FAQ’s about Fibroblast Skin Tightening
What is Fibroblast Skin tightening?
Under the supervision of a Doctor, Fibroblast Skin Tightening is a cosmetic treatment that uses plasma, an ionized gas, to tighten skin non-surgically. Plasma Fibroblast Skin Tightening is your alternative to surgical procedures to treat loose skin on the face, neck and body. This is very similar in comparison to an ablative laser in term of delivery of energy, however this device yields far less downtime and a more accurately delivered treatment.
What is a fibroblast?
Fibroblasts are cells in your skin that create collagen.
Why are fibroblasts important?
As we age, we lose fibroblast activity responsible for skin regeneration and collagen production. By Activating the fibroblasts with this procedure, we regenerate skin vitality.
How does Fibroblast Skin Tightening work?
Fibroblast Skin Tightening is a cosmetic skin treatment that utilizes heat energy delivered through a small needle with an electrical arch to create a controlled trauma to the skin, in turn stimulating the bodies regeneration which releases growth factors producing new collagen.
The production of new collagen fibers form tighter skin in the treatment area.
Where can Fibroblast Skin Tightening be done?
Neck bands, sagging skin, wrinkles under eyes, loose skin on the eye lids, belly and arms are all treatable with Fibroblast Skin Tightening.
What happens during treatment?
Consent forms and post care procedures are viewed with your technician.
A topical numbing cream is applied to the area, making the treatment extremely tolerable.
A post treatment serums is applied once the full area is treated thoroughly.
What happens after treatment?
After treatment small crusts form and fall of in 7-10 days.
Skin is tender for about 24hrs.
Cooling gel ice packs may be used post treatment.
Makeup is to be avoided for 24 hrs.
Any exfoliators or alcohol based products should be avoided for 10 days post treatment.
about 7-10 days post treatment the crusts will fall off revealing new pink skin.
What should I do before treatment?
No make-up is worn on the treatment area.
Lash extensions should be removed if treating eye lids or under eyes.
You may take an anti-histamine 60 minutes prior to your appointment to help with swelling and continue to take anti-histamines for 2-3 days following your appointment.
Prescription retinols and glycolic acids should be avoided for 3-5 days prior to treatment.
When will I see results?
Tightening of the treatment area is seen and felt immediately post procedure. The areas full extent of results are visible 6-8 weeks post treatment.
How long do results last?
Results are visible for up to 3 years. At home treatments with medical grade skin care account for 51% of a lasting result.
How many treatments are required?
The number of treatments required will vary according to the area being treated, skin’s laxity, the desired degree of correction and the individual’s response to the treatment. Most clients see results instantly and this continues to improve over the course of the following 6-8 weeks. Further treatments can be carried out to get better results, although it is uncommon to require more than two treatments.
Who cannot have this treatment?
Clients skin should not be inflamed in the area we are treating prior to procedure.
Clients prone to keloid scars are not ideal candidates.
Clients with diabetes, healing disorders or lymphatic draining issues should not undergo treatment.
Clients with a sunburn/sun tan should postpone treatment.
Clients who have a history of Hyperpigmentation are not ideal candidates.
Clients must not display any tanning at the time of the treatment.
Clients must not display Herpes Simplex Virus (Cold sores/Fever blisters). You will need to reschedule your appointment if you are experiencing an outbreak. If you have experienced Herpes Simplex Virus (Cold sores/Fever blisters) in the past you must see your Medical Doctor and obtain a prescription for Valtrex and begin taking it 3 days before treatment and for 4 days following treatment. (This applies for treatments surrounding the lip area only)
Not for clients with pace makers.
Not for clients who are pregnant or breastfeeding.
This treatment is only recommended on light-medium skin tones . Anyone with a darker complexions is at risk for Hyperpigmentation.
How long before I can wash my face?
after a period of 24 hours you will be able to wash your face.
How long before I can wear makeup?
After a period of 24 hours you can wear makeup?
Can I have other aesthetic treatments?
No peels, resurfacing, laser treatments, or injectables for 2 weeks.
Can I tan?
after 2 weeks you will be able to tan.
Can I flake off the spots?
No, the skin uses the spots as a shield to help underlying skin heal.
