Annual cosmetic budget! Don't waste your money on treatments that don't work!

[@googleuser2426]

Lasers: pico, fraxel restore, fraxel, vbeam , c&b, non/fully/fractionally ablative. Under 35 Clear& Brilliant 1x yr 35+ fraxel 1x yr Sunscreen mineral based: higher % zinc & titanium dioxide & iron oxides Must haves: Vitc & Retinol

[@robbiedaw3415]

Thanks

[@resi2120]

Thank you ❤

[@lushhbomb]

Thank you ❤

[@nicolesweere4182]

C&B is a total waste of money

[@taylarkaster7807]

@@nicolesweere4182 I have had fantastic results from Clear & Brilliant! For minimal scarring and texture

[@LisaRichards_123]

I am blown away that she reads the comments. She must really care about people.

[@DrStefaniKappel]

I do and thank u so much ❤️❤️

[@BezaYorkies]

How much does fraxel lazer cost in your office? Or CO2?

[@DrStefaniKappel]

Call us! We can go over pricing with you on phone - it depends on the area etc that you are wanting to treat!

[@nataliaosminova3164]

Microneedling is one of best and safest treatments in the right hands of course

[@sarah.j.777]

This helped me SO MUCH thank you! I've searched lasers & resurfacing options a few times in my area & always felt totally lost in all of the dermatologists, spas, medspas, plastic surgeon offices who offer all the different procedures which were mostly IPL & microneedling but now I know what to avoid 😊 I found a doctor that's been in practice for 30+ years and checks all the boxes you mentioned to find the right provider. I finally feel like I can make a decision to effectively address my concerns & I cannot thank you enough, you are such a gem. ❤

[@Limor_SFV_LA_Realtor]

She looks amazing!! Oh please ladies what are you talking about! She’s in her mid 40’s as I am and she looks stunning 😍

[@DrStefaniKappel]

Awww thank you!! I filmed this video after a very long work day and was so tired lol

[@gloriaburciaga1889]

Creo tiene 28 años! Muy bonita 👍🌷

[@volume2517]

​@@yolyrom7233 "Older" women? Jealous much? 😂

[@michelled219]

@@yolyrom7233oh really?? Please… I think she looks fabulous and I think I look pretty fabulous with my blond hair.

[@thewolf2153]

@@yolyrom7233Girl is drop dead gorgeous. You’re the definition of a hater.

[@yolandachavez3253]

Finally! Someone giving it to me straight. It can be overwhelming to choose what to do and there’s tons of misconceptions and of course, people product pushing with ingredients of unknown efficacy and a fancy name. I cringe when I see people using the at home micro needling devices.

[@DrStefaniKappel]

I cringe alllll the time. Even at my own colleagues. Its like they're doing infomercials. So cringe I hate it!

[@J.E.C.]

The effort and accuracy I put in my at home procedure, it will never happen in the office. They touch everything with their gloves and then touch my face. I do much better job because I do care about my face much more than any doctor. And I use same professional products.

[@saintarcana9859]

GUYS dont waste your money on microneedling!!!! I have acne scars that I wanted to get rid of before my wedding, and this place convinced me that microneedling would do the trick and I bought a package. Come to find out my scars are too deep for microneedling and I needed subscision! I ended up going to the scar healing institute in beverly hills. I wish I went there first instead of wasting THOUSANDS on microneedling to still have scars

[@danaso2567]

Microneedling is rly good, I also had some.sessions at my derm. The issue here is that the office where you had it lied to you about what microneedling can do.

[@kathyrodriguezrojas427]

getting rid of acne scars is very hard....I've done it all even subscision....I actually worked in a plastic surgeon/ dermatology office...it can be improved but never removed..

[@knicole2519]

Microneedling has done amazing things for my skin texture and collagen building. It sounds like you were sadly recommended the wrong treatment for the magnitude of your acne scars.

