Collagen Induction - Treatments that Work, Products that Don't, and Limits of Treatment

[@ouiser1955]

I wish more physicians in the plastic surgery specialty took your approach. Also wish you were in Texas. I would book an appointment with you ASAP. Keep spreading the truth!

[@AmiyaPrasadMD]

Thank you for kind words, ouiser1955! I'll keep them up as long as people find the videos helpful!

[@alanwisdom7777]

My dermatologist told me when I 20 years old, stay away from sun and use sunscreen, and 15 years later I can tell you this is the best advice for my skin, I see a huge difference with other people, my skin look much. younger she clear with no sunspots, my face is still full because my dermis is not damaged by the sun. I use retin a and I do some peel since also my 20 oh my gosh my skin looks just amazing. Collagen and elastin are the mattress of the skin so take care of them.

[@AmiyaPrasadMD]

That's good advice, alan wisdom!

[@camillatruquesdebeleza7086]

Lucky you! I come from a very hot country and almost never protected myself. When I got close to 30 I started to try to fix the damage.

[@valeriabustos4100]

I’m 17, I was suffering from acne for 1.5 yrs until I finally went to the derm and asked for Accutane, I am now on 3 months and finished with 6 months. After Accutane I plan on maintaining my skin with Tazorac and sunscreen as well. My skin has improved so much on Accutane and I am so blessed my skin is finally clear, it gave me the motivation to keep on going and care for my skin for life!

[@AmiyaPrasadMD]

That's great,@@valeriabustos4100! I advise you do clear your planned maintenance regimen with your dermatologist as Accutane/isotretinoin does leave your skin quite fragile for about a year after completing the treatment.

[@valeriabustos4100]

Amiya Prasad, M.D. for sure I will ! Thanks for looking out for me, and yeah I did notice my skin turn very fragile on Accutane, I think we will probably hold off on any topicals for a yr, definitely still gonna use my sunscreen though! And I’m a big fan of your videos!

[@shrutefarms4741]

Very fair unbiased approach. Thank you Dr!

[@AmiyaPrasadMD]

Thank you, Shrute Farms! Glad you found the video helpful!

[@jennyquezada9644]

May I ask what are your thoughts about microcurrent?

[@AmiyaPrasadMD]

Hi Jenny Quezada, I perform more effective treatments like various lasers, and radiofrequency. I hope this clarifies things for you.

[@mrg99999]

Thank you for being so honest and looking out for the patient's best interest!

[@AmiyaPrasadMD]

Thank you for the appreciation, Monique Phillips! And thanks for watching!

[@jennyquezada9644]

Do you do all those procedures on the same day? Radiofrequency, laser and PRP?

[@AmiyaPrasadMD]

Hi Jenny Quezada, There is a limit to how much collagen can be induced in a single treatment session, so I usually alternate treatments with patients in separate treatment sessions to induce collagen so there is time in between sessions for healing, and to reduce exposure to thermal treatments. I hope this clarifies things for you.

[@hollypaladino1427]

So much wonderful information. Thank you Dr Prasad. We all greatly appreciate your knowledge and honesty

[@AmiyaPrasadMD]

Thank you for your kind words, Holly Paladino! Glad you found the video helpful!

[@lashelleullie3717]

Love your content. I agree especially with the marketing piece. I’m a liscened esthetician and do not agree with how the industry is pressing our community and the misinformation that is being shown on social media

[@AmiyaPrasadMD]

Thank you for your appreciation, and for watching, @lashelleullie3717. Yes, the public does need to know that it's the practitioner that determines results, or complications, not the devices. Best of luck with your practice!

[@candyapple7308]

What do you think about the red light at home facial masks?

[@AmiyaPrasadMD]

Hi Candy Apple, A facial mask with a red light can't generate enough energy to benefit the skin, or collagen induction. Laser and radiofrequency devices featured in the video generate a lot of concentrated energy for collagen induction. I hope this clarifies things for you.

[@NYchristofferflowers]

Question: If your treatment for facial aging at the bone level is to put hyaluronic acid fillers between the muscle and bone, then how does the facial muscle stay attached? Won't it slide and cause sagging? Yes, the muscles are attached at each end of the muscle, but won't it begin to bow if detached from the bone with filler?

[@AmiyaPrasadMD]

Hi, Filler placed at the bone level does not affect muscle attachment. I hope this clarifies things for you.

[@janice8514]

What do you think of PRF treatments as opposed to PRP?

[@AmiyaPrasadMD]

Hi Janice, PRP and PRFM are almost the same, with the only difference being calcium chloride added to PRFM to make PRP thicker, and for slower release. I hope this clarifies things for you

[@heathergustafson4237]

Your the best! Honesty in the medical field unfortunately has dwindled these days because of large hospital regulations and the the big dollar. Your honesty about the patient first not business is the way a Dr. is suppose to think. Thank you

[@AmiyaPrasadMD]

Thank you for your kind words, and for watching, Heather Gustafson!

[@fmip1036]

Dr Prasad, thank you for this information. Your approach is unique and makes a great deal of sense. I need your help after suffering laser damage that has significantly affected my appearance and my entire life. I am in Australia. How can I contact you for a consultation and potential treatment?

[@AmiyaPrasadMD]

Hi @fmip1036, Sorry to hear about your problem. Consultations are by appointment only, and can be arranged by our offices to be done remotely on a one-on-one video call on Skype or FaceTime. Consultations do require a consultation fee, but the fee can be applied to the cost of treatment. You can contact our offices or websites to arrange an appointment. Our offices are located in Manhattan, New York City which you can call at [phone]; Garden City, Long Island at [phone]; or Vienna, Virginia at [phone]. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.

[@wem-c9f]

Hi Dr Prasad, @5:05 you mentioned about bone loss to the face. Does this happens uniformly throughout a person's skull, or it can be more in one place than another? Or does it vary in every individual? When you treat a patient, do you usually prefer treat the volume loss first? or treat the skin quality first? Thank you once again. :)

[@AmiyaPrasadMD]

Hi, Facial bone volume loss is usually concentrated on the cheeks, jawline, and chin, so these are the primary areas of treatment. Diminishing skin quality usually occurs a little earlier than significant bone loss, but for many people, they are experiencing both at the same time, and both can be treated. I hope this clarifies things for you.

