I’m embarrassed to say I have used the hyaluron pen. Covid hit and I was unable to see my practitioner. With so much time at home, I found myself staring at my face in the mirror, just desperate to change everything. This led me to KZfaq where I found countless creators touting this pen. Embarrassingly, I jumped on the trend - it was August 2020. After using it several times on different parts of my body, I tried it on my face (please don’t come at me, this is difficult as it is, but I want others to know). I ended up hitting a vein which seemed to have “burst”, causing a large bruise and swelling directly by my right cheek. Immediately, I went to see one of the few dermatologists that was taking new patients, if any, at the time. I was embarrassed, in tears, and she told me she couldn’t do anything for me. Her bedside manner was dismissive and cold. She did mention she was seeing more and more of these injuries. Looking back, I can see I was suffering from some form of dysmorphia…and I think there are many individuals who are in the same boat as I was (doctors should understand this). Thankfully I healed, and it left no scarring or other issues BUT it took about a month for it to heal AND this could have ended very differently. My pen is long gone….and I’d beg anyone out there who is considering using this-please don’t! And please tune out anyone on social media who advertises these dangerous trends. Thanks for your time. 🙏🏽

Hyaluronic acid fillers are WAY bigger culprits in the overfilled, puffy, pillow face look, hyaluronidase reversals are common years down the line. Some of this discussion just seems far off the mark. Having had both sculptra and radiese treatments myself (obviously they do need to be done properly) I can tell you that they can both create true, very noticeabe skin quality improvements and they don't endlessly pull in water like HA does .. They are skin biostimulators and seem to genuinely improve the skin over time in a reliable way. PRF is potentially even better still and safest of all. Dr Rajani is an excellent KZfaq resource for expert knowledge of this particular area.

Absolutely I’ve had multiple rounds of sculptra…..with wonderful long term results…I’ve never known anyone who had a negative experience with this…

There's a lot to say against hyaluronic acid as well. There are several plastic surgeons who've shown videos of how much of the product they still found in patients' faces years and years after injection. I also don't think it's the right treatment after a certain age, especially for the lower face where a lot of us suffer volume loss first. It will just weigh the face down more. Hyaluronidase has also had its controversies, with some people suffering extreme volume loss and loose skin after it was used. Injectors still don't know why this happens to some and not others. With regard to Sculptra; I have had several treatments and the results were subtle, but my main reason for not having more treatments done is that the collagen it induces isn't the collagen your body makes in your younger years. It's actually scar collagen, caused by inflammation. I'm not sure I want to keep creating inflammation and scar tissue in my face. I saw an interview with a plastic surgeon who said face lifts in patients who have had Sculptra are more complicated, as it's hard for the surgeon to navigate all the scar tissue. At the moment, I would only consider fat transfer to get my facial volume back a little.

So,now the question is: what kind of treatments CAN we do to improve our aging skin?

My takeaway is that every restorative procedure comes with risks, every provider has their preferences, and everyone's body reacts differently to the addition of foreign substances. Knowing if I'm a good candidate for something, understanding how the treatment works, and asking myself if I could accept a worse case scenario would be the litmus test for me. These videos are good education.

would be great if you could do a video on ageing gracefully and interview older women in particular so they can give their tips and beauty secrets on ageing well and remaining youthful naturally :)

Sculptra doesn’t “fill” your face. It’s not irreversible. It’s your own collagen.

Really appreciate the docs for the honest opinions. Observed many people had injectibles have stiff and puffy faces.