[@purplelight95123]

To be Hounest they claim it's for scars, not only her had that also me and im living in Malaysia, as well i did that when i was in turkey, they claimed it's for acne scars, also i made search in the internet before all my sessions, they claim it's for acne scars, the result that all is fraud @@danaso2567

[@purplelight95123]

The best solution use tretinoin, now im using it 0.05,it's much better than the sessions i took❤

[@aliyahaviyah7792]

I found you from the video about the best laser for skin of color and never left. I’m glad that you’re really detailing the science. Been binge watching since. Thanks for the knowledge 🥰

[@monicacappetta7017]

Dr. Kappel is fantastic, honest and beautiful. She looks 10 years younger than her age.

[@cv7958]

Extremely helpful video as a rough guideline on what we can bring up to our own board certified dermatologists. I understand the hesitation to give bullet points on what treatments to get because each patient experience is so customizable but it’s a great way to say, “I’m interested in getting Fraxel/Cleae & Brilliant for X, am I good candidate?” when we’re reaching a certain age (or more likely, see certain skin concerns). Sometimes dermatologists don’t recommend something until we specifically mention we’re interested in something and these types of videos help us know what’s out there. I’ve seen comments where people say their broken capillaries have been bothering them and once they see a clip of someone getting V Beam they are surprised and say they had no idea something like this existed! Patient education is so important so we can ask the right questions. I also appreciate videos like this because you pretty much explain the pathway to aging beautifully (whilst still looking natural). It’s some of the things we wished certain celebrities that are aging super well would divulge but they usually don’t (either outright deny work or give tips here and there like breadcrumbs). I don’t think anyone on KZbin is doing what you’re doing and at this depth (most dermatologists on KZbin understandably want to keep things affordable). Thank you! Also love your skincare line.

[@DrStefaniKappel]

Thank you for sharing that with me :). Sometimes the best treatments are harder to find and less talked about because its easier for medispas to offer treatments that are much simpler to perform for less highly trained providers. But the downside is patients having suboptimal results and not really seeing a difference in their skin after spending a lot of money. That is why they offer packages etc, largely because people aren't happy with the results but they get tied into getting subsequent treatments because they bought a package. I see it all the time. I like to just increase awareness of these things on KZbin because I encounter it everyday with my patients. They usually end up seeing me after spending thousands of dollars on cheap botox, treatments that made no difference or complications. Then I go on the other side and teach providers in medispas how to use different devices and injectables to find that many of these providers are learning on KZbin how to inject and use these devices so it just motivates me to do these honest but educational videos for you guys. Just so you're informed and see the other side of the darkness in the beauty industry. Thank you for your comment and for watching!

[@nicoeeek.7181]

@@DrStefaniKappel Wow, that is super interesting and eye opening. Thank you so much for the work you do!!

[@summere1609]

Finally someone saying that IPL can aggravate/cause melasma! I had it done many years ago, initially was great, lots of freckles and sun damage sloughed off, then BAM melasma all over. Even just the summer heat will make it darken. They told me that wasn't possible. 🙄 I have to wear so much mineral sunscreen just to keep the patches from being so dark. Would fraxel help this?

[@sphere6258]

These 5 are not described as what to avoid, rather how you could tailor your budget... 1.) Beware of packages- *(except end sculpt, where you need multiple sessions)* otherwise you should notice results from one treatment or be able to switch things up if there aren't results. 2.)Microneedling- issues with scarring and infection, less than optimal, practitioners can be poorly trained 3.) Peels (can keep you looking fresh, but not a must have) 4.) Facials- can help but if you are getting procedures like Clear and Brilliant, they might not be necessary, so pick and choose. 3.)Thermage/ tightening devices- only once every 5-10 years but Ultherapy is not worth it. *(I personally agree with this, it was a total waste!) *Over 50 is more important to budget for. 5.) Focus less on fillers once lip and cheek volume/facial symmetry are addressed. * Use Botox every 3, 6, or 9 mo. (dependent on activity of area treated) * Under eye Fraxel 2x a year * Budget 1K-5K+ mainly for: lasers (resurfacing once a year), skincare with actives, mineral SPF This is just my summary, but defiantly watch the video and make your decisions on what she said.😊

[@DrStefaniKappel]

I'm sorry if I have not gotten back to all your questions and comments!!I I try to get back to as many of you as I can! I'll try to get back to more after work tomorrow =) xoxo

[@DianasReviews]

Thank you for sharing all these procedures

[@AnnaMO-kb3ir]

Thank you so much for this video, I have an appointment for RF microneedling that I plan on canceling. You have saved me a lot of money!

