Hi, I'm Dr.
Rajani.
Thanks for joining me talking PRF that you want the most natural look have you had
PRF and it failed you, are you spinning pier, but it's clotting prematurely.
You don't know what you're getting.
You're using tubes that you're not sure about going to cover all that today.
Particularly if you're a patient getting it.
You're not quite getting the results.
If you watch this video, you'll see the intricacies and why.
Is in PRF is in PRF.
I have a whole video in Paris versus PRP.
That's one to watch.
If you're really concerned about what you should do, PRP or PRF for those
using this next generation of blood product, that's all natural with no
additives that gives top results.
Watch this para video at the end, I'm going to give you a bonus
trick to get the best plasma.
Or under I fill and rejuvenation with platelet rich fibrin.
So one of the biggest downfalls with para is that people are trying to make it
with their own tubes and spinners in the first thing to understand if you have an
interest in this, if you can measure the cells that you're getting, it's very fun.
It's super cool.
And you have the time, you can really get into it.
If you don't understand, the people make.
PRF protocols and systems have measured these things.
And here's why it's important.
Number one, the tubes that you get the size of the tube has a locked
to determine how many cells you get, how much goodness is in there.
And look at this slide.
If you see there's only so many things within the tube, so
you have, uh, 13 MLS of blood.
55% of that is going to be water and plasma protein.
We don't want most of that when we get to the cells, you
see, they make up 45% of that.
41% is red cells, which we don't want platelets, which we do want is 2.94,
and the white cells, which we do.
Our 0.08.
There's only so much goodness, in a tube where there new protocols of
PRF X, we definitely get more fluid.
It lasts longer with the tubes we're using, but understand that there's
different layers within that tube.
And we'll teach that and go through that in the days, weeks and months to come
and on the tour this year, the premature clotting that tends to occur can be from
drying them, taking too long to dry.
It can be from the tube itself.
If the tubes hydrophobic, hydrophilic in nature, if it's coded, if it's
super smooth and understand to a lot of people, if you take water and put
it in the tubes, you're using shake it up, you'll see that there is.
Some silica around there.
There is some additives in there.
So you want ideally a fully pure too, but a lot of people lose their mind over that.
Clotting understand there's so much goodness, in a tube, the more volume
you get doesn't mean you're getting the, of the cells and when you, it
does clot, that's usually the level of.
Because you want the clot to form in the body, the white
cells you want in that clot.
A lot of people talk and I talk to you every video on PRF making it.
You hear me talk about the angle of the spin makes a big difference.
Some people believe that.
Tubes should be spun so that when you put them in there, actually horizontal
is the easiest way to describe it.
So they're not fixed in a position where they're at a specific angle, because
the belief is maybe some of the cells you want have an easier time coming to
the surface, uh, and are in what we call the Buffy coat that remains to be seen.
But if the system is tested, we know what the system is producing.
So I think the spinners while they're good at.
The relationship or the marriage between the angle of the tubes as they spin and
the type of tubes you're using with the tubes, likely being most important is key.
And also when you hear people speak like that and they talk about certain
things being the most important for production PR, ask them this,
how many faces have you injured?
What's your clinical outcome, because if you're the patient out there,
you don't care about any of this.
This is for the clinicians like myself, the people making it and
spinning blood all day to worry about.
You're worried about your result.
So ask them, you can talk a good game, but tell me what you're seeing in the faces.
You're injecting.
I've done almost 5,000 under eyes in my clinic now, and I can tell you results.
Downfalls pitfalls, what you should, what you shouldn't do.
We don't want a lot of red cells cause you can get staining, but that gives
you an idea of the intricacies involved.
When we're talking with PRF X here, you can see there's different layers.
You can see the clock.
This is at one and a half hours.
There's still a lot of liquid left.
The clot has formed.
It does take a lot longer to clot.
You don't get one to two hours, but more like half hour to one.
Of usable liquid form that goes in and forms that fibrin clot,
that's all important for results.
So that's a lot about PRF itself.
Now what's the bonus tip when we're injecting PRF, the beauty of it in
the liquid form, which is what we're talking about here before a clots, we
can put it up into the lower eyelid where the fine lines and wrinkles
occur so that we can coat that in.
So that we get some skin tightening or rejuvenated look,
healthy tissue and a nice result.
If we want a little more volume, we do the second stage.
And I normally do both for everyone, the first session.
And that is first injecting below the orbicularis.
Oculi put a strip through there slowly.
Remember, doesn't not going to burn the patient cause there should
not be added as in your tubes.
There shouldn't be sodium citrate.
There shouldn't be heparin.
And then the second one.
Allows us to put the liquid in, in the eyelid region.
And then you get the fiber clock.
You get a little baggy eyes for a few days, and the
wonderful results that ensue.
So really excited about PRF ex PRF coming down the pike, stay
tuned to all my Perez videos.
Go to my playlist.
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