Stimulant Fillers: Sculptra and Radiesse
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- Опубліковано 26 бер 2022
- Stimulant fillers are non-HA fillers that are used to tighten skin and restore volume. They do this by stimulating your skin's natural ability to synthesize collagen and elastin. This results in natural looking results that last for up to two years. Watch this video to find out more :)
#sculptra #radiesse #stimulant fillers #fillers #antiaging #volumeloss #facelift
I earned my Medical Degree from UC Irvine and completed my residency in Dermatology at UCLA. Upon completing my residency, I joined the full-time faculty at UCLA as a Clinical Instructor and Professor in Dermatology and Dermatologic Surgery. I then went on to complete advanced fellowship training in Dermatologic Surgery at UC Davis and Cosmetic Dermatology at the Laser and Skin Surgery Center of Northern California with world-renowned expert, Dr. Suzanne Kilmer. After fellowship, I was appointed the Director of Dermatologic Surgery at the Laser & Skin Surgery Center of Northern California where I remained active in clinical trials and have been on the forefront of the latest advances in aesthetics and dermatology. As an Orange County native, I love the SoCal community and currently enjoy being a Dermatologist in Newport Beach, CA.
My areas of expertise include cosmetic dermatology with a focus on injectable neuromodulators (Botox, Dysport, Xeomin), as well as dermal fillers (Juvederm, Voluma, Volbella, Vollure, Sculptra, Restylane, Belotero, and Radiesse). In addition, I travel nationally and internationally where I teach other physicians injection techniques and about the latest advances in dermatology. I am highly-trained in the use of lasers and energy-based devices to treat all aspects of photoaging, including fine lines, wrinkles, skin laxity, brown spots and facial vessels. I offer a comprehensive approach to body contouring with the use of minimally-invasive procedures. In addition, I specialize in Dermatologic Surgery including Mohs micrographic surgery, blepharoplasty, skin cancer excisions, sclerotherapy, surgical earlobe repair and cosmetic tattoo excisions.
Follow me on Instagram or Twitter @StefaniKappelMD
Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this UA-cam channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this UA-cam channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.
It would be helpful to hear you share what you yourself has done over the years , how much & how often, what you’ve learned for ex what you would do differently or the same etc…. And what age you are 😍 I think you are a walking example of whatever procedures you use & do and how youthing it is. A video covering all that would be so helpful for getting a realistic idea of what ppl may need to do to get results like you have. 💞
Hi and yes I'd be happy to post a video on what I have done myself. I did more Botox and filler when I was in my twenties and thirties and now that I'm in my forties I'm more into lasers and tightening devices. But yes absolutely I can do a video on that soon! I'm glad I started botox and using medical grade skincare in my twenties as I now see it has definitely paid off ;).
@@DrStefaniKappel wow! I was sure you still had fillers in , that’s amazing whatever you’re using is doing what it does. I can’t wait for the video 😃, I don’t want to keep doing fillers if I don’t have to, I’m 46 .
@@DrStefaniKappel you look like you’re in your early thirties. Incredible.
Great idea!
@@DrStefaniKappel What about all the side effects people are experiencing such as nodules, granulomas
Thank you! Such valuable information 😀❤️
Do you use her line?
Thank you!
Thank you!!
Thank you, Dr. Kappel!!
You're so welcome!!
@@DrStefaniKappel Dear Dr Kappel, do you have any upcoming cancelations? 🙏I waited since over a year for an appointment and unfortunately had an emergency and paid $200 for rescheduling but the office staff mentioned you’re booked out for another 6months and I already waited 6months for this appointment 😔 is there any way I could get an appointment with you soon, I don’t mind waiting in the waiting room for as long as I’ve to I just can’t wait another 6months because I already waited 6months just to get the appointment with you and urgently need a touch up 🙏
Hello Dr. Kappel, wondering what you think about HarmonyCa? Thank you, as always, for your candid, non-sponsored, excellent content! xx
Thanks Dr Kappel, this is very helpful! Do any of these 2 stimulators apply for eyebrow lifting and chin enhancement? Just for the purposes of contour reshaping,etc.
YOUR AWESOME ❤❤❤
Doctor I had another question I tried in a couple of lives but you ran out time. I have your 4 pieces skincare except the retinol. Love love it! At nite 5x a week I use my 1% retin a along with your hydrator. On the other 2 nites should I use your retinol? Or more nites? better? Thank you! Also do you use retinol on your neck? Or the techno? Thank you!!! ❤️❤️❤️
Just curious about varying results and application of injection versus cannula injection for Sculptra. Thank you in advance.
