Great video ! At 56 years old, I threw in the towel and had a deep plane face lift and upper bleph done sept 12 and couldn’t be happier. Nothing I used I did was going to lift these jowls.
@@KarleyDM Dr. Casso in Nassau Bay are near Houston Texas. I believe total for all was 16,800. Worth every penny so far! I’m 4 weeks out and absolutely love the way it looks. Happy to answer any questions. Also zero pain! Just uncomfortable recovering with the tightness
Eva Fraser face exercises has done it for me. I am 74 years old . People not only guess my age decades younger. I get compliments all the time how beautiful or attractive I am. It’s cost free, but even more. You yourself is in control. You look and feel relax and happy
I have a suggestion! It would be really nice if one of the many channels I watch about cosmetic surgery would honestly discuss the costs of these procedures. It would be nice to have general up to date information about what it could cost from start to finish.
The costs can range from $15k-$50k depending on the surgeon and where you go...CA is way more costly than somewhere in the midwest, Mexico is less expensive than the US, it impossible for a channel to be able to discuss costs. There are too many variables.
Each Plastic Surgeon has their own price and some depends on where you are having it performed. Some of these repeated treatments cost almost as much as a face lift. I have gotten prices but have not gotten it done yet. A few years ago I got a few prices all less than $10,000 in the Northern Virginia area.
I see it all the time. Patients come into see me in tears after receiving treatments like this at other offices. They wasted time and money on a treatment that made them look worse.
It’s so darn hard for the average person to determine who is qualified to perform these treatments., i.e., lasers, fillers, ultrasound, energy devices, etc. The number of factors to consider is overwhelming: the certified dermatologist, their training, experience, equipment, and, very importantly, their ethics. It’s really overwhelming and it, quite frankly, makes me afraid to go to anyone! While I appreciate all your amazing information, I still feel very unqualified to make such a decision that would impact my sense of well-being. I am in the San Francisco Bay Area that has a huge number of dermatologists, med-spas, plastic surgeons all wanting and vying for our business that, I’ll use the word again, it is simply overwhelming.
And it's also extremely expensive - so you could spend thousands and thousands of dollars with no results or end up looking worse... It's like the prices of these procedures keep increasing, and there is no responsibility if the results are sub-par.
It is so true. And unfortunately it is getting worse. I am here to educate and empower you guys with the training and experience I've had for the past 20 years. This is the purpose of this chanel and our family. We can help guide you thru it. Have you watched my video on how to find an aesthetic provider? I can link it if you have not 😉
@@DrStefaniKappelthank u for the informative videos! I have done my own research on these treatments according to my needs and your advice really solved my questions on a few tricky topics… I understand how difficult it is for the average person to know what to select as a treatment and how to find the right doctor to get the results. Your patients are lucky 😉can’t thank you enough ❤ Greetings from 🇬🇷 And a silly question… is face yoga contradicted after 2-3 weeks of placing PDO threads?
Just found this channel and I’m obsessed! 38 yr old mom of 5 (nursing background) and have always been in love with anatomy and functionality of the human body all the way down to the cellular level. Skincare and the cosmetic industry and is so complex and I love learning how different tech can improve our appearance and function of what we already have. LOVED this video! Her genuineness plus the educational background and expertise is soooo hard to come by these days. Thank you for sharing all of your knowledge and wisdom you have gained over the years in practice! This channel is a gold mine! 💛💛💛
I used to have the most angular, sharp jawline and chin that I hated. Now, I wish I could get it back! I would give anything to have that jawline again.
Girl, not only is your summary of what to do and not to do so thoroughly explained and helpful, but you had me at using the word “deleterious” ❤😂. I feel like we could be friends 😊
I’ve got to comment on Ellacor and give a warning from personal experience. In theory it sounds great but I had it done around the whole mouth area. The bruising was intense and lasted at least a couple weeks. I was also left with a red/purple-ish tone/hue above my lip that made me look like I had a mustache and has taken MONTHS to go away. The Dr tried laser to help decrease it but it did nothing. Also if the tiny little cores do not fully come out with the procedure (as is what’s meant to happen) it leaves little white dots that kind of look like tiny pimples. They eventually resolve, but again takes a LONG time. I would stay away from this procedure!
The same happened to a friend of mine, she is in her 70's and really has been a mess ever since and won't even go out of the house. I to am in my 70's and do the Morpheus 8 3 times a year and am very please with it besides its quite a bit less expensive than the Ellacor.
It’s scary when full information is not disclosed. It’s possible they don’t even know?? Maybe they didn’t properly test it?? And of course everyone responds differently, they make it sound like this device is no big deal, whereas the potential for damage is huge.
I have never seen this type of complication either Ellacors myself but that’s not to say it cannot happen. In my experience with it now and during the hundreds of cases I performed in 2018 in the clinical trials we never saw such complications. But again that can be highly operator depended which is why it’s important to share your experiences. Thank you all for sharing and I’m glad this can be a safe place to do so :)
Never had micro needling because I had an intuition that making holes in your face is not good!!! I have to say PDO threads are a horrific nightmare as well. My friend had it done deep plane. It lasted literally weeks, and was incredibly painful and traumatic. She's still recovering from the trauma.
What about Sculptra or Lanluma? Will it help with the sagging? Thank you so much for all the info,love how you explain everything,the good and the bad ❤❤❤
I love the new look of your videos. This was incredibly informative and as someone with these concerns, I feel empowered to ask questions and make informed decisions. Thank you as always for sharing your years of experience. You always look so beautiful!
