Avoiding Facial Volume Loss from Laser/ Radiofrequency Treatments, and Procedures They Can't Replace

[@arymhansie]

You are such a brilliant doctor, you take all the time to explain things at great length. I hope to see you some day!

[@AmiyaPrasadMD]

Thank you for the kind words, arym hansie! Glad you find the videos helpful!

[@sadafkhan1858]

I just love how he answers questions and bring forth the necessary information without unnecessary talk specially how calm humble and informative his approach and tone is . That’s what made me subscribe immediately.

[@AmiyaPrasadMD]

Thank you for your kind words, Sadaf Khan! And thanks for watching, and subscribing!

[@sonianoir5766]

Finally a DR who tells it like it is. I knew purely from observation, many years ago, that thermal was creating a gaunt look on patients and some fat loss a few months later. Wish you were in California! Thank you.

[@AmiyaPrasadMD]

Thank you, Sonia Noir!

[@melt7891]

And Australia!

[@dammar117]

Also, be careful of at home devices. I've been using one for a few months and I now notice accelerated sagging.

[@AmiyaPrasadMD]

Hi dam mar, Sorry to hear about your problem. I do agree with you as the problem with home devices is the lack of training for the user, who tends to over treat themselves when they don't notice results. Also, many device manufacturers don't give clear instructions on safe use of their devices, but many of these manufacturers also don't have the proper training to say what is proper use of their own devices. This more recent video may help you in skin rehabilitation from your home device - kzbin.info/www/bejne/q2exmJZ3n8qWfdE

[@geminiflower]

What was the device?

[@Kaytariq]

Is that nuface??

[@LS-hu1lm]

Love the video music and production values from the 90s and the Dr's information from 10 years in the future. If I visit NY I definitely want to come see you!

[@AmiyaPrasadMD]

Thank you for your kind words, LS F! I'm really happy you like the videos! Come see us any time!

[@adriaticseaeyes]

WOW! so timely here for me in 2021 when I was contemplating a laser package for my acne scarring...thank you Dr. Prasad

[@AmiyaPrasadMD]

Hi adriaticseaeyes, Laser treatment can still be beneficial for treating acne scars, but you will likely need more than one mode of treatment for best results. Also, offering a package may be good, although it's not clear if there are other treatments involved, as acne scars do require several treatment sessions before improvement is seen. You can refer to these videos about why a treatment plan is needed to treat acne scars: kzbin.info/www/bejne/Z3Ksg4SYftqDqK8 kzbin.info/www/bejne/r4u5dKt_hMmpp5o

[@lyndabustillos5209]

Dr. Prasad, what an awesomely honest, informative, and well articulated video! Thank you:)

[@AmiyaPrasadMD]

Thank you for your kind words, Lynda Bustillos! I'm glad the video helped you :)

[@Kathrynh246]

This was EXCELLENT Dr. Prasad!! xoxoxo!!!

[@AmiyaPrasadMD]

Thanks again, KathysBeautyCareChats! I appreciate your continued viewership!

[@AmiyaPrasadMD]

Thank you for your kind words,@Joe Gillis!

[@martha2004]

“Find a Dr. you can trust”, hard to do so. You sound like an honest Dr. I wish you were in Canada. I am done some procedures and the results are worse, so I give up, and I believe all they done is steal my money. Now I will only do facials like Oxygene. Thanks

[@AmiyaPrasadMD]

Hi martha borges, Sorry to hear about your past experiences. If you are in Eastern Canada near the border, we are not far for you to travel to see us. I hope this helps you.

[@dammar117]

I am in Canada and went to get treated by Dr Prasad. Totally worth it. He did a superb job on my eyebags, and I am considering going back to him for structural volumizing once covid is over. Will not go to anyone else. Travel time, bank loan... totally worth it.

[@AmiyaPrasadMD]

Thank you for your kind words, @@dammar117! Hope to see you again soon! We are expecting to reopen this month, as soon as the State lifts the temporary ban on elective surgeries.

[@pulgini1002]

Dr. Prasad is fabulous!!

[@AmiyaPrasadMD]

Thank you for your kind words, pulgini1002!

[@SparkingLife111]

So a rf device can help stimulate collagen but due to heat also causes fat loss? Also makes me question how heat causes fat loss bc if so than putting a heating pad on my hips should cause fat loss. Or is it the combination of heat and rf that causes fat loss.

[@AmiyaPrasadMD]

Hi sparkinglife 111, Laser and RF devices don't have to cause fat loss if they are used appropriately with limited exposure and heat. Laser and RF devices are much hotter and more concentrated than a heating pad, so a heating pad will not cause fat loss. I hope this clarifies things for you.

[@justinajones3000]

@@AmiyaPrasadMD Excellent response.

[@AmiyaPrasadMD]

Thanks @@justinajones3000!

[@user-uj6sc7ls9y]

@@AmiyaPrasadMD What about home RF treatments? The machines are much weaker than professional ones. Are they strong enough to cause loss of facial volume? (Are they strong enough to do anything?)

[@AmiyaPrasadMD]

Hi@@user-uj6sc7ls9y, The problem with home radiofrequency treatments, even if they are not as intense as professional devices, is that users aren't trained to use them. Keep in mind that volume loss is not caused by professional devices, but rather the practitioner using them. The same principle applies to home based devices, but with even less training and experience using them. I hope this clarifies things for you.

[@larabardot6836]

Dear Dr. Prasad, I’ve had an Aerolase Neo treatment done on my whole face 2 weeks ago for my acne scars and rejuvenation. My treatment was pretty fast, there was barely any pain, no downtime and no redness or any side effects afterwards other than a nicer skin tone. My biggest concern is that I found out too late that it’s essentially an IPL type of laser and I’ve read some horror stories online about it. There’s several reviews claiming it caused them premature aging, facial fat loss, rash etc. The worst part is that they’re saying that the damage starts showing 3 weeks to 3 months after which makes me really anxious and scared. Do you think I have a reason to be concerned considering I only had one treatment? Thank you in advance!

[@AmiyaPrasadMD]

Hi Lara Bardot, Damage from laser treatment usually occurs when a patient insists on a lifting effect to avoid surgery, so treatment gets more aggressive with higher temperature, and prolonged exposure. It doesn't sound like this is what happened to you as treating acne scars is not as aggressive as trying to get a non-surgical facelift. You can review this video about how laser treatment can be done more safely with the doctor's skill and experience - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@arcims_razor9057]

FaceTite was marketed to me by my doctor vs a lower face lift. Big mistake. I will never get a radio frequency procedure again. I now have to get a neck lift to fix the laxity the RF procedure caused.

[@AmiyaPrasadMD]

Sorry to hear that, Rebekah Dunbar. You can refer to this more recent video about how skin can be rehabilitated after previous damage from thermal treatments - kzbin.info/www/bejne/q2exmJZ3n8qWfdE

[@MR-fn7rw]

Pretty sure facetite isn’t an RF device, but a infrared light device

[@rosemarykennedy5430]

That was helpful . Thanks ❤

[@AmiyaPrasadMD]

You're welcome, @rosemarykennedy5430. I'm glad you found the video helpful.

[@melt7891]

Thankyou so much. Your videos are so important.

[@AmiyaPrasadMD]

You're welcome, Mel T! I'm glad the video helped you. Thanks again for watching!

