Question 1

What are the potential long-term issues with neck liposuction, especially for younger patients?

Accepted Answer

For patients in their 20s and early 30s seeking significant jawline and neck definition through fat removal, losing neck fat via liposuction can lead to issues as they age, such as earlier visibility of neck bands and darkening in the tone and texture of the skin. Dr. Swengel advises caution, as fat is vital for skin structure and support.

Question 2

What is Dr. Swengel's approach to hair restoration?

Accepted Answer

Dr. Swengel utilizes Lutronic Laze MD in conjunction with Plated Skin Science serum for hair restoration. He prefers Lutronic Laze MD over traditional microneedling, believing it creates tiny holes that stay open longer, allowing for better product penetration and superior results. The typical protocol involves an initial Laze MD treatment followed by daily use of Plated serum (which lasts about two months), then repeating the Laze MD treatment with a new serum. Each syringe of Plated serum contains 30 billion purified and stabilized exosomes.

Question 3

What are the benefits of lower blepharoplasty with fat transfer and laser for the under-eye area?

Accepted Answer

Lower blepharoplasty combined with a partial fat transfer and potentially laser treatment under the eyes can effectively add volume, address hollowing and eye bags, and create a smoother, more refreshed appearance.

Question 4

How can cheek filler enhance facial aesthetics?

Accepted Answer

Anterior and lateral cheek filler can provide crucial support for the under-eye area and restore facial volume, contributing to a more youthful, diamond-shaped or inverted triangle facial contour.

Question 5

What are the benefits of chemical peels or brightening lasers like BBL?

Accepted Answer

Chemical peels and brightening lasers, such as BBL, are effective treatments for enhancing skin complexion, particularly for fair skin, by promoting brightness and improving overall skin tone.

Question 6

How does RefinedMD ensure personalized treatment plans?

Accepted Answer

Recognizing that not all treatments yield the same results for every individual, RefinedMD performs in-depth consultations to understand each patient's unique needs and recommend the most suitable and effective treatments.

Question 7

What are the risks of overfilling with dermal fillers?

Accepted Answer

Overfilling with dermal fillers can lead to filler migration, which necessitates dissolving the migrated product. This means the patient would have to restart their filler treatment process from the beginning. The practice maintains a conservative approach, and practitioners are prepared to decline adding more filler if it's deemed inappropriate or risky for the patient.

Question 8

How does RefinedMD advise on filler touch-up timing?

Accepted Answer

There are inappropriate times for a filler touch-up. Nurse Rachelle at RefinedMD provides expert guidance to patients on the optimal timing for their next filler appointment to ensure the best and safest results.

Question 9

How many units of Botox are typically needed for different facial areas?

Accepted Answer

The number of Botox units varies by area and individual needs. Typically, 10 units can treat an isolated area like the forehead, or the mentalis and DAOs, but not multiple areas. For 20 units, one additional area can be treated, often crow's feet, or split between the forehead and glabella (though this is considered a lower dose). For 30 units, patients commonly treat the forehead and glabella. To include crow's feet with these, 30 units is considered very light, with most patients opting for up to 40 units for these three main areas. A full face treatment, encompassing forehead, glabella, crow's feet, nasalis, DAOs, mentalis, and sometimes masseters, typically requires 60 to 80 units. Masseter muscles, being large, usually require 30 to 50 units total for both sides to achieve relaxation.

Question 10

What treatments are available for age-related lip changes?

Accepted Answer

As lips naturally thin and elongate with age, treatments such as an upper lip lift or lip filler can effectively help preserve natural lip volume and restore a more youthful appearance.

Question 11

What treatments does RefinedMD offer for youthful under-eye appearance?

Accepted Answer

To maintain a youthful appearance under the eyes, RefinedMD offers treatments including Easy Gel, Vidipure, or under-eye fillers, which can address concerns like hollowing and contribute to a refreshed look.

Question 12

How can a brow lift improve facial aesthetics?

Accepted Answer

A brow lift can help preserve a desirable arch to the upper face and effectively address concerns such as lateral hooding or sagging over the eyebrows, contributing to a more open and youthful eye area.

Question 13

What are the benefits of a lower face and neck lift?

Accepted Answer

A lower face and neck lift can significantly improve laxity in the lower face, jawline, and neck, leading to a softening of nasolabial folds and marionette lines, and an overall more youthful contour.

Question 14

What are the benefits of a full face fat transfer?

Accepted Answer

A full face fat transfer can restore lost volume to the face, resulting in more defined cheekbones and less hollowing in areas like the temples, contributing to a more youthful and refreshed appearance.

Question 15

How do laser skin resurfacing and chemical peels improve skin?

Accepted Answer

Laser skin resurfacing and chemical peels are effective treatments that can improve skin texture, reduce 'creepiness,' and boost collagen production, leading to smoother, more vibrant skin.

