep wrinkles
  • Dyspigmentation e.g in melasma
  • Tightening sagging skin.

Benefits Of Skin Needling

  • Reduced risk of hyperpigmentation and scarring therefore safe on ethnic or dark skin.
  • Suitable for thin and sensitive skin
  • The treatment can be performed in an office setting and does not need any extensive special training or expensive instruments.
  • The procedure is well tolerated and well accepted by the patients,
  • It is cost-effective, and can be done on areas of skin not suitable for peeling or laser resurfacing, such as near eyes.
  • As opposed to ablative laser resurfacing, the epidermis remains intact and is not damaged. For this reason, the operation can be safely repeated if needed.
  • Treatment does not result in a line of demarcation between treated and untreated skin, as usually occurs with other resurfacing procedures. This allows for specific areas of scarring to be treated without the need to “blend” or “feather” at the treatment edges.
  • The patient can resume regular activities within a few days, depending on the depth of penetration of the needles. Treatment options like laser resurfacing or dermabrasion are often associated with considerable morbidity and downtime from daily activities of the patient in the post-treatment period.

What Is The Skin Needling Procedure Like?

The procedure is well tolerated. It takes a few minutes up to an hour to complete, depending on the area to be treated and the severity of the problem.

  • No lotions, makeup or other topical products are applied on the treatment area on the day of the procedure.
  • The medical professional then applies a numbing cream (topical) on the treatment area or injects local anaesthetic.
  • The skin is punctured in a specific pattern using a skin needling device. The device is rolled over the skin multiple times for best results.
  • As each fine needle punctures the skin, it creates a channel or micro-wound stimulating skin cell regeneration.
  • Depending on the condition treated it may take 5-60 minutes to complete the procedure.
  • A minimum of six weeks is recommended between two treatments as it takes that long for new natural collagen to form.

Postprocedure Care

  • Skin needling is well tolerated by patients but dryness, scaling, redness and swelling may be seen after treatment, lasting for several days or longer, depending on the depth of penetration of the needles.
  • Sun protection for several weeks is recommended.
  • In the case of acne scars, after the skin needling procedure, the face should be cleaned with a gentle cleanser before bed. The next day, the face may be cleansed and makeup, lotions and other topical products applied as usual.
  • As the microholes close quickly, postoperative wound infection is rare.
  • Emollients or antibiotic creams may be prescribed, if considered necessary.
  • Rejuvenation of skin may be seen as soon as 2 weeks and as long as 6-8 months after the medical procedure.
  • Burn scars are slow to respond. It can take up to 6 months to 1 year to see the final results from a single treatment.

Practical Tips

  • Good quality instruments should be used; there are many instruments from different companies. Using poor instruments may lead to breakage of needles in the skin.
  • The patient should be counselled that multiple sessions may be needed.
  • Other treatments such as subcision (surgical procedure using a needle to cut fibrous bands between fat lobules), and punch elevation may need to be combined for optimal results in acne scarring.
  • Application of local anaesthetic cream can prevent procedure pain and help in performing the procedure properly.
  • An interval of 4-6 weeks should be allowed between procedures to get good results.

How Many Skin Needling Procedures Does One Need?

The number of needling procedures depends on the individual skin condition. Three to four treatments may be needed for moderate acne scars. Scars from Thermal burns and stretch marks (striae) may require up to 5 procedures.

In the case of wrinkles associated with ageing skin, one or two refresher skin needling treatments are recommended every year.

Specially designed home skin needling models with short fine needles (0.2 mm depth) may be used 2-3 times per week to:

  • reduce pore size
  • reduce oil levels in the skin (seborrhoea)
  • help to reduce wrinkles and fine lines
  • enhance delivery and effectiveness of medical grade skincare creams
  • minimise acne outbreaks.

Are There Any Side Effects From Skin Needling?

Generally the treated areas recover rapidly from skin needling. However there are occasional side effects, which include:

  • Oozing and swelling during the recovery phase.
  • Skin infection with bacteria (rare) or herpes simplex virus (cold sores).
  • Milia, which can be easily removed.

Acne flare, which is usually mild.

Endymed Pro (FSR) FAQ’S

Why Does Our Skin Lose Elasticity And Start To Sag?

Even with a healthy lifestyle and minimal sun exposure, our skin gradually loses its firm, youthful look. Aging, cumulative sun exposure, multiple pregnancies, and weight fluctuation are all factors which affect the strength and elasticity of the collagen fibers in our skin. This, in turn, causes the wrinkles and sagging skin.

Can Sagging Skin Be Corrected Non-Surgically?

