Now you want to reverse the clock by five or 10 years.
You wanna look younger than your age, and you know this is technically now possible.
Today.
I'm giving you the inside information from the greatest clinics around the world.
What you would be told if you walked in from skincare to supplements.
Devices.
And yes, I'm going to talk about how you can avoid facial fat loss from
these devices because I know that's one of the reasons you don't go get them.
You're scared of losing your facial fat and looking older
than when you walked in the door.
And I'll also tell you the number one.
King of all injectables in the world for skin tightening that
actually most of you have access to.
Buckle up, take notes, download this one.
You may wanna watch it a few times.
Okay.
Today I'm talking about five skin tightening solutions.
Maybe you're all already getting or you're contemplating getting, but you would've
definitely heard conflicting reports.
And you're wondering what you should do, number one for skincare,
the number one combination I see working for skin tightening is
a combination of retinoic acid.
My preference is retinaldehyde.
Talk about that in a second.
And a HHA alpha hydroxy cream.
So many of you might be on these already.
So if you look at the continuum, you've got retinoic acid, the most
potent, then you go down to aldehyde, retinol and retinal palmitate.
So retinaldehyde is right up there.
To the point where you're not going to get too much inflammation for
most people, but you are gonna get great results as you go to a retinol.
Sometimes it's not strong enough for most people.
The next thing we're gonna add to that on a different day is
going to be the alpha hydroxy.
What you're looking for is a 10% cream.
Couple caveats here.
You don't combine them the same day for most people.
What you're gonna do is use one one night, one the next night.
Now, here is the caveat.
Skin tightening is not inflammation.
Too many people I still see in my practice, a very educated
group of people, but they come in with too much inflammation.
If you cycle that every night, so you're using one or the other every other
night, it's too much for almost everyone.
Now, two, maybe three times a week you could get away with it.
But if you're doing it every night, it's too much.
How do you know you feel a wind burn?
Feel?
You have redness.
You never wanna see redness.
Maybe when you're starting this routine, you get a bit of redness, but
long-term redness, or after a couple weeks, especially when you should be
adjusted to, it indicates inflammation.
Here's the other part, uh, that's hard for a lot of people.
Everyone's gonna have a different dose, so somebody might do this.
One night.
One.
One night the other, so we'll call it a Monday and a Tuesday, and then they
might not do that for a whole other week.
They might just use their moisturizers, their vitamin C, their hyaluronic acids,
but they won't use those two strong actives more than once each, once a week.
Other people might get away with two to three times.
The point here is you're going to have to analyze your own skin,
and that's hard for some people.
But that's what you wanna watch out for.
Please note, if you falter here, you allow inflammation to take over.
You risk your facial fat and you risk facial fat loss that undermines
everything you're trying to achieve.
Now, what would make this worse?
Inflammation plus what?
Sun.
Photo damage, sun damage, poor diet, eating the wrong food and not sleeping.
You exercise that can help overcome some of those things, but don't
allow inflammation to take over.
Learn your skin and if you need some help, go to your esthetician,
go to your provider and have them assess your skin for inflammation.
Key key point if you're going to manage your skin at home.
I have other videos of course, on retinols.
And ahas individually, but that combination works very
well in clinical practice.
Something you want to consider.
Number two.
Yeah.
This is a little shocking.
It's gonna be controversial for some of you, but let me, uh, explain, and it
is PDO threads, but smooth PDO threads.
There's a couple things here.
PDO O Threads, you slide them underneath the skin.
PDO stays for about 60 to 90 days.
They dissolve, they go away.
Uh, and then they have now been shown and proven to build one in,
uh, types one and three collagen.
So this is very well studied now across the globe, but there's still a lot
of fud out there, fear, uncertainty, and doubt that this is scar tissue.
You can't have a facelift after.
Um, all these controversial things are brought up to create
videos and to create tension.
So you watch people's videos.
Or they pigeonhole you into their surgical procedures.
PDO threads work amazing, but here is the caveat.
Number one, you have to have real threads.
So I travel the world.
I see different types of threads.
Some are terrible.
Some say they're pdo, but they're really made of substances.