[@wem-c9f]

@@AmiyaPrasadMD Thank you ☺️

[@AmiyaPrasadMD]

You're welcome!

[@echase416]

It’s important to consider strategies such as Retin-A use and [medical depth] micro-needling for collagen induction.

[@DrReedB0928]

Thank you! Do you recommend stopping Tretinoin prior to or during RF treatments?

[@AmiyaPrasadMD]

Hi Reed Berger-Fleishman, Yes, tretinoin should be stopped for at least a year before doing any aggressive treatments on the skin because it leaves the skin very fragile. I hope this clarifies things for you.

[@DrReedB0928]

@@AmiyaPrasadMD Thank you!

[@AmiyaPrasadMD]

You're welcome,@@DrReedB0928 !

[@justinajones3000]

@@AmiyaPrasadMD Retin A leaves the skin fragile? Isn't that crazy that my (former) dermatologist told me the opposite..

[@AmiyaPrasadMD]

Hi@@DrReedB0928, My apologies, I was reading this as isotretinoin, the drug within Accutane that makes the skin fragile.

[@myvoice31]

Very thoughtful. It would be nice to have more doctors like you. Too bad I’m in CA.

[@AmiyaPrasadMD]

Thank you for your kind words, myvoice31 ! You can always come see us in the East Coast.

[@monikamoniap4888]

I know you said that fillers don’t stretch the skin but how about when the skin is really swollen and after removing filler etc becomes depression under the eye, what to do? PRP will help? Thank you

[@AmiyaPrasadMD]

Hi Monika Monia P, PRP can help improve the skin quality of the lower eyelid, but it does not provide enough volume to treat hollowing. Hollowing under the eyes needs to be treated with a hyaluronic acid filler, or in some cases a tear trough implant. I hope this clarifies things for you.

[@monikamoniap4888]

🙏🏻 thank you!!!!!

[@AmiyaPrasadMD]

You're welcome, @@monikamoniap4888!

[@ytq321]

wow, I wish I could go to you someday for a consultation. I've been burned under my eyes by a 'doctor' who didn't know what he was doing and it ruined the fat/collagen composition so now I have these hollows where it was destroyed. I even went to laser school to better understand what went wrong and I saw firsthand that the "treatment of the week" "all about money" attitude is very real. I'd love to have my skin evaluated by an actual doctor... One who is board certified and understands ocular-facial anatomy! lol

[@AmiyaPrasadMD]

I'm sorry to hear about your problem, Felicia Temple. You are right that it is the doctor's skill and experience that determines results, and avoids complications. You can come see us when you like.

[@tatiananeumanndo1242]

Excellent presentation! Thank you very much Doctor for the insights into the effective way to rejuvenate aging skin.

[@AmiyaPrasadMD]

You're welcome, Tatiana Neumann, DO. And thank you for your kind words! I'm really happy that you found the video informative.

[@katecrowley1858]

Dear Dr. What are your thoughts on Ultherapy? Kind regards Kate

[@AmiyaPrasadMD]

Hi Kate Crowley, I do not use Ultherapy/ Ulthera in my practice as it heats up suddenly, so there is less control over gradual heating and limiting exposure. I hope this clarifies things for you.

[@mariamaboumia9284]

Hi what about plasma sculpt procedure and collagen and hyaluronic acid pills

[@AmiyaPrasadMD]

Hi mariama boumia, I'm not familiar with plasma sculpting, but collagen and hyaluronic acid pills would get digested by stomach acid, and won't be their original form once digested. The body does synthesize its own collagen and hyaluronic acid from a variety of food we eat. I hope this clarifies things for you.

[@jennyquezada9644]

@@AmiyaPrasadMD Please give food examples.

[@AmiyaPrasadMD]

Hi@@jennyquezada9644, Collagen you eat is still digested by your body. Your body synthesizes collagen from all the food you eat, not just collagen you consume. It doesn't mean if you consume more collagen, your body produces more collagen. You can refer to this video about it - kzbin.info/www/bejne/sJCzaZ9-p7yIqtU

[@Corrans]

Thank you SO much for this super informative video. I am considering a few treatment options and juat don't know where is best to put my money. There are SO many treatments out there now, it's overwhelming.

[@AmiyaPrasadMD]

Hi Louise Corrans, Treatment recommendations will vary depending on what can best help the issues you want treated, as well as what the doctor is most experienced with in terms of specific treatments for these issues. It's important to find an experienced doctor you trust for the best recommendations and results. I hope this helps you.

[@thad8909]

@@AmiyaPrasadMD Can you expand on your idea that there are limitations to how much collagen can be stimulated through in office treatments like RF and Laser? I saw a comment from you that the body’s ability to replenish collagen dips 1% every year, but that doesn’t seem like a meaningful amount to me. Seems like a nominal amount to me. Are you saying that for someone in their 40s and up they are actually getting diminishing returns on collagen stimulation?

[@AmiyaPrasadMD]

Hi@@thad8909, Collagen in the skin is reduced by 1% every year, so with aging the skin loses its strength and elasticity, eventually resulting in skin laxity. While collagen induction treatments work, there isn't an unlimited amount of collagen you can induce the body to synthesize. Complications from these treatments usually happen when someone wants to avoid surgery, so they insist on stimulating more collagen to tighten, and lift the skin, but end up damaging the skin, and losing facial volume, so they end up looking older instead of younger, and could also suffer injuries like burns. For more information, you can refer to these videos about complications from collagen induction therapy, and how these treatments can be made safer: kzbin.info/www/bejne/q2exmJZ3n8qWfdE kzbin.info/www/bejne/kGbPqWZvYshjqac kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@intellecta840]

Hello,,Dr,,as fascial fillers and surgery are not an option for me,,I would like to try fascial muscle building ,,there are many programs that people follow and claim do work to some degree..what is your opinion on facial muscle exercise?..thank you for your videos

[@Donna-vh5ym]

How do you feel about Rentin-a Dr.? Not for acne, but anti-aging. Gosh, I wish I could make it to New York to see you. I can dream.

[@AmiyaPrasadMD]

Hi Donna Bowman, Tretinoin can help with cell turnover of the epidermis, and improve luster of the skin. There are versions of tretinoin specifically for skincare, as Retin-A can be too drying or irritating. My observation is that there is too much attention on skincare for anti-aging, and not enough to address volumetric loss due to aging. I hope this clarifies things for you.