[@janeharman9670]

Great explanation and advice 👏🏻 So honest and professional. I would love to have a consultation with you Dr Prasad. So bad you aren’t he in LA.

[@AmiyaPrasadMD]

Thank you for your kind words, Jane Harman! And thanks for watching! Please contact us if you'd like a virtual consultation over Skype or FaceTime.

[@thisisaname4661]

If you look up the topic of laser resurfacing and facial fat loss on Real Self most surgeons will say that it does NOT cause fat atrophy. Why is this?

[@AmiyaPrasadMD]

Hi Jessica Postopoly, 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. Complications from laser treatments are most often due to the patient insisting on a lifting effect from the laser treatment so they can avoid surgery, so it's important to have reasonable expectations from the treatment to not risk these complications. I hope this clarifies things for you.

[@user-br3vj6qn7l]

Because many doctors only think in money, they dont say the truth obviuosly. I also reaad all those opinions of doctors saying that lasers cant cause fat loss an they are safe... SHAME!!!

[@dianne90277]

I had CO2 laser damage that can’t be repaired- hypo pigmentation, volume loss, laxity and more wrinkles. Wish I had watched this beforehand

[@AmiyaPrasadMD]

Sorry to hear about that, Diane Greer. I did make a more recent video than this one about possible treatment of damage after aggressive thermal treatments - kzbin.info/www/bejne/q2exmJZ3n8qWfdE

[@pnevlud]

Are you any better now ?

[@hamiam100]

Thank you for the advice. And your skin Doctor is beautiful

[@AmiyaPrasadMD]

You're welcome, james lynn ham! And thank you for the compliment!

[@JMyungKun]

Does VBeam treatment used to remove facial broken capillaries cause facial volume loss as well?

[@AmiyaPrasadMD]

Hi Nicholas Lim, 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. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@Phoenixtwinflame363]

I had Ultheraoy done 3 times on my neck and once on my face and under eyes to "tighten" the skin, spending thousands each time and enduring a LOT of pain in the process. What did I end up with? Severe crepey neck skin and atrophy of fat under my eyes!! Its taken years to finally discover that these frequency devices that supposedly are supposed to tighten actually do the complete opposite!! I've looked 10-15 yrs younger my entire life, to the point where I still got carded well into my 50's. However, I could not understand why it was that my neck, in the middle, looks so saggy, crepey, older looking than my 75 told mother at times. I now need a neck lift and surgeons have warned me it may not last more than a couple yrs due to the unusually thin, poor quality due to loss of fat, elastin, I have to my neck. When I told them I've done Ultherapy 3 times to my neck they stated that's the problem...fat depleted due to this device!! And, I never had a loss of fat under my eyes until doing Ultherapy in that area. I'm now also wondering if the clear & brilliant & fraxil laser treatments I've done were also depleting my fat as well?! Anything that heats the under dermis of skin depletes fat! I'm so angry that I put my trust in these doctors and all that $$$ to look worse and be so ashamed and uncomfortable to show my neck!!

[@AmiyaPrasadMD]

Hi Heidi D'Angelo, Sorry to hear about what happened to you. I actually don't use high frequency ultrasound devices in my practice as they heat to suddenly, I prefer devices with greater temperature control to avoid complications. While you did indicate this in your comments, it's important to note that results, or complications are determined by the judgment, experience, and skill of the doctor or practitioner using the device, not the device itself. You can refer to this more recent video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@havad3938]

You're an angel- being so responsive, as a busy surgeon...Are there any home devices safe (to not losing fat)? I read RF (or high frequency?) was ok below 41 C... I'm looking into sonic devices, micro current, and Dr. pen. Thank you

[@AmiyaPrasadMD]

Hi Havad, 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. At home devices are used by people without proper training with the device, and instructions are not comprehensive enough to adjust for treatment of different skin issues, or different skin types. Also, people without training tend to use the device too frequently, and without enough healing time between sessions for collagen induction. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@biazac]

Very good explanation Dr. What do you think about Fotona? People say it doesn't lose facial fat, I would like to know your opinion about Fotona.

[@AmiyaPrasadMD]

Hi @biazac, While I do feature Fotona in my videos as I use their lasers in my offices, 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. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@src3360]

I was an RN/esthetician at a medspa and helped with consults and I always stressed that nothing replaces a surgical procedure, NOTHING. What if I do 10 Ultherapy treatments and 10000 threads, will it make my neck look 16 again??? No, no it wont.... But a neck lift would make it look 35 again!!!!

[@AmiyaPrasadMD]

Hi SRC, Thank you for your professional insight! Trying to replace surgical lifting procedures with lasers does lead to many avoidable complications. I actually don't perform threadlifts at all since they only lift the skin, and do not treat the underlying tissue and muscle foundation. I did make a video specifically about why lasers can't replace a surgical lifting procedure to try to educate people about it - kzbin.info/www/bejne/kGbPqWZvYshjqac

[@esmidt529]

Hello Dr. Prasad, Thank you very much for this educational video. I have a question. I have lost weight when I stopped using the birth control pil. Fat has also disappeared in my face, that has changed my appearience and I am very sad about that. Can I use an Ultrasonic Rechargeable Face Skin Scrubber Facial Cleaning Blackhead Removal Cleaner without risk of losing more fat in my face? Specs of this device: Facial skin ultrasonic scrubber works for gently peel horniness and skin rejuvenation. It removes and eliminates dead cell effectively to avoid the cuticle stacking. When using for several days, this ultrasonic facial cleaner can relieve melanin and dirt, firm wrinkles and whiten skin, help restore the elasticity of skin and make your skin firm, smooth and delicate. Ultrasonic vibration 28000Hz per second. Thank you in advance for your reply. Esther - The Netherlands

[@AmiyaPrasadMD]

Hi Esther, Home devices are usually not hot enough to cause fat loss, but since they are used with medical no training, there is a potential for misuse or overuse. I'm not familiar with that particular device, but generally they claim benefits that they will likely not live up to. I can't give a certain yes or no answer, but I can advise you to be careful with any home based device, and be wary of their claims. I hope this helps you.

[@esmidt529]

@@AmiyaPrasadMD Thank you so much for your reply.

[@AmiyaPrasadMD]

You're welcome,@@esmidt529!

[@makeupbykulz8603]

Hi there , I’m planning on having Harmony XL pro ipixel and clear lift treatment done , would these devises come under thermal heating ? The ipixel I believe only work on the top layer of the skin and scabs .. clear lift is deeper , please do advice us abd thank you ❤

[@AmiyaPrasadMD]

Hi Makeupbykulz, While I don't use these devices in my practice, they are indeed lasers which fall under thermal/ heating devices. 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. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@4AMPizza]

Doctor, is there a lower risk of facial fat loss with non-ablative lasers? Neo-elite Aerolase, for instance?

[@AmiyaPrasadMD]

Hi @4AMPizza, 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 laser 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 more recent video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@rawveganpam]

Is it safe to do micro needling after a laser treatment? How long would you suggest to wait after laser to do microneedling? What frequency is safe and what depth of needle is safe and still effective? Thank you.

[@AmiyaPrasadMD]

Hi Raw vegan Pam, Your skin needs to heal after laser or microneedling treatment, so they're not safe to do together. Consult your doctor about what works best for your skin, but it's usually 4-8 weeks spaced apart. Depth is also determined by thickness of your skin and problem you are looking to treat. I hope this clarifies things for you.

