Chemical peels produce controlled injury to the skin, which promote growth of new skin and improved appearance. A variety of chemicals can be used as peeling agents and include glycolic, trichloroacetic (TCA), salicylic and resorcinol. The different chemical solutions produce different degrees of injury to the skin.
Chemical peels are used for the treatment of photo-aging (from sun damage), wrinkles, scarring, precancerous lesions, and discoloration (including melasma, freckles, and age spots).
There are numerous chemical peels and each one is performed differently. In general, chemical peels usually begin with vigorous cleansing of the skin, followed by application of the appropriate peel.
Glycolic Acid – probably due to the fact that all skin types benefit from Glycolic Acid – is the most commonly recognized chemical peel solution. Salicylic Acid is also very common for use in combatting the causes of oily skin and breakouts.
The hot or stinging sensation can last for a few hours after the peel, but it’s mild and feels similar to a sunburn. Depending on how strong of a peel was done, you may get flaking and peeling skin anywhere from two to four days post-treatment. Peeling will be minor and resolves in about a week.
Most peels can be performed within a few minutes, depending on size of the area being treated.
The state of your skin after a peel depends on the type of chemical used and your skin type. Superficial peels have limited effects. Medium peels may cause some redness and the deeper peels may require 10-14 days to recover.
Generally chemical peels are done once every 2-3 weeks, until the desired results are achieved. Maintenance peels can then be performed once a month.
With good sun protection, results can last months, even years. This is dependent upon the depth of the peel. The deeper peels generally provide a long-lasting effect.
Superficial peels are quite safe, although minor irritation of the skin can occur. The risk of deep peels can include infection, scarring, redness, and discoloration. During a very deep peel (administered under the care of a physician only), anesthesia should be used and vital signs monitored.
A. Light Peels- The light peel takes approximately three to five days to complete the shedding process. No downtime required.
B. Medium Peels- Medium peels usually persist for five to seven days. The skin may or may not flake and fall away. AHAs can produce some redness with little or no flaking, depending on the individual.
C. Deep Peels- May take several weeks to fully recover. This type of peel is usually effective in treating hyperpigmentation, acne scarring, fine lines and wrinkles.
You can use a mild cleanser (Green Tea Cleanser) and always include either Hyaluronic Replenishing Serum / Green Tea Anti-Oxidant Serum as often as needed. You may resume regular skincare 3-5 days after a peel or once redness or peeling is no longer apparent. Sun protection is a must!
The glycolic peel has the smallest molecular size and penetrates the deepest. It’s great for the exfoliation and rejuvenation of aging skin. Glycolic peels come in different strengths, depending on the results you’re looking for.
Derived from milk, the lactic peel is ideal for skin that’s dry or sensitive to active ingredients like retinol. If you’re concerned about having an adverse reaction, the lactic peel is easier on the skin.
The beta peel is used to treat acne in both younger and older patients. It uses salicylic acid to exfoliate the skin, help with oil control, and target the bacteria that causes acne.
The Vitalize peel includes citric, lactic and salicylic acids, plus a retinol layer, to improve the quality and lighten the pigmentation of your skin. A vitalize peel is superficial with very little peeling, so this is a great place to start for people who have never had a chemical peel.
Using a formulation of acids, the pigment balancing peel is designed to lighten the pigment of the skin. It’s important to have realistic expectations when trying to eliminate brown spots and reduce pigmentation. This process takes time, and you need to use sunscreen for the pigment balancing peel to have the desired effect.
TCA is trichloroacetic acid used to provide a medium depth peel to the skin. This treatment can help to remove abnormal skin cells. There are significant cosmetic benefits to this procedure as well.
HydraFacial is an invigorating treatment that can be given in as little as 30 minutes. It delivers long-term skin health and can be tailored to meet the specific needs of all skin types. It offers instant, noticeable results with no downtime or irritation. The HydraFacial treatment removes dead skin cells and extracts impurities while simultaneously bathing the new skin with cleansing, hydrating and moisturizing serums. The treatment is soothing, refreshing, non-irritating and immediately effective.
Hydration is the foundation of healthy, radiant skin. Irritation of the skin has been proven to increase signs of aging. HydraFacial is a hydrating and non-irritating treatment.
The HydraFacial treatment is designed for all skin types. Even the most sensitive skin easily tolerates the HydraFacial treatment. Your physician or skincare professional may choose specific treatment serums and/or customize the treatment for your unique skin conditions and needs. Consult your physician or skincare professional for a skin evaluation and sensitivity test.
Our goal is to help support you in a balanced lifestyle. That’s why HydraFacial is a fast, efficient treatment that takes as little as 30 minutes. You may put on makeup and return to your normal activities right after the treatment since there is no downtime.
What results may be expected? How many treatments are needed to see results? How long do the results last?
Many clients report seeing visible skin refinement and an even, radiant skin tone after just one treatment. The smooth results and hydration may last 5 to 7 days or even longer. We don’t believe in quick fixes, so one treatment per month is recommended for improving the appearance of fine lines, wrinkles, brown spots, oily and congested skin. Continued HydraFacial treatments are highly recommended to maintain skin health results.
HydraFacial MD® is the latest technological advance in non-laser resurfacing. It is a non-invasive, multi-step treatment that combines the benefits of next-level hydradermabrasion, a chemical peel, automated painless extractions (no pinching!) and a special delivery of Antioxidants, Hyaluronic Acid and Peptides. It does all of this in one quick treatment that delivers real results without downtime or irritation.
Significant results can be obtained with HydraFacial MD and you will notice measurable results after the first treatment; however, depending on the individual, it may take a few days to realize the full result, as the skin rejuvenation process begins. Every individual’s skin type and condition is unique, so a comprehensive skin and lifestyle evaluation is necessary to determine individual expectations and number of treatments.
The HydraFacial MD philosophy is “Skin Health For Life". The treatment is an unquestionably effective skin rejuvenation treatment which produces noticeably smoothed, even-toned, hydrated skin in just one session; however, continued sessions and proper home care produce longer term benefits.
Home Care (meaning: how you care for your skin at home) is the very foundation of your skin health routine. No matter what your skin type, you can spend as much as you want on anti-aging/acne procedures and treatments; but, if you’re stripping your skin with incorrect cleansers, abrasive exfoliators and insufficient/incorrect moisturizers, your skin will reflect negative results and you literally inhibit the rejuvenation process.
Proper skincare doesn’t have to be complicated, it just has to be Correct!
