Thank you so much for your in depth explanation. It was so helpful and clear and I would say one of the best presentations I have heard on this subject ❤
I had Radiesse, which is a stimulator, in my jawline. It's been a year, and i love it!❤ Im 41, but due to Hashimotos, my collagen was depleting faster than a healthy 40 year old. I started .25 Tretinoin a month ago, and i see a lot of improvement❤
Collagen will increase after T4-replacement therapy. Your Synthroid medication will bring you back to normal range even though you have hashimoto and you are at risk of aging faster because you’re at risk of premature menopause. Synthroid and HRT will be your best friends in combating aging skin
@lilyshah4608 I've been on T4 alone for 6 years with barely any improvement for how I feel and look. Hashimotos patients are often mismanaged by their doctor due to lack of understanding of how thyroid hormones convert. I've followed Dr Westin Childs in the last few months and learned how crucial T3 therapy along with T4 is for optimal health. T4 alone won't regenerate any collagen. It's clean eating, a good collagen supplement, retin A and if needed collagen regenerating fillers like Radiesse ❤ Also, I have been on a progesterone creme that's naturally derived for 5 months as part of my routine. My hot flashes are gone from that and skin improved. Thank you🥰
Threadlifts twice a year have been effective at keeping everything up so far! 😄 Also PRF exgel every few months and I love how Jeuveau snatches the lower face. It's my trifecta along with a skincare obsession.
@ it's definitely a very strange procedure, and while there's mild discomfort, I do get local numbing injections before they start so it's not too bad.. A half of a Valium is helpful too.😂
@ I just got back from having PRF ezgel done again and have it placed in the area to the sides of the chin and in front of the jowls. It makes a huge difference.
Dr. Kappel, I am an enormous admirer of your work! Your Mdaire line has truly transformed my skin, and I couldn't be more grateful (I’ve also ordered many for my family and friends). Just a quick question. You frequently discuss PDO threads, and I'm curious about how they differ from PLLA threads, like the Silhouette Soft. Could you kindly shed some light on this? Thank you for sharing your incredible knowledge with us❤
Pdo & plla differ mainly in the material - pdo is softer, whilst plla is a stiffer material. That makes it slightly trickier to insert, not too much, but the main benefit of plla is it lasts around a year to 18mths, whereas pdo is around 6-8 months.
Hi Ms Kappel! Can you please recommend a pre work out for energy? I was drinking Celsius but I stopped because I don’t think it’s the healthiest for my body ♥️ thank you 🙏🏽 love your YTube channel
What has helped me change my jawline and facial structure the most beyond all the applications that we always talk about is Invisalign. My face has turned more diamond/heart shape than oval/round that I'm use too. It's more Bella Hadid and less Gigi 😊
Threadlifts twice a year have been effective at keeping everything up so far! 😄 Also PRF exgel every few months and I love how Jeuveau snatches the lower face. It's my trifecta along with an unhealthy skincare obsession. Oh, and the most important part---putting healthy foods in our bodies!
How do we find reputable ellacore or thermage treatments in our area? I'm in ID and a lot of our dermatology clinics don't have these treatments. I'm worried about going to a medspa. Thank you !
I went to a very reputable place a laser center in Houston that you recommended me to however they wanted to use laughing gas when doing the much I read in your video that you don’t want any kind of numbing anything when doing thermGe so I’m very hesitant to trust that center because they wanted to use laughing gas. What do you make of that? Or in general do you think laughing gas is appropriate when using the thermagee
Dr, can we tighten our jawline by using tightening creams only? I don't want to use injectables. Thank you for the incredibly informative videos you offer us for free!!
@@rosamariav_09 Thanks I was thinking of it but I think I may find it annoying to sleep on it cause it seems weird. Did it take you a while to get used to it?
Sleeping on your back is definitely better. I used to sleep on my back but since having difficulty sleeping the last few years I can only sleep on my stomach. I can now see permanent diagonal lines where my face is scrunched up on my pillow. As someone else suggested, pillows such as the sleep and glow do help with this.
@@olga_b344 I didn’t like it, and returned it. The concept seemed great, but the indentation for you to be able to sleep on your side is very high up on the pillow. I felt like I needed a giraffe neck to reach it.
I wonder if you would consider a video on the cost benefit analysis of Ozempic for weight loss vs. aging, and also how to address and reverse Oz empic treatment facial fat loss. Also, do you have any thoughts on whether microneedling can ever CAUSE sagging or aging, or does it have positive effects in most people? I'm scared to do it in case there is a risk that it can worsen the skin or cause laxity (instead of improving it)?
Can you do anything for the widening of the cupid's bow area above lips, also the lengthening of the philtrum ? Although its a small area a lot of focus is drawn there and when it stretches out it can be a big give away for your age as well.