Thank you so much! I am glad these videos are helpful. I want to empower everyone to ask questions before receiving treatments. Aesthetics is a lucrative industry and everyone wants to be providing treatments. Because this is the reality we cannot change, I can empower you guys to make sure you weed out those treatments or providers who are not right for you or can harm you. As always, I love you guys!! ❤ You're my family and I got you!.
Morpheus8 ruined my skin. I had really pretty skin beforehand and just wanted to try it due to the hype of anti-aging. 9mo later i still have weird acne looking/ large pores and texture. Almost like the cartridge marks never went away. Worst thing I've ever done.
There are so many things I could write to praise the information you provide in your videos. Let me just say thank you and to everyone who watches your videos, please share, and spread Dr. Stef's message 🙌
This has to be one of the MOST INTERESTING videos I have seen on UA-cam. You are soooo knowledgeable and easy to follow, it's fantastic! Thank you SO MUCH ❤❤❤
Oh my God! I feel like you are literally taking us to school! Wow! I’ve learned SOO much in this one video. I feel like I should have paid for this experience. I’m glad you briefly talked about actives in skincare. I’ve been using a serum called Dr Vs Super Anti-Oxident Serum (it has retinols/retinals/retinaldehyde) and recently Strivectin on my neck and jaw line. I compared pictures from April to October of this year and noticed a significant improvement in laxity on my neck and face. I’m not sure if I should move up to prescription strength or just keep using what I’m using? I have been using argiriline on my face (the ordinary 12%) and now I’ll use it on my neck and jawline - thanks to this video. I had no idea that it could actually be helping until now. Thank you soo much!!! ❤❤❤
Very informative!! At 77, I'm not sure what to chose that would give the desired results and more importantly, how to find a qualified and skilled provider!
You are such an inspiration, so articulate and informative- your passion about your career is evident! I don’t even have issues with my jawline at this point but found a lot of this info helpful. Re: microneedling, I have an apt soon (for regular not RF), but am now shocked to hear it could cause laxity. Is there anything else you would recommend for ice pick acne scars and overall rejuvenation/ stacking up “collagen bank”?
Simple (and cheap) TCA cross is the best for ice pick scarring, and followed by/combined with traditional microneedling. Both of these methods will not give a good outcome (or cause laxity) if you're not a good candidate - age, health status, immunocompromisation, aftercare, skin prep. If your body can't engage in the repairing process, it won't happen and give a bad result. I learned this from Dr. Lance Setterfield. Hope this helps
Thank you, Stephanie your feedback is beyond helpful. So glad I opted out of Morpheus 8. I’ve had amazing results with threads and may consider Ellacor next year.
@@loveandhappiness1111 Yes the lifting is immediate plus the threads create collagen over time which plumped my face. It's honestly the best bang for the buck as the threads replace the need for fillers. Ppl are afraid to see the thread pulled so tight that they ask the provider to ease up which is a mistake because the threads do fall a bit. No working out or crazy face movement for 2 weeks otherwise the threads will fall back to where they started. That could be the reason why some ppl feel it does nothing. Relaxing for 2 weeks after is crucial. I am 53 and my skin is as plump as if in my 20s.
Thank you Dr Stefani! This is the best video on treatments I've seen; you are so informative. It often feels like a mind field of bias and people wanting your money or clicks so its good to hear someone experienced and balanced.
A wealth of professional and in-depth information! Thank you for educating and preparing us to ask all the right questions. This Texan thanks you very much!!
One you lose your estrogen the old jowls set in. Most people doing these videos still have a good 10 years to go. My face was still tight when I was 50
I’m glad I found your channel. I’m 52 and just now starting to develop what they are calling pre jowls. I’ve not been sure how to go about treating them. You’ve given a lot of information for me to consider. Thank you 😊
Dr. Kappel, you're a brilliant professor who takes the time to explain the Science on tissue regeneration. We have so much respect for your work and commitment to educate the public. I have a suggestion for a small topic of interest to me. It is regarding at home IPL devices - what they do and if they're any good.
I love your videos, I have learned so much !!! As other viewers mention it's so difficult for us to choose and trust!! I have been for consultations at three different places and still can't decide how to go about it! You are one doctor that I would absolutely 100% trust but you sadly are not here.. I have so much knowledge now but budget is always something to consider, I want the best bang for my buck and not endless treatments with no real results..
Thank you, Dr. Kappel! 🙂Had a question - is there a concern for energy-based devices such as Thermage causing irregular/unorganized collagen production that could lead to scarring or less optimal results over time? What happens after years of getting these procedures?
No not unorganized collagen as a complication but yes volume loss in unskilled hands or with outdated (used) devices that medispas often have so just be careful. As a dermatologic surgeon who has done thousands on surgeries, flaps and grafts on patients who have had Thermage I can say first hand that disorganized collagen and scar tissue is not an issue when it comes to surgery.
Thank you❤ I wish you would open a practice here in Santa Barbara California. We have nothing like you out here. So grateful for you sharing your knowledge with us.❤
Thank you so much for this much needed and highly informative video! Could you please do a video about natural things we can do to the face such as foods and natural oils that would help with the aging process. Thank you so much! ❤
Love your channel! Your unsponsored approach is so appreciated! My main concern at 55 yo is minimizing my nasolabial folds. What would be your first choice procedure to effectively /noticeably reduce the look of it?
