Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc®, Dysport®, or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.
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Your best bet is to schedule a consultation with a board-certified plastic surgeon who has experience with all facial rejuvenation techniques and technologies. Due to the large number of doctors promoting themselves as qualified cosmetic surgeons, choosing a surgeon can be a challenge. To make this task easier, Consumer Guide to Plastic Surgery has created a directory that exclusively lists surgeons who are board certified by the American Board of Plastic Surgery (ABPS). Certification by the ABPS is widely accepted as the highest level of certification possible for plastic surgeons in the United States. Choosing one of these doctors guarantees you will be treated by a surgeon who has undergone extensive education, training and testing and is in excellent standing among his or her peers in the medical field.
First, the physician (1)  isolates growth factors from the patient's blood.  Then (2), the provider uses a micro-needling device to create multiple micro-punctures --both driving the isolated growth factors into the skin & creating stimulus for tightening and rejuvenation of the collagen of the face. Then (3), these provider paints the growth factors onto the micro-punctures so that the growth factors soak into the tissue for further stimulation of tightening and skin rejuvenation.
Once the treatment was complete my face was covered in Aquaphor to protect it from the dirt and grime that is NYC and I made my way back onto the subway where I received many sideways glances. It’s a rare thing on a packed train during rush hour to have some personal space, for some reason people didn’t want to sit next to the girl whose blood-speckled face was covered in goo.
“As far as what I can do as an aesthetician, this is my most effective treatment,” Chang said. “It can help with acne scarring by evening out hyper-pigmentation and it also helps with anti-aging in terms of reducing frown lines and marionette lines. But it doesn’t necessarily help with wrinkles. We can’t help what is underneath, but we can help with the collagen and it’s all about the collagen.”
Typically, the process includes the initial blood draw, then running the blood through a centrifuge to isolate the platelets. You'll then receive microneedling or microdermabrasion just before your PRPs are slathered across your face. This can be accompanied with or without radio frequency, too. "It sounds gory and mysterious, but in fact, it is central to our evolving understanding of the physiology of the skin and advanced techniques with which to improve the quality of the skin," says Shamban.
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