Could PRP/PRF help with volume loss? I have a lot of sag, just turning 42 this month. I hate my face and especially submental region where I have sag and a strange, ugggly indentation in the center of that area. I’ve always hated my body, my no butt, and now I hate my face and neck too 💔
Dr. Kappel, please help. I had Excel v laser 2 weeks ago and still am very red. Went to a laser specialist in Chicago that you recommended. Very worried
If a patient wanted to fly out from New York like myself, what is the best way making a consult appointment and treatment appointment in the same week? Please advise.
Call Mary at the office. She will book you for a consult and then for treatment the next day- we will leave room as needed for treatments. Call soon as we are booking new patient consults months out! I hope to see you in the clinic 🥰
Is thermage good for mid face volume loss? My nasal folds are getting deeper and deeper 😂 i have a consultation soon. Im 42 yrs old. What else ks good to know about thermage before the consultation?
@ well for one I work in aesthetics. We have this machine where I work. I had it done twice. Once by the person training us on the machine and once by my coworker a few months later. Of course I didn’t pay for anything but if I did I would be pissed. I noticed nothing. I don’t recommend it to anyone.
Why is it so hard to find a board certified dermatologist that will do these injectables lasers and energy devices? The ones that I find and that I went to they have an aesthetician on the side that performs these. I’m getting really frustrated. I live in Atlanta.
Fix your jawline naturally with collagen and keratin peptides that penetrates deeper into the cellular level. Skinlyte has a soap that is loaded not only with collagen but also keratin peptides. It is fast absorbed because it has an enhanced binding enhancement technology which produces a water molecule that hydrates skin and hair. It repairs, rebuilds and strengthens hair and skin. I got it at Amazon and I am impressed with new benefits I discover every time I use it. I noticed many improvements in my hair, skin and nails. What I like best about it is that it's all natural and without harmful chemicals such as synthetic dyes, fragrance, SLS or preservatives.
@@LisaNix2 It is the Hair & Whole Body Bar soap. The kojic acid soap one is for hyperpigmentation is I also use. When I pop a pimple I rub some on it right away and it prevents the formation of melanin in that area.
Hello, I have a question So Botox and daxxify nothing is working for me anymore. What do you recommend laser I should do for wrinkles and tightening skin?
Thanks for addressing the fear mongering about other methods before going to the plastic surgeon.
What about Newa facial device for at home use?
@@ivy2595 dr. Rajani has talked about the Newa device on UA-cam.
Dr.Rajani recommends the Newa , has a video on device
@georginezell493 Yes, he does. Thanks. :)
@@georginezell493 i feel like hes a scam artist. idk i just get those vibes- & lots of other comments say that, im not the only one thinking it
Thank you so much for your in depth explanation. It was so helpful and clear and I would say one of the best presentations I have heard on this subject ❤
I think I just need to fly out to see you. You are smart!
Can you please share your daily morning & evening routine please? Obsessed with your knowledge and personality thank you ❤❤❤
I had Radiesse, which is a stimulator, in my jawline. It's been a year, and i love it!❤ Im 41, but due to Hashimotos, my collagen was depleting faster than a healthy 40 year old. I started .25 Tretinoin a month ago, and i see a lot of improvement❤
Collagen will increase after T4-replacement therapy. Your Synthroid medication will bring you back to normal range even though you have hashimoto and you are at risk of aging faster because you’re at risk of premature menopause. Synthroid and HRT will be your best friends in combating aging skin
@lilyshah4608 I've been on T4 alone for 6 years with barely any improvement for how I feel and look. Hashimotos patients are often mismanaged by their doctor due to lack of understanding of how thyroid hormones convert. I've followed Dr Westin Childs in the last few months and learned how crucial T3 therapy along with T4 is for optimal health. T4 alone won't regenerate any collagen. It's clean eating, a good collagen supplement, retin A and if needed collagen regenerating fillers like Radiesse ❤ Also, I have been on a progesterone creme that's naturally derived for 5 months as part of my routine. My hot flashes are gone from that and skin improved. Thank you🥰
Not Synthroid that stands for synthetic you’re better off with a natural thyroid replacement like NT Thyroid.
Please share how often do you apply 0.025 Tretinoin? I only do once a week at 43.
@@duchessdelarue5983do you mean NP Thyroid? Theres also Armour thyroid. I have Hashimotos and those two worked better for me than Synthroid.
How about hifu
Threadlifts twice a year have been effective at keeping everything up so far! 😄 Also PRF exgel every few months and I love how Jeuveau snatches the lower face. It's my trifecta along with a skincare obsession.
Hi! Thank you for sharing this, would mind if I ask what kind of threads do you get?
@ Hi Daniela! They are PDO
Do they not hurt?
@ it's definitely a very strange procedure, and while there's mild discomfort, I do get local numbing injections before they start so it's not too bad.. A half of a Valium is helpful too.😂
@ I just got back from having PRF ezgel done again and have it placed in the area to the sides of the chin and in front of the jowls. It makes a huge difference.