Thank you!! I've always been non-sponsored and always will be. Thats is a promise. It all depends on you're anatomy and what would make the biggest impact for you. Without seeing you in person it is hard to say but most likely Thermage, Ellacor or threads to lift up the skin to erase the nasolabial folds. Although filler in the NLF would help, its a slippery slope to go down sometimes as tightening the skin will be longer lasting and look natural.
Damn this is so relatable. I’m trying to figure out the balance. I’m so resiliant. So good at crisis management. I’m now trying to figure out how to be interested in people now. I feel like I support people at such a high level and when I try to seek support from others the calibre of support is so mediocre. I also find myself so disinterested in entertaining toxicity at all. I just find it so easy to walk away from toxicity. I feel judgemental but I suppose it’s not judgement, it’s just being able to smell drama from a mile away and walk the oposite way
Hi, this is the first time seeing you, glad I came across your page. Very informative. What was the injectable product you mentioned? It's not listed in description.
Thank you for the Argireline info tip. I use it on my forehead & 11’s to extend my Botox a month or so & hadn’t been using it on my neck…but I will now! 😊
Thanks! If a person wanted to do both ThermageFrax and Ellacor, what would you do first and how long between the two treatments would you recommend? Thank you!
Hi, thank you for all the information. I want to ask you, how do you feel about using sculptra? Also with sculpture is there any limitations, or time that needs to be between these other treatments?
So glad I stumbled across your channel!! Wow you are amazing. Brilliant and beautiful. Very interested in your thoughts on PDO threads. Totally love your educational and well done videos
so much great info thank you. Excited to get thermage at your office in 2 weeks !! maybe PDO threads after...who knows- but glad there are options to improve my look before the future potential of surgery. Thank you Dr Stefani !!!
Thanks so much for this honest information, I was considering morpheus8 rf needling, but I heard mixed reports and was a little concerned. I will give this a miss now🙏🏻 After getting bad texture on my skin after the neogen psr, probably I’ll be one that gets bad results. 🙏🏻🙏🏻
I was on the fence about the Neogen PSR because it can tighten my lower face and also addresses skin tightening and it can address my eyelids. The b4 and after pics are Impressive but, all those pic are for every device.
Yes that's me, 48, have a jawline like Zoey Kravitz, not with my jowls, lol. So I did kybella to remove fat, Im asian with chubby cheeks. Then I did threads, love my results... in addition, I grind my teeth so I used to only do btox on my jaws before the jowling.
So my understanding is if you can only afford one thing Thermage is the way to go? How about Sculptra? I have heard it helps with jowling too. Can Sculptra be a good substitute for the Voluxa?
Sculptra is great for mid face but should not be injected into the lower face because it can actually make things worse. I love it for mid face tho. It has to be injected in the correct dermal plane and location.
Thanks so much for this video! I’ve had 4 Morpheus 8 treatments. I had some results but definitely not life changing. I have moved back to my home town & had a consult w/ a very well respected plastic surgeon (who I’ve used in the past for other treatments). I am planning to do Thermi tight on my lower face & neck. I have come skin sagging & laxity under my chin ( I’m thin don’t really have any fat on my neck & he said I have muscle laxity under my chin as well) & mild to moderate jowling. I’m not a candidate for Kybella. Volume loss was definitely a concern when I had the Morpheus. He wants me to do 2 Secret RF w/some injectable ( maybe Sculptra?) prior to the Thermi tight because he said it will should improve the end result. I’m gettting ready to start the Secret RF process, but not super excited about doing it. Especially if the technology is now considered outdated. I don’t want to waste my money & possibly end worse off. Ellacore isn’t available any closer than a 2.5 -3 hour drive & I don’t know anything about the doctors that offer it either so this would be a concern.
I’ve watched so many videos onPDO threads and every dermatologist and plastic surgeon has been against these threads and this beautiful dermatologist is recommending it, well to each their own right? I was thinking about this procedure and after watching so many videos why they are not recommended I decided it was not a good idea. 😂🤷♀️🤔
Ultherapy and rf energy can cause volume loss. That is why many just use on lower face. This is why I prefer CO2 for collagen stimulation. What are your thoughts on sculptra?
Thank you, Stefani! 😊As always a very informative video with great information! I love your channel! ❓❓I had radio frequency, microneedling on my lower face, and I feel like I did lose a little bit of volume? Do you see that often with your RF microneedling procedures?
New fan here, binging your vids and love all your thorough information!! I can’t trek to Newport Beach to visit you, do you have recommendations on where to source a trusted dermatologist who will be using the latest devices?
Dr. Stefani, you are a true expert in your profession. Chapeau! I wish we had such a professional in the Netherlands/Europe. Can you explain to us more about collagen stimulation Thermage in combination with SCULPTRA? Are these two devices best friends together for 45+ ladies or gentlemen?Thanks a lot.
Thank you for this content! Sagginess in my jowl area is the bane of my existence!! And there is so much conflicting information out there - even from dermatologists. Some don't like threads, some love bio-stimulators, some stay away. Ugh!! Would you still recommend Ellacore for someone who scars easily, or heat-based treatment like Thermage for those who have issues with hyperpigmentation or melasma? TIA!!
I feel like if I even go around and ask about their devices and how old they are, the receptionist will lie or say something like “I think they’re new”
Great video! cannot believe that you are older than 40! you look like you are in your 20s!!! I was wondering if you could elaborate on what you mentioned in the video that is part of your skin care line MDAIRE. You mentioned a neck serum with Argireline i think you said. Could you or anyone else in the comments section here identify what that is exactly? thanks so much!