Hello Dr. Kappel, what happens to the areas of the face after the filler is gone?
I’ve had Radiesse in my hands and neck. My hands are so bony and veiny , I hate them. It’s just genetic and ages me so much. Works really nicely. But, I will note, I don’t feel it lasted a year. More like 6 mos maybe. I am going to have it done again though soon. I had one syringe split between both. 1 syringe feathered in my neck. Def worth it to me. You should do a video on non surg Bbl.
Maybe consider sclerotheraphy for veiny hands? Results are permanent if done correctly or after 2-3 treatments which would be cheaper than doing fillers or biostimulators regularly
Thank you for this video 🙌. I'm looking I to Sculptra but nervous about finding a good injector.
You're so welcome and good luck! xx
Is scultpra good for forehead lines that aren’t relate to muscular movement? My injector said I don’t have the lines in forehead that would be good for Botox but I have more of the lines on skin from aging? So before I schedule I wanted to check in on your thoughts? ❤ You are so knowledgeable 😊
Wow you look like you are in your twenties!!! What is better, in your opinion, Profhilo or Sculptra for the face to build collagen?
Which of the two would you use in the temples and above the lateral brow for loss of fat?
Hi, I hope you can help me..,
Is it okay to use radio frequency or microcurrent right after sculptra treatments in the face?
Thanks!!!
Hi Dr, I was wondering if you are providing Ellanse injections for collagen build and if you do recommend this or Sculptra? Could you do a video of this one. You’re not mentioning it in any of tupir videos and I was wondering why? Thank you Dr
Is it true dpctor that the longevity of fillers nad botox decreases if you are an active person like a person who works 6x a week in the gym
wonderful video.. I would like to know if i can have sculptra inject under the arm.. for abit of crepy skin.. ? or is radiesse better? thank you..Also, when i will to a medispa.. i was offer a complimentary skin booster?( I am not sure if the term is right)..with my sculptra.. sorry i am not sure if i have the right term for it.. skin Booster? what is that?
Can you share what companies are currently developing products? Thanks!
Hi Dr. Kappel, I just had sculptra and the right side of my neck turned a little bluish. Then I started having SOB. Immediately took a benadryl and a neb tx. Why would my vein look distended on one side and bluish? After neb treatment the feel8ng went away but came back an hour latter? Please share your thoughts?
Girl
Whatever your doing is what I want. You look 16❤
can you pls advise on horizontal lines for neck? my doctor said he will use JUVE LOOK/Korean brand (it s like Sculptra but 100 times smaller and has HA). it is PLA/HA hybrid mplant
but i am still worrried about noudles...
do you know this brand, is it reliable?
Can you please tell me how you feel about bellafelle or do you like Sculptra and radius better I am 62 and I do honestly have the face of a 45-year-old but it's hollowing I have high cheekbones naturally and a very not too small I guess more of a heart face kind of like you
Which lasts longer radiesse or sculptra ?
Thanks, Dr. Kappel. So interesting! What happens in the case of a vascular occlusion when injected with a stimulant filler? That there is no 'reversing agent' akin to hyalase for these agents is what keeps me from going the route of Sculptra or Radiesse. Though I know how rare these occlusions are, I'm SO afraid of being a medical outlier and experiencing one (as I have had random medical hiccups in the past, like a epidural complication/PDPH etc.).
Wondering the same. I work at a med spa and we’re waiting on a policy for prp gel injections. Can’t get a direct answer from anyone. Not even the company that manufactures the machine.
You are absolutely correct. It is SO important to find an expert injector who would be able to appropriately manage and reverse a vascular occlusion if it were to happen. Its us (board certified derms and plastic surgeons) who get called when complications happen at medispas to come to the rescue. There have been several times in my career when patients have been referred to me to reverse a complication from another office. My advice to new injectors is if you cannot reverse a complication then you shouldn't be injecting in the first place. That said, for areas where vascular occlusion may be more risky, I always use HA reversible fillers instead. For instance I never use Sculptra in the temples. Instead I use Voluma here. PRP injections for under eye hollows do not have lasting results as it gets absorbed rapidly and results don't last longer than a few weeks unfortunately.
@@DrStefaniKappel the prf gel is supposed to last 6-9 months and build collagen over time, no?
@@DrStefaniKappel Thanks, Dr. Kappel. Makes sense!