Dr. Kappel, I am an enormous admirer of your work! Your Mdaire line has truly transformed my skin, and I couldn't be more grateful (I’ve also ordered many for my family and friends). Just a quick question. You frequently discuss PDO threads, and I'm curious about how they differ from PLLA threads, like the Silhouette Soft. Could you kindly shed some light on this? Thank you for sharing your incredible knowledge with us❤
Pdo & plla differ mainly in the material - pdo is softer, whilst plla is a stiffer material. That makes it slightly trickier to insert, not too much, but the main benefit of plla is it lasts around a year to 18mths, whereas pdo is around 6-8 months.
Thank you for your Honesty and Transparency! EXCELLENT VIDEO! 🙏🏻💖
Botox into the masseters can lead to jowls especially if prior to the botox, the masseters were quite enlarged.
I love your videos ❤❤❤ when you will have international shipping? I want to buy your priducts and can't since I don't live in the US
Did Thermage in a good clinic, no results
SO helpful !! Thank you ❤️
Hi Ms Kappel! Can you please recommend a pre work out for energy? I was drinking Celsius but I stopped because I don’t think it’s the healthiest for my body ♥️ thank you 🙏🏽 love your YTube channel
What has helped me change my jawline and facial structure the most beyond all the applications that we always talk about is Invisalign. My face has turned more diamond/heart shape than oval/round that I'm use too. It's more Bella Hadid and less Gigi 😊
I prefer Gigi
@AprilMay-s8e when you hit a more mature age, you'll scream for Bella. Trust me 😉😊
Would you recommend a dermatologist in the Houston area for the Thermage treatment?
Thank you so much for this video ❤😊 xx
I did a neck treatment with the Fotana laser. And I don’t know why but my skin on my neck looks more bony now… I will lay off the lasers for now!
Threadlifts twice a year have been effective at keeping everything up so far! 😄 Also PRF exgel every few months and I love how Jeuveau snatches the lower face. It's my trifecta along with an unhealthy skincare obsession. Oh, and the most important part---putting healthy foods in our bodies!
How do we find reputable ellacore or thermage treatments in our area? I'm in ID and a lot of our dermatology clinics don't have these treatments. I'm worried about going to a medspa. Thank you !
What are your thoughts on endolaser for the face ?
I went to a very reputable place a laser center in Houston that you recommended me to however they wanted to use laughing gas when doing the much I read in your video that you don’t want any kind of numbing anything when doing thermGe so I’m very hesitant to trust that center because they wanted to use laughing gas. What do you make of that? Or in general do you think laughing gas is appropriate when using the thermagee
Love your content!! Doctor would you recommend one fraxel restore a year or a few clear and brilliant during the year? ❤❤
What about PLLA threads?
thank you so much for your honesty, invaluable information! i will definitely be buying from ur skincare line when i run out of my current products
Dr, can we tighten our jawline by using tightening creams only?
I don't want to use injectables.
Thank you for the incredibly informative videos you offer us for free!!
Creams only work on the surface. They won't address the atrophy of underlying structures.
Face yoga works too
What can be done to reduce/eliminate perioral mounds
Thank you! Do you think sleeping on the side is bad for skin aging and it’s better to sleep on the back or it makes no difference?
❤❤❤
Get a Sleep & Glow pillow
@@rosamariav_09 Thanks I was thinking of it but I think I may find it annoying to sleep on it cause it seems weird. Did it take you a while to get used to it?
Sleeping on your back is definitely better. I used to sleep on my back but since having difficulty sleeping the last few years I can only sleep on my stomach. I can now see permanent diagonal lines where my face is scrunched up on my pillow.
As someone else suggested, pillows such as the sleep and glow do help with this.
@@olga_b344 I didn’t like it, and returned it. The concept seemed great, but the indentation for you to be able to sleep on your side is very high up on the pillow. I felt like I needed a giraffe neck to reach it.
@@machina523 thank you for this. V helpful.
Dr. Kappel - in what way is Thermage better or more effective than Sofwave ? I’ve heard the inverse but that both are extremely painful (?)
Can you please recommend a dr in the Miami area you trust for these procedures? Specifically for thermage
Thank you so much!!
I wonder if you would consider a video on the cost benefit analysis of Ozempic for weight loss vs. aging, and also how to address and reverse Oz empic treatment facial fat loss. Also, do you have any thoughts on whether microneedling can ever CAUSE sagging or aging, or does it have positive effects in most people? I'm scared to do it in case there is a risk that it can worsen the skin or cause laxity (instead of improving it)?
Hi Doctor, could you please make a video about methylene blue? And how to use it both internally and externally for best results?
Anyone have experience with Ultherapy
I did it. No results. So much so, the doctor didn’t even see results and did it all over again. Still nothing and so not worth the pain!