[@farahsmirage127]

You are so amazing! I wish you had a practice in California. Is there anyone you recommend here

[@AmiyaPrasadMD]

Hi Farah's Mirage, While I do know colleagues in California, we all have different aesthetic styles, and practice focuses. I suggest you find a doctor with several different devices, and can also perform surgery in the area you want treated so get unbiased advice on what procedure will be best for you. I hope this helps you.

[@kharinkharin7262]

Hi doctor.. I’m on a skin problem in my nose. I had filler i threw away the filler with an injection of HDS. But I found the skin of my nose to be thin and concave like a thin wrinkle and decreases volume . What treatment can improve my skin?? I’m very sad to see this 😭😭😭 Do you have a way?

[@shilk4301]

I am not sure if I should even ask this question . Lately After covd I developed sle(lupus) . Have you seen women with such conditions doing skin treatments you mention . Thank you

[@AmiyaPrasadMD]

Hi shil K, I have not seen an increase in patients having this condition due to the pandemic. Lupus does have a wide range of expressions, so a physical examination is needed to determine what is a safe approach to treat you. I hope this clarifies things for you.

[@shilk4301]

@@AmiyaPrasadMD thank you so much doctor .

[@AmiyaPrasadMD]

You're welcome,@@shilk4301

[@Skittlesskittles-om6hp]

Dr. Prasad how did you get to be so smart. What an awesome human being you are. There are doctors that do not even know what they are injecting to their patients. All they care is about the money. But with you doctor I can tell you really care about your patients well being and making sure they love the procedures you preform on them. I am in Minnesota. Far from you. But I really wish one day I get the chance to meet you so you can evaluate my face. It would be a dream come true.......thanks again for such an informative video. As always SOOOOOOO SMART.....❤️❤️

[@AmiyaPrasadMD]

Thank you for your kind words, Skittles31 skittles31! I make these videos so people can be better informed about cosmetic procedures before they decide to do them. I hope to meet you someday, and see how I can help you.

[@shockwave1126]

Dr. Prasad: Any opinion on subdermal Renuvion and collagen building?

[@AmiyaPrasadMD]

Hi Shockwave 11, While I don't use Renuvion in my practice, it’s important to remember that the particular device does not determine results, or causes complications, but rather the experience and judgment of the doctor using the device. The device is just a tool, and it’s the doctor’s judgment using the tool that separates great results from ineffectiveness, or potential complications. I hope this clarifies things for you.

[@shockwave1126]

Thank you for your response. I learn a lot from you channel.

[@AmiyaPrasadMD]

You're welcome,@@shockwave1126. And thank you for watching!

[@aprilmoe1468]

Where can I buy the Skin booster ?

[@AmiyaPrasadMD]

Hi April Moe, The Skin Booster, and extracting PRP from your own blood, needs to be done by a professional. I hope this clarifies things for you.

[@ambersoots668]

Dr. Prasad, how long of a downtime do you recommend between collagen stimulating procedures? Do you do multiple at a time if someone is a good candidate?

[@AmiyaPrasadMD]

Hi Amber Soots, I recommend 4 to 6 weeks between treatment sessions, as there is a limit to how much collagen can be induced. Collagen production is part of the healing process, so you need to leave adequate time between sessions for collagen to generate. Using more than one mode of treatment at the same time depends on the patient, and their condition, but it's possible. I often alternate laser treatments with PRP to reduce heat exposure to the patient. I hope this clarifies things for you.

[@taimaneliua8284]

Yes Thank u Dr. Prasad. We need more drs like you around

[@AmiyaPrasadMD]

Thank you for your kind words, Taimane liua! I'm glad you found the video helpful.

[@hayatali]

How can we use collagen then

[@AmiyaPrasadMD]

Hi Hayat Ali, The protein collagen is very important for skin quality, strength, and suppleness, and the body can be stimulated to synthesize collagen in specific treatment areas. However, if you are asking about collagen supplements, there is nothing special about them because they are digested like any other food before the body synthesizes its own collagen. I hope this clarifies things for you.

[@hayatali]

@@AmiyaPrasadMD I understand sr organic collagen powder have bad smell I can’t bear I didn’t decided how can I use this it’s taste less but there smell killing me can u suggest any easy way to use organic collagen

[@hayatali]

@@AmiyaPrasadMD when added water there is no paste it’s dissolve in watter like a soupe we drinking

[@hayatali]

@@AmiyaPrasadMD can we inject organic collagen in our specific skin area did its work ?

[@AmiyaPrasadMD]

Hi@@hayatali, As already answered, consuming collagen powder, even if it's organic, still gets digested like other food before the body synthesizes it to collagen it can use. Injecting collagen to specific areas is not a safe or predictable procedure. The body synthesizes the collagen it needs, which is done through the collagen induction treatments featured in the video. I hope this clarifies things for you.

[@lailanassar1002]

is fascia has any role at face wrinkle dr?as it apart of subdermal layar

[@AmiyaPrasadMD]

Hi laila nassar, It's a bit of a general topic to give a yes or no answer, so it actually depends on the specific area of the face. I hope this clarifies things for you.

[@irenedelpiano528]

What do you think about Exillis. A technology that uses radio frequency and ultra sound for skin tightening with no down time?

[@AmiyaPrasadMD]

Hi Irene Delpiano, I don't use this device specifically, but I generally don't recommend devices that cook the fat layer, and reduce facial volume that can make someone look older. I find that many people who consider these treatments already have thin skin, so volume enhancement is often recommended to put volume between the skin and the bone structure. A physical exam is needed to determine the treatments I would recommend for you. I hope this clarifies things for you.

[@dammar117]

I'm confused... You say that these devices cook the fat, but you also use RF and lasers? Which ones, specifically, cook the fat and which don't?

[@AmiyaPrasadMD]

Hi@@dammar117, It’s important to remember that the laser or radiofrequency device itself does not cause complications like facial volume loss, nor does it determine successful results, but rather the experience and judgment of the doctor using the laser or other device. The device is just a tool, and it’s the doctor’s judgment using the tool that separates great results from ineffectiveness, or potential complications. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@paulaadesokan288]

This is an excellent video Dr. Prasad. Thank you. So in you experience, do you think Ulthera is not effective. Also you mention FC02 Blepharoplasty, are you using the cutting mode or the resurfacing mode for the "blepharoplasty". Thanks again.