[@gloriamitchell4005]

You are verifying everything I have researched; and was going to ask you guidance in what you would recommend if I were a patient in your office. You are my guardian angel of beauty. You have no idea how I appreciate you! ❤

[@DrStefaniKappel]

OMG thank you so much 🥺❤

[@Soultanasoasis]

❤

[@ashleyquinsay9523]

I’m so happy to here her mention V Beam. I had that done today and I’m excited to see the results! I have melasma so she didn’t do my forehead, but she did the rest of my face. She mention it will help with texture too!!

[@kt9495]

Update? I’m torn between VBeam and IPL. I don’t have melasma but touch of redness, capillaries and some enlarged clogged pores.

[@CherylTaysom]

Love this! 26:44 is me 😂 I agree with everything you’ve said. I started following you and never went back to microneedling. I have my sinking fund where I save up for a laser for my birthday in the winter and keep using my good skincare, sunscreen, etc all year round.

[@DrStefaniKappel]

Yes! Just because a treatment is more readily available does not necessarily mean that it is better. So happy to hear you invest in skincare and sunscreen too! I'm sure your skin looks amazing!!

[@fitnessbabe7958]

Micro needling works for me

[@galtgallery6720]

One of the best videos ever...clearing up all the misinformation regarding procedures, priorities, practitioners....Thank you!

[@pawangondane5538]

My new absolute favorite channel. Thank you Dr.

[@ellafarricielli1591]

Great information, thank you. I love prp microneedling, it truly changed my skin for better and took years off my face. But great skincare is a must as well 😊

[@DrStefaniKappel]

glad to hear it :)

[@sarahmk2966]

Yea me too. It works with PRP not just microneedling alone

[@pineapple365]

Did it work better for you than using lasers?

[@ellafarricielli1591]

It absolutely did, but I probably used wrong laser and wrong provider.

[@HolidayHouzCollective]

This was so helpful & so needed, it truly is so overwhelming with everything out there & a lot of people arnt so transparent. Thank you so much for sharing, us women really appreciate it! I’ve gotten my fair share of derma/cosmetic treatments & couldn’t agree more with everything you’ve said!

[@christinemack2153]

Dr. K, this is so impactful and has changed my thinking tremendously. Have a wonderful weekend!

[@DrStefaniKappel]

You too! And I'm so glad!!

[@catstanbul8903]

Could you also make a video about different lasers (differences, pros and cons)? I'm still young and have a lot of fat and collagen in my face. I would be afraid that all of this would ''melt away'' under the laser and I would end up looking old. I've observed this with some women. From how old would you recommend which laser (generally, of course everyone is different)? All I've been doing for years now is using tretinoin, 20% AHA peel and daily sun protection.

[@tahiracollier5782]

Thank you Dr. Kappel! I love watching these videos and learning. They're so informative, especially if we're trying to be smart about how to spend our money on EFFECTIVE skin health. I love your MDAire C-FK Brightening Complex btw (2nd purchase now) and look forward to trying more from your line 😊

[@DrStefaniKappel]

Amazing!! ty!!

[@erika8884]

Retin A overtime and starting early is very effective. Epidermal growth factors/PRP I find extremely important after 40. Also, minerals taken internally that support skin is equally important. Copper and zinc are a must. A high protein diet to support tissue and muscle within the body is a necessity, along with daily sunscreen.