The HydraFacialMD treatment process is 20-30 minutes on average, depending on the size of the area being treated, as well as the addition of Treatment Boosters (which are additional targeted measures); such as:
DermalBuilder (for lines and wrinkles),
Britenol (for Dark Spots)
Growth Factor (with Stem Cells for which aids in Tissue Regeneration)
And YES!!…You can do it on your lunch break!!
It doesn’t. Most people describe it as feeling like a cat’s tongue moving across the skin.
There is no downtime after the HydraFacialMD treatment and you can apply make-up right after; HOWEVER, sun protection is a must, and will be applied after the proper serums and moisturizer, at the end of your treatment. We highly recommend that you wear a minimum of a 30spf every day, to protect your skin from the invisible damage of UV rays.
Yes! At your initial appointment we will evaluate your skin and lifestyle (i.e.- do you spend time working/playing in the sun?) and will determine a treatment regimen that will provide the best results. It’s always best to prepare ahead of time, so if multiple treatment series are recommended, you’ll have time to obtain even better results.
No, HydraFacial MD also effectively addresses:
-Dark Spots (hyper-pigmentation)
-Lines and Wrinkles
-Skin that is not suited for Microdermabrasion or Chemical Peels
LED Red Light Therapy was originally developed by NASA for wound healing for astronauts. Yes, it really was. Results from red light therapy have been thoroughly researched, FDA approved, and found to be extremely effective for anti-aging and wound healing applications, which is highly beneficial after advanced exfoliation treatments . When the LED light is absorbed in the skin, it stimulates:
-Increased circulation and the formation of new capillaries.
-Increased lymph system activity (flushing of toxins)
-Increased production of collagen, elastin and fibroblasts (fibroblasts are good!)
-Increased release of raw cellular energy.
-Increased cellular clean up.
-Reduction of inflammation
Different colors of LED Therapy Lights exist, such as Blue, which has been proven to be effective in killing the p. bacterium commonly found in acneic skin.
They are not the same. Unlike regular microdermabrasion, HydraFacialMD can be done on all skin types, including very sensitive skin, rosacea and skin with broken capillaries, through skilled professionals. The HydraFacial MD’s unique Vortex-Fusion serum delivery system is what sets the HydraFacial MD apart from the Micro dermabrasion. This multi-step treatment cleanses, evenly exfoliates and extracts to remove impurities and dead skin cells while at the same time replenishing vital nutrients including Antioxidants, Peptides and Hyaluronic Acid. This superior delivery system delivers these ingredients to the skin to effectively help improve environmental damage, reduce fine lines & wrinkles, and plump & firm skin for long-term results you can see instantly.
If you’ve recently had dermal fillers, we recommend you wait a minimum of 10-14 days before receiving a HydraFacial MD treatment, so as not to disturb the placement of your fillers. If you have any concerns about receiving HydraFacial MD treatment before or after dermal fillers, please talk to your physician prior to scheduling your HydraFacial MD appointment.
We do not interfere with any medical protocol between physicians and patients. If you are under the care of a physician for a skin condition, you should ask your physician about whether or not the HydraFacial MD is acceptable for you to receive, while you are under their care.
If you have any of the following allergies, it doesn’t automatically mean you’re not a candidate. Please list this information on your Client Information Sheet, so that we may adjust your treatment accordingly:
Skin laxity can be improved by employing novel non-invasive energy-based technologies. Our experience has shown that when using the EndyMed 3Deep technology, it is possible to tighten loose skin and promote production of new, healthier collagen.
Radio frequency (RF) is an advanced technology that safely heats the collagen in the skin. If sufficient energy is delivered, the collagen will contract, providing an immediate change in the skin appearance. The treatment also triggers a second process of new collagen production, leading to a significant change in skin appearance. The result of collagen remodeling is tighter, younger looking skin.
RF has two major intrinsic advantages over other technologies:
1) It penetrates deeper in the skin.
2) It is not affected by skin colour.
3Deep RF represents the newest variation of RF technology, an evolution of RF based professional skin tightening, body contouring and fractional skin resurfacing systems. 3Deep technology, comprised of multiple electrodes, offers, for the first time, a safe, energy based system that combines delivery of controlled heat deep into the skin, while preserving the overlying epidermis.
3DEEP™ uniquely controls the power and depth of the RF energy delivered to the skin, different to the other RF products on the market today.
Monopolar / Unipolar RF – Technology in which the RF energy flows uncontrolled through the body. This can be painful for the patient and requires intense skin cooling during the procedure.
Bipolar and X-polar RF – Technology in which the RF flows superficially and is less efficient. It requires cooling to protect the skin.
3DEEP® RF – Technology which results in deep, controlled and targeted energy flow with minimal energy flow on the skin’s surface. No cooling is needed.
The 3Deep technology is efficient for most body areas. Through our research, we have found that different body areas require different energy parameters. We have different applications which are customized for various body areas.
During the procedure, the deep skin layers are gradually heated, while the skin surface remains around 40*C (hot shower temperature). Your skin temperature will be constantly monitored. Depending on the size of the treatment area, treatment make take between 30-45 minutes. The treatment is relaxing, pain free and carries no side effects.
Following treatment, you may immediately resume all routine all activities. You may notice slight redness around the treatment area, which usually disappears in a couple of hours.
According to your treatment program, we will offer a series of treatments, up to six, in intervals of one to two weeks. You should start to see improvement in your skin following the second treatment and additional improvement will gradually appear as the treatment course progresses.
As new healthier collagen is formed, tighter, more natural looking and firmer skin will be produced. The gradual improvement in your skin will continue even after completion of the series.
The improvement in skin quality should be long lasting. However, maintaining the results of, for example, body contouring or body tightening treatments, is also subject to a person’s calorie intake, exercise and lifestyle. So, a balanced diet, proper exercise program and healthy lifestyle will help to maintain the desired treatment effects.
EndyMed’s Fractional Skin Resurfacing procedure is ideal for treatment of sun-damaged skin, reduction of hyperpigmentation, improvement of skin texture, decreasing the appearance of wrinkles and treatment of acne scars.
FSR is designed to treat those body areas which are frequently exposed to the sun: face, neck, decollete, hands, or areas susceptible to acne scarring.
Results of FSR can be seen as quickly as one week following a SINGLE treatment. Additional skin improvement is noticed over time-with continuous improvement up to 3 months after treatment. For more damaged skin or acne scars, 1-2 additional treatments will be needed to enhance the outcome of the treatment.