[@simonac688.]

Very informative and professional approach...thanks Doc

[@AmiyaPrasadMD]

Thanks beez.! Glad you found the video helpful

[@lyndabaker4212]

What would you recommend for medium dark Mexican skin that hyperpigmentation easily ? I was recommended profound or picosure. What do you think about the PRP and hyloronic acid?

[@AmiyaPrasadMD]

Hi Lynda Baker, It's not clear what issue you are trying to treat, but it is crucial that examine the problem you want treated, and your skin type before I make specific treatment recommendations. I hope this helps you.

[@OE2023]

Hi doctor, love your work 🙏🏾 wish more of this information was shown for people buying home devices. I hope you don't mind me asking I bought a device from amazon it hardly heats at all (RF) but the microcurrent is strong I've used it a lot of times because of the instructions but now I'm thinking what if I've caused fat loss. If the device doesn't get hot should I be okay? (I'm 26) many thanks Emma

[@AmiyaPrasadMD]

Hi She's Circa, I generally don't recommend use of home heating devices because a general set of instructions for use can't apply to every skin type and condition, and people using these devices have little to no training in using them. Keep in mind that collagen is stimulated by these devices on a controlled injury model, so without proper training, you are literally hurting your skin. I hope this clarifies things for you.

[@OE2023]

@@AmiyaPrasadMD Thank you it does ❤️

[@AmiyaPrasadMD]

You're welcome, @@OE2023!

[@malis1473]

Why do we see celebrities with bad looking faces due to fillers? Is that because the skin stretches every time and you need a bigger filler that in the long term will end up in sagging even harder ??how many years you can use a filler before it looses its effectiveness?5 years? And also what do you think of mini injectables such as Profhilo???

[@AmiyaPrasadMD]

Hi newlife s, The most likely reason why you see celebrities looking puffy and doughy is that the filler placed in a superficial level of the face migrates. Filler can be placed at the bone level, and in between the muscle to completely avoid this look. Fillers also do not stretch the skin. You can refer to these videos about these exact issues you are asking about: kzbin.info/www/bejne/eKPFZaiKr996bpo kzbin.info/www/bejne/nqmYZWOneauVqNU Also, Profhilo is a hyaluronic acid filler that's still not in use in the US, but it appears to be comparable to others on the market. Results aren't determined by the filler material, but by the skill and experience of the doctor using them. I hope this clarifies things for you.

[@malis1473]

But these celebrities go to renown clinics and doctors , what I want to say is , hard to believe it’s not because of face dropping , gravity necessity to now fill even a more hollow area

[@AmiyaPrasadMD]

Hi newlife s, I hope you saw the videos about placing filler at the bone level, which completely avoids the bloated facial look, and looks more defined and angular. Not many doctors perform this technique of filler placement, even the ones you consider renowned. I hope this clarifies things further for you.

[@Rose82155]

Thank you for the video. May I ask, Can you get fat loss from getting Fraxel laser treatment? Or is it typically just RF?

[@AmiyaPrasadMD]

Hi Angela Murphy, 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. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@GiveHimGlory89]

What is more effective for acne scars, microneedling rf or microneedling with prp in your experience? ( I subscribed and liked your videos btw doc).

[@AmiyaPrasadMD]

Hi Brandon Prazak, Thank you for watching, liking, and subscribing! While I don't use RF microneedling in my practice, and use microneedling less often as there are other collagen induction therapies available, there is no single best treatment for acne scars that applies to every case, and every skin type. You can refer to these videos about it: kzbin.info/www/bejne/Z3Ksg4SYftqDqK8 kzbin.info/www/bejne/g6fXdax5jrqahZY

[@priscillapilates640]

@@AmiyaPrasadMD Hi Dr, Which other collagen induction therapies do you recommend against Microneedling? I have just had my second microneedling procedure and loved the results.

[@monikamiliczka6104]

Thanks! RF it’s only bad If you over used it! In good hands it’s beneficial! I’d like to know the disadvantages of those fillers.

[@AmiyaPrasadMD]

Hi Monika Miliczka, You are absolutely right as the results of thermal treatments like radiofrequency and lasers are dependent on the doctor's skill, and the device is just their tool. The same principle applies to cosmetic fillers, as filler is just the material, and results are determined by the artist who is the doctor. The main disadvantage of hyaluronic acid fillers is they do need periodic maintenance. However, this disadvantage is also an advantage since hyaluronic acid fillers are safely metabolized by the body since hyaluronic acid is naturally produced by the body. Semi-permanent and permanent fillers usually result in severe complications from staying in the body too long, causing infection, migration, and foreign body reactions. I hope this clarifies things for you.

[@truth-alwayswins]

Beautiful work💙

[@AmiyaPrasadMD]

Thank you for the compliment, Truth!

[@yazidtouahria9810]

Hello doctor, what do you think of fat graft after a facial fat loss caused by radiofrequency session ? Thank you doctor

[@AmiyaPrasadMD]

Hi Travel Mark, I wouldn't advise a facial fat graft to treat volume loss due to overheating. Fat grafting is not predictable because 30-70% of grafted fat is absorbed by the body quickly after the procedure, so volume will likely look uneven and asymmetric. I hope this clarifies things for you.

[@yazidtouahria9810]

Amiya Prasad, M.D. to conclude in the case of a skin rehabilitation caused by overheating, we can not regain 100% of the volume lost? whether it be with prp, fat injection or whatever?

[@AmiyaPrasadMD]

Hi@@yazidtouahria9810, It does depend on the extent of damage, and how you respond to treatment. Without a physical examination, and actually attempting treatment, I can't say for sure. However, when fat cells are lost, they are lost permanently, but remaining fat can be made healthier for the appearance of youthful volume. I hope this helps you.

[@yazidtouahria9810]

Amiya Prasad, M.D. Thank you doctor, youre the best

[@AmiyaPrasadMD]

You're welcome,@@yazidtouahria9810! And thank you for the kind words!

[@flowerbackdrops9383]

I love you videos. Does laser hair rein the face damage the face . I’ve done laser hair removal on my face and since then I noticed the hair on my face getting thicker and my face get really dry since and pores open. Ever since then I don’t have that smoothe dewy face anymore. Also can you tell me which is better -microneedling or twinlight fractional rejuvenation ( fatona micro laser peel)

[@AmiyaPrasadMD]

Hi Flower Backdrops, It’s important to remember that the particular device does not determine results, 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. The problem with home-based devices is that the person operating them is not properly trained to use them, and instructions that come with them are not detailed enough, and people using them don't know how to adjust them for different conditions and skin types. I hope this clarifies things for you.