[@DrStefaniKappel]

Agree! I've been using Retin A since college thanks to my skin obsessed mom ;)

[@TheMijas07]

Do you use PRP? I could never get on with Retin A but it works great for some! My next thing to try is laser as per Dr Stefani's advice.

[@pionus3651]

What the heck is PRP?

[@sarahmk2966]

​@@TheMijas07yes PRP is awesome 👍

[@anna-mariageorgiades3628]

@@pionus3651 vampire facial

[@katiefair3404]

I LOVE botox. I’d rather do that than like anything else. It’s like a miracle. I’ve read a study about how toxing can also improve mood too.

[@DrStefaniKappel]

Its the best!

[@pionus3651]

What about it migrating to the brain and eyes? Just curious.

[@volume2517]

​@@pionus3651 Botox doesn't migrate.

[@dstigers6140]

​@volume2517 She mentions Botox migrating in the introduction of this video.

[@GlamorousHabits]

Love your channel so much! I absolutely LOVE the Vbeam laser and I completely agree it does wonders for skin, I see so many rejuvenating benefits from this laser. I've done treatments since my late 20s (I'm 49 now) and I estimate I've had about 12 treatments over the years. So many offices are pushing the Broad Band Light treatment as anti-aging, and a few years ago I asked you about it on Instagram and you told me the exact same thing, that VBeam was much more elegant and precise. Thank you for that advice, my skin truly continues to look great!

[@DrStefaniKappel]

Great!! Thank you for sharing!!! Yes BBL and IPL are always pushed and more available because there are a less elegant and lower tear device. Not truly a laser by definition. When I worked in laser institute with nearly 100 devices the BBl and IPL devices collected dust. None of us ever used them because we had all the lasers which all gave next level results!

[@charissamclain]

@@DrStefaniKappel Hi Stefani! I just recently did my first V Beam treatment. I was a bit surprised at the swelling I had after. It took my face about 4 - 5 days for the swelling to go down. Is that normal?

[@bridgethine1827]

Love your videos ..your skin is gorgeous...just like a porcelain doll. I just started looking into tightening procedures at 53 and unfortunately my Dermatologist told me I could not do any kind of procedures because I have hardware in my jaw from a bilateral split osteomy..I:m so disappointed..! Have you ever worked on any with hardware in their jaw ....again love all your knowledge you share ..❤

[@meganh7742]

@@charissamclainI’m not the Dr. But I’ve had the VBeam at least 4 times and, yes, I always swell especially under eyes and jawline. VBeam is GREAT!!!!

[@littledoo]

@@meganh7742 Did you have results after the 1st one? I had 0 results and it actually created a new red mark. So disappointing and now I’m scared to do another one. Wish Dr Kappel could do it.

[@sav93000]

Thank you so much for posting this!! Just turned 30 and this is exactly what I needed 🙌🙌

[@DrStefaniKappel]

Oh I'm so glad!!! Happy bday!!!

[@jazzmoon77]

IPL in the late 90s for me. Plus glycolic peels. Then I took a break for a few years while I had kids. Came back to treatments with thermage and fraxel. Just got Botox for the first time last week and turning 47 this week. Got a few issues to catch up on (texture and redness) but overall I think the early investment in laser treatments helped delay a lot of the normal ageing signs.

[@ooOnymphetOoo]

How come PDO threads are not mentioned??? I understated some Drs are not supportive of it due to the cost vs longevity of the procedure, but when you are at an age that a surgical facelift is really not the best option, PDOs come in. Since I discovered PDOs, I kept them in my annual procedure sequence for twice a year along with Botox, Scupltra, Resytalene and some form of laser (sometimes Venus Viva, sometimes Thermage, will try Fraxel soon but shooting for a fully ablative CO2 next). Also home treatment of microneedling (my least favorite), IPL, chemical peels and red light therapy support eachother. The total of my annual budget is about $9k in my 40s now.

[@melissarose888]

A part 2 would be amazing!