Your amazing I’m learning so much from you! My skin loves you ❤❤ doctor what do you think of Sylfirm X laser for tightening? I usually like to do good laser a year or should I do a fraxel restore? If i had a ellacor in my area I definitely would do that ❤❤❤❤
The best method to get a younger face and reduce sagging skin is to make face exercises/yoga and massages regulary. I did get great results. The devices and surgeries are expensive with no garantee and can have side effects.
You are just gorgeous!! Also, you are so knowledgeable and intelligent!! I live in Erie, PA, and was wondering if you could recommend a dermatologist that is able to do Thermage or Ellacor for a saggy jawline and neck? I would be sooo grateful!! Thank you so much!!! Sheri
Thank you for all the expert information. I have been working on my skin for the last six months with retin-a, many different oils and serums including snail mucin. My skin has really improved but might need something one day soon.
Lip lift. I love my results. My was so long like a man. Now it's very feminine. It's amazing, looks like a face lift because you're lifting your mid face up.
Wow, this is only my 2nd video listening so different &valuable approach to the best possible skincare outcome options. Nor only do you have the brains , expertise, and beauty that look as thoigh someone. Of your youthful appearance maybe couldn't possibly have, the fact is that is and would be a VERY foolish and pre- judgment that hold NO Water and No value You are brilliant, entertaining, even in ur explosives based in the lingo Of science you are entertaining I will be watching, learning, absorbing, and loving every single single part of this amazing organ that I have always seen as the protector and thing of beauty that deserves every opportunity and amount of love & care we can provide it. I am a once naughty retired esthetician, now retired who tought well and did wrong !!! But I have been doing my skin the love it deserves the last 4 years now and it works if u work it...❤u thank u so much
loved this video! i watched the entire thing but i think i missed the one thing you would do if you could only do one treatment? anyone know what it is?
Great video ! At 56 years old, I threw in the towel and had a deep plane face lift and upper bleph done sept 12 and couldn’t be happier. Nothing I used I did was going to lift these jowls.
@lisa how much did you spend on your surgery?
@@hannahmanager7646yes we would like to know please
@lisatompkins9588 I Would love to know the cost and the doctor that did your procedure!!!
@@KarleyDM Dr. Casso in Nassau Bay are near Houston Texas. I believe total for all was 16,800. Worth every penny so far! I’m 4 weeks out and absolutely love the way it looks. Happy to answer any questions. Also zero pain! Just uncomfortable recovering with the tightness
@@hannahmanager764616,800
Eva Fraser face exercises has done it for me. I am 74 years old . People not only guess my age decades younger. I get compliments all the time how beautiful or attractive I am. It’s cost free, but even more. You yourself is in control. You look and feel relax and happy
Thank you for sharing, I’m sure you’re very beautiful
Im 53 and i got my face yoga since I saw my jaws sagging, they are totally gone. I love face yoga. Takes me 5 min in the shower and thats it.
What exercise program do you use?
@@yall2743which facial yoga do you do?
@@yall2743 what program do you use?
I have a suggestion! It would be really nice if one of the many channels I watch about cosmetic surgery would honestly discuss the costs of these procedures.
It would be nice to have general up to date information about what it could cost from start to finish.
The costs can range from $15k-$50k depending on the surgeon and where you go...CA is way more costly than somewhere in the midwest, Mexico is less expensive than the US, it impossible for a channel to be able to discuss costs. There are too many variables.
Dr Rajani sometimes gives pricing.
Each Plastic Surgeon has their own price and some depends on where you are having it performed. Some of these repeated treatments cost almost as much as a face lift. I have gotten prices but have not gotten it done yet. A few years ago I got a few prices all less than $10,000 in the Northern Virginia area.
Can you trust anyone who makes such huge profits convincing you to get these procedures?
I would love to see some before and after photos of your patients over time and the treatment that they used. ❤
Agree
Agree
Yep!! Hard to know unless we see it works
Yes Please. Seeing is believing..
OHHHHH, that would be cause for a lawsuit unless they have signed off on having their pictures put out on the internet.
She is absolutely right about Morpheus- it made me look older.
I see it all the time. Patients come into see me in tears after receiving treatments like this at other offices. They wasted time and money on a treatment that made them look worse.
Morpheus left me with grids and hyperpigmentation, my skin was virtually flawless before😢 Will it go away?
@@DrStefaniKappel thank you for sounding the warning about Morpheus. I think more doctors need to warn patients about this.
@@abbeymoody1507yes if u practice sun avoidance, use sunscreen and use moisturiser with niacinamide
Same here. The hyperpigmentation has been awful I was so upset! You are not alone
It’s so darn hard for the average person to determine who is qualified to perform these treatments., i.e., lasers, fillers, ultrasound, energy devices, etc. The number of factors to consider is overwhelming: the certified dermatologist, their training, experience, equipment, and, very importantly, their ethics. It’s really overwhelming and it, quite frankly, makes me afraid to go to anyone! While I appreciate all your amazing information, I still feel very unqualified to make such a decision that would impact my sense of well-being. I am in the San Francisco Bay Area that has a huge number of dermatologists, med-spas, plastic surgeons all wanting and vying for our business that, I’ll use the word again, it is simply overwhelming.
And it's also extremely expensive - so you could spend thousands and thousands of dollars with no results or end up looking worse... It's like the prices of these procedures keep increasing, and there is no responsibility if the results are sub-par.