Avoid all contact to donor site and newly implanted grafts.
- No washing scalp or full stream water pressure from shower head on newly implanted grafts.
- No alcohol.
- Consult with your physician before resuming any medications, including vitamins and herbal supplements.
- No ibuprofen (Advil/Motrin), aspirin or blood thinners of any kind. Speak with your physician to see if a prescription strength medicine is needed.
- Do NOT remove pressure bandage from back of scalp. Discuss with your physician about the best time to remove the bandages.
- No hats, caps or beanies.
- No activities that cause excessive sweating such as running, weight lifting or intense workouts for the first 14 days.
- Avoid excessive sun exposure to grafts for the first 14 days.
By following the directions below, you will control swelling in the forehead/brow region:
Frontal Hairline Restoration:
- Sleep in an elevated position for 2 nights following a procedure. It is best to use 3 pillows under your upper body or sleep in a recliner.
- Sleep with a neck pillow or rolled up towel under your neck.
For Minor Bleeding:
In occasional instances, minor bleeding may occur from the transplant site and/or donor area.
- To control bleeding, apply gentle, but firm pressure on the area for 5-10 minutes with a dampened gauze pad. Press only, do NOT rub.
After 48 Hours Post-Op:
The donor site should now be closed up and healing. Your physician may suggest removing the bandage at this time.
- You may gently wash your entire scalp including the sides and back of your head by using CopperK Shampoo Spray or Johnson and Johnson Baby Shampoo, and rinsing it by gently pouring luke warm (NOT hot) water from a cup over your scalp.
- Avoid direct water pressure on newly implanted grafts.
- You may massage the donor site, but do NOT touch the recipient area with your fingers for 7 days post op as this may cause the grafts to dislodge. After 7 days you may begin to wash your hair normally.
- Do NOT use any hair products NOT recommended to you by your physician for the first 14 days.
- As your scalp begins to heal, you will start to see scabbing on the donor and newly implanted graft site.
- A very loose fitting hat/cap that does not come in contact with the grafts may be worn.
- After bandages are removed, apply Bacitracin ointment over the donor area at least 3 times a day for the next 3-4 days to keep it moist.
- In between Bacitracin use, CopperK Scalp Cream should be gently dabbed on the donor site to help heal scabs.
72 Hours Post-Op:
Swelling is a part of the healing process and typically occurs on day 2 or 3 post-op. It usually disappears in 5-7 days.
- Do NOT apply ice directly to graft area.
- For swelling around eyes and forehead, apply ice pack to eyebrow area and below.
- Do NOT use hot compresses.
2 Weeks Post-Op:
After 2 weeks, or once the scabs have fallen off:
- Minor workouts can be added into your daily regimen.
- You may use spray sunscreen or an adjustable fitted hat, if you will be out in the sun for more than 30 minutes.
- Check with your physician before resuming Rogaine 5% foam. (Typically 1 month) Propecia can continue to be used.
Scabbing or Itching at donor and transplant site:
- Do NOT PICK or SCRATCH at these scabs as this can endanger healing and could cause scarring or infection.
- Scabs will naturally fall off within 2 weeks and may contain small hairs. Do NOT be alarmed as this is normal. The hair bulb remains in the skin.
- CopperK Calming Spray will reduce discomfort, itching and inflammation. This can be used as needed, up to 2 times a day for 2 weeks post op to keep the scabs moist.
- To reduce itching, you may also use a diluted saline solution by pouring the solution into a spray bottle. Spray onto irritated area up to 2 times a day for 2 weeks to keep the scabs moist.
- It is recommended to use the CopperK Calming Spray or a diluted saline solution on the irritated area immediately after the shower.
You must wait 6-8 weeks before you can dye your hair. It is recommended that you color with semi-permanent dye as to not damage your grafts.
Please arrive at the office no later than 7 am. In the event that you may require medication, it is required that you be dropped off and picked up after your procedure.
- You may wash your hair the morning of your surgery with your regular shampoo.
- Do not drink alcohol or caffeine the night before or the morning of your procedure.
- Eat a light breakfast prior to arriving for your procedure.
- Wear a button down shirt or something easily removable.