[@violeticious9197]

Hello! Thank you for explaining all this. It’s great that there are doctors like you. I always like to do my research. Is there any natural way to help restore lost fat from radio frequency facial? Maybe with diet or massage or with hyaluron face serums? A year ago I went to a dermatology clinic and got 8 procedures. The lady dermatologist who had just got out of med school took this procedures as a joke and overcooked my forehead. After several procedures there was great effect and I wanted to get a treatment every 10 to 14 days, because that is what the internet said is best to wait, but the lady assured me it’s ok to get them each week and even with less than 5 days rest between procedures to match HER schedule. I trusted her because she is a doctor and said I was hypochondriac whenever I asked her a question. That was a red flag, but I stayed anyway because then I didn’t know better. She also didn’t do my eyebrows because the appliance was too big for that area and used it a lot on my cheeks near my nose and on forehead between the eyebrows . After one particular procedure I noticed my angry wrinkle became almost invisible, however my forehead was super flat between my eyebrows. The skin itself looked great and my cheekbones and jawline were visibly improved like contoured, however my forehead and the cheeks next to my nose were flatter. The center of my face looks flatter till this day and gives me a stupid expression. Nobody else could notice it, but I definitely do see it and it makes me wanna cry. I got a mini rf appliance to use at home and it is small and can be used on my eyebrows. Maybe my face will not look that flat between the eyebrows when the eyebrows themselves get the treatment. I also intend to not concentrate on fatty parts and not overcook my face because I feel like that is what that lady did. I feel like this would not have happened if the lady was more careful to not overcook the fatty parts of my face. She used way too much heat and the procedures were way too often and I feel like she made mistakes with my treatment because she was careless and arrogant. The clinic itself has good reputation and the young lady doesn’t work there anymore. Do you have any advice? I really really hate needles, though, I faint when I get a shot. Thank you for taking the time to read that long comment! 💕💕💕

[@AmiyaPrasadMD]

Hi Violeticious, Sorry to hear about your problem. I suggest you don't use an RF device at home as without the proper training, you can cause more damage. Platelet-rich plasma, or PRP as described in the video, is a natural treatment that can improve the health of the fat layer underneath the skin. It's natural because it comes from your own blood, but you do need an experienced doctor to prepare it, and inject it in the right areas for what I call tissue rehabilitation. I understand you don't like needles, but it can be done with topical anesthetic so you don't feel much, if anything at all. I hope this clarifies things for you.

[@BrightWinter23]

Hello! Do you recommend fibroblast for the eye area? I have thin skin under eyes. What is your opinion on the treatment??

[@AmiyaPrasadMD]

Hi BrightWinter23, Fibroblasts are recruited with PRP treatment, and PRP injections are what I normally recommend and administer to thicken thin lower eyelid skin. You can refer to these more recent videos about it: kzbin.info/www/bejne/i4KQZ51_m8ZmsLM kzbin.info/www/bejne/b56alH6If5udb5o

[@cretan982]

Great video. Was about to get a popular RF device off Amazon and glad I saw this first.

[@AmiyaPrasadMD]

Thanks, w rsg23! Glad the video helped you!

[@angelafoley446]

Me too 👍

[@larayne]

Really great explanations, thank you. How do you feel about sculptra vs HA for re-volumization of the face?

[@AmiyaPrasadMD]

Hi La Rayne, I prefer hyaluronic acid fillers for facial volume because they are more predictable, and volume is created by the filler material itself. Sculptra that uses poly-L-lactic acid relies on a metabolic reaction to create volume, so the shape, and results are not as predictable. I hope this clarifies things for you.

[@larayne]

Amiya Prasad, M.D. , thanks, yes, this makes sense. I‘ve tried both and the volume gain is somewhat unpredictable with Sculptra, but personally, I found that sculptra looks more natural than an HA correction (depending on the viscosity of the product and placement, HA can look more like an implant rather than natural facial fat, esp. when moving the face - but it‘s definitely more predictable - as I get older, I don‘t respond quite so well to sculptra. ) Maybe I‘ll try fat transfer once I reach 50. 🤔 Thanks for all your useful clips!

[@bojanadjordjevic7063]

Hi, can Fractora in some way replace fract. CO2 when it comes to results for reducing acne scars? Thanks!

[@AmiyaPrasadMD]

Hi Bojana Lazarevic, Although I don't use Fractora in my practice, I do use another radiofrequency device called Pelleve. A physical exam is needed to determine the best treatments for acne scars, as there is no single best treatment like fractional CO2 laser that applies to everyone, and every skin type. You can refer to this video for more details - kzbin.info/www/bejne/Z3Ksg4SYftqDqK8

[@missyheev508]

What about micro current? Will there be harsh consequences after stop continuous using?

[@AmiyaPrasadMD]

Hi Missy Heev, Micro current is not a heat treatment, so it doesn't have the same possible effects on facial volume loss. However, I don't think micro current treatments are effective, so I don't use them in my practice. I hope this clarifies things for you.

[@missyheev508]

@@AmiyaPrasadMD Thank you so much for answering! As always not many response their viewers I just had to post the question since I been using micro current device for 4 months and was concern after seeing your video. Really appreciate and am relieved.

[@AmiyaPrasadMD]

You're welcome, @@missyheev508!

[@OliveB69]

Can the Cool Peel CO2 laser cause facial fat loss? I was going to have it done for the acne scars on my cheeks.

[@AmiyaPrasadMD]

Hi Olivia Reinhardt, 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. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@miyip921]

Hello Dr. What is your opinion of morpheous8 treatment for textured acne and surgical scars ?

[@AmiyaPrasadMD]

Hi Miyi P, While I don't use Morpheus8 in my practice, it’s important to understand that results, or complications are determined by the judgment, experience, and skill of the doctor or practitioner using the device, not the device itself. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@BostonPower]

DOCTOR, HOW OFTEN CAN I SAFELY DO A CARBON PEEL? I AM 50 WITH NO SAGGING OR FAT LOSS. THANK YOU! IT'S NICE TO GET AN UNBIASED VIEW ON LASERS.

[@AmiyaPrasadMD]

Hi flexiblematthew, I would have to examine what you are looking to treat, as well as the condition of your skin before recommending how many sessions you would need. It is important to allow for healing, and for collagen generation between sessions, which are usually 4-6 weeks apart. How many treatments you would need can be determined by how you respond to the initial sessions. I hope this helps you.

[@BostonPower]

@@AmiyaPrasadMD THANK YOU KINDLY. I FORGOT TO ASK YOU IF THERE'S A RISK OF FAT LOSS WITH REPEATED SESSIONS?

[@AmiyaPrasadMD]

Hi@@BostonPower, Fat loss is most often to overheating or overexposure, so this risk is reduced by the experience of the doctor performing it. I avoid overexposure by alternating laser treatments with PRP injections, which still stimulate collagen, but without heat. I hope this clarifies things for you.

[@BostonPower]

@@AmiyaPrasadMD THANK YOU KINDLY!

[@AmiyaPrasadMD]

You're welcome, @@BostonPower!

[@btctothemoon7504]

liked, subscribed, n saved the video. so informative, thank u

[@AmiyaPrasadMD]

Thank you for watching and subscribing, Anney RN! I'm glad you found the video helpful! I do have a more recent video about this topic, for your reference - kzbin.info/www/bejne/q2exmJZ3n8qWfdE

[@karinatulla9488]

Hi Doctor. I have a question, what kind of laser do you recommend for acne and dull skin? I have problem with Acne scar and my face skin color is dull. So yesterday, I went to one of the famous clinic in Germany. I was gonna choose Laser CO2 but then the doctor told me, Laser CO2 isn't good for my skin, because it will turn my skin tone darker. And He recommended me to get laser Radio-frequency needling for 2-3 treatments. Do you think should i get it? Or maybe if you have an advice about what is the best treatment lf acne scar. Thanks.