[@broken_rebirth]

It's funny you mention microneedling and bad results: I actually did this as my second treatment to microcurrent. I got way better results doing microneedling at 1.5 depth in any place that could handle it, and 1 depth in more delicate areas sometimes 0.75 like under eyes, than expected. I mean it took away my jowling and improved my neck laxity. I did not pair it with RF even though my NP who did my microneedling does have a Thermage device. I'm totally terrified to do Thermage and she reassured me her device is the newer one and has safety features so she will not accidently melt my fat. She also does not do treatments she herself has not done on herself and is totally comfortable with. So, in a year or so, I'm 38, I may do a RF Microcurrent combination. Basically whenever I feel I need a touch up. My microneedling was face, and neck for 275$ so it isn't cheap but I would say it's not totally a waste. I just think it depends on the person and their skin and level of aging, and most importantly the user and depth they got it at. 1.5 depth is painful even with numbing cream and that's the sweet spot for producing collagen. My aesthetics provider said most of her clients cannot do the 1.5 mm as it's too painful and because they cannot go that deep with the device they do not get the best results in their cheeks/jowl area. I have a whole back tattoo and I will say, it's painful even with numbing cream. Bearable, but painful. I heal really fast as well. In 2 days no more red or any sign I got anything done. 4 days I'm fine and good to go. I do hydrate the F out of my skin though. Now I will say, she's a well educated provider so perhaps that's why I got the results I had hoped for, but did not expect. Her and I discussed at home microneedling and she said to never go that route because most devices that are not medical grade board certified cause micro tearing. Further, you would need to go at a 1.5 mm depth in most areas to really boost the collagen production, and you run the risk of infection. So overall doing it at home is risky and less effective as most people are doing it properly to increase collagen production. I understand why you do not like micro needling though because of all the ads to do it at home. NO ONE should do this at home. It's very dangerous to do this at home and you really need a medical grade machine with the proper depth to get good results.

[@Surfsup448]

Thanks for all the information and most importantly your honesty. I will make sure to come see you in the near future. I’d trust your judgement and recommendations for my skin. Enjoy the beach and let’s hope for some sunshine and warmer weather.

[@susiesandiego9450]

Hi Dr. Kappel it’s Susan, I came to your office in February and I was meant to come back to start my laser treatments but had a family emergency come up but I can’t wait to come in to start my treatments to get my skin looking beautiful because I know I’m in the best hands! ❤ your skin in real life is absolutely perfection!!

[@DrStefaniKappel]

Hi!! I hope everything is ok and yes I look forward to seeing you again!! xoxo

[@susiesandiego9450]

Hi! Yes, thank you things are better now 🙂 I’m looking forward to starting these laser treatments! I think I saw a video about you possibly doing an updated supplement video I hope you do that because I’m interested to see what you use from cymbiotica and anything else you take 🥰

[@michellelopez5944]

Wao you are so beautiful and you definitely don’t look 45

[@HK-cp8tm]

Thank you so much for this! You and your channel is amazing! Best skincare channel out there!

[@user-oo6rk3zd2y]

Yes please do a video of what you’ve done all throughout the years!

[@Giannas1096]

Thank you for taking the time to educate us 🙏

[@63Lsp]

I've been getting Botox for Chronic Migraine every 12 weeks for about 11 years. I have excellent reduction in severity of pain and the bonus of a pretty smooth forehead at age 60😊- just in case it helps anyone who thinks it's not been studied/used over time. Board certified neurologist does mine-31 injections around head, face and neck

[@pionus3651]

You’re not worried it migrates? I’ve read horror stories…

[@63Lsp]

@@pionus3651 Do you know any of these people personally? Read the real literature (PubMed, etc,). It's the most widely studied treatment of its kind. !6 yrs, 4500+ peer reviewed published studies. I have a board certified neurologist administering mine. Have for 10 years. Where do you think it's migrating? It's out of your system in 12 weeks (unfortunately). Yeah if you have a hack pumping it into your face, you might get a droopy eye lid. Get a better provider. For some of us it makes the difference in having the will to live

[@tdean5840]

Thank you for this video. I have had amazing results with IPL for my sun damage hyperpigmentation. Not Melasma. Well worth the money!