Skin laxity can be improved by employing novel non-invasive energy-based technologies. Our experience has shown that when using the EndyMed 3DEEP technology, it is possible to tighten loose skin and promote production of new, healthier collagen.

What Is Radio Frequency And How Does It Work?

Radio frequency (RF) is an advanced technology that safely heats the collagen in the skin (dermis). If sufficient energy is delivered, the collagen will contract, providing an immediate change in skin appearance. The treatment also triggers a second process of new collagen production, leading to a significant change in skin appearance. A result of collagen remodeling is tighter, younger looking skin.

RF has two major intrinsic advantages over other technologies: 1) it penetrates deeper into the skin and 2) it is not affected by skin color.

What Are The Disadvantages Of Other Types Of Available Rf Treatments?

Earlier types of RF technology either penetrated too deeply into the tissue, which can be painful and may results in surface of sub-surface burns, or they deliver heat too superficially which limits their clinical benefit.

What Is The Unique Advantage Of Endymed 3Deep Rf Technology?

3DEEP RF represents the newest variation on RF technology, an evolution of RF-based professional skin tightening and body contouring systems.

3DEEP technology, comprised of multiple electrodes, offers, for the first time, a safe, energy-based system that combines delivery of controlled heat deep into the skin, while preserving the overlying epidermis. Treatment parameters are personalized according to body area and skin characteristics.

Which Areas Of The Body Can Be Treated With 3Deep Rf?

The 3DEEP technology is efficient for most body areas. Through our research, we have found that different body areas require different energy parameters. We have developed different applications which are customized for various body areas. Dedicated handpieces on our systems assure that most effective treatments.

In order to achieve optimal customization of the treatment for you, your physician will determine the treatment parameters that will be most effective for you.

What Should I Expect During Treatment?

During the procedure, the deep skin layers are gradually heated, while the skin surface remains around 40° C (hot shower temperature). Your skin temperature will be constantly monitored. Depending on the size of the treatment area, treatment may take between 30-45 minutes. The treatment is relaxing, pain free and carries no side effects.

What Is The Recovery Time?

Following treatment, you may immediately resume all routine activities. You may notice slight redness around the treatment area, which usually disappears in a couple of hours.

How Many Treatments Are Required To See The Results?

According to your treatment program, your physician will offer a series of treatments, up to six, in intervals of one to two weeks. You should start to see improvement in your skin following the second treatment and additional improvement will gradually appear as the treatment course progresses. As new healthier collagen is formed, tighter, more natural looking and firmer skin will be produced. The gradual improvement in your skin will continue even after completion of the treatment series.

How Long Does The Effect Last?

The improvement in skin quality should be long lasting. However, maintaining the results of, for example, body contouring or body tightening treatments, is also subject to a person’s calorie intake, exercise and lifestyle. So, a balanced diet, proper exercise program and healthy lifestyle will help to maintain the desired treatment effects.

Endymed Pro “Fsr” For Fractional Rejuvenation And Skin Tightening

The Fractional Skin Resurfacing (FSR) handpiece was developed by experts in dermatology, RF technology and ergonomics. It is specifically designed forfractional skin resurfacing and treatment of skin roughness, hyperpigmentation, wrinkles and scars on the face and body.

The FSR handpiece contains a matrix of 112 tiny electrodes, allowing for the first time simultaneous fractional micro-ablation of the epidermis, together with volumetric heating of 100% of the dermis. This technology provides the capability to differentiate between micro-ablation and dermal heating which appears to be the optimal multi-layer treatment to affect aging skin and atrophic acne scars.

3Deep Fsr – Technology Anchored In Science

The novel 3DEEP technology implements the interaction of multiple RF source for controlled delivery of energy to the stratum corneum, epidermis and dermis. At the same time, the tiny (300 micron) electrodes deliver just enough energy to achieve the desired degree of ablation. The array is composed of more than 100 electrodes creating a micro-fractional mesh of ablation dots for minimal downtime and rapid recovery

patient

3DEEP Fractional Skin Resurfacing effectively treats all skin layers for an optimal result.

3Deep Fsr – Treats More And Deeper Than Other Fractional Technologies

patient
  • Non-ablative fractional lasers do not treat the epidermis
  • Ablative fractional lasers have longer downtime
  • Bi-polar fractional RF does not penetrate deeply
  • 3DEEP FSR technology treats the epidermis, has minimal downtime and penetrates deeply for effective treatment of the dermis.

Platelet Rich Plasma FAQ’S

The Power Of PRP

The human body has a remarkable capacity to heal itself. Regeneration of new tissue is accomplished by stem cells and is fostered by growth factors and hormones. Platelet-rich plasma (PRP) is an emerging treatment in a many medical specialties: orthopedics, wound healing, surgery, aesthetic and sexual medicine.