Question 16

What are the benefits of an endoscopic brow lift and blepharoplasty?

Accepted Answer

An endoscopic brow lift can significantly elevate the position of the brow, while upper and lower blepharoplasty can address 'creepiness' around the eyes, making them appear more open and youthful.

Question 17

What are common 'red flags' in a skincare routine?

Accepted Answer

According to RefinedMD, common skincare 'red flags' include sourcing all products from general beauty retailers like Ulta or Sephora, and notably, not incorporating essential ingredients such as retinol and peptides into one's daily regimen.

Question 18

Is neck liposuction recommended for a double chin or saggy skin?

Accepted Answer

Dr. Swengel advises caution regarding neck liposuction. While it can address fat, he emphasizes that very little liposuction should be done in the neck due to the importance of fat for skin structure and potential aging issues. For neck contouring, he prefers a deep neck approach focusing on deeper layers rather than superficial fat removal.

Question 19

How does RefinedMD ensure natural-looking results for facial transformations?

Accepted Answer

RefinedMD emphasizes personalized care, performing in-depth consultations to recommend treatments tailored to individual patients. This approach helps achieve natural-looking transformations, recognizing that not all treatments yield the same results for everyone and aiming to avoid an 'overdone' appearance.

Question 20

Do Botox unit requirements vary by individual factors like muscle strength or age?

Accepted Answer

Yes, Botox unit requirements can vary significantly. Larger muscles, such as the masseters, naturally require more units for relaxation. While age isn't explicitly detailed, the overall dosage is tailored to individual muscle strength and desired outcomes, with practitioners often starting with lower doses and adjusting as needed.

Question 21

Is there a standard number of Botox units for forehead lines for most people?

Accepted Answer

The number of Botox units varies by area and individual needs. Typically, 10 units can treat an isolated area like the forehead, or the mentalis and DAOs, but not multiple areas. For 20 units, one additional area can be treated, often crow's feet, or split between the forehead and glabella (though this is considered a lower dose). For 30 units, patients commonly treat the forehead and glabella. To include crow's feet with these, 30 units is considered very light, with most patients opting for up to 40 units for these three main areas. A full face treatment, encompassing forehead, glabella, crow's feet, nasalis, DAOs, mentalis, and sometimes masseters, typically requires 60 to 80 units. Masseter muscles, being large, usually require 30 to 50 units total for both sides to achieve relaxation.

Question 22

Does the number of units change based on age or muscle strength?

Accepted Answer

Yes, Botox unit requirements can vary significantly. Larger muscles, such as the masseters, naturally require more units for relaxation. While age isn't explicitly detailed, the overall dosage is tailored to individual muscle strength and desired outcomes, with practitioners often starting with lower doses and adjusting as needed.

Question 23

Is it possible to get a 'natural' transformation like hers without looking overdone?

Accepted Answer

RefinedMD emphasizes personalized care, performing in-depth consultations to recommend treatments tailored to individual patients. This approach helps achieve natural-looking transformations, recognizing that not all treatments yield the same results for everyone and aiming to avoid an 'overdone' appearance.

Question 24

What are common 'red flags' in a skincare routine that people should avoid?

Accepted Answer

According to RefinedMD, common skincare 'red flags' include sourcing all products from general beauty retailers like Ulta or Sephora, and notably, not incorporating essential ingredients such as retinol and peptides into one's daily regimen.

Question 25

Does neck lipo help with a double chin or is it more for saggy skin?

Accepted Answer

Dr. Swengel advises caution regarding neck liposuction. While it can address fat, he emphasizes that very little liposuction should be done in the neck due to the importance of fat for skin structure and potential aging issues. For neck contouring, he prefers a deep neck approach focusing on deeper layers rather than superficial fat removal.

Question 26

What are the signs that it's the wrong time for a filler touch-up?

Accepted Answer

There are inappropriate times for a filler touch-up. Nurse Rachelle at RefinedMD provides expert guidance to patients on the optimal timing for their next filler appointment to ensure the best and safest results.

Question 27

What does Dr. Swengel say about their approach?

Accepted Answer

I think in that situation when you preserve the padding underneath the skin you can get great contouring results in the jawline and neck but without affecting the structure and support of the skin which is so important.

Question 28

What does Dr. Swengel say about their techniques?

Accepted Answer

I also like a tiny little brow lift injection in the tail of the brow to help open up the eye. Botox injections are placed high above the eyebrows to prevent them from dropping.

Question 29

What does Dr. Swengel say about consultations?

Accepted Answer

But, not all treatments show same results for everyone, which is why we perform an in-depth consult to give you the best recommended treatments for you.

Dr. Steven Swengel, MD

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