It is so true. And unfortunately it is getting worse. I am here to educate and empower you guys with the training and experience I've had for the past 20 years. This is the purpose of this chanel and our family. We can help guide you thru it. Have you watched my video on how to find an aesthetic provider? I can link it if you have not 😉
Please link how to find a provider ☺️
@@DrStefaniKappelthank u for the informative videos! I have done my own research on these treatments according to my needs and your advice really solved my questions on a few tricky topics… I understand how difficult it is for the average person to know what to select as a treatment and how to find the right doctor to get the results. Your patients are lucky 😉can’t thank you enough ❤
Greetings from 🇬🇷
And a silly question… is face yoga contradicted after 2-3 weeks of placing PDO threads?
Get your treatments done by a board-certified dermatologist!
If we eat chewier and harder foods like raw carrots and steak, will this help the bone and muscle get bigger and help appearance?
Just found this channel and I’m obsessed! 38 yr old mom of 5 (nursing background) and have always been in love with anatomy and functionality of the human body all the way down to the cellular level. Skincare and the cosmetic industry and is so complex and I love learning how different tech can improve our appearance and function of what we already have. LOVED this video! Her genuineness plus the educational background and expertise is soooo hard to come by these days. Thank you for sharing all of your knowledge and wisdom you have gained over the years in practice! This channel is a gold mine! 💛💛💛
thank you!!!! so goad we found each other organically!!
This video is like going to a Dr's office and getting all your questions answered. Pretty cool.
I used to have the most angular, sharp jawline and chin that I hated. Now, I wish I could get it back! I would give anything to have that jawline again.
Girl, not only is your summary of what to do and not to do so thoroughly explained and helpful, but you had me at using the word “deleterious” ❤😂. I feel like we could be friends 😊
I’ve got to comment on Ellacor and give a warning from personal experience. In theory it sounds great but I had it done around the whole mouth area. The bruising was intense and lasted at least a couple weeks. I was also left with a red/purple-ish tone/hue above my lip that made me look like I had a mustache and has taken MONTHS to go away. The Dr tried laser to help decrease it but it did nothing. Also if the tiny little cores do not fully come out with the procedure (as is what’s meant to happen) it leaves little white dots that kind of look like tiny pimples. They eventually resolve, but again takes a LONG time. I would stay away from this procedure!
The same happened to a friend of mine, she is in her 70's and really has been a mess ever since and won't even go out of the house. I to am in my 70's and do the Morpheus 8 3 times a year and am very please with it besides its quite a bit less expensive than the Ellacor.
It’s scary when full information is not disclosed. It’s possible they don’t even know?? Maybe they didn’t properly test it?? And of course everyone responds differently, they make it sound like this device is no big deal, whereas the potential for damage is huge.
I have never seen this type of complication either Ellacors myself but that’s not to say it cannot happen. In my experience with it now and during the hundreds of cases I performed in 2018 in the clinical trials we never saw such complications. But again that can be highly operator depended which is why it’s important to share your experiences. Thank you all for sharing and I’m glad this can be a safe place to do so :)
She seems on top of her game but I wouldn't even go to a doctor that uses threads
@@rockinrollin8306that’s true. All my favorite doctors and surgeons are sooo against PDO threads, I’ve heard horrors from pretty much everyone
Finally a cosmetic surgeon that suggests non surgical methods before suggesting going under the knife. Thank you ❤
NEW LISTENER HERE, i AM VERY IMPRESSED WITH YOUR KNOWLEDGE AND SINCERITY!!!
Thank you! I started Tret a little over month ago & have entered the rough texture phase 🙈
Needed this reassurance that it’s only a PHASE 🙏
Question! What is the correct temperature to be hot enough to build collagen tighten skin BUT will not shrink or destroy facial fat??
Never had micro needling because I had an intuition that making holes in your face is not good!!! I have to say PDO threads are a horrific nightmare as well. My friend had it done deep plane. It lasted literally weeks, and was incredibly painful and traumatic. She's still recovering from the trauma.
Sounds like she went to someone untrained and unqualified.
What about Sculptra or Lanluma? Will it help with the sagging? Thank you so much for all the info,love how you explain everything,the good and the bad ❤❤❤
YES...PLLA
One thing you forgot to remember which works like a charm is the Jawzersize mouth ball for exercising. Incredible results! I use it every day.
I have one and decided to start using it today.
what brand do you use, where can I get this?
I love the new look of your videos. This was incredibly informative and as someone with these concerns, I feel empowered to ask questions and make informed decisions. Thank you as always for sharing your years of experience. You always look so beautiful!
Thank you so much! I am glad these videos are helpful. I want to empower everyone to ask questions before receiving treatments. Aesthetics is a lucrative industry and everyone wants to be providing treatments. Because this is the reality we cannot change, I can empower you guys to make sure you weed out those treatments or providers who are not right for you or can harm you. As always, I love you guys!! ❤ You're my family and I got you!.
Morpheus8 ruined my skin. I had really pretty skin beforehand and just wanted to try it due to the hype of anti-aging. 9mo later i still have weird acne looking/ large pores and texture. Almost like the cartridge marks never went away. Worst thing I've ever done.
There are so many things I could write to praise the information you provide in your videos. Let me just say thank you and to everyone who watches your videos, please share, and spread Dr. Stef's message 🙌
This has to be one of the MOST INTERESTING videos I have seen on UA-cam. You are soooo knowledgeable and easy to follow, it's fantastic! Thank you SO MUCH ❤❤❤
Thank you!!