Other substances, P C L P L L A, which aren't bad in and of
themselves, but the depth of placement for those are different.
So real PDO threads.
Preferably made in the USA or made in the country you're in.
So they're not shipped around and they're fresh, and the key
is the depth that you place them.
With pdl, if you go into the fat layer, if you go too deep,
they just won't do anything.
If you go super superficial to where you see the thread,
obviously you see the thread.
Typically these are blue.
Uh, and I use ones all around the world so they're not all blue, but thread
visibility is a big issue because it's very difficult to go remove those.
And after about three weeks they crumble a little bit.
So you can't remove the whole thread in one piece.
Not good.
So you need a great provider, great threads, proven to work.
They do tighten skin, wear some key areas, cement them.
Great.
Lower neck.
Here we have crepey skin there.
Perfect.
Smile lines.
Wonderful.
And the forehead cuz we never wanna Botox the forehead.
Before we get to number three, let me interject here.
If you do a search like a Google search and you say, what's the
top skin tighten in the world, they'll come out with lasers.
Well, that's the worst skin tighten in in the world.
Lasers.
Do not tighten your face maybe.
Sure they tighten skin a little bit, but.
What you're looking for, maybe a little bit of skin tightening.
You're looking for facial tightening, and that takes me to number three.
Very controversial, but let me tell you about it.
And it's RF microneedling.
Now, a third of you're gonna say, I had it done.
I lost face fat.
True.
A third of you're gonna say, I had it done.
I saw zero results.
True.
And a third of you're gonna say, it was so awesome.
What are these people talking about?
I got great results.
True.
And here's what you do need to know about RF microneedling.
I do this every day in clinic.
Um, probably the machine I use the most is my oldest machine cuz I can
get to high settings to do what?
Get rid of fat because where do you want me to tighten you the most?
For people over the age of 40, 50, 60.
It's the lower face, the jowls, the jawline, and the cementum.
So I do that all day long.
Um, and the key is settings, and I'm very aggressive.
But here's the difference.
I almost never use RF microneedling for the upper face.
And I really pick and choose where I'm using it.
Not cementum, but the lower neck.
I'm talking where that crepey skin is.
If you ruin that skin, if you get rid of that fat here, Or
in the upper face, your toast.
Um, you then need to have p r f plasma fill or your blood draw to
restore it and vitamin supplements and skincare, it's, it's a problem.
So everyone's right, but you've gotta pick a, an expert.
You have to have a great machine.
A lot of times these machines are about a hundred grand.
Um, good machines.
And then to, to throw a third thought in here that you do need to know,
there are, um, devices where the needle, the whole length of the needle
heats, that's kind of the no theory.
And then there are devices where only the tip heats.
I'm a big fan of only the tip heating because I can target fat or skin
based on depth and temperature.
Uh, that this is a little more controversial.
Some people would like both.
Um, but for me, I treat a lot of skin type four, five, and six, and darker skin.
One of the things that you're gonna have a problem with is you're
gonna have some hyperpigmentation when you get to the levels that
are going to get you your results.
So as you go to higher levels to get amazing results.
And if you go superficial, you get hyperpigmentation.
And um, I don't wanna use the word scarring, cuz 99% of the time those
little dots go away, but 1% they won't.
Okay.
RF microneedling, caveats you need to know about.
Number four, let's go to the world of supplements because
we now know these work.
And with supplements, I have to say sleep.
I hate to put two things in there, but I'm gonna say sleep
is a given because it's huge.
Your body's resting.
It's rejuvenating, it's restoring.
And here's the supplements that people want.
Skin tightening.
That's why I put 'em on number one, K2 D three.
Uh, 85% of my practice is women.
Women lose bone, particularly starting the age of 35 to 40 if they're
white and thin, which is a lot of people's practice in aesthetics.
K two D three, vitamin D three helps the absorption of calcium and then
vitamin K two, which is different than K one vitamin K2 helps put it
where you want it to go in the bone.
It helps prevent it from going in the vasculature, the vessels, the
tendons, uh, the ligaments where it's gonna cause actual joint pain.
So you want it in the bone, in the spine, uh, particularly for me in the face
because when you lose facial bone, even if you go get a face facelift, what happens?