- If medications were given to you by your physician prior to the procedure, please bring them with you on your procedure day.
- Upon your arrival to the practice, please complete your medical questionnaire and sign your consent forms.
- Speak with your physician about any medications you are currently taking.
- Prior to your surgery, avoid any supplements or medications that could cause blood thinning such as, asprin, Ibuprofen (Advil/Motrin)..etc.
- Pre-operative photos will be taken for your chart only unless other arrangements have been made.
- Please consider what hairstyle you will wear for your procedure. The donor site will need to be shaven down using a 1 or 0 guard.
- Smoking is strongly prohibited as this will delay your wound healing time.
- If you color your hair, it is recommended that you color your hair a few days before your procedure. After the procedure, you must wait 6-8 weeks before you can color your hair again and a semi- permanent color should be used instead of a permanent hair color that may cause damage to your new grafts. Permanent hair color can be used 3 months post op.
- Please feel free to ask as many questions as you like. We want you to be well informed.
During the Procedure
- You may bring your own audiobooks or music as long as it is appropriate for everyone.
- At any time during the procedure you may get up for breaks, such as restroom breaks or a brief stretch.
- We will break for lunch if your procedure is scheduled for the entire day. Please discuss lunch arrangements with the practice staff prior to your procedure.
- Friends and family are not allowed in the surgery room when the procedure is being done, however, they will be allowed to visit and check on your progress. By having others in a surgery suite lends to a non-sterile environment and is not encouraged by OSHA.
- You will be given all required prescriptions, medications and detailed post-op instructions. Please follow those instructions carefully.
Should you have any questions concerning any aspect of your procedure, please call the office.
No, IPL is not a laser. IPL is an “intense pulse light” device. The device uses focused wavelengths to treat skin areas.
I have Dark skin, am I an IPL candidate?
Yes, all skin types can receive treatment.
How long is a session?
Dependant on the treatment area, but can vary between 15- 60 minutes.
How many treatments do I need?
Most patients receive 6-10 treatments per area. The exact number is dependant on the individual and the area needing service.
How much time do i take between treatments?
Treatments are spread 4-6 weeks for the face, and 4-8 weeks apart for the body.
How do I prepare for the session?
Clean your skin. Do not apply any lotions or creams. Avoid tanning and sun exposure to treatment area. Shave the area needing treatment.
Is it Painful?
minimal discomfort is expected to sensitive areas. However, with an integrated cooling system, minimal pain is expected.
How Long do treatments last?
It is dependant on your hair growth. Some people experience permanent hair removal, while others see sporatic hair growth.
Is there downtime?
No, you can return to your daily schedule post treatment.
Can i use makeup post treatment?
Yes, you can apply makeup post treatment.
What does the treatment feel like?
A light snapping sensation is felt, similar to a snapping of a rubber band.
Our boutique has both devices available for our clients in East Amherst, Williamsville, Buffalo, Orchard Park, Lewiston, and Lockport markets. If you’d like more information on either of our devices, please call or come in for a consult.
- Mono Threads- Volumize skin
- Screw Threads- Further Volumize and also tighten skin
- Barb/Cog Threads-Lift skin
Important to note that all of the threads promote collagen production.
PDO Threads are a more cost effective alternative to a surgical facelift. These nonpermanent threads increase collagen formation for a long-lasting effect. Plus the procedure does not involve scapels or anesthesia so there is no down time!
Who will benefit from Threads?
PDO Threads can be used anywhere on the body where there is loose sagging skin that needs tightening or in areas where volume is lost.
- loose/sagging skin
- turkey/sagging skin
- facial contouring
- jaw line contouring
- breast/buttocks/knee/stomach/arm lift
- volumize “hollow areas”
- and so much more
What to expect
An instant lift/tightness in the skin followed by an increase in skin texture, fine lines, and elasticity in the months to come. Depending on where the threads are placed minimal bruising may or may not occur. Soreness is not uncommon 24-48 hours following the procedure.
Why am I losing transplanted hair?
It is both normal and common. The first Stage post-transplant is called the Catagen phase where ‘shedding’ will occur. The second stage is called Telogen phase or resting phase that last 3 months. 4 months post-transplant is when you will notice growth of new follicles, known as the anogen phase.