❤@@DrStefaniKappel
Oh my God! I feel like you are literally taking us to school! Wow! I’ve learned SOO much in this one video. I feel like I should have paid for this experience. I’m glad you briefly talked about actives in skincare. I’ve been using a serum called Dr Vs Super Anti-Oxident Serum (it has retinols/retinals/retinaldehyde) and recently Strivectin on my neck and jaw line. I compared pictures from April to October of this year and noticed a significant improvement in laxity on my neck and face. I’m not sure if I should move up to prescription strength or just keep using what I’m using? I have been using argiriline on my face (the ordinary 12%) and now I’ll use it on my neck and jawline - thanks to this video. I had no idea that it could actually be helping until now.
Thank you soo much!!! ❤❤❤
Very informative!! At 77, I'm not sure what to chose that would give the desired results and more importantly, how to find a qualified and skilled provider!
You are such an inspiration, so articulate and informative- your passion about your career is evident! I don’t even have issues with my jawline at this point but found a lot of this info helpful. Re: microneedling, I have an apt soon (for regular not RF), but am now shocked to hear it could cause laxity. Is there anything else you would recommend for ice pick acne scars and overall rejuvenation/ stacking up “collagen bank”?
Simple (and cheap) TCA cross is the best for ice pick scarring, and followed by/combined with traditional microneedling. Both of these methods will not give a good outcome (or cause laxity) if you're not a good candidate - age, health status, immunocompromisation, aftercare, skin prep. If your body can't engage in the repairing process, it won't happen and give a bad result. I learned this from Dr. Lance Setterfield. Hope this helps
@@sparklingwavess TYSM 🫶🏻 I looked up Dr Lance Setterfield and he gives good advice with a lot of biological info backing it!!
Thank you, Stephanie your feedback is beyond helpful. So glad I opted out of Morpheus 8. I’ve had amazing results with threads and may consider Ellacor next year.
So glad to hear!! It means everything to hear that this information is helping people.
Did the threads actually give you a lifting effect? I’ve seen so many people say it did nothing for them. I’m so afraid.
@@loveandhappiness1111 Yes the lifting is immediate plus the threads create collagen over time which plumped my face. It's honestly the best bang for the buck as the threads replace the need for fillers. Ppl are afraid to see the thread pulled so tight that they ask the provider to ease up which is a mistake because the threads do fall a bit. No working out or crazy face movement for 2 weeks otherwise the threads will fall back to where they started. That could be the reason why some ppl feel it does nothing. Relaxing for 2 weeks after is crucial. I am 53 and my skin is as plump as if in my 20s.
@@HCP-ux9ejI hope you don’t mind me asking what is the average cost of threading
Thank you Dr Stefani! This is the best video on treatments I've seen; you are so informative. It often feels like a mind field of bias and people wanting your money or clicks so its good to hear someone experienced and balanced.
A wealth of professional and in-depth information! Thank you for educating and preparing us to ask all the right questions. This Texan thanks you very much!!
You're so welcome!!
One you lose your estrogen the old jowls set in. Most people doing these videos still have a good 10 years to go. My face was still tight when I was 50
I’m glad I found your channel. I’m 52 and just now starting to develop what they are calling pre jowls. I’ve not been sure how to go about treating them. You’ve given a lot of information for me to consider. Thank you 😊
Thank you from the bottom of my heart ❤️ for being our ADVOCATE
You didn't say what you would, waited till the end. Great video !
It’s in my shorts. ThermaFrax :)
Awesome explaining of different facial and esthetic treatments 👏👏❤️
Dr. Kappel, you're a brilliant professor who takes the time to explain the Science on tissue regeneration. We have so much respect for your work and commitment to educate the public. I have a suggestion for a small topic of interest to me. It is regarding at home IPL devices - what they do and if they're any good.
Refreshing to see you warn against fillers, you re so right about that. So glad I didn't go that route. What are your thoughts on Tri Lift?
Hello thanks for giving us this information I know it's 4 months later but nonetheless very useful I'm so happy I clicked on this vedeo ❤
THANK YOU!!!!! I was about to do the RF micro.. I wasn’t sure, but now listening to your great information, I’m not doing it!! 😘
This video was very helpful. Thank you ❤
You're so welcome love ❤
I love your videos, I have learned so much !!! As other viewers mention it's so difficult for us to choose and trust!! I have been for consultations at three different places and still can't decide how to go about it! You are one doctor that I would absolutely 100% trust but you sadly are not here.. I have so much knowledge now but budget is always something to consider, I want the best bang for my buck and not endless treatments with no real results..
Thank you, Dr. Kappel! 🙂Had a question - is there a concern for energy-based devices such as Thermage causing irregular/unorganized collagen production that could lead to scarring or less optimal results over time? What happens after years of getting these procedures?
No not unorganized collagen as a complication but yes volume loss in unskilled hands or with outdated (used) devices that medispas often have so just be careful. As a dermatologic surgeon who has done thousands on surgeries, flaps and grafts on patients who have had Thermage I can say first hand that disorganized collagen and scar tissue is not an issue when it comes to surgery.
Thank you❤ I wish you would open a practice here in Santa Barbara California. We have nothing like you out here. So grateful for you sharing your knowledge with us.❤
Thank you!!
Thank you so much for this much needed and highly informative video! Could you please do a video about natural things we can do to the face such as foods and natural oils that would help with the aging process. Thank you so much! ❤
Love your channel! Your unsponsored approach is so appreciated! My main concern at 55 yo is minimizing my nasolabial folds. What would be your first choice procedure to effectively /noticeably reduce the look of it?