[@AmiyaPrasadMD]

Hi KARINA AMELIA, I hope you understand that I can't recommend specific laser treatment for you without examining your issue, and your skin type first. While I don't perform RF microneedling, I do perform RF treatments for people with darker skin types that may have issues with hyperpigmentation from CO2 laser. As your doctor has examined your skin, and I have not, I would defer to their judgment. You can refer to this video about why there is no single best treatment for acne scars that applies to everyone - kzbin.info/www/bejne/Z3Ksg4SYftqDqK8

[@TwinMillMC]

Ultherapy is one that has very bad volume loss results also.

[@AmiyaPrasadMD]

Hi TwinMillMC, You are absolutely right, but I didn't feature ultherapy here as I don't use it in my practice, mainly because it heats up very quickly, and temperature is difficult to regulate with it to prevent overexposure and overheating.

[@leidypedraza8684]

Hi Dr. thanks for such a information. Please let me know if Q-switch laser is safe. I am using it for skin texture repair, after acne. I got scheduled with 12 treatments every two weeks taking one. I already had 8. Please let me know if is safe or if u recommend me a better option. Thank you.

[@AmiyaPrasadMD]

Hi Luna Vida, Q switch laser is relatively safe, as safety of any device is determined by the practitioner using it. As your doctor has examined your skin and I have not, it's not my place to recommend another option, so I would defer to your doctor's treatment plan. I hope this clarifies things foryou.

[@anaduca4461]

dear Dr. kindly advise a.what method is more efficient to do vampire prp? Inhectablr or dermapen? it's not on the video's subject but appreciate your reply b. with what method could I improve my skin tonus more with colagen to have a more healthy face look. thanks in advance!!!!

[@AmiyaPrasadMD]

Hi Ana Duca, The Vampire Facelift is a specific treatment of PRP with a single syringe of hyaluronic acid filler that has to be injected. The Vampire Facial is done with microneedling. I do apply PRP with microneedling as well. The best treatment for you would have to be determined with a physical exam first, then we can discuss the many options to induce collagen. It's important to keep in mind that there is a limit to collagen stimulation, and your body can't produce more collagen if you do more aggressive treatments. I hope this clarifies things for you.

[@leenac997]

Hello Doctor Hope u doing well :) I wanted to knoe that at home hifu device also cause volume or fat loss ..?

[@AmiyaPrasadMD]

Hi lc, 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. If you don't know how much heat is needed, how long exposure should be, and the healing time needed between sessions, than you can do some serious damage to your skin. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@beautifulfacesskincare]

Thank you, this was excellent!

[@AmiyaPrasadMD]

Thank you, Beautiful Faces Skincare! Glad you found the video helpful!

[@Jade-sm3pk]

Can gaining wight help the Neck if one is thinner ? Or once the fat volume is gone from the neck it’s gone?? Thank you for video and info:)

[@AmiyaPrasadMD]

Hi Jade Strutinski, Gaining weight may make your other areas of your body disproportionate, so it may not be the best approach in improving appearance. It's unclear if you lost neck volume from a previous treatment, or if it's just naturally thin. There are healthy and proportionate ways to gain weight with diet and exercise if one is naturally thin. I hope this helps you.

[@Jade-sm3pk]

Thank you for your reply :)

[@Jade-sm3pk]

@@AmiyaPrasadMD Thanks for your reply:)

[@AmiyaPrasadMD]

You're welcome, @@Jade-sm3pk

[@YAHSHUA2285]

Good looking out Dr.Prasad Really good info thank God and my self I haven't got none of this Treatments done so I se it's always better to start from the inside out using fillers your Explanation makes alot of Cents thanks for your time Dr.Prasad

[@AmiyaPrasadMD]

You' re welcome, Roberto Fernandez! I'm happy you are watching the video closely, and it's helping you!

[@valvalp888]

Thank you Dr. Prasad! In addition to the solutions you offer in this video do you ever repose the lost fat with facial fat transfers? or is that something you do not do? Thank you! all the best to you!

[@AmiyaPrasadMD]

Hi ValVal P, Yes, facial fat transfers are treatments I do perform, and is safer for the cheeks and around the mouth as the skin here is thicker than the lower eyelids, but it should be noted that 30-70% of transferred fat is quickly absorbed by the body, so at least 2 sessions are usually needed. If you want to restore facial volume more predictably, and more conveniently, I would perform injectable filler treatment. I hope this clarifies things for you.

[@valvalp888]

@@AmiyaPrasadMD Yes, it does! Thank you so much for your response! I really appreciate it!!

[@AmiyaPrasadMD]

You're welcome, ValVal P!

[@user-ht1ft3dy3s]

I'm treating some veins under my eyes with Nd: YAG laser 1064 nm. Can this laser at this frequency cause fat loss?

[@AmiyaPrasadMD]

Hi C, 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. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@jonilapointe6494]

HI Dr. Prasad, I have had a co2 treatment which has been referred to as Dot. Immediately I had malasma occur, which I never had before. I received a cream that seemed to be effective to calm the malasma. Later I noticed that my skin didn't feel the same and I began to see what looked like breakouts. These breakouts were odd in that they appeared in a row of three. Looking much like a pimple, except (3). As time passed the pimple like lesion became a dark spot and then a pock mark scar. This keeps occuring on my face and I am ay a loss of what if anything I can do. My doctor has decided to ignore my situation which makes me skeptical. I have also noticed his nurse praticioner who did the procedure is no longer working there. Also, my esthetician of 7 years is also gone. Do you have any advice that you can pass along to me? I'm located in San Diego, California. I can provide pictures if you would like.

[@AmiyaPrasadMD]

Hi Joni LaPointe, Sorry to hear about your problem, but I would have to physically examine your skin for a proper second opinion before I can recommend a strategy for you. I hope you understand that making recommendations based on just your description alone, or even pictures that don't reveal details of your skin, and not performing the recommended procedure myself, has the potential to make things worse for you. I hope you understand.

[@jennyquezada9644]

Is okay to get laser genesis every other month?

[@AmiyaPrasadMD]

Hi Jenny Quezada, It depends on the area being treated, and the intensity and duration of each treatment session. I hope this clarifies things for you.

[@lynnkristy1]

Thank you for this information.

[@AmiyaPrasadMD]

You're welcome, Lynn Kristy! Glad you found the video informative.

[@TubeYoYOYO]

Is Venus Freeze a better alternative to avoid volume loss? It works on magnetized pulses and Radio Frequency.

[@AmiyaPrasadMD]

Hi Dreamy, It’s important to remember that the particular device does not determine results, 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.

[@alanbritofinito2940]

I am 50 and they are offering me an RF treatment called morpheus8, will it be convenient?

[@AmiyaPrasadMD]

Hi Alan Britofinito, 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. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@chypiuusa]

thank you for the fantastic video ! what is the device you use to deliver PRP and HA and would it cause any bleeding/bruising?

[@AmiyaPrasadMD]

Hi tramchip, Avoiding excessive bruising and bleeding depends on the area of the face, but generally it's about avoiding vessels, and in some areas of thicker tissue using blunt cannulas instead of needles. I hope this clarifies things for you.

[@siyachari9107]

what's about LED light for fighting acne bacteria, does it safe for hyper pigmentation or heat side effects? thanks in advance

[@AmiyaPrasadMD]

Hi siyapar chari, LED does not generate heat to cause hyperpigmentation, and is a shorter wavelength so it doesn't penetrate very deeply. I would have to examine your skin and your issues to determine a more effective treatment for you, that also avoids complications like hyperpigmentation. It's important to keep in mind that it's not the device that causes hyperpigmentation and complications, but the skill of the practitioner using and selecting the device that causes these issues, and also determines results. I hope this helps you.