Thank goodness for these beautiful and wise doctors who won’t sacrifice “artificial” beauty for the love of money❤️

Sculptra is amazing. There are even more refined brands out there now especially certain Korean products. Botox is irreversible also but it's widely used. It will eventually wear off and so will Sculptra in a sense if you stop doing it. It and other Bio-stimulators work with the body to reinforce the density and strength of the skin. You don't do it all at once. You do a series of them and then it will last up to 18 months or so and then start wearing off. So a good practitioner will assess the patient after the 4 to 8 weeks post procedure to see how much is being built and where and how much more might be needed. But eventually if you stop the injections and don't maintain with a booster once or twice a year the body will continue ageing naturally of course so it isn't as permanent as it's being made out to be. In countries such as Korea that are now leaders in the beauty industry, they mix the PLLA (which is the main component of Sculptra) with other cocktails and even hyaluronic fillers so that it can be placed strategically in the skin in areas where it will do most good and even improve the quality of the skin itself. PLLA or PCL is essentially made of the same material as dissolvable stitches used in surgery. It has been widely used in the reconstructive field and it is shown to improve the skin density and strength in numerous clinical studies. Using a cocktail including hyaluronic acid and even EGF and Exosomes can heal and improve the surface quality of the skin as well where there might be scarring or pit masks and even other acneic issues that have caused unwelcome changes in the skin. The key is to choose a practitioner who knows what they are doing and has done numerous procedures before yours. I had a "lunch time" mini face lift done years ago that went wrong and subsequent surgery and treatment to correct it including PRP and RF Micro needling when it was still a bit new and I saw only a temporary plumping with PRP and a big fat loss in my face with the other treatments especially on one side. PRP is a better option today as it's come a long way. Especially when mixed with your own purified fat which I have not tried. But the RF Microneedling did cause fat loss. I have thin skin so maybe that also contributed. I was left with adhesions and fibrotic tissue from the different attempts at correcting the irregularities making my face feel stiff and causing nerve and inflammatory responses. The Sculptra type products especially a combination of the deeper and more superficial types of Bio-stimulators and repair agents has started to improve my face and make it feel more comfortable and natural. I for one want to keep doing them from now on to improve and maintain the results as well as to keep me looking more youthful, glowy and still natural. There are many products coming out now that will stimulate your own cells to repair and to rebuild. It's the new frontier of non Invasive aesthetic wellness and age management. Using PRP and other Biostimulators and nutrients in the right areas depths and quantities along with products such as Botox in combination with some energy based devices used correctly should go a long way in keeping us from or slowing down the ravages of age, stress, illness and lifestyle.

Very interesting and knowledgeable, thank you for another great collaboration Clare.

Really interesting discussion, thank you all!

I must say that my cosmetic surgeon is old school and has been practicing for decades. He would absolutely caution against, Ultherapy, Thermage, Sculptura, thread lifts and buccal fat. I like his philosophy. We have one face and some of these procedures have not been around long enough to know the longterm effects. Absolutely not to all of the above. The risks are far too great.

Would love a video like this on Laser treatments namely forever young BBL (broadband light), Halo laser and other lasers for skin .

Love these doctors so amazing they talk such sense

Wow! So important! Thank you ❤

Thank you this was really helpful!

I've had Sculpta, but I appreciate your take, because I believe sharing information is important. Thanks for taking the time to make this video!

I watch Dr. Rajani in Oregon. He doesn't like fillers but he uses sculptra but he mostly uses PRF, your own blood. I think that's the best way to go. So what if you have to repeat it unless you have a face lift with all those risks and even that you have to redo in 10 years. The older one is the more you should NOT have general anesthesia. MOST doctors don't take the training for PRF unfortunately. Rajani does NOT like HA fillers for faces at all. He does use threads. You have to use discernment. Plastic Surgeons can say anything to keep their income coming in. I haven't done any treatments yet, none but I am going to so I'm doing my homework now. And I'm 68. I would do PRF in a second if I could find an experienced doctor but that's like like looking for a needle in the haystack in Las Vegas.

I love a round face and always loved it. I do not understand the buccal fat trend. I think people should be very careful with plastic surgery trends and I don't understand a world where everyone is trying to look the same.

Great video, so interesting Claire. Thank you to these professionals for giving their time and expertise like this. Is there a safer alternative to Radiesse for lifting the face? I understood a more robust filler was needed in the cheeks to be able to lift the face slightly.

