Written by DR.PIYAWAT POOMSUWAN DR.TIWANANPROMVARANON
HIFU ULTHERA
♦ What is HIFU and ULTHERA? HIFU and ULTHERA are lifing treatment. They use focus ultrasound to stimulate skin deeply.
♦ How do they work? HIFU and ULTHERA use tiny dots of focus ultrasound to stimulate the skin to heal and regenerate new collagen fiber.
♦ Are HIFU and ULTHERA the same? No, they are not same. ULTHERA is original focus ultrasound for lifting approved by US FDA. It comes with ultrasonic scaner which doctor can see under skin all the time of treatment. Doctor can select optimal point and depth for threatment to get the best result.
♦ What factor effect treatment result? 1. Machine model: There are different types of HIFU which have different efficacy. New model HIFU will hurt less or no pain, but get better lifing effect. For ULTHERA, new machine and new Technique will hert less.
2. Doctor’s skill For HIFU and ULTHERA, doctor’s skill affects the result of treatment. Using the same machine by 2 doctors will get different result.
3. Skin Quality HIFU and ULTHERA work by stimulating skin to heal and rejuvenate itself. As we know older person or bad skin quality has less and slower wound healing. So vitamin and stem cell treatment will help improve treatment result. Natural supplement which help improve blood circulation and collagen synthesis will help improve treatment result that is more lifting and better skin quality improvement.
♦ How Long do HIFU and ULTHERA Lifting effect Last? In the theory, HIFU lifting effect will last for 6-9 months. ULTHERA lifting effect will last for 1 year. But in practice HIFU will last for 3-4 months and ULTHERA will last for 6-9 months depended on skin quality and life style.
♦ What should we care after HIFU or ULTHERA? Although HIFU and ULTHERA last for several months, regular treatments are recommended. Such as Laser to improve pigment and fine line on superfecial skin, Lifting treatment combinded with stemcell to stimulate more collagen and lifting effect.
♦ When should we start? As mention above, skin quality affect lifting result. So we should treat sagging skin as soon as we can. With less sagging, we will get more lifting effect and last longer. Try consulting experience doctor is the 1st step to start !!!
♦ What is HIFU and ULTHERA? HIFU and ULTHERA are lifing treatment. They use focus ultrasound to stimulate skin deeply.
♦ How do they work? HIFU and ULTHERA use tiny dots of focus ultrasound to stimulate the skin to heal and regenerate new collagen fiber.
♦ Are HIFU and ULTHERA the same? No, they are not same. ULTHERA is original focus ultrasound for lifting approved by US FDA. It comes with ultrasonic scaner which doctor can see under skin all the time of treatment. Doctor can select optimal point and depth for threatment to get the best result.
♦ What factor effect treatment result? 1. Machine model: There are different types of HIFU which have different efficacy. New model HIFU will hurt less or no pain, but get better lifing effect. For ULTHERA, new machine and new Technique will hert less.
2. Doctor’s skill For HIFU and ULTHERA, doctor’s skill affects the result of treatment. Using the same machine by 2 doctors will get different result.
3. Skin Quality HIFU and ULTHERA work by stimulating skin to heal and rejuvenate itself. As we know older person or bad skin quality has less and slower wound healing. So vitamin and stem cell treatment will help improve treatment result. Natural supplement which help improve blood circulation and collagen synthesis will help improve treatment result that is more lifting and better skin quality improvement.
♦ How Long do HIFU and ULTHERA Lifting effect Last? In the theory, HIFU lifting effect will last for 6-9 months. ULTHERA lifting effect will last for 1 year. But in practice HIFU will last for 3-4 months and ULTHERA will last for 6-9 months depended on skin quality and life style.
♦ What should we care after HIFU or ULTHERA? Although HIFU and ULTHERA last for several months, regular treatments are recommended. Such as Laser to improve pigment and fine line on superfecial skin, Lifting treatment combinded with stemcell to stimulate more collagen and lifting effect.
♦ When should we start? As mention above, skin quality affect lifting result. So we should treat sagging skin as soon as we can. With less sagging, we will get more lifting effect and last longer. Try consulting experience doctor is the 1st step to start !!!
Botox is a drug made from bacteria that temporarily prevent a muscle from moving. In small doses, it can reduce skin wrinkles and help treat some medical conditions. Also, the Food and Drug Administration (FDA) have approved it as a treatment for various health issues, including eyelid spasms, excessive sweating, and migraine.
Botox for cosmetics
Wrinkles: the improvement appeared in 3–7 days and last for 4–6 months
between the eyebrows, called frown lines
around the eyes, known as crow’s feet
creases in the forehead
crease on nose, known as bunny line
Lines at the corners of the mouth: the improvement appeared in 3–7 days and last for 4–6 months
“Cobblestone” skin on the chin: the improvement appeared in 3–7 days and last for 4–6 months
Facial slimming: the improvement appeared in 5 month and last for 9-12 months
Calf slimming: the improvement appeared in 1.5 month and last for 9-12 months
Botox for medical purpose
Underarm sweating, or hyperhidrosis: the improvement appeared in 3–7 days and last for 4–6 months
Preventing migraine in people whose migraine headaches: the acute headache improvement appeared in 1-2 hours. Headache prevention appeared in 2-3 weeks and last for 3 months.