When should I expect the most swelling?
Your body’s immune system kicks in approximately 3 days post hair transplant where you will notice the greatest amount of swelling lasting up to 7 days.
When will I see results?
You will experience normal early hair loss “shedding” before you see hair growth starting at 4 months. Ideal permanent results are not seen until 9 -12 months. Hair growth takes time, regardless if it’s your own natural hair growing or transplanted hair.
What are Donor Sites?
Donor sites are areas of permanent hair located on the back and sides of the scalp. These follicles are resistant to hormonal hair loss (DHT).
Will my Donor sites look noticeably thin or bald?
No. Although the donor sites will thin the density of the area, 50% hair density in that area is more the sufficient to provide ideal coverage. Importantly the automated suction performed by the Neograft hair transplant device, strategically pulls follicles in a random pattern to prevent follicles from being removed all from one area, eliminated the illusion of patchy hair loss.
How long before I can wash off the scabs?
For 7 to 10 days, avoid direct pressure from the shower head, use spray on shampoo. After 10 days, you can wash your hair using bio cleansing shampoo and thickening conditioner and wash of the scabs. Avoid aggressive rubbing.
Is the procedure painful?
No, Neograft method uses local anesthesia during the procedure so that the area is numb. Post procedure, pain medication is prescribed as needed.
What are the risk of neograft transplant?
This is a minimal invasive procedure. Pain is well controlled with local anesthesia and post op pain medication. Risk of Infection is controlled with preventative antibiotic prescriptions.
How long do I leave the bandage on?
The bandage can be removed the following day, unless informed otherwise.
How do I dry my hair?
During the 2 weeks following your transplant it is advised to pat dry, avoid rubbing or hair dryers to prevent damage to the new follicles for 4 weeks after transplant. When using the dryer, use a low heat setting.
How do I cut my hair prior to the procedure?
Men – are advised to shave the hair down to the skin along the back and sides of your scalp. This will allow the technician to determine direction of hair growth accurately. It is advised to cut your hair within 24 hours of procedure.
Women – are advised to cut hair in shaved strips based on how many grafts are required for the transplant. Shaving is recommended within 24 hours of procedure.
Both men and women are recommended to keep longer hair to cover up areas of shaving to maintain discretion of procedure.
When can I cut my hair next?
You may get another haircut 2 weeks post procedure.
Coloring your hair?
If you wish to color your hair perform coloring 3 days prior to procedure. After the procedure, it is recoomended to wait 2 months until you can color your hair again. Semi-permanent color is reccomendded until the 3 month period.
When can I use hair products like gel, mouse, hair spray?
It is advised to wait 3 weeks after the procedure before you use any products on the hair and scalp.
How long before i can work out?
Avoid unnecessary perspiration or strain to the newly transplanted follicles. It is advised to take 10 days off from vigorous exercise.
When should I have my follow-up?
1 week post transplant.
Can I smoke and drink?
Smoking and drinking can negatively affect your transplant. It is advised to stop smoking pre and post transplant to improve the healing process and recovery time. Drinking is advised to be discontinued 3 day prior procedure and for 1 week post, again to improve your healing process.
When can I wash my hair?
You can wash your hair the next day. The back of the scalp can be scrubs. The transplanted area should not have direct contact with water but be rinsed from back to front with a cup, do not rub grafts for 10 days. Apply polysporin for the next 2 days to hassen healing of scabs on the back.
Can I comb my hair?
You can use your fingers or a wide tooth comb, avoid contact with the grafts.
At Buffalo Aesthetics, we get a lot of questions regarding dermal fillers, use, and ideal options. Each case is dependent on the client and what aesthetic goals they are trying to achieve.
Flow Characteristics of Fillers:
High Lift/low Spread: Firm, more tissue lifting, contouring, firmer, tissue support, less spread
Low Lift/High Spread: Soft, tissue spreading, moves with the face, natural look, less palpable.
Generic Name: Calcium Hydroxylapatite
Brand Name: Radiesse
Found naturally in human bones, but is biosynthetically produced. Low risk of allergic reaction.