This was very useful, thank you very much. I'm wondering if you do it again if you would ask about these procedures: PRP/PRF for collagen stim, lip lift- the one ehere they cut under the nose in a horn shape And remove the excess skin between the bottom of the nose and the top of the lip, creating a more youthful distance. I am not talking about actually lifting the lip, the lip lift just happens as a happy side note of the removal of excess skin

Doctors nowadays think about money. It is very difficult to find a doctor that works in the beauty industry that says no to a patient. They all make breast implants, botox, ultherapy and are they really safe all these procedures? But most of all are they really needed? I find that is ridiculous to prevent wrinkles with botox at 30!!

Maybe the doctors that are experiencing too much volume from sculptra are injecting too much too quickly? I had one vial injected, waited four months to see what I would getting out of it before doing another. I received a small but significant volumizing effect in the injected areas. Now I expect the same with the second vile except we spread it out more so probably not even as much. Many doctors are injecting every six weeks which is kind of crazy to me, because I didn’t even see any results until like, 3.5 months.

What aggrivates me is how skin types are not mentioned for instance oily vs dry skin at birth. I have dry skin and halo laser aged me. The gals, I know, with oily skin, have great results.

Very interesting! Thanks a lot :)

Have you done a specific video on chemical peels ?

Interesting about sculptura all the reviews I have seen there is only a very slight difference the main gripe is more that it may not work and the results are very slight when it does 🎉

More episodes like this. V interesting!

I am surprised to hear how Sculptra or Radiesse can cause so much collagen to be produced and make the face puffy. So far what I have seen is people actually needing at least 2-3 sessions especially with Sculptra to even see any results and it is so unpredictable and also expensive. I have had 1.5ml of Radiesse done to my jaw and after it settled it’s like nothing was done 😳😂. It did give me an invisible palpable “nodule” for a while but gradually gone.

I'm wondering if the "over fill" of sculptra and radiesse.. would be due to the age of the person... I am willing to try one or the other because, going through peri-menopause.. my collagen levels have seriously declined... and I think that these would actually benefit me now.. but not when I was younger...

Soooo many people have said thread lifts are absolutely useless

This is so odd. It’s almost as if there is an organized campaign to turn people off from Sculptra lately. Makes me wonder if there is a new competitor entering this space.

If radiesse could stimulate too much collagen, what about profhilo? And does radiesse or profhilo causes scar tissue under the skin? What’s the difference between radiesse vs fat grafting? Since radiesse could help with volume.

I love mono threads! By the way these women spoke about threads I can tell they’re not educated. Not all threads are barbed or used for lifting. Some threads are smooth and do not lift or contour the face. They will get rid of acne scars and dark under eye circles. I didn’t have the best experience with RF and would not do it again. Rf can be permanent And go very wrong with not much to reverse it

I'd be curious of your opinion on blepharoplasty (reducing the excess skin of the upper eyelids that pushes down on the upper lashes), and whether you've considered having it done. In Australia, it is recognised that the excess skin causing pressure on the lashes can contribute to chronic headaches, so about one third of the cost is reimbursed by Medicare (similar to NHS).

All of the Board Certified Derms that I follow on KZfaq speak very, very highly of Sculptra.

Threads and Sculptra are absolutely amazing modalities for anti aging! FYI, not all threads have barbs. I’m wondering what type of technique they use that is creating puckering?

What about HA filler migration? They look awful

I’m wondering if hyloronaise that dissolves the HA filler would also dissolve healthy normal tissue too not just the filler ?

Finally after this video I'm not really sure what the doctors would do 😅

Love the concept of prevention. I'm not into the enhancement part, which is why most women have these procedures.

I love hyaluronacid too. Of course you can use hyaluronidase but you can damage the healthy skin with that too. My doctor told me that he has learned from the best doctors radiesse and Hyaluron fillers and to make the face younger he loves radiesse on the higher part of the middle face. Of course not too much. The face should look still soft in the area where it is injected. There are different arguments on where to use Hyaluron acid and radiesse depending which doctor you ask.