[@nz2737]

Is this specifically for lasers that target fat cells or all laser ? For example is this a risk of lasers like excel V that only target blood vessels ?

[@AmiyaPrasadMD]

Hi Nairuz Almaghrawi, 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.

[@JohnSmith-sj2dk]

Hi Dr Prasad, I am considering PSR (Plasma Skin Resurfacing), do you think this technology is less likely to cause volume loss?

[@AmiyaPrasadMD]

Hi Glenn Williams, While I don't use that particular technology, 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.

[@tlapo9671]

Dr Prasad- if a poorly trained person performed a DOT laser aggressively on a patients face, could it cause fat to displace onto the neck/ collarbone area?

[@AmiyaPrasadMD]

Hi T LaPo, Overly aggressive laser treatments don't cause fat to be moved somewhere else, but rather shrunk, then literally cooked under high temperature exposure for too long. Fat requires a blood supply to remain in a given location, so it is more likely that the fat in the collarbone and neck are native to those areas, and the fat cells in those areas may have gotten bigger with weight gain. I hope this clarifies things for you.

[@supermind14delicate]

Hi dr i am suffering from macular amylodosis on my upper back started uv sessions it affect the itching but the spots still, what you think about yag or ftactional for the treatment?

[@AmiyaPrasadMD]

Hi supermind14delicate, This is not an area I usually treat, but you can consult a dermatologist who can examine your upper back, and recommend treatment based on the examination. I hope this helps you.

[@melissasaal8577]

Can co2 deep lasers cause volume loss? Especially on thin skin like around eyes? Or is it more about RF and Ultrasound devices that heat underneath skin?

[@AmiyaPrasadMD]

Hi Melissa Saal, CO2 lasers or any thermal treatment like radiofrequency or high frequency ultrasound when not used properly can cause volume loss. 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. You can refer to these videos about it: kzbin.info/www/bejne/q2exmJZ3n8qWfdE kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@olgacherry-ix3km]

Thank you so much for the video -while it was informative, it still left me confused. I was recommended ultherapy in order to lift my face a little bit in order to reduce nasolabial folds. I am in my late 30s I only have insignificant gravitation of the face downwards, however, it is making those laugh lines more prominent. but after this video, I am not sure will the ultherapy give me any significant results or that it would be worth the high price of the procedure. 😢

[@AmiyaPrasadMD]

Hi Olga cherry, Complications from thermal devices most often happen when a device meant for skin tightening is used excessively, or more intensely to get a non-surgical lift. We do treat nasolabial folds non-surgically by addressing the facial volume loss that causes them. You can refer to these videos about it: kzbin.info/www/bejne/qHTNpoh3pMt4fLc kzbin.info/www/bejne/eGKsc5WHfZh7d7M

[@lak9456]

Hi. Can Rf cause facial fat loss even if used on other areas of the body and NOT the face? Thank you

[@AmiyaPrasadMD]

Hi L Ak, Thermal devices are used intentionally for body fat reduction in areas like the flanks, abdomen, arms, etc. I encourage my patients to lose weight first through diet and exercise to get within 10 lbs. of their ideal body weight, then use these treatments for problem areas. I hope this clarifies things for you.

[@lak9456]

@@AmiyaPrasadMD Thanks. What I meant is, can RF affect the face even if not directly used on the face?

[@AmiyaPrasadMD]

Hi@@lak9456, Radiofrequency and other thermal treatments are targeted, so treating other areas will not affect the face. I hope this clarifies things for you.

[@arymhansie]

Dr Prasad, what do you recommend for melasma??

[@AmiyaPrasadMD]

Hi arym hansie, Melasma is usually treated by a laser, which is detailed in this video kzbin.info/www/bejne/hWXPqZ-PlJ6Uoa8

[@madeleinebugbee2986]

Can facial fat loss be easily avoided with Morpheus8 if set to only 1 or 2 mm?

[@AmiyaPrasadMD]

Hi Madeleine Bugbee, 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. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@ames8032]

Dear doctor! I’m thinking of doing fractional co2 laser for upper and bottom eyelids for eye rejuvenation and fine lines. Do you think this procedure will make my under eye more hollowed due to fat loss?? Does it THIN the skin long term? I hope you can let me know so I can prevent it and not do it. Do you consider this a good treatment for fine lines under eyes? Thank you 😃

[@AmiyaPrasadMD]

Hi Amy Thai, It’s important to understand that results are determined by the judgment, experience, and skill of the doctor or practitioner using the device, not the device itself. You can refer to this video about treating lines and wrinkles around the eye area - kzbin.info/www/bejne/homwmYxvZbmFm68

[@mariposa6157]

What is the solution for losing fat and volume after laser co2 on face ?

[@AmiyaPrasadMD]

Hi Mariposa, 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. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@reihino7857]

Hello doctor. Can laser treatment to get rid of visible blood vessels on the face and body cause fat loss, if done improperly?

[@AmiyaPrasadMD]

Hi @reihino7857, Lasers used for visible blood vessels usually don't cause fat loss, especially since this treatment only uses short exposure to laser energy. I hope this clarifies things for you.

[@reihino7857]

Thank you very much for your response.

[@AmiyaPrasadMD]

You're welcome,@@reihino7857

[@pnevlud]

Hi doc. My doc recommended c02 under my eye for some minor skin laxity as I am not a candidate for surgery. After reading RealSelf review I’m scared of permanent damage! Is there a particular c02 machine or is there a level to use? I will be having this discussion with Dr Rostami prior to doing it but I am trying the educate myself first. Thank you

[@AmiyaPrasadMD]

Hi Pamekay, 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. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@pnevlud]

@@AmiyaPrasadMD sir I have watched all your videos. I just love you for sharing so much information. I did ask she she herself do the procedure, not a tech! I actually told her about your videos and and said she is familiar with you. Thank you 😊

[@pnevlud]

@@AmiyaPrasadMD is the ECLIPSE EQUINOX CO2 FRACTIONAL LASER outdated? I looked at my doctors website and they are saying that is the co2 they use. Unless they have not updated the site

[@AmiyaPrasadMD]

Hi@@pnevlud, I wouldn't call it outdated. Again, it's the doctor's experience and expertise using it that are important, not the model of the laser. I hope this clarifies things for you.

[@pnevlud]

@@AmiyaPrasadMD thank you so very much this helps making my decision on doing it or not

[@michaelr5100]

Dr. Prasad, would you recommend RF as maintenance for someone in their 30s with only slight laxity/sagging?

[@AmiyaPrasadMD]

Hi Michael R, I would have to examine your skin, as well as loss of facial volume before making specific recommendations. I did make a video about treating the first signs of facial aging, for your reference - kzbin.info/www/bejne/j3Tal2iabt5kjpI

[@lorainecarolan8630]

hi doc i`m 40 and want to tightening my skin RF and laser sounds great, should i use them?. but i do worry about fat loss!. you did say in ur video that you can use them but not often is that correct doc. if so what is the best temper to use them at and what number of wats how strong should the device be.? i heard that it should only be 2wats.i was thinking about useing the device called NEBULYFT can you have a look at its info for me. so you can give me your best advice .Thanks doc(. i`m on no meds and haven`t tried and devices b4.)