[@AmiyaPrasadMD]

Hi Paula Adesokan, I don't use Ulthera as the heat is sudden, not gradual. I do laser skin tightening and/or resurfacing in addition to surgical blepharoplasty, not to replace it. In some cases, I cauterize the internal incision in transconjunctival blepharoplasty, instead of sutures. I hope this clarifies things for you.

[@lightningandthunder2861]

Amiya Prasad, M.D. dr please advice me, I have melasma on my face, i need jowl & neck tightening. A plastic surgeon told me to get renuvion Jplasma for neck & jowls tightening. Please advise.

[@AmiyaPrasadMD]

Hi Lightning And thunder , Although I don't use Jplasma renuvion in my practice, I have to defer to your doctor's recommendation as they have examined your skin, and I have not. I hope this helps you.

[@SamPan20]

Hi Doctor, this video is an eye opener, thank you. What are your thoughts on micro needling (dermarollers)? Is it best to steer clear?

[@AmiyaPrasadMD]

Hi, Microneedling with a Dermapen is different from a dermaroller. A dermaroller unnecessarily stretches the microholes it creates with the rolling action, which the pen does not do. Also, dermarollers are usually used by people without formal training in microneedling, so they can be used too aggressively and too often, as compared with a professional with the pen, and giving adequate time for healing and collagen generation between treatment sessions. I hope this clarifies things for you.

[@dimplepandey9570]

@@AmiyaPrasadMD sir, will this treatment help in reducing the pores I am 24 having small pores on cheeks.

[@AmiyaPrasadMD]

Hi@@dimplepandey9570, Microneedling is not the recommended treatment for enlarged pores. I usually treat enlarged pores with a Q Switch laser. I hope this clarifies things for you.

[@amnab203]

I have Hyaluronidase damage in lower eyelids. Now there is alot of pigmentation under the lower lid. I am light skinned Indian. Fitzpatrick 3 or 4 maybe. Is q switch picoway best option for me for lightening?? Is my PIH only dermal or epidermal aswell??

[@AmiyaPrasadMD]

Hi, I need to examine your lower eyelids to determine what's the best treatment for your issue and skin type, but those are not the only options for you. You can refer to these videos about how we treat darkness under the eyes: kzbin.info/www/bejne/h3PZm52srbWnaMk kzbin.info/www/bejne/iWfCn4eIp5ann9E kzbin.info/www/bejne/oIK4k2lth9WUd68 kzbin.info/www/bejne/iHmtoJeYaZhqpZY

[@Corrans]

Question: if one does facial fillers (HA fillers) to address volume loss, what happens to those fillers if one then goes for a facelift?

[@AmiyaPrasadMD]

Hi Louise Corrans, It depends on the situation, but HA fillers may be left where they are during facelift surgery, or may have metabolized prior to surgery, or may need dissolving prior to surgery. It really depends on the individual circumstances. I hope this helps you.

[@monasinha1952]

Hi Dr Prasad I am a physician and have issues with uneven skin tone and acne scars. I saw one of my colleague who does microneedling and he suggested I should go for it with prp. I am a bit concerned and wondering if you can give me some advice if I should go for it or not. Thanks

[@AmiyaPrasadMD]

Hi mona sinha, As a physician, I'm sure you understand that I cannot advise the best treatment for you without ever seeing your face or examining your skin. I can advise that you get an opinion from a doctor who offers several modes of skin treatment so the best modes of treatment can be selected for your particular case and skin type. I hope this helps you.

[@venkateshgandi7866]

Hi sir can you please suggest the diet to take for collagen growth?

[@AmiyaPrasadMD]

Hi venkatesh gandi, There is no specific diet to boost collagen synthesis. A healthy diet enables collagen synthesis, and your body produces more collagen as a response to injury, as is shown in the video. I hope this clarifies things for you.

[@venkateshgandi7866]

@@AmiyaPrasadMD Thanks for the clarification.

[@AmiyaPrasadMD]

You're welcome,@@venkateshgandi7866!

[@tkapoor1913]

I have Lost facial mass just due to over massaging and puffing exercises. how to get it back without gaining body weight. ? Ur video has increased knowledge thanks,

[@dermlover1]

Over massaging? What exactly did you do that you lost fat in your face?

[@adminuser7221]

what did you do with over massaging?

[@hs.hussain]

Hi doctor , what is the benefit of hydra facial , my skin is discoloring, my skin tone is dark now I am confuse prp is good or hydra facial , I gave done prp but I didt find good result on me plz suggest

[@AmiyaPrasadMD]

Hi Hs. Hussain, I would have to examine your skin before making a specific recommendation. HydraFacial is basically microdermabrasion, but using water to exfoliate, and glycolic acid as a peel, with the added benefit of infusing the skin with different serums. PRP may take more than one treatment session for best results. I hope this clarifies things for you.

[@BrookeMitchellMusic]

Does the Clear and Brilliant laser pose the same risk of overheating as the radio frequency technologies? Is it safe to have a C&B treatment once a year for 39 year old skin?

[@AmiyaPrasadMD]

Hi Brooke Mitchell, Lasers usually more intense than radiofrequency devices. However, it is not the laser device itself that determines results, or the risk, but the practitioner selecting and using the device that determines results, and increases or reduces the risk of the procedure. I can't say what's best for your skin without examining your skin first. I hope this clarifies things for you.

[@smahdian4179]

hi Dr Amiya i am 27 i lost too much hair since my baby was born she is 2 years now and i started using Rogain for a month i noticed very dry skin and itchy around my ears and my face was swelling i just stopped it but is there any medication same as Rogain which i can use? please help me thank u

[@AmiyaPrasadMD]

Hi Sandy Mahdavi, You may have had postpartum hair shedding, which is normal after having a baby due to hormonal changes, but this usually requires no treatment, just an eventual stabilization of hormone levels. You should first be diagnosed for female pattern hair loss or other issues that require treatment like PCOS before thinking of medication. I hope this helps you.

[@DrAdnan]

If you apply fillers at the bone level does that compromise the structural integrity of bone, especially with weakening of the bone with age?