I had HIFU, and now one side of my face has less fat than the other. The more I try different treatments (hifu, red lights/ infra-red, facial exercise, micro-current device, fibroblast), the worst my skin looks. My face is melting I feel I have aged 10 years in the past 3 years, when I started these treatments. My self steem feels so low - I became invisible. I don't know what else to do. I'm warry of trying anything now and make my face worse

Many doctors say it depends on where you inject sculptra. I think if injected in the fat layer, it will add volume

Some peoples' bodies reject internal stitches, which is the same chemical composition as Sculptra and the 'threads' used in thread lifts. 7 months after a limb bone surgery, the internal stitches are still surfacing and coming out through my skin; I was told rejecting them is fairly common, and do not get Sculptra or a thread lift.

Hyaluron Filler is also not integrated into the tissue… Greetings from Austria🌸

Pls discuss about facial fat grafting!! ❤

what do you think of revok50, rejuren? Oligio or thermage ?

I trained in cog threads, dont think they last, i much prefer hufu for the lower face, only jawline and jowel area because like they said it can kill fat, so i will only use it on the very lower face

I have never seen anyone overfilled by Sculptra, lol Also, it absolutely goes away - just not as fast as HA… I feel like the Doc is very misinformed

Filler I thought the trend was away from HA. It might be good for minimal volumne loss, but if your older and have more volumne loss this is going to be very expensive.

very difficult to do a face lift after you have had sculptura

What do you all suggest for nasolabial Folds

I al 44 years old female woman and I had one treatment of Sculptra done in my face two years ago, I loved the results but it was so painful and expensive. I would love to get another treatment but it’s so expensive and painful and my dermatologist moved to California. I am afraid to go anywhere else.

I was about to have buccal fat removal thank good I didn't, I would look awful now. The surgeon secretaries said to me no..your face is lovely don't do it.

If I was on the fence about Sculptra before, I'm now a hard NO. I just can't get behind the "wait and see" approach with Sculptra. Having auto-immune issues already, I'm terrified of the potential for granulomas and/or other irreversible conditions to form. No matter how small the chance of this statistically happening.

I went to a top top doctor & had sculptra.... big lumps formed under the skin were the sculptra was injected, not nodules.

Hm, don't know what to say, I had Radiesse and it dissolved. Plus, the results were far better than HA.

Fillers in the face isn't great either, you get a pillow face over time & it destroys tissue in the face. If you want a face lift due to sagging later on in life the face would be very difficult to work with as the surgeons can't even stitch into those tissues bcos its falling apart..MI watched a documentary on this

Fillers have lots of negatives - such as they travel and if you do e.g. lip filler for a long time, it travels to the lower face and you get heaviness there. Plastic surgeons talk a lot about fillers shifting so it's not new and how come these doctors are saying that there are no problems with them? of course not - in short term, but in long term - there are.

Properly placed threads are wonderful and build collagen. They're very beneficial. This very limited opinion is daft. For people who have that much loose skin, they need a derp plane lift. Threads are great for gentle lift.

Love my thread lifts, it builds collagen. Put down the fillers people!!!

Liam payne looked so much better when he had a more softer youthful look imho. Not sure why ppl demonize fat.

hyaluronic acid fillers attract water and can end up with a swollen face, sure it can be dissolved, but the filler don't last long and a nice revenue earner for the clinics

I would place fillers first! They look unnatural, they migrate, they stay in your body for years and disolving them can cause devastating side effects.

If you have a face as round as the moon, you really won’t age far too soon 😂 I’m the same as you Claire, hated my round face and now I’m using Adipeau to put the fat back 🤣I do still have quite a round face though. 🌝

You should watch DrAmirKaram's video about Sculptra, he explains it very well.

I'm so shocked at the opinions of these two practitioners ! I've had asthetic procedures for 20 years with some of the best in the UK and America... Sculptra is possibly the number one most natural and successful procedures to be done .. also there statements about' basic ' very expensive and very short lasting hyuloronic acid to me screams that they are both no where near as experienced or forward thinking as they claim to be !!!! Also you can change the shape of a lip with hyuloronic acid as I've had mine changed with amazing success ....I think you need doctors with a great deal more knowledge on your channel..

