Frequently Asked Questions
All of our consultations are complimentary. We believe in our treatments and our treatment outcomes, and we want you to believe in us. To do that, we believe that we need to build relationships, which builds trust and enables a balanced and productive Client-Doctor relationship.
Dr de Maio created these techniques after noticing an alarming trend of facial distortion and imbalance in patients having injectable aesthetic treatments.
Dr de Maio developed a more natural approach to facial augmentation based on “emotional attributes” which we recognize by way of sadness, tired angry and saggy appearances.
This methodology, practised by Dr Kennea who has studied under Dr de Maio and other industry leaders, leads the physician to a different starting point. Historically, unnatural results have arisen out of “chasing” the lines and folds that typically concern patients. These are referred to as ‘Distractors’. They distract the patient from the cause of these lines and folds.
First we undertake a full comprehensive facial analysis during a complimentary consultation, aimed at educating our patients and ensuring a clear aesthetic plan to achieve a natural and positive outcome.
It’s like building a house. We first build the “FOUNDATION” which supports the house, we then begin to frame the house by providing symmetry, balance and “CONTOUR”, next we address the distractions which are the wallpaper and paint (lips, lines and eyes). “REFINEMENT”
There’s no stage, and we always fully assess every patient’s needs and wants for treatment, but there is a growing theme of medical aesthetics as preventing aging, using techniques and technology, such as Broadband Light (BBL), which ensures the youth genes within the skin remain switched on perpetually.
The classic example of this is the nasolabial (the fold between the nose and the mouth). This feature is a symptom of volume loss and descent in the face and a lack of support laterally and to the muscles which elevate the face.
Simply treating this by filling the line does not correct the descent of the face, whilst the patient thinks that filling the line will make them happy; they are in fact happiest if we work to enhance the muscles in the mid-face, which lift the tissue back to its previous position. This results in a much more natural, age-appropriate outcome — similar to reversing aging by five to 10 years.
Whist I will never over-treat a younger patient, as many of them can manage with lower Botox doses, there is significant scientific evidence from the literature that higher doses result in better longevity and more satisfied patient outcomes.
The most satisfactory use of Botox I see is when people start to use Botox at the first sign of static lines. A static line is a line you can see when the face is at rest. Because young people will rapidly heal those lines over the three-to-four-month window that the Botox is active, we can prevent those lines from ever developing. This is why Botox is described as preventative.
Patients need to trust their injector. Would someone go to a dentist and tell them how much amalgam to use in a filling? Patients need to understand that everyone’s facial anatomy, rate of volume loss, muscle strength, static lines, etc., are different; therefore, patients can’t predict or determine how much Botox they need based on anecdotal evidence from the internet or ‘what a friend had done.’
Lip correction, under-eye correction, jawline, forehead, and frown lines. A structure we like to use is to look at the emotional messages of the face. Negative emotional messages can happen either through the genetic predisposition of the face or through reasons of facial aging.
If the muscles that lift the face become unsupported i.e., through volume loss from aging, then the muscles which drag down the lower face can act more strongly, leading to the appearance of sadness or anger. This can have subsequent effects on how a patient is perceived by family, friends, and colleagues.
When this is corrected, patients report an increased sense of emotional well-being. This is backed up by scientific studies which demonstrated a change in the autonomic nervous system input to the face, which could help explain this renewed sense of emotional well-being.
Myth: If you start using Botox, you will always need to use it: not true.
Truth: The fact is patients come to prefer their face with Botox! I often say to patients, even if they did Botox once or twice per year, you will still delay the progression of your static lines.
Myth: Botox leads to an emotionless, frozen face.
Truth: The frozen look likely results from excessive use of Botox in the lower face for issues that really should have been tackled with a dermal filler approach. I have many patients whose partners are completely unaware they have Botox regularly, as the results are so natural. We only use Botox in specific muscles to achieve a specific objective, e.g., in the forehead to treat forehead lines or in the frown to prevent frowning.
Myth: A full syringe of filler leads to an ‘overfilled’ look.
Truth: It takes five full syringes of hyaluronic acid to fill one teaspoon. From the age of 35, the average person loses the equivalent of six syringes of filler per year. This is where education and time are essential for patients to understand their unique needs and trust the physician’s expertise and experience.
CoolSculpting is a branded, FDA-approved form of fat reduction called cryolipolysis.
CoolSculpting and other forms of cryolipolysis use freezing temperatures to break down fat cells.
Cold does not damage other cells in the way it does fat cells, and so there should be no damage to the skin or underlying tissue.
During the procedure, the practitioner vacuums the skin above the area of fatty tissue into an applicator that cools the fat cells. The cold temperatures numb the area, and some people report feeling a cooling sensation.
Most CoolSculpting procedures take around an hour. There is no recovery time because there is no damage to the skin or tissue. Some people report soreness at the site of CoolSculpting, similar to that they might have after an intense workout or minor muscle injury.
CoolSculpting is a form of cryolipolysis, which is a scientifically proven process of removing fat with a high success rate. CoolSculpting is effective for removing areas of fat from the body, and have fewer side effects than other procedures, such as liposuction, as it is completely non-invasive.
Though this procedure can remove areas of fat, it is not a miracle cure, and people should not expect to see a complete removal of fat. The procedure will not work for everybody, and as experienced providers we will always tell you if the procedure is not suitable for you.
Lifestyle and other factors may also play a role. A person who continues to eat an unhealthful diet and remains sedentary while undergoing CoolSculpting can expect less fat reduction.
Likewise, CoolSculpting cannot tighten loose skin. If the skin has stretched around fatty buildups, a person may have excess skin after the procedure to remove the fat. (See the treatment protocol SkinTyte II)
The price for CoolSculpting procedures varies hugely depending on your areas of concern, your height, weight, size. We are all so different as unique individuals, that there is a huge combination of factors that go into determining a price.
Every consultation ends with the creation of a customized treatment plan, in person, that’s tailored to your body, your goals, and your budget. We even offer flexible payment plans to help patients achieve their goals.
Most patients opt to receive treatments in multiple body areas in order to achieve their goals. The cost typically ranges between $2,000-$4,000 for their personalized treatment plan depending on the number of areas treated.
Once the treated fat cells are crystallized (frozen), they die and are naturally processed and eliminated from the body.
The CoolSculpting procedure safely delivers precisely controlled cooling to gently and effectively target the fat cells underneath the skin. Treated fat cells are crystalized (frozen), then die. Over time, your body naturally processes the fat and eliminates these dead cells, leaving a more sculpted you.
You may start to see changes as quickly as 3 weeks after your treatment and will experience the most dramatic results after 2 months. Your body will still continue to flush out fat cells for up to 4 to 6 months after treatment.
In January 2019 we introduced ZWave Pro; A shockwave therapy treatment that uses sound waves at a precise and focused frequency to break down fat cells. Science has proven that application after Coolsculpting can significantly enhance and speed up the results.
That’s really simple! You don’t! We do.
Unlike many practices that charge extra for this procedure, we have decided that the application of ZWave Pro in our personal Z-Plus treatment Protocol is so significant that we wanted to use it in all of our treatments. It as so many positive influences from the end of treatment massage to the actual acceleration in results that we can’t NOT include it. And we offer it at no extra charge to you.
How cool is that?
Yes and No!
We use BBL – Broadband Light which is part of our Sciton Joule Hybrid Fractional Laser system. BBL is part of the Forever Bare protocol. Patients describe it as being far more comfortable than laser, and we find that because the handset is much larger (its light not a laser) the treatment is also quicker. There is little to no downtime, and results are outstanding.