Question 1

How long do fillers last compared to biostimulators like Sculptra?

Accepted Answer

Traditional hyaluronic acid fillers typically last six months to a year as the body slowly breaks them down through normal metabolism. Biostimulators like Sculptra, however, work by producing your own collagen over a six-month period. This collagen does not go away like traditional filler, providing results that can last for years, making them a more economical long-term solution.

Question 2

What is histamine intolerance and what are its symptoms?

Accepted Answer

Histamine intolerance occurs when the body releases or takes in too much histamine, or is unable to break it down effectively. Symptoms extend beyond typical allergy responses like runny nose or itchy eyes, and can affect the heart, brain (leading to brain fog, especially after illness, by interfering with smell and acetylcholine), digestive system (a common area for patient problems), and can be associated with PMS. Addressing persistent histamine effects may involve different antihistamines, stopping histamine release, and promoting acetylcholine.

Question 3

What are Dr. Sorr's top recommendations for longevity and overall health?

Accepted Answer

Dr. Sorr emphasizes avoiding smoking (as it has no benefits), prioritizing sufficient sleep (as sleep deprivation negatively impacts thyroid function, metabolism, hunger, testosterone, and mental function), maintaining an active lifestyle to build and preserve muscle, ensuring adequate fiber intake (essential for probiotics and gut health, recommending a slow increase), and nurturing sexual health and pleasure for overall well-being and relationship satisfaction.

Question 4

What is Dr. Sorr's advice on Vitamin E for skincare?

Accepted Answer

Dr. Sorr considers Vitamin E (tocopherol) one of the best fat-soluble antioxidants. While applying pure Vitamin E oil directly to the skin as a standalone product is generally not desired by most people, it is commonly found and beneficial in many skincare products. His practice's retinol product, Radiate, for example, includes tocopherol.

Question 5

What is Dr. Sorr's approach to under-eye correction?

Accepted Answer

Under-eye correction is an advanced treatment area that requires a thorough consultation for proper patient selection and is not a 'one size fits all' solution. Dr. Sorr emphasizes that it should not be performed by a novice injector, and patients should qualify their provider. The process typically involves correcting under-eye hollows, which are caused by age-related fat pad loss and skin thinning. He prefers using Sculptra around the eye (not directly in it) and considers PRF (Platelet-Rich Fibrin) a necessary treatment. Lasers are also used to help build collagen in the skin for wonderful results. Optimal results are achieved through combined modalities and take time.

Question 6

What are the risks and complications of undereye filler, and who is not a good candidate?

Accepted Answer

Undereye filler is not suitable for everyone, and it is the injector's responsibility to ensure proper patient selection. Individuals with allergies should not get undereye filler, as it can exacerbate problems. Incorrect placement, especially above the orbit (bone), will lead to significant water retention. Filler should be placed below the bone into a natural pocket. Post-filler swelling can also be caused by using a 'too water loving' filler; a more stable product is recommended, less influenced by salt, alcohol, or allergies. Compromised lymphatic vessels and injecting Botulinum Toxin (TOX) into certain parts of the orbicularis muscle (which inhibits its 'squeegee' action for drainage) can also worsen swelling. Incorrectly placed filler can take time to dissolve.

Question 7

What are the differences and benefits of microneedling versus lasers for skin treatment?

Accepted Answer

Dr. Sorr considers lasers, particularly the CO2 or fractional ablative laser, to be the gold standard for skin treatment. However, lasers only work on the skin's surface, penetrating approximately one millimeter, and are associated with heat and downtime. Microneedling was developed as a non-laser alternative to create microchannels through collagen induction therapy, semi-replicating laser benefits. Dr. Sorr loves microneedling and finds it wonderful for the skin. Both treatments are effective, but for skin problems deeper than the skin's surface, a different tool is required. The best results come from selecting the appropriate treatment for the specific concern.

Question 8

How can I make my filler last a long time?

Accepted Answer

Traditional hyaluronic acid fillers typically last six months to a year as the body slowly breaks them down through normal metabolism. Biostimulators like Sculptra, however, work by producing your own collagen over a six-month period. This collagen does not go away like traditional filler, providing results that can last for years, making them a more economical long-term solution.

Question 9

What are the risks or potential issues with undereye filler?

Accepted Answer

Undereye filler is not suitable for everyone, and it is the injector's responsibility to ensure proper patient selection. Individuals with allergies should not get undereye filler, as it can exacerbate problems. Incorrect placement, especially above the orbit (bone), will lead to significant water retention. Filler should be placed below the bone into a natural pocket. Post-filler swelling can also be caused by using a 'too water loving' filler; a more stable product is recommended, less influenced by salt, alcohol, or allergies. Compromised lymphatic vessels and injecting Botulinum Toxin (TOX) into certain parts of the orbicularis muscle (which inhibits its 'squeegee' action for drainage) can also worsen swelling. Incorrectly placed filler can take time to dissolve.

Question 10

What are the differences and benefits of microneedling versus lasers?

Accepted Answer

Dr. Sorr considers lasers, particularly the CO2 or fractional ablative laser, to be the gold standard for skin treatment. However, lasers only work on the skin's surface, penetrating approximately one millimeter, and are associated with heat and downtime. Microneedling was developed as a non-laser alternative to create microchannels through collagen induction therapy, semi-replicating laser benefits. Dr. Sorr loves microneedling and finds it wonderful for the skin. Both treatments are effective, but for skin problems deeper than the skin's surface, a different tool is required. The best results come from selecting the appropriate treatment for the specific concern.

Question 11

What does Dr. Sorr say about the technology they use?

Accepted Answer

I think lasers are one of the best things you could do for your skin, they really are.

Question 12

What does Dr. Sorr say about their training and credentials?

Accepted Answer

Dr. Sor has been practicing aesthetic medicine since 2016. Dr. Sor practiced functional medicine for a couple of years prior to 2016 and continues to do so.

Question 13

What does Dr. Sorr say about their approach?

Accepted Answer

The practice's approach involves treating the underlying cause.

Dr. Steven Sorr, N, MD

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