Following a FSR treatment, you will be able to cover the treatment area with makeup and resume normal activities about 30 minutes after the treatment is concluded. Any minor skin swelling or redness will disappear with 2-3 hours after the treatment.
After 2 days, you may notice small microscopic crusts on your skin. These crusts are easily covered by makeup and will resolve naturally within 5-7 days after the treatment. Within one week after the treatment, your skin will show the benefits of a brighter smoother look.
The improvement in skin quality should be long lasting, however, proper skin care and sun protection will help preserve the results.
FUE HAIR TRANSPLANT
Patients that are interested in having a hair transplant have many questions ranging from what is FUE (follicular unit extraction), how is the procedure performed and how long do the final results last. We have compiled a FUE hair transplant FAQ in the hopes of further clarifying the procedure.
Follicular unit extraction, also known as FUE, allows for hair follicles or hair follicular units to be individually removed one by one. The follicles naturally occur in groups of 1-4 hairs in the donor area of the scalp. FUE can be performed by a manual or automated method or even both depending on the case. The extraction method utilized varies based on whether the hair is curly, sharply angled, deep long shafts, etc.
Some advantages of FUE include
- Significantly less post-op discomfort.
- No linear scars with surgical wounds that are much smaller and less obvious and only require days to heal.
- Individual hair follicle harvesting allows for donor hair to be extracted from the permanent zone located on the sides and back of the scalp as well as the beard or body if necessary.
- Extraction of hair from dense donor areas of the scalp and redistributing those hairs to the balding areas in order to minimize the contrast of balding and donor areas. This reallocation allows for a more blended and even distribution of hair that minimizes the appearance of balding.
Some disadvantages of FUE include:
- FUE is limited by the number of grafts which can be extracted/placed in a single day. In some cases, a 2 day mega-session may be scheduled.
- The surgical expertise, operating room time and/or multiple days required to perform FUE is reflected in the overall higher price of this procedure.
The method of individually removing the hair units allows them to be harvested without leaving a linear scalp scar. There will be some small wounds immediately after the procedure in the area where the hair was removed. After about 3 to 5 days, the wounds will close and the resulting small scabs will resolve after the first week. By the next week, it will be difficult to spot where the grafts were removed.
Since FUE does not result in a linear scar, it is a good option for patients who prefer to wear their hair in a short style. FUE does not require an entire strip of scalp to be removed which makes it the preferred method for patients with a small donor area from which to extract or those who have a tight scalp. Patients with scarring from a prior FUT procedure may now be able to conceal their scar during the second procedure with the option of placing FUE grafts directly into the scar line. FUE is ideal for patients who have a limited amount of time set aside before returning to work.
Each case is different with the cost based on a number of factors including the number of grafts and the final results, in terms of coverage, the patient is hoping to achieve. In general, the total cost of an FUE procedure is more than FUT strip per number of grafts. The FUE hair transplant may also be different based on the technique used. Patients need to have a consultation appointment with us in order to determine the final price. Learn more about pricing and financing options on our Hair Transplant Cost page.
Most patients set aside 2-7 days after their surgery to recover. While FUE scars usually heal within 3 to 4 days, it may take up to 10 days for the donor area to have a well healed and scab free appearance. Individual results may vary. Keep in mind our office sees patients the day after surgery and once again on the 10th day.Want to know more about what you should expect after an FUE procedure? Visit our After Hair Transplant Page.
Typically, patients report little to no pain during or after the procedure. A sedative is given at the beginning of the procedure followed by periodic subcutaneous local anesthetic consisting of lidocaine/Bupivacaine. On rare occasions, patients may experience mild discomfort, itching and/or swelling following the procedure which resolves within several days. We provide patients with pain medication after their procedure. However, a mild pain medication such as Tylenol can usually keep the pain under control.
The number of grafts necessary depends on the size of the area to be covered and the desired density. Thick hair and grafts containing larger numbers of 3’s and 4’s give the illusion of a fuller head of hair. Unfortunately, this is genetically predetermined. We review patient goals and possible options before determining the number of required grafts during the initial consultation.
The results from an FUE transplant procedure will last a lifetime as long as the grafts are selected from the permanent zone in a thoughtful and careful manner. Furthermore, hormonal changes should not affect the grafts. Some patients might see some thinning of their donor area as they age. In those cases, transplanted hair could go through the same phenomenon. However, this is not true for all patients.
When performed by an experienced and skilled hair restoration physician, the final results should be so natural in appearance that others will not be able to tell that the hair was transplanted. To view our most recent before and after hair transplant results, visit our Before and After Photos page for our latest results on actual patients.
The length of the procedure depends on the planned number of grafts being transplanted. In general, the procedure may take between 4 to 10 hours. If there are over 2000 grafts to be transplanted, AKA a mega-session, the surgery will be scheduled over a 2 day period.
Some of the most common complications of FUE include swelling, bruising, itching and pain. There is also the risk of some bleeding/oozing as well as numbness of the scalp but this is typically self-limiting. One noteworthy risk to mention is “shock loss” which is a post-surgical loss of hair that can be greatly diminished if patients resume/start prescription medication given by the hair transplant surgeon and continue it for a period of 6 months after their surgery. You can find more information about this topic in general at hair transplant complications.
Shortly after undergoing a hair transplant, the new hair will look more like stubble on the head. The transplanted hairs may grow very gradually and will then enter the resting telogen phase and most likely fall out. The transplanted hair will grow once again as it enters the anagen phase. Once hairs are in the anagen growth phase, they will grow as they normally would.
Once the transplanted hairs enter the anagen growth phase at 3-4 months, the new hair will start as thin and fine hair. Over the course of the next several months, the hair will become longer and thicker. Between 10 to 12 months, more coarse hair will start to become evident with final results visible at about 12 months after FUE. Please note that every individual heals at a different rate and the results vary per patient.
On the day following the hair transplant, patients return to our office for instructions on how to properly wash hairafter the procedure. Patients are told to wash their hair twice a day for the first 4 days after the surgery.
Patients are required to sleep in a semi-sitting position, at a 45-degree angle, in order to minimize swelling. Patients will be given a neck pillow to use at night to prevent accidental rubbing or movement of the grafts during sleep. After the 4th day, daily activities can be resumed but strenuous exercises should be avoided for a full week after the transplant.
Patients need to avoid direct sunlight on the grafts/scalp for the next 6 months. Sun block SPF 30 or greater should be used every half hour when swimming or being out in the sun unprotected. A cap to cover the scalp/grafts will be given to patients after their surgery. More information about this topic can be found at after FUE transplant.