[@kt9495]

I had IPL 20 yrs ago for broken capillaries and they’ve only now begun to return though I do have some rosacea type redness. Torn between Vbeam and good ol IPL.

[@jodieleestudio]

Have you heard of Daxxify? The only thing that really worries me with Botox now is that it uses human blood (Albumin). Although it may be purified, they can't get prions out. They MAY contaminate it. But the major concern is the MRNA spike protein contamination. I'd be interested to hear what you think of Daxxify. It doesn't contain either human blood or cow blood and last twice as long. Have you heard of it and will you be offering it?

[@mandiekayfit4011]

I've been told lasers are an absolute NO for melasma (I had 2 Halos that made mine much worse 🤬)....

[@vanillashake5495]

Ugh 🤯

[@missceil]

I did IPL and it did have an effect on my pigmentation but it took A TON of sessions, and in retrospect I should have just done a Fraxel. Planning on doing a real laser in the fall though ☺️

[@DrStefaniKappel]

Nice!! Thats a good decision ;)

[@lisaolah7477]

Dr. Kappel, I love your channel and your advice. You are my holy grail advisor :) Thank you for what you do :)

[@DrStefaniKappel]

Thank you!!!!!

[@audreypistor4610]

You are one lady I trust you tell the truth the whole truth and nothing but the truth. Thank you. I wish you lived near me; I live in Florida.

[@whyjustwhy2168]

I am getting a diamond glow facial. Glad I watched this I figured facials were important they fall under skin care ☺ I will be getting the halo laser probably for my birthday this summer

[@Kitty-li5xc]

Thank you for this video! I hope you can do a video soon on which device for laser hair removal is best.

[@hypergolightly]

I would love to know this as well!

[@gamaw5247]

Is there a point where NOTHING will help? I am 70…have saggy skin and wrinkles due to the laxity mostly around mouth ie marionette lines and nasa labial folds. Is my only option a face lift?? Thank you doc. I love all your passionate, informative videos!

[@birdlover7776]

Facelift yes

[@DrStefaniKappel]

Sometimes surgery is needed when its sever enuf

[@summonivus5785]

Appreciate the logical approach and honesty. ❤

[@Jo-fk6sc]

i just had v beam and i’m thrilled with the results after just one treatment.

[@vegyourself]

Would you mind going over PRP for the undereyes

[@bnb0510]

You want prf not prp.

[@augustsunshinegirl]

Thank you!!!’ This is great I get overwhelmed

[@DrStefaniKappel]

youre welcome!!

[@natashapieper3196]

Another excellent video! Please elaborate on why Ultherapy is not on your list of preferred procedures.

[@jodieleestudio]

That was very useful advice about sunscreens. Had no idea our devices and toxins in the environment can be avoided with sunscreens!!

[@dra551]

Hope this hasn't been asked yet, I am considering Cool Peel...just finished my last of 3 rf, first 2 were Morpheus 8, last was Pixel8 and I sure wish I had seen this video beforehand as I think I wasted $2400! Saw some minor improvement but still 😳 I'm 64 with all the normal aging concerns unfortunately. Thank you so much for educating us! ❤

[@pionus3651]

I heard all kinds of bad stuff for Morpheus 8 law suits, face book has a page.

[@danaso2567]

The derm where I had pico laser told me she did not see a difference with cool peel even when really analizing in detail. The clinic offers cool peel, but she said she does not recommend it.