Eyelid spasms: the improvement appeared in 3–7 days and last for 4–6 months
Is it safe?
Botox has been approved by FDA for therapeutic use in 1989. In2002, the FDA approved BOTOX® as a aesthetic treatment for moderate to severe frown lines in adults. Now it is worldwide used. The overall risk is minimal, and Botox is considered safe overall. The key aspect of Botox injection is relatively safe when performed by an experienced doctor.
When should avoid?
People should avoid using Botox during pregnancy or breastfeeding
Is Botox enough to make you look young?
Botox help improve wrinkle by relaxing muscles. You also need other treatments to improve your skin quality such as lifting the sagging skin or filling some volume loss area. Consult experienced doctor for treatment plan that is suitable for your skin condition.
Treatment for Sagging and Pigment Freckles Melasma
Sagging and Pigment Freckles Melasma are the main problem that people often come to consult a doctor. Today we will introduce a popular treatment. You can see the change of the skin from the first treatment.
“Double Age Lock+Q switch Laser” is a combination of treatments that can lift and tighten the skin, reduce wrinkles, and make the skin look bright, reduce dark spots, freckles, melasma, blemishes. It consists of 3 main steps.
The 1st Step: “Double lift” is treatment with Multi-polar RF and Mechanical stimulation. The combination of 2 energy will improve blood circulation and stimulate new collagen synthesis then have synergistic effect to lift up the skin and maintain youthfulness.
The 2nd Step: “Q switch Laser” Newest model, USFDA approved Qswitch Laser is used to treat the skin in 3 steps.
Laser Toning help improve skin quality, stimulate the production of collagen and smoothen skin.
Deep Laser help improve blemish, freckles, melasma and reduce pore size.
Focus laser help improve superficial pigment and flat mole.
The 3rd Step: “Ultra deep” is treatment by nourishing Vitamin and Stem solution into the skin helps improve and brighten the skin. Vitamin and Stem solution work as growth factor to enhance collagen production.
We can see the change of the skin from the first time and more results in the next treatment. For the Best result, doctors recommend getting the treatment every 2-4 weeks
The eyes are the main focus of the face. Eyes and the skin quality around the eyes are very important to make us look good, look fresh and young.
Tear trough can be seen as a deep groove and are often found to have dark circles under the eyes which often make the face look tired, sleepy or sad.
As we age, our skin become thin. The substance under skin loss volume. The eye socket bone recedes. And the central surface (Midface) is sagging. All processes cause a groove under the eyes which may aggravate with the protrusion of the bags.
Tear trough can be classified to 3 level
Level 1: shallow groove limited to tear trough.
Level 2: the groove became deeper and extended laterally.
Level 3: the groove became deep and extended full.
Treatment
The doctor will treat tear trough according to the cause of the problem and the severity.
Level 1:
If the doctor determines that major problem come from sagging, it can be treated with a lifting or tightening such as Ulthera
If the doctor determines that major problem come from Volume loss, it can be corrected by filler injection.
Level 2 and Level 3:
These are caused by combination of all processes above which may need to be lifting or tightening combined with volume filling such as Ulthera+filler injection.
If you do not want to be treated with a filler, doctor will make an appropriate treatment plan.
Additional treatment, such as collagen supplement or special herbal formula will help improve our skin from inside out. These will help improve the treatment results.
There are many types of alopecia, each with a different cause. The most common type of hair loss is “Androgenetic alopecia” which composed of 2 types, male and female pattern hair loss. It is more likely to happen as a person ages but can start at any point after puberty. It is normal to lose between 50 and 100 hairs a day. With about 100,000 hairs on your head, that small loss is not noticeable.
Signs
Gradual onset
Increased hair shedding
Transition in the involved areas from large, thick, pigmented terminal hairs to thinner, shorter, indeterminate hairs and finally to short, wispy, nonpigmented vellus hairs
End result can be an area of total denudation; this area varies from patient to patient and is usually most marked at the vertex
Symptom
Male pattern hair loss
Hair is lost in a well-defined pattern, beginning above both temples. Over time, the hairline recedes to form a characteristic “M” shape. Hair also thins at the crown (near the top of the head), often progressing to partial or complete baldness
Female pattern hair loss
The pattern of hair loss in women differs from male-pattern baldness. In women, the hair becomes thinner all over the head, and the hairline does not recede. Androgenetic alopecia in women rarely leads to total baldness.
Causes
Genetics: researchers suspect that several genes play a role in androgenetic alopecia.
Hormone: researchers have determined that this form of hair loss is related to hormones called androgens. Hormonal imbalance is major cause.
There are many kinds of treatments for male and female pattern hair loss include lotion, oral medicine, laser, light therapy, etc. But there is still no perfect result.
At Piyawat Clinic, we develop our own special products and treatment for hair loss. Our signature treatment is “Mesotherapy”. Mesotherapy technique help deliver special hair growth solution into scalp and hair root without pain. Patient feel very comfortable during the treatment. And “Hair Laser” will stimulate hair root that help accelerate hair regrowth. The home-used products include lotion that can help improve scalp condition and can stimulate hair follicle. For moderate or severe case, doctor may prescribe 100% herbal supplement for faster treatment result. All patients will be investigated by digital microscope. So you can see your hair and scalp condition in every visit.
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