Choosing whether to take the step of having a hair transplant is a personal decision. However, deciding between the two types of hair transplant procedures largely depends on the final goals of the patient. Issues that play a role in the final decision include how to style the hair, the lifestyle of the patient and the quality of the hair. All of these topics will be discussed during the initial consultation with the doctor. In order to make a more informed decision, take a close look at FUE vs. FUT.
As patient age, they can progress to a higher Norwood class of hair loss with further loss of their native hair. In this case, patients often return for a second hair transplant to cover the new balding areas. The previously transplanted hairs are permanent hairs and patients will not lose them. Some patients may need more transplantation to add density and fullness to the previously transplanted area.
Although the exact causes of Melasma are still to be discovered, studies have shown that hormones, UV exposure, and genetics are all major influences to the skin disorder. That being said, it has historically been considered an issue of hyperpigmentation in people experiencing hormonal changes.
Melasma during pregnancy is quite common. For many, pigmentation levels increase as their hormones change during pregnancy. Some react negatively to the hormone fluctuation, just as some get morning sickness while others do not. Melasma can be caused by pregnancy; however, in most cases it is a temporary experience and can clear up a few months after the baby is delivered. Skincare specialists can permanently remove Melasma through certified procedures.
Progesterone is one of the hormones involved in the menstrual cycle and pregnancy, and it can stimulate pigmentation. In some cases, people who have an increase in progesterone due to pregnancy, or from taking hormonal contraceptives, can experience signs of Melasma.
Several studies have shown that the production of Melasma is often the body’s response to protect the individual from harmful rays of the sun and vitamin D deficiency. The right melanin balance is vital to our health. If there is too much, the risk of a vitamin D deficiency increases; if there is too little, skin cancer and death increase in risk.
The chronic condition develops slowly and can be difficult to treat on your own. Although dark patches can slowly disappear, it might take the right treatment combination and sun protection efforts to speed up the process. As with all things, prevention is the best treatment.
Professional skincare clinics can provide effective laser treatment for Melasma. It may take up to 10 treatments for the blemishes from Melasma to be removed, but professionals can effectively and completely remove the marks in time, in most cases in six treatments. Two popular and successful treatment among Melasma patients are the Laser SpectraPeel, and Laser Toning treatments. Both options are available at the Anti Aging Toronto Clinic. The treatments break up the dense pigmentation that the skin disorder causes and provide deep, long-lasting results as the body naturally eliminates the excess melanin. There is no downtime for these treatments, and they are fairly comfortable to undergo.
Melasma can be permanently removed as long as there are no hormonal imbalances that will trigger a Melasma reoccurrence. Combined with adequate sun protection, such as protective clothing, sun screen with a high SPF, and limiting the time spent in direct sunlight, you can prevent the return or persistence of Melasma.
If you are simply looking for a more youthful, full, smooth look to your breasts, our non-surgical Vampire Breast Lift® may be for you. You may also benefit from this procedure if you have inverted nipples or decreased sensitivity. This procedure is not for those looking to increase or reduce the size of their breasts or lift breasts from their current position. If you decide you are looking to augment or change the structure of your breasts in ways the Vampire Breast Lift® does not accommodate, our staff will assist you in locating a highly recommended cosmetic surgeon.
Any adult, but the procedure is typically done in those 35 and older
Only members of the Vampire Breast Lift® Provider Group are licensed to perform this procedure. The certification process ensures training by the inventor and includes ideal PRP education, including techniques and technologies, as well as weekly collaboration with other members
The in-office procedure takes approximately one hour, which includes taking health history, consultation, drawing blood and the actual procedure. Add-on procedures may extend the time by 30-45 minutes (ie: O-Shot® or Décolletage Micro-needling).
We use an excellent numbing cream to significantly minimize pain. The majority of patients experience no pain at all. A few have reported a slight burning sensation for a short time. If you are more sensitive to pain, feel free to take Tumeric or Tylenol a couple of hours before the procedure. Arnica is popular as well, before and after the procedure
No. We do not use anesthesia. We only use topical numbing creams. You will be alert and able to drive after the procedure.
Patients should begin seeing true results within 3 weeks, then see full results of the procedure at 3 months
The Vampire Breast Lift® works by encouraging the healing process to create new supplies of collagen, fatty tissue and blood vessels for a firmer, more youthful appearance
- On the day of the procedure Dr. Mc Whorter will discuss your concerns, and review your health history, to help you decide if you want to proceed.
- Next, an examination will determine where injections will be made to enhance appearance. Small removable marks may be made at this time.
- Numbing cream will be applied to ensure an almost pain-free experience.
- While the cream takes effect, a few tablespoons of blood will be drawn from the patient’s arm and centrifuged to generate PRP for use.
- An ultra-fine needle is used to inject the patient’s own growth factors into the breasts at the predetermined locations.
- Checking for symmetry completes the procedure.
- Any discomfort should disappear in 1 to 3 days, and you can return to your social life immediately
We expect the effects of the Vampire Breast Lift® to last a year or more, though the time may be as short as 9 months. A healthy lifestyle of exercise, getting plenty of sleep, avoiding tobacco use, etc. is recommended. It is an interesting and surprising phenomenon that women who do PRP procedures often become very motivated to lead healthier lifestyles afterwards.
Yes. The procedure would need to be repeated after 9 to 18 months.
Most patients only experience mild soreness and a tight feeling of the skin. This usually subsides in one or two days. Some patients may notice tiny bruises that will fade away in a few days.
The Vampire Breast Lift® has been performed thousands of times by qualified doctors. There have been no reports of serious complications. Using your own blood cells greatly reduces any risks of therapy.
If the patient has implants from a previous enhancement surgery great care is taken to keep needles pointed in a direction that will not affect the integrity of the implants
This procedure is strictly cosmetic and is not covered by insurance.
PRP FACE with Microneedling
The innovative procedure of microneedling with PRP is a trendy cosmetic technique to aid in treating skin impurities and help give you a radiant complexion. Sometimes referred to as a vampire facial, the microneedling with PRP treatment is popular for its skin rejuvenating results. But how does it work? Today we will answer the most frequently asked questions about microneedling with PRP.