[@AmiyaPrasadMD]

Hi Adnan A, Hyaluronic acid fillers are placed on top of the bone, not through it, and hyaluronic acid fillers do not metabolize bone, so there is no effect on the integrity of bone. I hope this clarifies things for you.

[@azsoutheastvalleyrealestat6526]

I am considering PRP to improve thin creapy skin under my eyes. From your videos I've learned there are two ways to administer PRP (mircropen vs injection). Do you only recommend the injection of PRP with a needle vs the mircopen? I may have misunderstood.

[@AmiyaPrasadMD]

Hi AZ Southeast Valley Real Estate by Design, For under eye wrinkles and crepey skin, I would likely recommend PRP injection, and perhaps a laser or radiofrequency treatment to tighten the skin. You can review these videos about how I perform treatments for this area: kzbin.info/www/bejne/homwmYxvZbmFm68 kzbin.info/www/bejne/iWSYhK2OrcdghtE

[@reemhejles]

I am suffering afte hylorndase injection in my eyelids, to dissolve filler, the skin became very dry with wrinkles and pigmentations two weeks ago, after that I inject filler again , what is the proper time to do prp and co2 fractional laser? Thank you

[@AmiyaPrasadMD]

Hi Reem Hejles, I would have to examine your skin before recommending fractional CO2, especially since you experienced skin issues from your former treatments. PRP can help with skin and tissue rehabilitation, but I still need to perform a physical exam before making specific recommendations for you. I hope this clarifies things for you.

[@reemhejles]

I wish I can visit you, I am very far from your place, I am in the other half of the world, but I really suffer, and I don’t know what to do,and l am afraid to do anything make the things worse, I have Volume loss under my eye and pigmentations and a lot of wrinkles, and I put filler and my doctor said she will do fractional Co2, I am afraid this is not the right decision

[@AmiyaPrasadMD]

Hi@@reemhejles, I also apply fractional CO2 laser for under eye wrinkles in lighter skinned patients, and often alternate this with PRP to reduce exposure to lasers and heat. As your doctor has examined your skin, and I have not, it's not my place to question their judgment, but fractional CO2 is a reasonable treatment for under eye wrinkles, so I wouldn't rule out the possibility for you. I hope this helps you.

[@reemhejles]

Amiya Prasad, M.D. thank you so much

[@AmiyaPrasadMD]

You're welcome,@@reemhejles!

[@DrChethana]

Dr what is ur view about freckles removal with q switch Nd yag laser .? Most of the clinics offer this service...is there any difference in different Nd yag machines...what factors should I consider before I choose which provider to choose?.

[@AmiyaPrasadMD]

Hi Dr. Chetana A.M. Paudel, The difference in treatments lies more with the practitioners' experience and judgment than the particular devices they use. Therefore, you should choose the provide with the most expertise and experience with freckle removal. You can refer to these videos about it: kzbin.info/www/bejne/pKXMo4B5ZaqIkJI kzbin.info/www/bejne/javZXndvqrt5pqs kzbin.info/www/bejne/d5LbfoR4p5ihbdE

[@irenedelpiano528]

Your thoughts on technology that injects the radio frequency like Profound - one and done with major down time or do you prefer infini or medi pen that require multiple treatments with less downtime.?. Thank you for your knowledge this stuff is so confusing I am afraid to do anything in fear of causing damage to the dermis s of m skin,

[@AmiyaPrasadMD]

Hi Irene Delpiano, I don't recommend hot needles being placed into tissue at all, which can cook the dermis and subcutaneous fat. I don't think this type of device is as effective as it's promoted. I prefer limited use of more aggressive thermal devices like fractionated lasers, non-ablative lasers like Q Switch, milder radiofrequency like Pelleve, as well collagen treatments that don't use heat like PRP and skin boosting with hyaluronic acid. I hope this clarifies things for you.

[@kiranm7084]

@@AmiyaPrasadMD Hello skin Guru, Good day ! while in the process of body weight loss (or in diet) the face will get slim..at this time also will the face loss collagen ? if yes then how can we manage the collagen under eyes ? is it looks older while in diet ?

[@AmiyaPrasadMD]

Hi@@kiranm7084, You won't likely lose collagen while on a diet, but you do need to be careful with your diet as collagen is synthesized by the body with food you eat. You will likely look older while you're on a diet because you will lose facial fat volume, and as people age, they do lose facial volume from loss of fat, bone, muscle, and soft tissue. Collagen does diminish with age as well, and we lose about 1% a year starting in your 20s. I hope this clarifies things for you.

[@myskininskincare640]

Dear Dr Prasad, which lasers would you recommend to help get rid of wrinkles/early signs of sagging on lower eyelid and crepyness on the upper eyelid for someone in the mid 30's?

[@AmiyaPrasadMD]

Hi Myskinin Skincare, The brand or particular laser are not as important as the skill, expertise, and experience of the doctor using them. Lasers are just tools, and results are determined by the doctor using the tools. You can refer to these videos about treating wrinkles around the eyes: kzbin.info/www/bejne/homwmYxvZbmFm68 kzbin.info/www/bejne/r3mxaWSZr6qMZqM

[@ladyfame1430]

So drinking collagen powder will not help me? Ugh! Ok, how to I keep my bones from shrinking and diminishing? I know calcium is hard to get into your bones but there has to be a way to strengthen bone or slow the weakening. Any answers for that?

[@AmiyaPrasadMD]

Hi Lady Fame, While age-related bone volume loss cannot be prevented as it's a normal part of aging, you can still keep your bones healthy. A healthy vitamin D level is important to allow for calcium absorption. I hope this clarifies things for you.

[@ladyfame1430]

@@AmiyaPrasadMD ok, thank you for your response. I’m still going to try to find a way....lol. I don’t want to give up. I will find a breakthrough. Lol. You are very kind Sir.

[@AmiyaPrasadMD]

You're welcome, @@ladyfame1430!

[@jokepple6792]

Brilliant. I admire someone who is not afraid to debunk the ‘snake oil’ sales tactics of the cosmetic industry.

[@AmiyaPrasadMD]

Thanks for the appreciation, Jo Kepple! I make these videos so people are better informed about medical cosmetic procedures, so they can make better decisions about them.

[@jokepple6792]

@@AmiyaPrasadMD I very much value and enjoy your series. Please keep doing them. I am in New Zealand otherwise I would be booking my consultation 😊

[@AmiyaPrasadMD]

I'll surely keep posting videos, @@jokepple6792! Thank you for watching!