[@mari-4475]

I love your videos. I am 41 and suffered from acne when I was a teenager. I was on accutane and it was a miracle for me. I always fear of it coming back so I take spirolatune. When I turned 30 I started microneedling I felt like it was a joke. It didn't even do anything for me and then started doing Morpheus with prp. At 38 I started seeing a dermatologist and left the plastic surgeon I was initially seeing. I have a good skincare regimen btw. I did several CO2 and two halos. They are both rough but I do use the alastin necktar to speed up the healing process. the halo heat part is the worst part but I noticed for me the halo doesn't do anything for me to be honest. My skin has definitely changed for the better of course but I still have some imperfections in the cheek area. my question is I'd like to get get facials but the hydra facial made me break out a little bit in the chin area so I don't want to do it again. What kind of facial would u recommend. I did ask my dermatologist but she says since I do lasers twice a year she thinks it's not necessary. I wanted to hear your opinion. Sorry for the typos btw. Lol

[@DrStefaniKappel]

I'd do a hydrafacial with oxygen infusion. I'd also continue with Fraxel restore for texture if you can

[@mari-4475]

@@DrStefaniKappel thank you so much. It means a lot

[@user-EinsteinSarge]

Is there a way to know if the doc is injecting watered down botox, are they required to tell you? Or do you have to assume it is watered down if the price is too good to be true? Also, do you feel that Dysport is just as good as Botox, or is Botox better?

[@Pilarfitvegas]

Thank you 🙏🏾 so topicals (vitamin C and retinol), sunscreen 🧴 and lasers. Ok 2/3 so I need to talk to my aesthetician about lasers 😊 👍🏾

[@doriecd7198]

Love your channel. It's hard to find unbiased information on You-tube as so much is sponsored. It's a breath of fresh air. I've read there is a resurfacing laser that can also really help with vertical lips lines. If so can you let me know what to ask for! Can't wait until the next video. Stay Well

[@DrStefaniKappel]

Thank you!! I promise you all that I will never accept a paid sponsorship or have sponsored content on my channel. So its real. For lip lines Ellacor, Erbium or CO2 are the most impactful ;)

[@milomazli]

So amazing! I learned so much!! Thank you so much!

[@kimdavis1091]

Thank you so much for this list … so helpful 😊

[@rhonda6791]

Is halo better or fraxel restore? I really don’t want long term downtime. Thank you for all this information!

[@AmayzArt]

Hi Dr, what do you recommend for temples? Sculptra? Bella fill or another type of filler? Also, do you do a video on cosmetics, like what foundations and powder you recommend to your clients and for yourself? Thank you! Elisabeth

[@afeudale]

Curious if your microneedling aversion also applies to at home devices? Not the "dr pen" types, but more professional/accurate ones like the Derminator 2. There is a lot of science showing the efficacy of regular microneedling, no?

[@LorryHill]

This is such a great and informative video !! Thank you !! Subscribed!!

[@DrStefaniKappel]

Thanks!

[@sarahmk2966]

Thx doc, however i will testify that micro-needling+ PRP really works!! It smooths the skin and stretch mark like scars on face too! My doc injected prp in the scar area...took 6 months post 4 treatments but got smooth skin. I feel its more organic than lasers that heat up skin artificially!! I stay away from lasers.

[@juanitalopez2070]

Such great info, I’m on a budget and I was so wondering what skincare to invest in, thank you so much

[@DrStefaniKappel]

I'd invest in a Fraxel once a year or Thermage every 5 years

[@markm5498]

Thank you for the valuable info. Is it safe for individual with light brown/olive skin tone to get Fraxel restore or Halo? Or is it limited to Pico and Clear + Brilliant?

[@robynmoxham4255]

Thank you so much for this video! I’m a new subscriber and I really appreciate all of these videos. Question. When do you apply the vitamin C versus the retinol? Do you apply one in the morning and one at night? Thank you so much.❤

[@danaso2567]

Vit c works well in the morning as it protects the skin(under spf), retinol at night because it can photosensitise your skin

[@Amyzflying]

Hi love your videos. Can you please explain the difference in benefits between getting periodic lasers or periodic tca peels? Is there a difference in collagen production or depth? Thanks! Thank you for being unbiased.

[@DrStefaniKappel]

Yes I will try to cover that in an upcoming video!