Microneedling with PRP is an in-office cosmetic treatment that is able to help treat many different skin imperfections while rejuvenating your complexion. By combining microneedling, sometimes referred to as collagen induction therapy and platelet rich plasma, PRP, the benefits of each are significantly boosted to give you a refreshed and youthful appearance. Microneedling alone is often used to reduce the appearance of fine lines, acne scarring, wrinkles, hyper pigmentation, acne, enlarged pores, and many other skin imperfections. PRP is a new technique that is used to stimulate the body’s healing process, most popularly in sports medicine to heal injuries. The two methods of rejuvenation joined into one office session makes it a powerhouse skincare treatment. That is why it has become so popular between everyday patients and celebrities alike.
To understand how microneedling with PRP works, it is important to first understand how each procedure works on its own. Microneedling is a treatment performed in office to help treat various skin conditions, including fine lines, scarring, and hyper pigmentations, by triggering your body to create more collagen. Small injuries, almost like pinholes, are made in the skin with the microneedling tool to the outer layer of the skin. This is the method that stimulates your body’s natural healing process, causing you to produce more collagen. Collagen is the “secret” to aiding in the reduction of skin impurities. It is an essential part of your skin’s structure and supports the production of other age defying essentials, such as hyaluronic acid and elastin. Hyaluronic acid helps your skin to retain moisture and elastin keeps your skin firm.
PRP, platelet rich plasma, is used for many different regenerative purposes, such as regenerating muscles, skin tissue, and nerves. Recently, it has been utilized to give patient’s renewed and radiant complexions. PRP works by submerging cells in a plasma with a concentrated blend of platelets that are taken from your own blood. The mixture of platelets is specially created by drawing blood from the patient and then having it go through a machine known as a centrifuge. This machine separates the blood by layers so the platelets can be easily removed. The plasma is then applied topically to increase healing time and rejuvenate the skin.
Microneedling with PRP uses both of these skin revitalizing techniques to help give you the complexion that you desire. After the microneedling slightly injuries the skin, the PRP helps to increase the speed of the healing process as your body naturally produces more collagen and elastin.
Microneedling with PRP is usually a quick treatment that is performed in the office. The first step is the application of a topical anesthetic to keep you comfortable during the procedure. It takes a few minutes for the anesthetic to sink in and begin to work, so at this time your blood will be drawn. Your blood will then be taken and spun in the centrifuge to separate the platelets and the plasma will be created. After this, your own platelet rich plasma, or as some call it your “liquid gold”, will be ready to be applied to your face. Once you are numbed the microneedling will begin. A small device with a lot of very small needles will go over your skin multiple times. This is the device that will create the small pinholes, or injuries. These tiny pinholes will allow the PRP solution to absorb into your skin deeper.
The benefits of adding PRP to microneedling is that it helps to boost the results of a traditional microneedling session. It increases the speed of your body’s healing process and the amount of collagen that is produced. Being able to enhance the results of microneedling without making the treatment more invasive is part of what makes this technique so innovative.
Many patients begin to see results within the first few days after their initial treatment. Results will continue to become visible over the next six months as your body’s natural collagen production continues. Full results are usually seen at the six month mark.
After microneedling with PRP some patients have reported their skin looking pink, feeling as if it were sunburned, and slightly swollen. These side effects will usually subside within the first two to three days. Other side effects you may experience include, bruising, irritation, discomfort, and tenderness on the treatment sites.
Following your microneedling and PRP session, it is important to practice proper skincare. A regime of mild products should be used until your skin has completely healed after your treatment. Retinols, retin A, and other more intense skincare products can be used again once you are healed and get the approval of your doctor. It is also essential to protect your skin from the sun and wear a sunscreen of at least 30 spf daily.
Healthy individuals who are looking to reduce the appearance of mild to moderate fine lines, wrinkles, acne scarring, hyper pigmentation, and other skin imperfections may be great candidates for microneedling with PRP. Those with more severe skin imperfections may want to consider more intensive cosmetic procedures. This treatment is not recommended for patients that have any blood related conditions such as anemia. Additionally, if you are taking blood thinners or NSAIDS, consult your doctor, as these should be discontinued before and after treatment.
The best way to know if you are a good candidate is to schedule a consultation with a qualified and experienced doctor. They will be able to assess your skin conditions and talk to you about your desired results to determine what treatment is right for you.
SKIN TAGS & WARTS
A | Skin tags are benign (not harmful) growths of skin, which typically appear as flesh-colored balloons. They are considered to be an accumulation of collagen fibers, dense skin cells, nerve endings and blood vessels. They’re typically located along skin folds, creases or in locations where clothing constantly rubs against the skin, such as on your waist or underarms.
A | The short answer: almost everyone. In fact, nearly 46 percent of the United States population features one or more skin tags at any given time. Although there is no solid evidence clarifying the exact cause or risk factors of developing skin tags, it seems they may be hereditary. People who are obese, diabetic or over the age of 60 seem to have a greater likelihood of developing these harmless skin lesions. Preliminary evidence suggests the hormonal changes during pregnancy can be a contributing factor for its growth.
A | This is a common misconception. There is no scientific evidence suggesting the removal of skin tags results in the proliferation of more growths. The pathology of these growths does not suggest these growths “seed,” which means after removal new lesions take its place. In some people, new growths are completely normal. In fact, many adults have annual or periodic removal treatments to eradicate newly formed skin tags.
A | There is no evidence suggesting you can “catch” skin tags from human contact. The likelihood of catching skin tags or transmitting them to another person is almost non-existent. Do not misinterpret skin tags for warts. Warts are caused by the HPV virus, and are highly contagious. While preliminary data has found select skin tags to contain the harmless HPV-6 or HPV-11 virus, this does not suggest all skin tags are a product of a viral infection.
A | If you chose to have a dermatologist remove your skin tags, the procedure is slightly invasive; however, results are instant. There are several common removal methods used by most physicians or dermatologists. These include:
- Lancing the skin tag with a sharp scalpel or scissors
- Freezing with liquid nitrogen
- Burning with a medical electric cautery
A | Unless the skin tag poses a serious health threat, such as one that appears to be changing and/or growing, most insurance providers do not cover removal treatments. The majority of insurance policies consider skin tag removal a cosmetic procedure. Therefore, it’s not covered under its clauses. However, if a dermatologist recommends removal due to the potential of a more serious medical conditions, your insurance provider may cover part or all of the procedure.
A | Although it’s difficult to say exactly how effective natural remedies are at removing skin tags, because people respond differently to the same remedy, in the most general sense – yes. There are numerous homeopathic treatments designed to eradicate skin tags through topical application of liquid oils, creams and soaps. Naturasil offers a variety of tested and effective homeopathic skin tag removal products.
