Picture above demonstrates layers of the skin and where procedures work within those layers,
During your initial consultation we will create a game plan for success.
Picture above : HIFU and PDO leg and butt lift in combination with hyperdilute fillers.
HIFU is high frequency ultrasound. HIFU is the name for the type of procedure branded in the US as Ultherapy .
Ultherapy is the only non-invasive procedure FDA-cleared to lift skin on the neck, under the chin and on the eyebrow and most recently on the décolleté. Ultherapy utilizes ultrasound. Ultrasound, of course, has been used safely throughout the medical field for more than 50 years and our board certified medical providers read this ultrasound to differentiate where to deliver energy. By delivering this energy , a micro injury results and creates a more lifted and organized structure. Over three months you will see collagen promotion and a lift. We provide “off label” Ultherapy. Off label simply means that the procedure is not yet cleared or approved by the FDA. We have been providing Ultherapy to the body for years with safe and consistent beautiful outcomes With Ultherapy can help you achieve a fresher, more youthful look from your brow to your toes! Safe Ultrasound. No Surgery. Ultherapy has been established as safe and effective in clinical studies and in more than 350,000 treatments worldwide. We highly recommend pairing Ultherapy with PDO Threads. Ulthera result usually last three years, but we have seen maintained results at five years.
Picture above: Mid-procedure treatment (left face with PDO threads) by Dr. Joni Collins Ricketts DMS PA-C
Novathreads is the brand of our favorite PDO Threads. The PDO threads offer a number of specific benefits:
* threads have no cones, thus no damage to the tissue
* excellent safety record – the same thread used in cardiac, plastic, obstetric, and other surgical sutures
* ultra-fine threads (smooth or twist threads) are naturally broken down within the body over 6-8 months, although the results naturally ‘wear off’ over around 18 months.
* Barbed threads last longer and produce a stronger more instant result.
* PDO thread material is invisible within the skin
The principle behind PDO thread lifting is not simply about pulling the skin into a different position, but rather to stimulate the body’s natural reaction to a ‘foreign body’ – which is to produce collagen and improve blood circulation, contracting the tissue.
As the PDO dissolves naturally over time a strong collagen bond results.
The PDO lift has a series of benefits
* naturally improves skin elasticity and texture
* reduces wrinkles
* brightens skin tone
* produces more defined facial contours
* rejuvenating and lifting effect
* covers prominent forehead veins
* improves texture and tone
PRF stands for platelet rich fibrin.
Picture above: series of three PRF to the tear trough with microcannula approach.
PRF is a byproduct of blood that is exceptionally rich in platelets. These platelets release growth factors that stimulate stem cells. These stem cells are a power house and present a variety of treatment options for you. By using your own blood, we can:
- accelerate healing
- reduce infection risk
- awake mesenchymal cells (why great in combination with filler)
- restore skin
- assist in autoimmune skin disorders (psoriasis)
- assist in hair restoration
- improve and restore hair loss from androgenic alopecia
Examples: polycystic ovarian syndrome and male pattern baldness
- improve acne scarring (excellent result when used in combination with microneedling)
- improve joint and bone restoration
- improve allergic shiners darkening of eyes
The PRF cycle is 28 days.
What is PRP? PRP stands for platelet rich plasma. PRP is also a byproduct of blood that is exceptionally rich in platelets. PRP is similar to PRF, but PRP does not have as many white blood cells as PRF and it does not contain a fibrin sheath. When we spin PRP we use an anti-coagulant. PRP does not have mesenchymal stem cells like PRF.
We do rotate PRF and PRP in our autologous stem cell membership.
SKINPEN by Bellus medical
SkinPen is a true state of the art anti aging device that repairs and improves sun damage, scars, stretch marks, and hyper-pigmentation. Because it has 12 surgical grade micro needles that simultaneously develop tiny micro channels in the skin, SkinPen increases collagen and skin cell turnover. The overall result is an appearance of a more youthful skin. Excellent for fine lines and acne scarring as well. Microneedling differs from Skinpen because the patented needle technology does not drag the skin ( which is why microneedling is associated with a longer recovery). Microneedling is a fantastic procedure but usually only treats one depth of the skin layers. The Skinpen protocol at 1228 penetrates three layers of the skin resulting in increased cell turn over, increased collagen production, and improved recovery time.
Self Neutralizing Peels with PCA
According to Anna Samuels, PCA's leading clinical educator, " PCA is a healthcare company specializing in blended chemical peels for more than 25 years and are the trusted leader in chemical exfoliation in the industry. At 1228 we use a variety of formulations designed to be customized to your specific concerns and lifestyle. Do not let the term “chemical peel” scare you. Chemical exfoliation is a safe and effective way to rapidly exfoliate your skin to reveal healthy glowing skin and encourage new collagen and a smoother brighter complexation. You can schedule a Sensi-peel to get that pre -event glow or a series of Ultra Peels or Jessner Peels for a more progressive approach to rejuvenation. Our Forte peels are physician grade and reach the dermis. Our skin naturally exfoliates every 30 days until our thirties when it slows down. That is why we wake up on our 35th birthday and our skin looks dull, blotchy and our lines are starting to show. This is an indicator that it is time to start regular chemical exfoliation. Monthly chemical peels will literally sluff off the hands of time. Some other lines of peels may burn or blister the skin, but PCA Skin peels use many ingredients that naturally occur in the skin, like lactic and citric acid, coupled with botanicals to help feed, lighten and brighten your complexion with NO down time. Regular treatments will transform you back to the youthful version of YOU! Get ready for less brown spots, refined pores, tighter brighter firmer skin". PCA stands for Physician’s Care Alliance.
Dr. Joni Collins Ricketts DMS PAC CAC was and is the only PA to date asked to teach at the notorious LA -MCA in Beverly Hills. In 2018 she taught advanced combination therapy with attention to microcannulas,PRF, pdo threads, and hyaluronic fillers. Dr.Joni has co-chaired classes with Dr.Kian Karimi and Dr. Anil Rajani.