[@AmiyaPrasadMD]

Hi loraine carolan, It’s important to understand that results or complications are determined by the judgment, experience, and skill of the doctor or practitioner using the device, not the device itself. If you don't have the training to use these devices, I recommend you don't do it yourself. I can't recommend a temperature and exposure without examining your skin, knowing the issues you want treated, or knowing the device you have. The money you are trying to save by not having it done by an experienced practitioner may end up costing you much more in trying to rehabilitate your skin due to damage, or not getting any result from these home devices at all. I hope this clarifies things for you.

[@lorainecarolan8630]

​ @Amiya Prasad, M.D. hi doc thanks for your answer (many dont answer so thank u very much !!!.) and for that good advice. so now i have a follow on question. i`m 40 as you now no and have fat loss around my face i always thought i could just get fillers when the time came to do so. But now with research i see that fillers are dangerous. many, if not all can make you go blind! is that ture? what filler or procedure could i get that would be safe to get done. what would fill up my face making it pulmp again.? i live in uk by the way doc.

[@AmiyaPrasadMD]

Hi@@lorainecarolan8630, Risks of injectable fillers are minimized or avoided by the experience and expertise of the doctor performing them. You can refer to these videos about the risks of filler treatment: kzbin.info/www/bejne/onKZmpiqeNuNnJo kzbin.info/www/bejne/fYCUpZR6btKngdU

[@esterig.9955]

What is your opinion of Joov red light therapy. Does this cause volume loss?

[@AmiyaPrasadMD]

Hi Esteri G., While I don't have prior knowledge of this type of therapy, it is not the same as the more intense heat, and more directly applied medical-grade lasers featured in the video. I hope this clarifies things for you.

[@esterig.9955]

@@AmiyaPrasadMD Thank you for your response Dr. Prasad. I do think that the JOov company would say that even though you feel warmth it doesn't heat the skin. I also am wondering about this product that would seem to be very low level. I called the company and they said it wouldn't melt any fat or heat the skin yet their description seems to say there is some heating. Does this look safe enough and of any value? oxylift.ca/how-oxylift-works/ They recommend 3 miunutes twice a day. Would you consider this not prolonged as mentionned in your lecture so it is o.k. and useful?

[@AmiyaPrasadMD]

Hi@@esterig.9955, That device looks similar to other home devices that aren't of much benefit. What I describe in the video is overuse of professional thermal devices, especially when people insist on a surgical lifting effect from a thermal device only, which can lead to overheating and overexposure. I hope this clarifies things for you.

[@visco876]

I have dark circles and dermatologist adviced 8 session of Venus freeze plus treatment ,Low energy RF and Magnetic pulses for Blood circulation and lymphatic drainage and 4 session of melanostop and nomelan peel Does that sounds ok ?

[@AmiyaPrasadMD]

Hi vishal sanghavi, I haven't examined your skin like your dermatologist has, so it's not my place to contradict their recommendations. You can refer to these videos about how I usually treat dark under eye circles for my patients: kzbin.info/www/bejne/h3PZm52srbWnaMk kzbin.info/www/bejne/oIK4k2lth9WUd68 kzbin.info/www/bejne/iWfCn4eIp5ann9E

[@micdeleon]

...can the at home rf devices cause volume loss? I believe the one I have is 5 watts.

[@AmiyaPrasadMD]

Hi micdeleon, It is possible depending on the amount of exposure. The problems with home skin heating or microneedling devices are unknowingly using them too often, too aggressively, overexposure, or not giving the skin a chance to recover between sessions. I hope this clarifies things for you.

[@vibha.anand3856]

Hi doc, is mini radiofrequency device safe to be used at home? My aim is to lose fat from lower face and skin tightening....mini rf device is available in 2 MHz, 3 mhz and 5 MHz online..,,. Which one should I choose? Please reply...

[@AmiyaPrasadMD]

Hi Aleesha Sayed, It’s important to remember that the particular device does not determine results, 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. At home devices are used by people without proper training with the device, and instructions are not comprehensive enough to adjust for treatment of different skin issues, or different skin types. I hope this clarifies things for you.

[@dandelions2414]

I have another q sorry Doctor. If I get filler to help with my volume loss. I am booked in for jaw today and had cheeks two days ago, will it stop natural volume/fat/tissue from growing back eventually?

[@AmiyaPrasadMD]

Hi Dandelion S, Fat volume doesn't grow back if the fat cells were completely destroyed. What we do with PRP in these cases is try to improve or stimulate the residual fat from previous treatment to increase in volume, as well as stimulate collagen in the skin. Adding volume with filler should not disrupt this process. I hope this clarifies things for you.

[@stavroskolliniatis9352]

I'm 20 and this year I still had babyfat on my face. People always thought I was a teen. Unfortunately this year I had a Fraxel treatment with microneedking and I feel like that 1 fraxel treatment burned off my baby fat if that makes sense. It still dishesrtens me to this day and I feel disfigured. What can I do to help fix this damage?

[@stavroskolliniatis9352]

I feel like I've lost that baby face look and I hate it.

[@AmiyaPrasadMD]

Hi @stavroskolliniatis9352, Sorry to hear about your problem. At the very young age of 20, you should not be having aggressive skin treatments. It is possible to improve the health, and volume of the surviving facial fat, but I recommend you no longer have any thermal treatments until you are much older. You can refer to this video on how surviving fat can be improved - kzbin.info/www/bejne/q2exmJZ3n8qWfdE

[@stavroskolliniatis9352]

@AmiyaPrasadMD I also wanted to ask. I was prescribed tretnoine 0.04% for my acne but I was wondering if it's safe to start in your 20s and if it'll be alright for my skin in the longterm before I start

[@AmiyaPrasadMD]

Hi@@stavroskolliniatis9352, I hope you understand that without an examination of your skin like your doctor did, it's not my place to question their recommendation. I would have to see you in consultation to give you a proper second opinion. I hope this helps you.

[@wem-c9f]

Dr Prasad, do you make any videos on acid peels? Thank you.

[@AmiyaPrasadMD]

Sorry, I don't. Acid peels are the gold standard for skin resurfacing, but lasers have largely replaced them as they are more precise and customizable. I hope this clarifies things for you.

[@kmily700]

So you don't recommend home rf devices for face? What can I do at home myself for tightening and getting thicker collagen, hydrate etc.

[@AmiyaPrasadMD]

Hi Isabelle L, The reason why I don't recommend at home thermal devices is that the user is likely not trained to use them appropriately, so they may be overly aggressive, or not allow the appropriate healing time between sessions. The instructions accompanying these devices are not comprehensive as even the manufacturers are often not aware of the appropriate exposure and healing time needed. I hope this helps you.

[@kmily700]

@@AmiyaPrasadMD but will these home devices melt face fat in use?

[@AmiyaPrasadMD]

Hi@@kmily700, It's not the device itself that causes facial fat loss, but too much heat, or prolonged heat exposure which is done by inexperience of the user. It's important to remember that these devices are just tools, and actual results are determined by the experience and expertise of the user. This is why I don't recommend home use thermal devices because they are not in the hands of a trained user. I hope this clarifies things for you.