[@Ru4real1]

So what is the best collagen producing service?

[@AmiyaPrasadMD]

Hi Jenna Steward, There is no specific treatment that is best for inducing collagen in everyone, as there are several treatments available depending on skin type, and the body does have a limit in how much collagen can be induced at one time. I do recommend alternating collagen induction treatments, say a laser in one session, then PRP the next, to prevent overexposure and overheating with laser devices. I hope this clarifies things for you.

[@hazelnut0127]

Very informative. Thank you.

[@AmiyaPrasadMD]

You're welcome, Nancy Tokarz! Glad you found the video helpful!

[@elizabethboddington6696]

Please, does this mean that adding powdered collagen to my food is a useless exercise to improve my skin and/or to slow down its aging process?

[@AmiyaPrasadMD]

Hi Mary Wheeldon, Your body synthesizes collagen from all the food you eat. If you eat collagen, your body will still digest it, then synthesize it before it becomes collagen again. So, the collagen you eat may not be collagen anymore by the time you digest it, but your body can synthesize collagen from other food sources. I hope this clarifies things for you.

[@elizabethboddington6696]

Hello, thank you so much for your reply

[@AmiyaPrasadMD]

You're welcome, @@elizabethboddington6696!

[@fyufdrfgg2399]

I underwent a procedure to remove a cyst and the whole thing went wrong. It causer a retraction in the lower eyelid and my eyes look really odd and i want you to please help me because doctors here in egypt keep telling me contradicted opinions about my condition. The thing is that i can't afford travelling to America or any other country so that i can have a prober check. So if you can send me an invitation to visit you in Washington or if you happen to visit Egypt any time soon that would be great.And here is a photo before and after the procedure and i am sure you can tell there is a huge difference.

[@AmiyaPrasadMD]

Hi israa rajab, Sorry to hear about your problem. I don't practice medicine outside the US, but you can look for an eyelid specialist like an oculoplastic/oculofacial surgeon closer to your area, and at least contact their office if they are experienced in lower eyelid retraction repair. I hope this helps you.

[@nazneenrana4223]

Thanks doctor pleasee can you requment me a good skin specialist in Australia,

[@AmiyaPrasadMD]

Hi Nazneen Rana, Sorry, I'm not familiar with your doctors in your area. You can see several, and see who resonates with you. I hope this helps you.

[@orchidyas5971]

Is fotona a good laser ? it says that results last up to 6 months

[@AmiyaPrasadMD]

Hi Annie Papu, I do use Fotona lasers, but results are determined not by the device, but by the doctor's experience in using and selecting the laser. I hope this clarifies things for you.

[@marileorube24]

Hi doc can laser hair removal also cause skin damage if heat is too strong on face?

[@AmiyaPrasadMD]

Hi Elizabeth Hernandez, It isn't likely as heat and exposure is generally less for laser hair removal as compared to skin treatments. However, like all thermal treatments, it's not the device itself that potentially causes damage, but the experience and attention of the practitioner using the device. I hope this clarifies things for you.

[@marileorube24]

@@AmiyaPrasadMD 🙏

[@alvaradomario3445]

Hello do you know any physicians in Los Angeles area in California you recommend?

[@AmiyaPrasadMD]

Hi Alvarado Mario, While I do know colleagues in California, we do have different aesthetic styles. I suggest you research doctors in your area and look at their before and after results to see a style that resonates with you. I hope this helps you.

[@alvaradomario3445]

Okay . Is there a specific name of a physician that works for the under eye area ? Or just research cosmetic surgeon ?

[@AmiyaPrasadMD]

Hi@@alvaradomario3445, An oculoplastic/oculofacial surgeon like myself are more specialized in eyelid procedures than general plastic or general cosmetic surgeons. There are cosmetic surgeons who do more specialized procedures for the eyelids, while plastic surgeons are more generalists. I hope this clarifies things for you.

[@alvaradomario3445]

Amiya Prasad, M.D. one last question do most oculofacial surgeons work with PRP?

[@AmiyaPrasadMD]

Hi@@alvaradomario3445, Use of PRP varies with doctors, so you will have to ask about it specifically. I was one of the first cosmetic, and oculoplastic surgeons to administer PRP for cosmetic medicine, and watched other colleagues over the years adopt it. I hope this helps you.

[@justinajones3000]

So true..."the high jacking" of medical judgement.

[@AmiyaPrasadMD]

You are right, Justina Jones. The most important factor in determining results is the doctor, not the devices which are just the tools they use.

[@Cinder1987]

Oh, the money we’ve spent on creams and supplements for the skin to prevent and stop aging. These companies swear the products work. Those rose colored glasses make us believe anything. The only applied cream that has shown me difference is prescription Retin A and it must be used on a regular basis over time for me to see results. I still use moisturizers/creams but for the reason of hydration and they make my skin feel better, too. But, as the Doctor here stated the results are temporary and these mainly just moisturize. Great video here that everyone should see. 🌈👀

[@AmiyaPrasadMD]

Thank you for your insight, urthebest1122! Yes, there are definitely too many miracle creams out there. And thanks for recommending the video!

[@Cinder1987]

@@AmiyaPrasadMD You’re so welcome! :)

[@jjhlk6737]

Seems like a nice approach of different technologies to maximize best results.

[@AmiyaPrasadMD]

Hi jjh lk, You are right in that the best results are usually from a combination of treatments rather than just a single mode of treatment.

[@alvaradomario3445]

Is there a email I can send you some pics of my face and you can give me a rough estimate of what’s good ? I’m thinking of doing PRP Injections around the tear trough

[@AmiyaPrasadMD]

Hi Alvarado Mario, You can send your pictures through prasadcosmeticsurgery.com/virtual-consultation/ or eyelifts.com/virtual-consultation/ or puffyeyes.com/virtual-consultation/ for a preliminary review. Please note that this is not a formal consultation, but a preliminary evaluation. I hope to hear from you soon.

[@ladymargauxkho2606]

Hi, Doc! thank you so much for this video. I really wanted to see you but I am from the Philippines. A few questions- I've been undergoing RF (Ultra V) to have a V-shape face. Is this safe & effective? Also, the clinic is offering Mezotix treatment for my chicken skin & wrinkles. Ever heard of it? Would you say it's safe & effective, too? by the way, I am 42yrs old. Thanks!