You look absolutely beautiful, and I swear you have aged backwards. Can you please do a video of what you've had done and what are you are currently doing? It's working!

Got talked into this and now my round face is fat and has zero definition.

They are wrong about Sculptra, as long as it's used properly

Why dosen't the doctors know about other treatments like the tapes. I thought you were educating us. I would never do a treatment like that, but why you don't know about other treatments?

Thread lifting looks horrifying and painful. It doesn't last long enough for the price either

I've had so many people come in and ask me about those stupid butterfly lips. I tell them all the time that it literally cannot work because you've still got the enzyme in the lips that will just carry on dissolving the filler that you're putting in there again. So the tape is just holding swelling in place. Once you remove it, it's just going to look like dissolved lips. Ridiculous

Thread lifts have changed alot. Lots of people getting great results ecen doing it themselves.

im still waiting for your facial fat grafting discussion :(

I honestly think that that Liam fellow looks way improved with the buccal fat removed. Why is it so bad that he made his face look so much more handsome? I’m thinking about it myself. I’m 61 but have a very round face and still do. I hated it as a younger person and now still feel like I wish I had cheekbones. I don’t think videos like this which call out a celebrity for doing something which improved their appearance is great because its like you’re just trying to shame him.

Truly controversial, sad enlightenment regarding threads... But is the scare a bit generalizing? Because aren't patients being assessed for selection first, for facial bone type, fat volume, skin excess, etc? First time I heard the lasting expression scar effects, there must be a back story to this, perhaps with those I see in KZfaq performing their own irresponsible diy thread kits which risks their threads not going deep enough like a surgeon would do?

IF you think he's all about fillers you haven't watched any of his MANY EDUCATIONAL videos

Dr Qian Xu is wrong on Thread Lifts. All great Plastic Surgeons say there is NO problem with a face lift later. Threads are way mor safer than fillers for instance. You got to choose the right Candidate. i do them myself (mostly PDO/ PLLA and it looks fantastic

So you’re saying you don’t like biostimulators because you, basically, aren’t confident in your ability to inject them properly and you want an “out.” Frankly, I want an injector who is trained and capable and who can confidently inject a biostimulator without needing to ensure she has something to bail her out when she makes a mistake. This doesn’t sound like a problem with the product: it sounds like a problem with the injector.

I'm so disappointed in this channel. From the Retin-A video to now this one about Sculptra. Pure dismissal of REAL clinical data. Unsubscribing.

Don’t agree with most of this videos take. It’s coming from doctors that has never or hardly perform the procedures at all.

You don't seem to comprehend just how far people are willing to go, and the risks that they're willing to take in order to look better, younger, etc AND save money while doing so. It may be foolish and dangerous, but people are out there doing it, buying no-name filler etc online from China etc and many untrained ppl are doing these procedures on themselves. You all sound rather judgemental and uninformed.

You should give the Drs more ear time,you talking a lot!

Unsubbed

I don't think I would Ever consider getting anything injected like that into my face. And I'm even too freaked out to even get Botox! Fat transfer seems like the Only thing that's reasonable. And even though going under the knife is out of the question financially for the average person, if you had the $ & the right Dr. It'd be better to save up your money & eventually do that! I thought (when I was younger) that I would NEVER even consider it, but the older one gets, & you see the drastic things happening to you face, believe me, you reconsider the decision! I'd do it, IF I had the $! And once I learned about world famous Dr. Amir & his "Vertical Lift" procedure & seen Many "before & after" photos & videos of his patients, that's exactly who I would go to for an "overhaul" of my face. Again, IF I had the $. ***CLAIR*** Can you look into the Time Master Pro Device & possibly do a review on it; especially any possibility of fat loss using it long term. I'm hearing Amazing things about it! It's not cheap, but it's also a multi device tool, & the "lifting" is supposed to be in a class of it's own! Thanks.