Warts are small, fleshy growths. They’re classified as an infection on the top layer of your skin, or epidermis. Warts are very common and can reside anywhere on your body including elbows, knees, fingers, and feet.
Warts are caused by viruses in the human papillomavirus, or HPV, family. HPV is the most common sexually transmitted infection (STI), but isn’t solely spread through sexual contact. Rather, these viruses commonly invade your skin through a cut or scrape. Once the virus enters your body, it can cause cells to rapidly grow on the outer layer of skin, ultimately resulting in a skin growth referred to as a wart.
The HPV virus that causes warts is extremely common. In fact, research shows there are over 100 different viruses in the human papillomavirus family. The HPV virus not present any symptoms. Meaning, someone can have the HPV virus in their system, come in contact with you, and end up giving you a wart through that HPV virus. Other times the virus can present symptoms, such as a wart, but resolve spontaneously.
The unpredictable and sometimes undetectable characteristics of the HPV virus contributes to the difficulty of treating warts.
Yes, warts are very common. It’s likely that most individuals develop at least one common wart in their lifetime, generally on their hands. However, although everyone is at risk for developing a wart, some individuals are more prone to developing these growths through the HPV virus.
Those who are more susceptible to warts include:
- Children—Tend to share germs easier and more often while playing with others.
- Individuals who bite their nails or pick their hangnails—Create small cuts in the skin.
- Individuals who have a weak immune system—More prone to infection.
No, warts are not dangerous. They’re considered to be benign, meaning they’re non-cancerous. However, just because they don’t pose a threat to your health, doesn’t mean you’ll want to leave your wart where it is. Many patients wish to remove their wart because of aesthetic reasons, as the wart may be located in an area visible to the public. Other times, patients wish to remove their wart because the growth is located in a sensitive, irritable area.
As mentioned previously, warts are extremely contagious. Warts, or rather HPV viruses, are easily spread through either skin-on-skin contact or through direct contact with an object used by a person with the virus. Meaning, you can come in contact with this virus anywhere—on a door knob, a dirty pencil, your shopping cart, even money.
There are over 100 different versions of the HPV virus, the virus that causes warts. Meaning, there are also hundreds of different types of warts.
Different types of warts are classified by both their appearance and location on your body. Each type of wart also responds to different dermatologic treatments, which is why we recommend seeking professional treatment when handling these skin growths.
At Arizona Dermatology, we diagnose and treat all variations of warts. Some of the most
common types of warts we see include:
- Common warts
- Flat warts
- Plantar warts
- Molluscum contagiosum
To determine which type of wart you have, read up on the characteristics and symptoms of these frequently treated warts below. Or, simply schedule an appointment to have your growth evaluated.
Common warts are by far the most common wart, thus the name. Typically, most patients describe these types of warts as looking like a cauliflower. They’re dry, flaky, and white. Although common warts can impact any part of your body, they generally appear on elbows, knees, fingernails, and toes.
Flat warts vary from common warts, in that they don’t have a raised appearance. Instead, flat warts are smooth and flat. Additionally, they’re also classified as being dry, small, and white. You’ll commonly find these growths occurring on the faces of children or on the legs of women, as they’re easily spread through shaving.
Plantar warts are mainly classified through their location on your body. Plantar warts develop on your feet, and because of this, can grow inward instead of outward due to the pressure of walking. This attribute, in combination with the thick skin on the bottom of your feet, makes plantar warts one of the more challenging warts to treat.
Condyloma, or genital warts, are also caused by the HPV virus like every other variation of this skin growth. However, unlike the other types of warts, genital warts are generally transmitted through sexual interactions. When impacted by this type of wart, you’ll notice a soft growth occurring in your inner thighs, pubic region, or buttock. If you think you’re impacted by condyloma, we recommend seeking a second opinion, as they’re commonly mistaken for skin tags.
Molluscum contagiosum is another type of wart we commonly treat at Arizona Dermatology. These types of warts generally occur in clusters and can look like small, hard pimples. They’re typically located on the buttock, elbows, armpits, and faces of children. Additionally, if you’re impacted by molluscum contagiosum, it’s common to experience an itching sensation around your growths. If so, make sure to mention this itching sensation when seeking professional treatment, to receive appropriate treatment.
At Arizona Dermatology, to cater to all our patients’ needs, we offer a wide range of treatment options, depending on the severity of your wart(s).
Some of our most common wart treatments include:
Cantharidin: A liquid formula, derived from the blister beetle, is applied directly to your wart. The formula causes a blister-like reaction underneath the wart, causing it to eventually fall off and detach from your outer layer of skin.
Podophylin: A solution is applied to your skin by skin care professionals so side effects can be monitored appropriately. The solution works to exfoliate your skin and instigate an immune reaction to remove warts from sensitive areas on the body.
Cryotherapy: Liquid nitrogen is used to freeze your wart as a method of elimination. After application, the designated area may feel numb for a short period of time.
Electrosurgery and curettage: Electrosurgery involves gently burning your wart through an electrical current. After, curettage involves scraping off the remaining of your wart with a small instrument. These two medical techniques are commonly used together.
Hair thinning in women which affects nearly 40 million American women is mainly due to heredity and can start any time after puberty. However, we also know that female pattern hair loss can be strongly influenced by age, nutrition, stress, surgery, medications, illness, social/lifestyle factors, hair care and more. As hair follicles weaken and stop producing hair, hair loss occurs.
In men we know that hair loss follows a very specific, progressive pattern that is passed on through heredity and is triggered by hormone–specifically dihydrotestosterone or DHT. An estimated 60 million American men are suffering with male pattern hair loss. As hair follicles miniaturize and weaken, coverage of the scalp diminishes leaving thinning or balding areas.
The first step for anyone with a hair or scalp problem is to visit a full-time, credentialed hair restoration physician with experience and expertise in accurate diagnosis, successful treatment and long-term follow-up required in the medical management of hair loss patients. A medical hair loss “work up” starts with a detailed medical history, including family history, history of medical illness, poor nutrition, current medications, hair care regimen, recent surgeries and a detailed history of the hair loss situation. A scalp biopsy, blood work or other testing (like a HairDX genetic test) may be performed if indicated by the history and physical symptoms. Physical exam would include evaluation of the scalp for signs and symptoms of hair loss and any concurrent problems, such as inflammation. HairCheck cross sectional trichometry is used to measure Hair Mass in the relatively permanent areas of the scalp compared to the non-permanent or at-risk areas. Video dermoscopy with a HairCam device is used to determine if there is decreased numbers of follicles in the affected areas, a decreased caliber of follicles in the affected areas, or a combination of both.