[@KyleTO7]

If RF devices cause fat loss then wouldn't that be a perfect device to use for under the eyes if it's all subcutaneous fat pads causing the puffiness?

[@AmiyaPrasadMD]

Hi Kyle 0, That's not the way it works as lower eyelid skin is very delicate since it's the thinnest skin in the body at only 0.5mm thick, and the lower eyelids do not have the essential fat layer that is affected by overheating or overexposure to thermal treatments. I hope this clarifies things for you.

[@IPVCE1]

Interesting ! can I use aspirin powder wet for 20 mints under the bags to reduce puffiness ? is there any damage ?

[@AmiyaPrasadMD]

Hi Willie PC, If your eyes are puffy all the time, it is caused by fat, and aspirin can't melt fat, and be safe for thin eyelid skin at the same time. The safest treatment to remove fat is through surgery. You can watch these recent videos about eye bag treatment: kzbin.info/www/bejne/i3WwpGCqqN6Zaq8 kzbin.info/www/bejne/r6TdoY2JhKp6pbM

[@anjalidarade5405]

Sir do you come to Mumbai

[@AmiyaPrasadMD]

Hi Anjali Darade, Sorry, although I'm of Indian descent, I only practice medicine in the US.

[@ainsleyspencer4555]

Dr happy 2020 hope all the well for you and your business what is your view on BTL exiles that uses RF and ultrasound for fat reduction and skin tightening

[@AmiyaPrasadMD]

Happy New Year, Ainsley Spencer! I don't use high frequency ultrasound devices in my practice because of sudden and high heat, but I do use various lasers as well as RF devices like Pelleve for skin toning and tightening that have more gradual heating. Fat reduction using thermal devices can be unpredictable, so I do prefer using liposculpture. I hope this clarifies things for you.

[@ZaraQadir97]

I wish I would have seen it earlier. I lost facial volume from Duvet and RF treatment. The complexion has become darkened and I lost the natural glow on my face. What should I do to improve my complexion and to restore some volume. I'm so stressed and I cant visit US. Thanks doc.

[@AmiyaPrasadMD]

Hi Humera Aslam, Sorry to hear about your problem. You can look for a local doctor in your area who performs PRP injections to help improve the fat layer under the skin, as well as improve skin thickness and quality. You may need several treatment sessions for best results. I hope this clarifies things for you.

[@pnevlud]

My doctor like Opus Rf but now she has Morpheus 8 prob misspelled and she want me to try it for skin tightening. What are you thoughts on that machine?

[@AmiyaPrasadMD]

Hi Pamekay, 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. You can refer to this video about it - kzbin.info/www/bejne/oYvYq2aGpLmcZqs

[@pnevlud]

@@AmiyaPrasadMD thank you sir

[@AmiyaPrasadMD]

You're welcome,@@pnevlud

[@mackwild5072]

I just got an at home heating device that also uses red laser therapy. It says to use 3 times a week no more than 15 minutes. It sounds like your saying that would be too much. Should I return the device? I'm just trying to eliminate crows feet, forehead wrinkles and bags under my eyes. Also are the red laser masks part of the class of device your warning about? Thanks for the education.

[@AmiyaPrasadMD]

Hi Mack Wild, I generally don't advise use of thermal devices without professional guidance. However, crow's feet and forehead wrinkles are mostly a result of muscle activity which heat won't treat, and eye bags are caused by orbital fat where your thin eyelid skin would be damaged before the fat is "cooked" which can also be dangerous and unpredictable, so the premise of the device's effectiveness is also suspect. I hope this clarifies things for you.

[@meditationdeepsleepmusic9271]

Ur answers help me alot. Thanks

[@AmiyaPrasadMD]

Glad you find them helpful, @@meditationdeepsleepmusic9271!

[@nz2737]

Hi doctor. I am wondering how you treat your rosacea patients as I was hoping do get some laser treatments done for persistent redness but am concerned about the possibility of facial volume loss. Is there any way laser can be used to treat redness without compromising volume? thank you so much

[@AmiyaPrasadMD]

Hi Nairuz Almaghrawi, 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.

[@chowaakter3947]

Sir Thnq Um From Bangladesh .I just wanna know That Is It Really Worked (RF) To our Belly Fat back side Fat Melting um so Confused that It is Worked & also it's Not Risky to our Health or Our Tissues? Plzz give me Suggestions 🙂

[@AmiyaPrasadMD]

Hi Chowa Akter, I usually encourage my patients to reduce weight and fat volume with diet and exercise first. I then treat these patients with thermal devices for fat loss when they are already within 10 pounds of their target body weight, and use a thermal treatment for the stubborn problem areas. I don't recommend fat reduction using a thermal device alone. I hope this clarifies things for you.

[@fabiandjm]

I am a little confused by all the information on this topic. I had three ipl treatments done and do notice my skin is a little more saggy than before. Im 31. I was about to schedule an rf treatment and ran into this video. I previously did at home dermarolling which I believe also affected my skin and made my pores bigger. I am now doing at home light therapy with red, amber, deep red and near infrared and feel no change. I feel lost. What is your opinion on clear and brilliant? Should buy and apply retinol? Please help, idk what to do now.

[@AmiyaPrasadMD]

Hi fab, Sorry to hear about your problem. I don't know how your previous IPL sessions were done, and whether or not there was overexposure or overheating. When it comes to thermal treatments, it's all about the skill practitioner to avoid overheating and overexposure to avoid detrimental results, not the device itself. This is why I can't recommend any home use thermal device because the user will have limited training and experience with it, at best. A physical exam is needed before I make specific recommendations. I hope this helps you.

[@bbee1601]

Is the facial volume/fat loss after radio frequency I am experiencing permanent? Will the fat come back or be restored to what is was before if i dont do any more RF procedures? Please help! thank you

[@AmiyaPrasadMD]

Hi B Bee, I cannot make that determination without seeing your results, knowing your appearance before treatment, and also if volume loss is due to normal facial aging. It’s also important to remember that the particular device does not determine results, 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 helps you.

[@deluxillo]

Hi Dr. Prasad Im suffering from something. What I need to do to fix the loss skin of my face due to a severe water retention I had for 8 months? I did 4 session of HIFU treatment along 2 years and the improvements were minimal, except the first 10 days where my skin was very tight and stretched, at maximum level my bones allowed, very impressive. But then my skin always reverted with the same excess of skin days after. Im 27 years old. Only surgery can get rid of the excess skin on young people? The retention was due to the application of minoxidil on my face for grow a beard, and im scared it could damaged my naturally collagen production as I read on some forums and articles. I would really aporeciate your opinion on this, thank you Dr. Prasad

[@AmiyaPrasadMD]

Hi chulapo, As explained in more detail in your other comment, I would need to perform a physical examination of your skin first before determining a treatment plan. I hope this helps you.

[@deluxillo]

Amiya Prasad, M.D. Thank you for your attention. Last question if you dont mind. That tightness that I had for one week after the HIFU technique, its just because the collagen contraction? Do you think if maybe I do radiofrequency every week my skin will “be used” to that contraction and get rid of that excess of skin? Its really confusing to see my young skin tightned and one week after with loose skin again.

[@AmiyaPrasadMD]

Hi@@deluxillo, I wouldn't advise thermal treatment that often as it can lead to your skin being more damaged. I would need to assess your skin before making specific recommendations. I hope this helps you.