Is sculptra better than silhouette insta-lift?
What age does bone loss of the mandible start?
What about Attiva? I’ve been thinking about trying it for lower face
I had the worse experience with Kybella it was just awful The Ellecore sounds very interesting !’ Love your content
what happened with Kybella??
Trying to figure out how these two are comparable?
Can you do anything for the widening of the cupid's bow area above lips, also the lengthening of the philtrum ? Although its a small area a lot of focus is drawn there and when it stretches out it can be a big give away for your age as well.
I believe for excessive philtrum length a dermatologist can do ellacore. You can also get a lip lift but that leaves you with a small scar. 😊
What about co2 laser ?
Could PRP/PRF help with volume loss? I have a lot of sag, just turning 42 this month. I hate my face and especially submental region where I have sag and a strange, ugggly indentation in the center of that area. I’ve always hated my body, my no butt, and now I hate my face and neck too 💔
Sculptra and squats.
I tried everything seems the filler on jawline helped the most ….
Facial hollow cheek fatloss is caused by overactive adrenal glands
Interesting
I live in Northeast US (NJ) and I can't find any place with Thermage Flx. It seems not in demand.
Try Laser Away it’s a big company and it keeps up with updating their handheld thermage pieces.
@@lilyshah4608 thank you very much!
Dr. Kappel, please help. I had Excel v laser 2 weeks ago and still am very red. Went to a laser specialist in Chicago that you recommended. Very worried
If a patient wanted to fly out from New York like myself, what is the best way making a consult appointment and treatment appointment in the same week? Please advise.
Call Mary at the office. She will book you for a consult and then for treatment the next day- we will leave room as needed for treatments. Call soon as we are booking new patient consults months out! I hope to see you in the clinic 🥰
Gain wisdom and have birthdays, I like that.
what about Morpheus ??
She has stated before that she is not a fan!
Morpheus can destroy your fat pads.
@ no one warns about that thing unfortunately. They’re misleading the patients.
If they have it up too high it can absolutely melt your facial fat and you’ll age dramatically.
No maybe it’s okay to gracefully age
Fillers adds volume
Devices decrease volume
Need collagen add to diet
Is thermage good for mid face volume loss? My nasal folds are getting deeper and deeper 😂 i have a consultation soon. Im 42 yrs old. What else ks good to know about thermage before the consultation?
Face yoga
Had Sofwave done. It’s garbage…
Oh really? I was thinking of it but it’s super expensive in Australia. Can I please ask why you think that?
@ well for one I work in aesthetics. We have this machine where I work. I had it done twice. Once by the person training us on the machine and once by my coworker a few months later. Of course I didn’t pay for anything but if I did I would be pissed. I noticed nothing. I don’t recommend it to anyone.
Why is it so hard to find a board certified dermatologist that will do these injectables lasers and energy devices? The ones that I find and that I went to they have an aesthetician on the side that performs these. I’m getting really frustrated. I live in Atlanta.
Ask for the dermatologist to do it.
@@Sharethearmrest she’s going to do it! The dermatologist!! 🙌🙌🙌🎉🎉🎉
I received 4 vials of sculptra and I'm 55 years old. Do I need to get 1 or 2 vials a year to keep results?
Sculptra lasts a lot. Be careful with that.
I do one a year to maintain
Definitely wait and see because it works for a long time
Microcurrent machine exercises the facial muscles
I'm 43 I will start using it I bought a machine for home use.
13:56
10:59
Or you can do facial/neck exercises and maintain your healthy diet and collagen banking for free.
Forma?
❤ I'm 23 looking 10 years younger when i was 13 to 12 i do anti aging workouts and help with me
Fix your jawline naturally with collagen and keratin peptides that penetrates deeper into the cellular level. Skinlyte has a soap that is loaded not only with collagen but also keratin peptides. It is fast absorbed because it has an enhanced binding enhancement technology which produces a water molecule that hydrates skin and hair. It repairs, rebuilds and strengthens hair and skin. I got it at Amazon and I am impressed with new benefits I discover every time I use it. I noticed many improvements in my hair, skin and nails. What I like best about it is that it's all natural and without harmful chemicals such as synthetic dyes, fragrance, SLS or preservatives.
Collagen is to much bigger molecule to penetrate the skin… it’s not really working.
@@LisaNix2 It is the Hair & Whole Body Bar soap. The kojic acid soap one is for hyperpigmentation is I also use. When I pop a pimple I rub some on it right away and it prevents the formation of melanin in that area.
So is the Keratin and Collagen in the Skinlyte soap? Or where do you get it?
@@bhahn20061she said Amazon
Hello, I have a question
So Botox and daxxify nothing is working for me anymore. What do you recommend laser I should do for wrinkles and tightening skin?
🩷🩷🩷