Thank you!! I've always been non-sponsored and always will be. Thats is a promise. It all depends on you're anatomy and what would make the biggest impact for you. Without seeing you in person it is hard to say but most likely Thermage, Ellacor or threads to lift up the skin to erase the nasolabial folds. Although filler in the NLF would help, its a slippery slope to go down sometimes as tightening the skin will be longer lasting and look natural.
@@DrStefaniKappel , thank u Dr!!! I live in OC and will certainly schedule a consult with you soon!
I had one who put sculptra in front of the ears which was terrible. Good videos!
Damn this is so relatable. I’m trying to figure out the balance. I’m so resiliant. So good at crisis management. I’m now trying to figure out how to be interested in people now. I feel like I support people at such a high level and when I try to seek support from others the calibre of support is so mediocre. I also find myself so disinterested in entertaining toxicity at all. I just find it so easy to walk away from toxicity. I feel judgemental but I suppose it’s not judgement, it’s just being able to smell drama from a mile away and walk the oposite way
My lord How old are you! Sign me up I want to look 20 years younger
Thank you Dr. Kappel. Could you do a video on how hormones affect skin aging
Yes stay tuned!!
Hi, this is the first time seeing you, glad I came across your page. Very informative. What was the injectable product you mentioned? It's not listed in description.
Thank you, Dr Kappel, great information to know.
Thank you for the Argireline info tip. I use it on my forehead & 11’s to extend my Botox a month or so & hadn’t been using it on my neck…but I will now! 😊
Ok, where is the bonus section she mentions at the start of the video?
I forgot to add that part!! So I put it in my shorts today so you can see❤❤❤
Thanks! If a person wanted to do both ThermageFrax and Ellacor, what would you do first and how long between the two treatments would you recommend? Thank you!
I read some scary study about botox near the neck, I wouldn't do it unless it was by this doc tbh
Hi, thank you for all the information. I want to ask you, how do you feel about using sculptra?
Also with sculpture is there any limitations, or time that needs to be between these other treatments?
So glad I stumbled across your channel!! Wow you are amazing. Brilliant and beautiful. Very interested in your thoughts on PDO threads. Totally love your educational and well done videos
so much great info thank you. Excited to get thermage at your office in 2 weeks !! maybe PDO threads after...who knows- but glad there are options to improve my look before the future potential of surgery. Thank you Dr Stefani !!!
You're so welcome! Yes one step at a time and you will have natural looking beautiful results that last a long time❤❤❤
Another stellar video! Thank you Dr Kappel!
You're so welcome!!!
Thank you for your amazing info, plus beaitiful presentation🥰
I’ve been to couple doctors one in La and one here in SD. Dying to see you, you seem so informed
SOM aesthetics in Encinitas is the best in San Diego
Thanks so much for this honest information, I was considering morpheus8 rf needling, but I heard mixed reports and was a little concerned.
I will give this a miss now🙏🏻
After getting bad texture on my skin after the neogen psr, probably I’ll be one that gets bad results. 🙏🏻🙏🏻
I was on the fence about the Neogen PSR because it can tighten my lower face and also addresses skin tightening and it can address my eyelids. The b4 and after pics are Impressive but, all those pic are for every device.
Considering Kybella for “de-bulking” and then threads to lift. Do not want surgery.
Yes that's me, 48, have a jawline like Zoey Kravitz, not with my jowls, lol. So I did kybella to remove fat, Im asian with chubby cheeks. Then I did threads, love my results... in addition, I grind my teeth so I used to only do btox on my jaws before the jowling.
That is a great combo 🔥🔥🔥
You're the best. Thanks so much for sharing your knowledge.
tell us your age, love. you look INCREDIBLE & people will know without a doubt how knowledgable you are when they realize your age ❤
I'm 46. Thank you ❤
So my understanding is if you can only afford one thing Thermage is the way to go? How about Sculptra? I have heard it helps with jowling too. Can Sculptra be a good substitute for the Voluxa?
Sculptra is great for mid face but should not be injected into the lower face because it can actually make things worse. I love it for mid face tho. It has to be injected in the correct dermal plane and location.
Just starting to look into more cosmetic procedures, wish I lived near you to come to your office. Know/recommend anyone to see in Omaha?
You are awesome. I have learned so much from you.🙏🏼💕
Thanks so much for this video! I’ve had 4 Morpheus 8 treatments. I had some results but definitely not life changing. I have moved back to my home town & had a consult w/ a very well respected plastic surgeon (who I’ve used in the past for other treatments). I am planning to do Thermi tight on my lower face & neck. I have come skin sagging & laxity under my chin ( I’m thin don’t really have any fat on my neck & he said I have muscle laxity under my chin as well) & mild to moderate jowling. I’m not a candidate for Kybella. Volume loss was definitely a concern when I had the Morpheus. He wants me to do 2 Secret RF w/some injectable ( maybe Sculptra?) prior to the Thermi tight because he said it will should improve the end result. I’m gettting ready to start the Secret RF process, but not super excited about doing it. Especially if the technology is now considered outdated. I don’t want to waste my money & possibly end worse off. Ellacore isn’t available any closer than a 2.5 -3 hour drive & I don’t know anything about the doctors that offer it either so this would be a concern.
Question, how is ellacore ok and non scaring and re micro welding not? Makes no sense to me. May you explain?