PRP or Platelet Rich Plasma for hair regrowth is an in-office, non-surgical, autologous treatment derived from the patient’s own blood that can be performed in about an hour. After the area of concern is identified, evaluated and measured, standardized medical photos are taken in the photo suite. Special gentle and sterile techniques and equipment are used to separate and concentrate the platelets and plasma from a small sample of peripheral blood. A small sample of the blood and PRP is tested in a hematology analyzer to measure and document the improved platelet concentration. PRP contains growth factors and cytokines that have been shown to be responsible for stimulating and enhancing hair follicle function. The scalp is prepared with antiseptic solution and anesthetic spray is used to completely numb the scalp for a 100% painless procedure. Small injections of the PRP deliver the powerful platelet-derived growth factors into the skin at the level of the weak follicles. Electronic, mechanical microneedling is performed.
we focus on two types of hair loss patients when it comes to PRP treatments: patients with areas of “weak quality” hair growth on the scalp, where functioning hair follicles can still be observed, and patients with small areas of alopecia areata. In our experience, these are the patients who appear to have the greatest success with PRP hair regrowth treatments.
Typically, we can measure improvements in Hair Mass Index using Hair Check months before the results are visible to the naked eye. Increases in Hair Mass Index using the Hair Check device predict how much visual improvement the patient is likely to see in the months to come. It takes six to twelve months to judge the results of PRP “visually” in the mirror or with standardized photos. Measurements are taken every three months, so the plateau phase of improvement can be tracked. When Hair Mass Index starts to decline, the patient’s next PRP is planned.
Hair Mass Index, HMI or HairScore is the unit of measure obtained from the HairCheck tool. It is a numerical representation of the cross sectional area of a bundle of hair that grows from a 2cm x 2cm area of scalp. Consider for a moment the thickness of a ponytail of hair. This thickness is a product of the amount of hair fibers within the bundle as well as the thickness of each individual hair fiber. Therefore, Hair Mass Index or HMI is a highly accurate and sensitive measurement of the amount and quality of hair growing from the scalp in any given area. Doctors and others can learn how to accurately perform HMI measurements with HairCheck through the HairCoach training and certification program.
PRP is a comfortable, in-office, non-surgical procedure that takes about an hour start-to-finish, and most of that time is spent in the preparation phase… meaning you, the patient, is just relaxing! Most patients notice a brief period of inflammation during which their scalp remains somewhat pink and numb for a few hours. Swelling is rare (about 15% of the time) and if it occurs is noticeable in the forehead or around the eye area on the next day. Any swelling takes about a day or two to resolve. Hair growth improvements can typically be measured in about three months, but it takes six to twelve months to visually “see” the difference in photos and in the mirror.
The main risk of PRP is that your doctor or technicians are using careless or outdated preparation and application equipment or techniques… resulting in a poor or less than optimal outcome.
Patients with certain blood disorders or on certain medications are not candidates for PRP treatments. PRP is immunologically neutral and poses little risk of allergy, hypersensitivity or foreign-body reactions.
According to published reports, A PRP tends to improve hair caliber and hair growth for about four to six weeks, requiring multiple repeated treatments as often as every other month. On average, however, most patients will require their repeat PRP treatment after an average of one year in order to maintain the hair growth effects.
There is no activity restriction after a PRP treatment. Patients may shower/shampoo/condition their hair normally just several hours after the treatment and resume normal daily and athletic activities. As mentioned previously, some brief mild inflammation noticeable as redness/pinkness and numbness of the scalp may be present for several hours. No harsh chemical coloring or perming treatments should be performed for at least 72 hours. Use of topical hair growth treatments like Minoxidil or similar can resume the next day.
Patients should be educated by their Hair Restoration Physician as to what results they could expect from PRP in various areas of the scalp. Different areas of the scalp may respond differently to PRP depending on the amount of weak hair follicles present in each zone. Generally, with the exception of small round areas of alopecia areata, locations where severe depletion of follicles has occurred should not be treated. The vast majority of healthy individuals can easily undergo PRP treatments. Certain conditions like blood and platelet disorders, chronic liver disease, presence of an active severe infection, cardiovascular or hemodynamic instability and/or the presence of anti-coagulation therapy (e.g. warfarin) would make PRP contraindicated. Recent steroid treatments and smoking are relative contraindications and should be discussed with your Hair Restoration Physician.
Avoid fatty foods, coffee and alcohol. Avoid anti-inflammatory drugs (e.g. Steroid, NSAIDs) 2-3 days before and after the treatment.
If you prefer not to have surgery or are not a candidate for surgery, then PRP therapy with Dr. RAJINIKANTH is an excellent option.
Pure PRP-Shot Male Enhancement
PRP stands for Platelet-Rich-Plasma which is derived from your own blood. It is an amber colored fluid that is comprised of (1) your plasma (the fluid that fills the vascular system in which red and white blood cells are carried) and (2) a concentrated number of platelets.
In humans, the average amount of platelets in a microliter of plasma is +/- 200,000. In comparison, Optimal Male’s therapeutic Pure PRP is 8x more concentrated. Once obtained, the PRP is injected into the corpora cavernosa (erectile tissue of the penis) where the platelets “degranulate” and release several different growth factors and cytokines. These growth factors stimulate cellular differentiation and proliferation, angiogenesis (new blood vessel formation), wound healing, cell growth, and the migration and recruitment of stem cells to repair and regenerate tissues at the sites they were injected. This results in new, corrective, revitalized, healthy tissue.
Prior to the PRP-Shot procedure, a numbing cream will be applied to the penis in order to minimize any possible discomfort. The process then begins by drawing a small amount of your own blood. This blood is then placed into a proprietary, special-designed, FDA-approved, state-of-the art, dual spin centrifuge which separates the red blood cells from plasma. The “dual spin” technology of our centrifuge is then utilized to further concentrate the plasma into Pure Platelet-Rich-Plasma. At Optimal Male we use only Pure PRP©, which utilizes the latest centrifuge technology to provide the highest concentration of platelet-rich-plasma.
Once the PRP is separated from your blood it is mixed with Calcium Chloride which helps to “activate” the platelets and also increases the pH of the PRP to decrease any burning sensation that may be experienced during the injection. It is then injected into multiple location of the corpora cavernosa (erectile tissue of the penis) using a very small needle. Once the injections are complete, a vacuum pump is then utilized for 5 min in order to keep the PRP from being absorbed back into your circulatory system. In order to facilitate optimal results, you will be provided with the vacuum pump as well as clinical grade nitric oxide supplements to be used at home. Your penis will remain numb for a few hours after the procedure. Sexual activity is encouraged as soon as possible.