[@AmiyaPrasadMD]

Hi Lady Margaux Kho, I don't use the devices you mention, but are you saying you're having your face slimmed with a radiofrequency device?

[@blu3j00Ls]

This is out of topic, but, your smile warms the heart 😁

[@AmiyaPrasadMD]

Aww, thanks for compliment, j00Ls j.! It warmed my heart! :)

[@Phoenixtwinflame363]

Dr Prasad, since you seem very straight forward in your approach I'd like to ask you what your thoughts are on a basically unspoken subject no plastic surgeon or surgeons in general will speak about. And, that is the FACT, as it's been proven, that surgery involving general anesthesia does sometimes, more often than not, more harm than good to a patient? There's much data, research and evidence that patients, especially later in life after 50 who undergo surgery involving anesthesia are more likely to establish cognitive impairment and ultimately Alzheimers and Dementia, as well as overall memory loss. As well, anesthesia to the overall body & mind is harmful. In fact, surgery can create a plethora of health problems against what we are trying to "fix" & avoid in having plastic surgery and that, among many things is an assault to the body, face and in turn creating free radical damage and an overall decline in health. I wish there were more HONEST Doctors out there that would speak up on this ongoing issue. People trust the medical community and look to you as healers, but the truth is the majority of doctors are more concerned with making money than the hippocratic oath they swore to "Do No Harm". Many reputable surgeons are starting to realize the harm in general anesthesia and are now taking a more - less evasive approach by using local anesthesia with sometimes iv sedation. I myself have had to go under general anesthesia many times and have personally noticed a HUGE decline in my memory and overall health. Please respond with your thoughts...

[@gent8940]

Will low level IPL on eye wrinkles help build collagen?

[@AmiyaPrasadMD]

Hi Gen T, There needs to be enough heat for the body to recognize an injury before collagen is induced. I strongly advise you have an experienced doctor do this, and you don't try it at home with a device as you can end up making things worse without proper training. I hope this clarifies things for you.

[@rumawalke5608]

Dear Dr.Prasad. Can PRP alone help in collagen induction.. Your video is very enlightening. Thanks.

[@AmiyaPrasadMD]

Hi Ruma Walke, Thank you! I'm glad you found the video helpful! It is possible, but it depends on the area being treated, the issue being treated, and the extent of damage or aging. A physical exam is needed to determine the best treatment for you, and also to try the treatment to see how you respond. Collagen induction treatments usually take more than one treatment session for best results, so it is often a treat, observe, then treat again type of scenario. I hope this clarifies things for you.

[@truthdogschell8473]

Thank you very much. I love listening to you!

[@AmiyaPrasadMD]

You're welcome, Truth&Dogs Chell! Thanks for your kind words, and for watching!

[@simonac688.]

Great great Tuto Doc 👍👍

[@AmiyaPrasadMD]

I'm glad you found the video helpful, beez.!

[@Zennie371]

Hello Dr. Prasad. 🤩🤩🤩🤩 Happy Labor Day! I I watched your video regarding PRP and your technique which is better for hair growth. At this moment I can't really afford to see you, but I am saving my money to get that appointment. 😊😊😊😊 I went to a Clinic that was listed on Groupon. (Dumb Idea) The technician could'nt draw blood from me. She said my veins where small. What you mentioned in this video regarding people are not well trained and don't know what they're doing, is true. She stuck me several times leaving bruises. Having small veins is it a signal that I have some type of health problem? Do you have where your office could take insurance for certain procedures? I do have hypothyroidism. Again thank so much for your videos!

[@AmiyaPrasadMD]

Thank you, Zee D! Enjoy your Labor Day! Hope to see you soon!

[@Donna-vh5ym]

I spent $1400 on Juvederm that was suppose to last 2 years on my marionette lines. After the swelling went down nada NOTHING. My marionette lines were still there. Dr. told me my body absorbed it quickly. Is that true. If so, $1,400 down the drain or toilet I should say.

[@AmiyaPrasadMD]

Hi Donna Bowman, Sorry to hear about your problem. Without details of your treatment, I can't tell how much actual filler your doctor used. When I place filler for marionette lines, I place it deeper at the bone level, which is a stronger foundation than the soft tissue, so it can support more filler without looking soft and doughy, and actually looks more firm and defined. You can refer to these videos about it: kzbin.info/www/bejne/eGKsc5WHfZh7d7M kzbin.info/www/bejne/qHTNpoh3pMt4fLc

[@Donna-vh5ym]

@@AmiyaPrasadMD // thank you so much. He only did the corners of my mouth. I'll refer to your videos you provided. I wish I lived closer to you. Again, thank you.

[@Donna-vh5ym]

@@AmiyaPrasadMD // by the way, he used Juvederm Voluma, but not much. I wish I remembered what he said about the amount he used, but it was just the tiny corners of my mouth.

[@AmiyaPrasadMD]

You're welcome,@@Donna-vh5ym! Voluma does last up to 2 years, but it is possible that not enough was used, or it was placed just under the skin where it could have migrated.

[@Really_riel]

What can be done when a cream containing corticosteroid is used on under the eye and then causes thinning of the lower eyelid skin which makes the veins very visible?. Can retin-A be used to reverse this steroid induced skin thinning?

[@AmiyaPrasadMD]

Hi Adeolu Adeyinka, It is unlikely that a corticosteroid caused thinning of your eyelid skin, unless you have another skin condition. I would have to diagnose the cause with a skin examination before recommending a specific treatment. I hope this helps you.

[@loisluge1479]

Doc is time for legislation to regulate this industry for the protection of the consumer.. People with GED’s doing stuff only trained docs should be doing. Criminal penalties need to be assessed for violations. It’s wild out here.

[@AmiyaPrasadMD]

Hi Lois Luge, I agree that there should be some control over those who can administer thermal treatments, but unfortunately that's not the case in most states in the US.

[@wem-c9f]

I get you when you said how dietary collagen will be broken by our digestive system but i wonder why our cells wouldn’t use the protein molecules to make collagen for our skin to replace the ones we lose. So the phrase “we are what we eat” is kind of wrong. But shouldnt good things eg dietary vitamic C and anti-oxidants in fruits do our skin good? I thought people who take such things whether as supplements or in fresh food would result in better skin? Is this not scientifically proven, or is it just a myth or are the results hits and misses?