Thanks a million for always educating and giving us info so we can feel empowered in our own individual aging process 💕💕
Thank you Stefani! Have been following from 3 years ago and learnt so much from you! How about Ellanse for overall face tightening ? Thanks again
I’ve watched so many videos onPDO threads and every dermatologist and plastic surgeon has been against these threads and this beautiful dermatologist is recommending it, well to each their own right? I was thinking about this procedure and after watching so many videos why they are not recommended I decided it was not a good idea. 😂🤷♀️🤔
It's dizzying, the difference in opinions. One has no idea what to believe 😢
If only you were in NYC or NJ!!! ❤ Love your content!!!
You’re an Angel thank you so much for sharing and caring!
Great information! Thank you
Wow, what an impressive video. I'd love to have you as my doctor.
I often feel like pdo threads can look weird once you start speaking, like a bad stitch in fabric that gives a weird buckled and bunchy look.
They don’t even last long, not worth your money…
Ultherapy and rf energy can cause volume loss. That is why many just use on lower face. This is why I prefer CO2 for collagen stimulation. What are your thoughts on sculptra?
Wondering what you think about the Skintyte laser?
Thank you, Stefani! 😊As always a very informative video with great information! I love your channel! ❓❓I had radio frequency, microneedling on my lower face, and I feel like I did lose a little bit of volume? Do you see that often with your RF microneedling procedures?
I do not perform RF microneedling for this reason but when I did back in 2014 when it was new to the industry yes I did see it.
@@DrStefaniKappel ok. Thank you. I need to spend my money on Fraxel but can’t find it in my area. Not sure if it’s called various names. ??
New fan here, binging your vids and love all your thorough information!! I can’t trek to Newport Beach to visit you, do you have recommendations on where to source a trusted dermatologist who will be using the latest devices?
Dr. Stefani, you are a true expert in your profession. Chapeau! I wish we had such a professional in the Netherlands/Europe. Can you explain to us more about collagen stimulation Thermage in combination with SCULPTRA? Are these two devices best friends together for 45+ ladies or gentlemen?Thanks a lot.
Thank you for this content! Sagginess in my jowl area is the bane of my existence!! And there is so much conflicting information out there - even from dermatologists. Some don't like threads, some love bio-stimulators, some stay away. Ugh!! Would you still recommend Ellacore for someone who scars easily, or heat-based treatment like Thermage for those who have issues with hyperpigmentation or melasma? TIA!!
Just get a lower face lift 👍
Awesome info, thanks so much 😊
By far the best doctor I’ve ever listened to on this subject. Blown away!!! 👏👏👏
Hi! How can you collagen bank? The procedures you mentioned to increase collagen for younger patients.
I need to hear this!!!!❤ thank you.
Welcome!!
I feel like if I even go around and ask about their devices and how old they are, the receptionist will lie or say something like “I think they’re new”
I had a thermage treatment years ago. I made them stop at the second pass. It felt like a curling iron was touching my face.
Great video! cannot believe that you are older than 40! you look like you are in your 20s!!! I was wondering if you could elaborate on what you mentioned in the video that is part of your skin care line MDAIRE. You mentioned a neck serum with Argireline i think you said. Could you or anyone else in the comments section here identify what that is exactly?
thanks so much!
Your amazing I’m learning so much from you! My skin loves you ❤❤ doctor what do you think of Sylfirm X laser for tightening? I usually like to do good laser a year or should I do a fraxel restore? If i had a ellacor in my area I definitely would do that ❤❤❤❤
Thats an RF microneedling device so not a fan :(
The best method to get a younger face and reduce sagging skin is to make face exercises/yoga and massages regulary. I did get great results. The devices and surgeries are expensive with no garantee and can have side effects.
For some pic scarring from acne actually works well
You are just gorgeous!! Also, you are so knowledgeable and intelligent!! I live in Erie, PA, and was wondering if you could recommend a dermatologist that is able to do Thermage or Ellacor for a saggy jawline and neck? I would be sooo grateful!! Thank you so much!!! Sheri
Thank you for all the expert information. I have been working on my skin for the last six months with retin-a, many different oils and serums including snail mucin. My skin has really improved but might need something one day soon.
Another wonderful educational video . . . as always :) Wish I lived closer to you so I could visit your clinic. Maybe some day :)
Awww thank you!!
I never saw a difference with thermage just a lot of pain
Pleaseeeeewwe suggest something to lift the lips but mom surgical I have a very long place between the nose and the lips
Lip lift. I love my results. My was so long like a man. Now it's very feminine.
It's amazing, looks like a face lift because you're lifting your mid face up.
Mini PDO threads in the cupids bow/upper lip lift while building collagen over time. Botox is too temporary and not worth the $$.
Ellacor for non-surgical lip lift 10000000%
Wow, this is only my 2nd video listening so different &valuable approach to the best possible skincare outcome options. Nor only do you have the brains , expertise, and beauty that look as thoigh someone. Of your youthful appearance maybe couldn't possibly have, the fact is that is and would be a VERY foolish and pre- judgment that hold NO Water and No value
You are brilliant, entertaining, even in ur explosives based in the lingo
Of science you are entertaining
I will be watching, learning, absorbing, and loving every single single part of this amazing organ that I have always seen as the protector and thing of beauty that deserves every opportunity and amount of love & care we can provide it. I am a once naughty retired esthetician, now retired who tought well and did wrong !!! But I have been doing my skin the love it deserves the last 4 years now and it works if u work it...❤u thank u so much
Excellent talk.
loved this video! i watched the entire thing but i think i missed the one thing you would do if you could only do one treatment? anyone know what it is?