Since the Pure PRP© is derived from your own blood, there is no risk of allergic reaction or any known adverse effects. Some men have reported superficial bruising which resolves in 1 to 2 days after the procedure.
Results will vary but some men report a 10- 20% increase as an average in length and girth, and some have reported greater increases. Additionally, men report greater sensitivity, stronger erections, and a higher overall satisfaction with their sexual performance.
Results will vary but some men report results lasting from 18 months to 2 years and some men report results lasting even longer. Some men choose to continue having the procedure performed annually to maintain longer lasting results.
As part of your Pure PRP-Shot enhancement package, you will be provided with a vacuum pump and clinical grade nitric oxide supplements. In order to experience optimal results, we recommend that you use the vacuum pump for 5 to 10 minutes, twice a day for the first 30 days. The vacuum pump draws blood into the penis boosting the benefits of the PRP injection. The nitric oxide supplements should also be taken twice a day for the first 30 days to increase the amount of natural nitric oxide your body uses in the process of angiogenesis.
Since Pure PRP-Shot Enhancement Therapy is an elective procedure, it is not covered by Medicare or other private insurers. Optimal Male accepts credit cards, cash, personal checks, and offers financing options.
“The P-Treatment” is designed for men seeking stronger erections, enhanced sexual performance, greater sensitivity and increased penile size. Ideal candidates can be of any age, but those a bit older, who have noticed decrease in function due to aging, hypertension, genetics, toxic environmental exposures, diabetes, or prostrate related disease report extremely strong results. It’s also effective for correcting curvature in the case of Peyronie’s Disease.
Dr. Rajinikanth has also curated other procedures designed for both men and women. These include PRP Facial, PRP Hair Injections, and the P-Treatment for Women. More information about all our procedures can be found on this FAQ page, by calling our clinic, or by discussing options in person with Dr. Rajinikanth during a consultation.
Platelet Rich Plasma (PRP) from your blood is processed and injected into the base, shaft, and head of the penis. The PRP acts as a ‘messenger’ to signal your body to send stem-cells and “heal” the injection sites. The net result is accelerated collagen, vascular, and tissue growth in the entire penis.
The P-Shot, alone, includes the administration of Platelet Rich Plasma (PRP) as one of the core ingredients, combined with a medical solution to increase the “life” of the cells. For the P-Treatment for Men, specialized, integrative approach to optimize “take” of the cells and to provide the optimal environment for cellular growth. He incorporates the best of well-studied stem cell technologies (ie. PRP), wave technologies, pharmacology, supplementation and eastern philosophies for optimum efficacy.
The secret is harvesting and concentrating the perfect Platelet Rich Plasma (PRP). After drawing a minimum of 60 cc of your blood, Dr. Dunn uses specialized equipment to separate, isolate, and concentrate the fraction of the plasma clinically proven to stimulate stem cells. Blood must be concentrated by a factor of 10- fold in order to create a cell/volume ratio that produce results. She then meticulously mixes your PRP with an all-natural activator and injects this cocktail into the desired areas. Activation of PRP, is time and technique sensitive, and delay in injection once activation occurs will diminish effectiveness. Dr. Dunn uses this knowledge to separate the PRP into multiple small syringes and thus only activates the exact amount to be injected in each area.
Once the cells are injected in to the desired areas, a communication cascade occurs within the body between the injected cells, the particular anatomical site, and circulating stem cells to “heal” and rebuild defective and aging anatomy. The body recognizes and identifies anatomy, so that stem cells attracted to the Penis “know” to enhance penile function only.
Old, tired vascular endothelial linings of arteries and veins of the penis are replaced with strong, responsive, new, elastic cells. The spongiform tissue of the shaft enlarges and plumps with new growth factors. Neural endings on the tip become more sensitive.
This translates into increased sensitivity, stronger and more sustainable erections, increased girth, and in the case of Peyronie’s disease, a dissolution of the scar tissue.
Any man who seeks increased sexual performance, male enhancement, or an improved sex life can benefit from the procedure. One out of every two men between the ages of 35 and 65 will have a problem with erectile dysfunction, or other sexual wellness issues. The P-Treatment for Men has been designed to help you!
If you have tried or been disappointed by Viagra or other ED medications/treatments, or are considering surgery, we encourage you to try The P-Treatment for Men!
We have a rule of three: sensation changes at day three, noticeable changes in three months, and full response by three months. Some men seek repeat injections every three months until they reach their optimal girth growth. Others are content after one treatment. Some men schedule a treatment once a year and consider it a birthday gift to themselves and their partner.
The P-Treatment for Men is a simple in-office procedure. The injection itself takes about five minutes, although your total time in office will be about 1.5 hours. Proper processing of PRP, according to Dr. RAJINIKANTH’s requirements, requires more time than clinics. There is little or no downtime. As far as side effects go, that is really one of the beauties of the P-Treatment: since it is made from your own blood, there are little or no known side effects!
The PRP injections are applied to the parts of your penis that are most important to sexual arousal and erectile function.
Dr.Rajinikanth strives to ensure that your experience is the most enjoyable it can possibly be. Bringing the body to a relaxed and supported state helps ensure the injected PRP stays in the penis and doesn’t get recruited to other areas of the body that may be inflamed or anxious. He performs a local nerve-block to reduce the chance that you will experience any discomfort. Since every patient is different, some people may experience tenderness during the procedure or during the following few days around the injection site.
Men often notice changes within a few days and others require more than one treatment. Most notice changes in girth by one month. An increase in girth is more commonly reported than changes in length, although length changes are reported as well. Logically, aging tissue has shrunk and the treatment restores tissues to a younger state, and so increase in girth is the common outcome. Growing new tissue takes time – usually 4-6 weeks. Sensory changes in the tip seem to occur faster.
Dr.Rajinikanth has set up his clinic to be as discreet as possible. The clinic usually treats only one to a maximum of two patients at a time. This means you will probably never see any other patient, from the waiting to the checkout room.
A brief follow-up visit is generally recommended four weeks after your P-Treatment procedure. This can be done by phone if you are traveling. Some men choose to have a second P-Treatment at that time, but it will depend on your particular results, optimizing your hormone levels and the opinion of Dr. Rajinikanth.