How Does PRP Work?

The body signals platelets and other components in our blood supply to migrate to the site of injury. Platelets are the injury’s first responders, and under normal conditions these platelets release various factors that initiate and subsequently stimulate bone and cartilage regeneration and repair, promote new blood vessel development to accelerate tissue regeneration, and stop the bleeding. Platelets release many other bioactive proteins responsible for attracting macrophages, mesenchymal stem cells, and osteoblasts.1

Inside the platelet are 2 types of granules, namely, alpha granules and dense bodies. Alpha granules contain the clotting and growth factors that are released in the healing process. Normally at the resting state, platelets require a trigger to activate and become a participant in wound healing and hemostasis.

Growth factors and other cytokines in platelets include the following: platelet-derived growth factor, transforming growth factor, fibroblast growth factor, insulinlike growth factor 1, insulinlike growth factor 2, vascular endothelial growth factor, epidermal growth factor, interleukin 8, keratinocyte growth factor, and connective tissue growth factor.

How Do We Get The PRP Used In My Procedure?

Modern technology allows us to concentrate platelets and white blood cells from a patient’s blood (autologous therapy) and to induce the release of growth factors by injecting the solution directly into the tissue target, simulating a regenerative response.

Advantages Of Using PRP

Advantages of using PRP include the following: tissue regeneration and rejuvenation, induction of cell differentiation, extracellular matrix formation, recruitment of other cells to the site, and an increase in collagen production, which can increase skin thickness and overall skin health. In addition, PRP is nonallergenic, is an autologous physiological product, eliminates donor transmissible infections, and is a biological glue for tissue adhesion, especially in skin flaps, bone grafts, and trauma.3

Preparation Of PRP

To prepare PRP, a small amount of blood is drawn from the patient’s arm. The blood is then placed in a centrifuge that spins at high speed and separates the platelets from the rest of the blood components. The typical baseline blood platelet count is approximately 200 000 per microliter; therapeutic PRP centrifuges concentrate the platelets by roughly 5-fold. However, broad variability exists in the production of PRP by various concentrating equipment and techniques. The platelets collected in PRP are activated by the addition of calcium chloride, which induces the release of these factors from alpha granules.

The entire process takes less than 15 minutes and increases the concentration of platelets and growth factors up to 600%, along with an inherent rise in human stem cell proliferation due to exposure to concentrated platelets up to 10 times above native levels. The concentrated PRP is then injected into and around the affected area, jump-starting and significantly strengthening the body’s natural healing signals. Injections of PRP heal the area over time, during 1 to 3 months. Because the patient’s blood is used, there is no risk of a transmissible infection and a low risk of allergic reaction.

Clinical Applications And Procedure

In humans, PRP has been investigated and used as a clinical tool for several types of medical treatments, including nerve injury, tendonitis, osteoarthritis, cardiac muscle injury, bone repair and regeneration, plastic surgery, and oral surgery. It has received attention in the popular media because of its use in treating sports injuries in professional athletes.

Aging of the skin, dermal components, and cells means that the skin texture and appearance deteriorate and have been damaged. Aging affects the hands and soft tissue of the face, neck, and décolleté. This is characterized by sagging jowls, thinning of the skin, puffiness, age spots, and wrinkling.

In dermatology and cosmetic medicine, PRP has been used to treat acne, scarring, and alopecia (especially in women). It is also effective for skin rejuvenation and tightening around the eyes (for thin crepe-like skin and fine lines) and in the following areas: cheeks and midface, thinning skin on the neck, jawline and submalar regions, back of hands, décolleté, and others (eg, knees, elbows, and upper arms, as well as for postpregnancy skin laxity).

In cosmetic procedures, platelet-rich plasma is injected by multiple tiny punctures under the dermis, with or without topical local anesthesia. The process is painless if sufficient topical anesthesia is applied. When PRP is injected into the damaged area, it stimulates the tissue, causing mild inflammation that triggers the healing cascade. As a result, new collagen begins to develop. As this collagen matures, it begins to shrink and tightens and strengthens the skin. Improvement in skin texture and tone is noticeable within 3 weeks. Full collagen regeneration requires 3 months. Topical skin care and light therapies can enhance these results.

The PRP treatments can be used on all skin types and tones. Minimal swelling, bruising, and redness for the initial 12 to 24 hours are expected. A bruise at the needlestick site may be visible for 2 to 3 days. Swelling from the fluid is what the patient will notice first. During several weeks, the platelets stimulate growth factors, which assists in more collagen stimulation. Treatment results vary but last up to 18 months in most patients. Biannual touch-up treatments will maintain the results.