[@AmiyaPrasadMD]

Hi Grateful Princess of God, The phrase is not necessarily wrong because while the body can synthesize collagen from a variety of foods and nutrients, the body does not synthesize vitamin C and antioxidants, which it does need to maintain health. I hope this clarifies things for you.

[@wem-c9f]

@@AmiyaPrasadMD Good point, Dr. I wonder then why wouldn't our cells use the building blocks of digested collagen proteins we eat to rebuild collagen. I wonder if it's all coded in our DNA so as we age, we are not capable to do so anymore. We can do all that we can with modern science and money, but eventually there's nothing much left to do except to have sagging skin and bone volume loss and inevitable ageing. :/

[@AmiyaPrasadMD]

Hi@@wem-c9f, Digested animal collagen can still be synthesized into collagen by the body, but other digested foods are also used by the body to synthesize collagen. Collagen in the body declines by about 1% a year after age 25, which is why treatments like lasers, radiofrequency, and PRP are used to stimulate additional collagen production as aging treatments. I hope this clarifies things for you.

[@dcabahraich7430]

Sir what side effects of collegen induction treatment and stay long?

[@AmiyaPrasadMD]

Hi Ishrat Khan, The risks of collagen induction therapy is in overdoing the treatment, where the skin and essential fat layer can be damaged with prolonged heat exposure. You can refer to this video about the effects of overtreatment and overexposure - kzbin.info/www/bejne/npm9Z4iXa5WrZ9E

[@lindajanssen6230]

Fotoana laser good for thickness en collega’s!! Let me know 🥰

[@AmiyaPrasadMD]

Hi Linda Janssen, The Fotona laser is featured in the video. However, it’s important to remember that the laser itself does not cause complications like facial volume loss, nor does it determine successful results, but rather the experience and judgment of the doctor using the laser or other device. The device is just a tool, and it’s the doctor’s judgment using the tool that separates great results from ineffectiveness, or potential complications. I hope this clarifies things for you.

[@morinaty964]

thank you so much!

[@AmiyaPrasadMD]

You're welcome, Morina ty! I'm glad you found the video helpful!

[@elinblomberg7140]

Love your videos!

[@AmiyaPrasadMD]

Thank you for watching, Elin Blomberg! I'm happy you find them helpful!

[@sabanabi2063]

Hi Dr.. Thank you so much for detailed informative videos. I also have scars on my face but don't know which treatment would be best for me.. I want to share my scars pictures with you if you can guide me please. Where should i send? Please reply..

[@AmiyaPrasadMD]

Hi Saba Nabi, Scar treatment like acne scarring is best assessed in a physical exam by an experienced doctor, then addressed by a treatment plan that could involve several modalities and multiple treatments. While pictures may help, they don't give details about your skin that a physical exam can provide. You can get actionable advice by booking an in-person consultation with me, or see an experienced doctor closer to where you live. You can also watch this video about why treatment varies so much depending on the person and their situation - kzbin.info/www/bejne/Z3Ksg4SYftqDqK8

[@ejerperalta]

Should I consider fractional co2 laser with downtime of 5-7 days?

[@AmiyaPrasadMD]

Hi Ejer Peralta, If this was recommended by an experienced doctor who has examined your skin, than you should consider it. I have not seen your situation, so I can't make exact recommendations for you. You should note that your results are determined by your doctor's experience with the laser, not the device itself. I hope this clarifies things for you.

[@dechendolma9627]

I love your videos doctor

[@AmiyaPrasadMD]

Thank you for your kind words, Dechen Dolma! And thank you for watching!

[@dimpol335]

Very Honest and fair information, I really appreciate. Thank you! your such a great Dr. ❤️ Now I'm your subscriber. 🎉🎉🎉💕💕💕 #keepsafe #GodBless🙏😇

[@AmiyaPrasadMD]

Thank you for kind words, Maricar L. Bergomio! And thanks for watching and subcribing!

[@Swizzenator]

Hi Doc. I'm 62 with a 11 shoe size. Can you recommend PRF, PRP, Erbium laser, radiofrequency or cucumbers on my eyeballs? And my hair is thinning. Jeez, some of these questions to this Dr. are silly. Luckily the common sense in this video should tell everyone there's only one way most doctors can review and recommend a treatment plan. Face to face.Looking forward to my answer Doc.😂

[@AmiyaPrasadMD]

You know what I go through, Mike Albanese. Thank you for being pragmatic.

[@zanelemakabane2999]

Good and informative video Dr. Which physicians can you recommend in South Africa?

[@AmiyaPrasadMD]

Thank you, Zanele Makabane! Although I do know many of my colleagues, we do have different styles and approaches to cosmetic medicine. I suggest you look for doctors who offer both surgical and non-surgical options so you don't get a bias, and try to avoid doctors who are biased toward specific devices because they are leasing them or paying them off. Surgeon who own several devices tend to be less biased toward a particular device or procedure. I hope this clarifies things for you.

[@woobler32]

I loved it

[@AmiyaPrasadMD]

I'm glad you found the helpful, Am trak!

[@missunique65]

dude - first you say lasers eat fat, thin the skin and age you then you say you offer them! this is NUTS! no wonder women are going crazy.

[@AmiyaPrasadMD]

Hi tectonicblond, You are mistaken as I say that laser devices are just tools, and it is the practitioner using them that determines results, and complications like volume loss and skin thinning. With proper use and exposure, lasers can stimulate collagen, resurface the skin, and tighten the skin. With overheating and overexposure, lasers can thin the skin, and cook the fat layer below the skin, causing volume loss. Again, it is proper use of lasers by an experienced practitioner that improves your appearance; but overheating and overexposure by an inexperienced practitioner, or patients demanding a lifting effect to avoid surgery that leads to overheating and overexposure, that causes complications. I hope this clarifies things for you.

[@Sharperthanu1]

nOT IF THAT "YOUNG" PERSON SUNTANS.

[@AmiyaPrasadMD]

Hi adrienne gellman, The negative effects of excessive sun exposure are described starting at 6:16 of the video.

[@heidikaiktsian5969]

Measured and honest.

[@AmiyaPrasadMD]

Thank you for your kind words, Heidi Kaiktsian!