@@DrStefaniKappel but sculptra reliably aspirates, does Voluma?
Yay!!!
😘
@Dr.Stefani Kappel.hi Dr.Kappel, what is thoughts on derma needling with a derma pen sculptra? I saw on UA-cam beauty spas doing it.
Can collagen and elastin still be stimulated in 69-70 year olds or are we wasting money?
Hey doc, one question.... Does sculptra create scar tissue??
how can i get rid of jowls and chin wrinkles? just started to develop them I work out and take care of my self well, but cant get rid of these annoying lines!! HELP!!
IS diluted radiesse still that high risk for VO?
what would you suggest for moderate and visibile fat loss and sagginess induced by microcurrent on the face? (temples, eyes, cheeks, marionette and nasolabial). I was thinking radiesse which sounds safer than Sculptra and maybe voluma in the upper eye lids. then maybe followed by PRP for maintance.
Microcurrent caused fat loss and sagging?? NuFACE? 😧
yes, some lasers can... which is why i am staying far away from them!@@chch6171
Can you use radiesse forehead ?
Dr Rajani has just discussed in a video that a recent study has implied fillers cause cancer! I'm worried sick, I trust your opinion can u share your views pls?
How much per 1 vial for Sculptra? If I may ask
Thank you!! Dr. kappel is it 2 years too for hyper diluted radiesse for neck?
It usually lasts two years yes!
@DrStefaniKappel that's a lie. That's only the study duration
Hi dr rajani suggest to never use sculptra around the mouth or in the lips (i forget why)
I agree. I use Sculptra in the midface but not around the mouth and never in the lips.
Question Dr. Kappel: I'm having Sculptra mixed with prf around the mouth... I've already had Sculptra in my mid/lower face. When is the earliest you'd suggest I can have an RF microneedling session on the face done?
Sculptra shouldn’t be used around the mouth fyi
I’m so nervous and excited. Getting it tomorrow with a very highly rated provider in LA. You’re in the OC which is closer to me! Wish I knew but I’m sure it will be great either way. Would def love to check out your clinic
Yay I hope you love it!
How was it? Was sculptra worth it?
@@RC-ud4qo I loved it! I got it done at Rejuva Esthetics by Nurse Nat who is a master injector! No regrets
Hi Dr Stefani there is also a collagen stimulant called Ellanse have you experienced that? It works the same. My doc told those collagen stimulant actually last long it maybe it will stay then the stated years. The years are just for reference cannot be adhere isit true? I had a friend injected collagen stimulant and it's her 7th years and it is still full. I am 22 I Injected because I am skinny. :)) Last but not least, collagen stimulant are semi permanent. And it cannot be dissolve.
radiesse cannot be dissolved but it's metabolised and absorbed by the body, idk about Sculptra. Bellafil is 100% permanent and scary if you ask me.
@@philippillis9393 How long does Radiesse last in the face? I have it and want it GONE to be honest.
@@KentKaliber I dont know it depends. 8-12 months? The initial volume boost can decrease quite rapidily but it should leave your skin more supple and toned for the induced collagene synthesis
How long does RADIESSE last in the face / cheeks?
Same question. Google says 12-18 months. I unfortunately think its permanent as it your own collagem thats being built. So no going back to baseline in case you get botched
@mcp4029 i think youre right unfortunately. I regret it big time. Had 1 ml in 1:1 dilution for both cheeks (acne scar treatment).
You really think theres no more going back?
I've done 3 treatments with sculptra. Definitely look better, but think I may need another 2 vials. I'm not sure. I have a follow up with my surgeon next week. Very expensive, but very lean athlete 47years old. 😏
I was told for every 10 years one vial.
do you still like your results??
@EadsB7002 I do. I had 8 vials total to start. I got just 1 vial last year to maintain results. I do like it! It looks very natural. Nobody knows until I tell them. I don't lie about it. People tell me I look younger than my age and ask me about what skin care I use. 😉
One thing I didn't like is because my left temple is much more hollow than my right. I had to get a bit of Restylane define to even it out.
@@monicastraub3372 thank you for sharing!
@@EadsB7002 you're welcome. I hope it helps. 😊
do u recommend Sculptra for horizontal lines on the neck or it s,too risky? for 40 yo
what is difference between Sculptra vs Radiesse for neck? for 40 yo
Injectors suggest radiesse for neck im doing it soon
What state are you? You seem to know a lot about this.