Use: moderate to severe creases, cheek enhancement, and areas of volume loss
Signature: produce natural results, filler doesn’t migrate, with minimal side effects.
Characteristics: Less Spread, More Lift
General Name: Hyaluronic Acid
Brand Names: Juvederm, Restylane, Perlane
Found naturally in your body, especially in soft tissue and skin.
Use: mild, moderate, and severe wrinkles
Signature: Most popular, reversible, non-permanent.
Characteristic: Moderate spread and lift, dependent on individual product
General Name: Polylactic Acid
Brand Name: Sculptra
Synthetic dermal filler that stimulates your body to produce collagen.
Use: Laugh lines, plump thin lips, treat nasolabial folds.
Signature: doesn’t produce immediate results, stimulates the bodies own production gradually over time. Require 3 monthly treatments with occasional touch-up.
Generic Name: Polymethyl-methacrylate microspheres (PMMA)
Brand Name: Bellafill
Synthetic dermal filler often used instead of collagen replacement therapy.
Use: medium to deep wrinkles, folds, and furrows.
Signature: requires special technique using threading and tunneling methods for applications.
An integral part of the body is the Lymphatic Drainage Systems. When functioning optimally, it’s responsible for filtering our blood from toxins, bacteria, and viruses. It is imperative we keep this defense mechanism operating well for a healthy immune system and our general wellbeing. At Buffalo Aesthetics, we provide this treatment as part of our HydraFacial services.
What are Lymph Nodes?
They are small glands throughout the body which carry fluid, nutrients, and body waste from the body tissue and the blood stream.
Why are Lymph Nodes important?
Lymph nodes are an important part the body’s defense system and immune system. The nodes filter fluid as it goes through the body trapping bacteria, viruses, and foreign materials. The trapped material is then destroyed by lymphocytes
Why do the Lymph Nodes swell?
As trapped bacteria, viruses, and foreign materials are collected, cells called lymphocytes are released into the nodes to destroy the foreign material, naturally causing lymph nodes to swell.
What is Lymphatic drainage?
It is a process by which Lymph nodes are manually drained. Manual draining moves fluid along preventing clogging, so that toxins can be excreted via your body’s natural metabolic system.
What is the HydraFacial Lymphatic drainage treatment?
The HydraFacial device uses high pressure suction applied in a specialized directional method to manually massage and drain lymph nodes.
What are aesthetic benefits of lymphatic drainage?
The service can improve circulation, detoxify, tone and firm skin.
Juvederm, Restalyne, HA, and Non-HA fillers are various types of dermal fillers that offer a variety of options, and just as much confusion to the average buyer. Some common Q&A’s that may help guide you in your future decision making regarding dermal fillers.
What is a filler?
A filler is collagen material made up of synthetic and natural substances.
What is permanent vs non-permanent filler?
Dependent on the type of dermal filler used, the effects of certain fillers can last longer than others ranging from 4 months to 2 years.
Where can I use fillers?
Cheek augmentation, tear troughs, lip enhancement, nasolabial lines, frown lines, deep wrinkles, fine lines.
Should I use half a vial, and save the rest?
No. An open vial can expire. Also, it dramatically limits the ability of your MD from providing ideal results when limited to an amount they must administer.
Can I share a vial?
No. Not only is it not hygienic with potential blood-to-blood transmission, but it dramatically limits the ability of your MD from providing ideal results when limited to a specific amount they must administer.
Filler Side effects?
- Pain – dependent on each person’s pain threshold, but it is minimal. Pain medication options are available.
- Swelling/bruising – dependent on the location of filler, vasculature, history of bruising, and amount of filler applied. Bruising reduction options are available.
- Lumps – dependent on filler. Permanent fillers have greater propensity to cause lumps. Also, each person’s immune system reacts differently which may result in lumps.
- Allergic Reactions – Rare occurrence. Can Happen on any part of the body. Can results from hours to days after original filler placement.
Why doesn’t my filler look like it did when I first got it?
Your initial results are a product of filler and swelling. After 48 hours, once your swelling subsides, you may lose up to 20% of your volume. Also, some areas are prone to “eating up” more filler than expected, where touch-ups may be warranted. Be aware that everyones results vary regardless of the type of filler used.