You remove the skin.
Maybe they do fat transfer and 60 to 70% of the fat takes, and
so you can get some volume, but your bone still looks the same.
It's why you're gonna say, oh, they got a facelift, but they
still look quote unquote old.
That's bone.
Maintain your bone.
And silica.
Silica is kind of the glue that holds the collagen together.
It's the supporting actor.
Uh, and then you have vitamin A, which is like your retinol,
but you're taking it orally.
Now, you can't go take your retinol or orally or your retinoic, but
vitamin A as a vitamin is great.
You have to be careful not to overdose on it.
Vitamin C and zinc, that's kind of what's in a vegan collagen powder
because there is no vegan collagen.
You get the supporting characters of the show, so to speak.
And that is the silica A, uh, C and zinc.
So that, that would be a good supplement program.
And then overall inflammation, always like things like black, garlic and
turmeric, but those are optional.
If we're just talking s skin tightening, like we're talking today, number five.
I like all kinds of different injectables, but really, Uh, being
non-biased about this, if you were to pin me down, which one is the skin?
Tightener of all injectables, fillers, biosim stimulators, or, uh, collagen
stimulators, P r f with the blood draw.
We're working on the data for that.
However, I can't sit here and say it's better than sculptor.
Sculptor still is the king of all kings.
It's the king of skin tightening.
Your first dose is always your skin tightening.
Your second dose is your volumizing dose.
Sculptor's complicated and you need to know a few things here.
Somebody, uh, messaged me the other day on YouTube and said, you know,
I watched a podcast or something where someone dermatologist said
they would never use sculptor.
Um, you gotta get a new doctor if that's the case.
And they probably have never injected Sculptra.
How many people come on?
I don't care if they're dermatologists, plastic surgeons, doctors,
nurses, PAs, whoever you are, and you're talking about Sculptra.
Unless you've injected a thousand patients plus, which is not hard
to get to if you do 10 a day, do the 10 a week, do the math on that.
A couple of years you've got a thousand patients.
Um, You need to do that to understand sculptor and be able to use it.
But the fears of the past, the granulomas, which is even in the past,
was rare nodules, which was common.
Overfilling you, I mean, you have to be a terrible injector
to overfill with sculptor.
Um, I used it for 25, over 25 years in many different methods.
There's also places where you would never, ever, ever put sculptor and
you don't deviate from that many above the lip, under the eye, in the lip.
You would never use sculptor in those areas.
So you really have to seek an expert if you, and get sculptor.
But anyone that says they're scared of it wouldn't use it
or you shouldn't do Sculptra.
Um, they, they have issues and, and they need to go back to school.
These things are proven, but skin tightening, which I'm talking about
today, remember that's just your single dose of sculptor at about
a nine to one, oh, even 18 to one.
And, and the Brazilians I think have proved this well cause they use
a lot of it on the body, uh, much more than we do in this country.
Uh, 18 to one works very well and that is my body dilution.
But um, with sculptor, understand there's dilution, there's depth, there's where
you place it, and sometimes we're in bone.
Sometimes I'm on fat, sometimes I'm more superficial.
Now that's where you gotta be careful.
So, Um, we're not intradermal ever.
We're in the fat tissue at most in terms of superficial depths,
so you see what all goes into it.
Sculptor was just approved for a couple things, but Glow
just got approved for cheeks.
We've been doing that forever.
Now.
We knew sculptor created a glow.
We just could never say it based on the FDA approval process.
We've known it for 20 years.
15 for sure, but now we can say it cuz they got the FDA approval and this
is studied to show increased glow.
It will be at some point in the world in time, be approved for
skin tightening cuz it's that good.
So if you have an expert injector around you, um, you wanna look for that.
And of course we have, I have a store locator that's, it's growing over time.
People that carry my skincare products, a lot of times
they're in my training circle.
A lot of times they offer similar services.
So if you like what you see on this channel, store.md.com/locate
and that will grow over time.
We even have European locations now, so five shocking skin tightens.
You see how complex the world of aesthetics is.
You're now gonna wanna watch this video on facial slimming.
Where I use devices.
I use sculptor to slim a face with before and afters.