I have volume loss; went to mini facelift. The excess skin was removed, but my volume loss is still in my face especially around mid face and laugh lines. My face is also unstable in terms of shape, and I guess that is because of volume loss too. In this case, do I need sculptra or radiess?
I'm not an expert but I think radiesse is more versatile as it can be diluted or can be left pretty thick to create volume and lift under the muscles. also it is absorbed by the body while I think Sculptra says there permanently but I'm not sure. Radiesse is FDA approfed fotonici facial fat loss in patients with HIV who gets severe laxity and unstable skin. a friend of mine did radiesse and the results were impressive and long lasting. he did normal HA fillers late and looked bad instead.
Dr. Kappel please help!
I had Sculptra injected deep into my temples that left me with big nodules that look like horns.
My doctor flushed them with saline 3 times with no improvement. Recently she treated them again with a cocktail of hyaluronidase and steroid with no improvement.
Can you please recommend anything else to dissolve them?
I'm desperate and crying daily from this deformity 😭😭😭
I was reading the comments here and ran into yours. Whatever happened in your situation? I had hyaluronic acid fillers in my lips and cheek hollows. Four months later I got a late inflammatory reaction and my face blew up. First my lips then the rest of my face. I had gone in over 12 times for injections into my lips and face and 2 months into it I am finally seeing some results. I got the hyaluronidase which is supposed to dissolve the hyauronic filler. It has been a nightmare for me and I thought about trying other fillers but after reading other stories about sculptra and radiesse I am getting second thoughts.
@@miamichaels5999 I wouldn't do Sculptra or any permanent filler if I was you. In fact, I'll never do Sculptra again as I'm still dealing with nodules it caused. I have a consultation appointment next month with a plastic surgeon to remove them. Hopefully he can excise them without leaving any scars 🙏
I'm shocked about your reaction to the hyaluronic acid filler as they are typically well tolerated...wow...I'm sorry to hear that! You may want to just use a fat transfer in the future, with a pro facial plastic surgeon of course...
@@honeybadgernasty I had a COVID booster last November, then in March of this year I had the hyaluronic fillers. Fast forward 4 months later I get a late onset inflammatory reaction. My doctor told me, and I did read in other places that there were some people who had the COVID vaccine who had issues with their facial fillers. Or, my doctor said, I could have had COVID with no symptoms. I am still confused what caused the reaction. But I have been dealing with bumps in my lips and face. I didn't want to go out for about a month in a half because of it. I wish you all the best with your nodules, I know it has been a nightmare for you.
@@miamichaels5999 yep the Covid vaccine and filler do not play well together. There’s been many people that have had these complications bc of the combo.
Sculptra is great! It’s not a “filler” fyi. Go to the right person and you won’t have an issue. Injecting Sculptra is an art. You need to be precise on how it’s reconstituted, handled, and injected. You also need to make sure you’re massaging the area as directed. It give results unlike anything else so it’s definitely worth it if done correctly….
@@honeybadgernasty can you please message me? I am in a sculptra crisis. Desperate for help and answers. I’ve never been more depressed in my life because of the results. This has been the biggest mistake of my entire life. Can you please share your surgeon info?? I can’t find anyone who can help me.
Have you personally used Sculptra Dr. Kappel?
How long does RADIESSE last in the face?
.lol like 3-4 months. not knocking them, they look great for those few months but anyone remotely active will see results diminish substantially within a few months. These companies like Radiesse mislead at best when they say "up to one year" or "up to 18 months." Not discouraging you but just know what you're getting in to...
Is that your own experience? Like can you confirm youre 100% always going back to baseline?
Thanks for answering 🙏
⭐️⭐️⭐️⭐️⭐️⭐️
❤How would I schedule an appointment with you?
You can call my office in Newport Beach to get scheduled
One vial of Sculptra is almost never enough for most people. That's why Lanluma is so much more preferable, yet it's still unavailable in the U.S.
It comes in a pack of two..
@@PalmSpringsEDGE Both aren't always used at once and Sculptra powder doesn't contain the same amount of the active ingredient - do your research
@@dharma__3 yep I have.
@@dharma__3 I’m sorry my comment triggered you. Have a nice day.
@@PalmSpringsEDGE Didn't trigger me at all (but yes, you should be sorry for ignorance).
Hello doctor, is sculptra permanent?
No lasts 5 yrs
Yes it is. Everything else is a lie
youre beautiful! you look like barbie
Dr can u tell me if nodules appears after bio stimulator so what is the solution
Hi! How do you treat the nodules? I got one on the left side of my jaw. 🫤
Thank you!