As an initial treatment strategy, up to 3 injections may be given within a 6-month time frame. These are usually performed 2 to 3 weeks apart.

Considerations Before PRP Treatment

Certain factors (eg, smoking and alcohol intake) diminish stem cell release. Avoiding these will increase the success of the PRP procedure. The platelets work by causing an inflammatory reaction. If this inflammatory reaction is diminished, the clinical outcome is significantly compromised. For this reason, the use of anti-inflammatory drugs after the procedure is not recommended. This restriction should be in place for about 1 to 2 weeks.

Proponents of PRP therapy argue that negative clinical results are associated with poor-quality PRP harvest or concentration by inadequate devices. At Doctors Studio we use both Emcyte Pure PRP II System. The right concentration and handling of platelets will yield the best PRP results.

Who Should Not Have PRP Treatment?

Although PRP is a promising therapy for most patients, there are a few special considerations. Contraindications include the following: sepsis, cancer, chemotherapy, platelet dysfunction syndrome, critical thrombocytopenia, hypofibrinogenemia, hemodynamic instability, anticoagulation therapy, acute and chronic infections, chronic pathological conditions of the liver, severe metabolic and systemic disorders, and skin disease (systemic lupus erythematosus, porphyria, and allergies), as well as heavy nicotine, drug, and alcohol consumption.

Adverse Effects Of PRP Treatment

Adverse effects are rare but can occur. Adverse effects of PRP treatment may occur, some of which are significant. The most common adverse effects are infection, skin discoloration and bruising, pain in the injected area, allergic reaction (a rare occurrence), and blood clot (because PRP therapy uses a needle, a vein could be damaged).

Technique Is Key

As with all therapies, adequate training and experience are paramount. The beauty of the PRP technique, especially in dermatology and as an adjunctive tool in practice, is that it can be used as part of a multifaceted or layered approach. Significant clinical outcomes can be obtained with concomitant use of laser, EndyMed Pro, fillers, and mesotherapy, as well as patient-directed home skin care regimens.

Scalp PRP FAQ’S

How does Platelet Rich Plasma (PRP) therapy work for hair regrowth?

PRP injected into the scalp stimulates a dormant hair follicle to grow and an existing hair follicle to produce a thicker healthier hair.

In addition to injecting PRP, the Studio PRP provider will use an advanced micro needling system to further stimulate growth of the follicle and to deliver PRP into the dermis, leading to improved blood flow and hair growth.

What can I expect from the Scalp PRP treatment?

You can expect new hair growth from previously dormant follicles along your existing hairline and improved density, health and texture of your pre-existing hair.

Who is a better candidate for Scalp PRP – man or woman?

Scalp PRP is effective in both men and women and works best in patients with thinning hair.

Can Scalp PRP be combined with hair transplant surgery?

Yes, it can be combined with hair transplant – pre-operatively, intra-operatively, or post-operatively. It not only helps in healthier and faster growth of transplanted hair, but also stimulates the existing thinning hair at the same time.

Is the Scalp PRP treatment painful?

Pain is subjective and patient specific. Most people find the procedure comfortable. A ring block is injected to numb the scalp and treatment area. The ring block combined with a numbing cream, reduces the pain sensation considerably.

How long does the Scalp PRP treatment take?

The entire Scalp PRP procedure takes approximately one hour. You will want to bring a hat or cap with you to the office to wear after the procedure. There may be bruising at the ring block site.

Can I wash my hair after the treatment, and after how much time?

You can wash your hair after 4 hours with your routine shampoo.

How many Scalp PRP treatment sessions will I need?

Scalp PRP therapy can be repeated after 8 weeks. Sometimes more than one session is necessary. Your Studio PRP Provider will recommend adjunctive therapies and medications should it be necessary the best long term result. Some patients may require maintenance therapy once a year or more frequently depending upon the severity of hair loss. On average, the visible results in form of new hair growth can be seen after 3-4 months of treatment and further improvement is noticed in the subsequent months.

Can other hair regrowth therapies be continued concurrently?

Absolutely, PRP can be used in conjunction with other topical and oral medications. In fact, we encourage it and prescribe Scalp PRP as a compliment to a non-surgical approach for improved hair quantity and quality. We recommend PRP therapy along with 82M/82F (finasteride), a unique formula containing minoxidil, tretinoin, a topical steroid, and a natural 5 alpha reductase blocking agent, oleanolic acid, in addition to several other ingredients.

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