[@heatherhilderbrand7298]

Can you do a video on how to reverse aging on skin underneath arms and stomach. Skin that is crepe and more wrinkled then other parts of the body. What are the options?

[@fernlin-healy2174]

Can you do a rundown of various treatments and rank or rate them in terms of pain? I'd like to see what I might be able to tolerate. Thank you so much!

[@DrStefaniKappel]

Thats a good idea! Yes! I sure can!!

[@hypergolightly]

This is a GREAT idea for a video! 🙌

[@glorianzelu9334]

Thank you for this, very informative

[@lisathe1]

Another factor to take into account regarding Botox prices is where you’re going. Some practices charge more than others for the same quality Botox. Some practices that buy larger quantities can charge less for the same quality.

[@caseycase8733]

Can you talk about PRP and PRF ez gel and if it’s a waste?

[@pionus3651]

What is that please?

[@KT-ml1sy]

Platelet Rich Plasma and Platelet Rich Fibrin

[@melissavuksanovic1259]

So glad I happened upon your channel. I've learned so much already just from this one video. Can't believe you're 45. You look like you're in your 20s. 😊

[@ashleyquinsay9523]

What’s your thoughts on Microneedling with Radio Frequency in a Dermatology clinic?

[@tinazgonik5904]

Hi, can you maka a video about best methods for hands rejuvenation, please

[@DrStefaniKappel]

Love this idea! Will make a video about it!

[@joannepigliavento7930]

I’m 62 and have had 1 deep acne scar since I was 14. A plastic surgeon told me there is very little that can be done. I absolutely hate it. 😢

[@petradane5661]

As always, I’m so grateful for your time and knowledge! I had 3 VBeam treatments done in the last 5 months for rosacea and broken capillaries. I have more redness and problems with flushing than ever. Have you ever seen that, and do you have any guesses as to why? So frustrating!!

[@DrStefaniKappel]

Oh no really? VBeam should always make flushing better not worse. Perhaps incorrect settings were used? Theres always ExcelV and KTP as maybe yor redness with respond better to those wavelengths?

[@petradane5661]

@@DrStefaniKappel Right?! I’m the queen of reactions no one anticipates 🙄 Great suggestions, as per usual! Would your 1st instinct be to try VBeam with another provider (in hopes it was a setting issue), or just to move on to ExcelV or KTP?

[@DrStefaniKappel]

@@petradane5661 hmmm that’s a great question. I’d ask that provider for his or her settings and run it by another laser specialist who may also have a different red laser. Is there one near you?

[@petradane5661]

@@DrStefaniKappel You’re amazing! I can’t believe you give perfect strangers so much time and thought. Thank you so very much!! You know since you suggested that I’m going to run them past you 😂 I was driving 3 hours one way to this girl :-/ They are supposed to have a good reputation in that area, but how do you really know? Despite there being money in our area, and people moving here in droves from up north, we still have awful health practitioners here in coastal SC. We’ve always had to go to other areas for most things, so I’m willing. I just have no idea where. If it could have been one and done I’d have been out there with you in a heart beat!

[@petradane5661]

@@DrStefaniKappel I hope this means something to you.. She said it’s a 10mm hand piece, and the wavelength was 600 on VBeam Prima. Not sure if this is relevant, but I’m just a bit more pale than you are, with a strong pink under cast (even in areas that don’t appear to be effected by rosacea).

[@patty9101]

What do you think of Fotona Dynamis SP. I work with this laser and I’m seeing nice results with the eye treatment and fractionated resurfacing.

[@sangeetamehta5318]

Hi Dr stefani, what do you think about Ultracell treatment? Is it good or thermage is better for skin tightening?

[@saraazizam4519]

Please show us what you do your skin looks amazing 😍😍😍

[@drtamiherman8324]

Hi Dr. Kappel. Thanks so much for all of your time. I love your channel! I was wondering if you can tell me how much time prior to a Fraxel treatment a patient needs to discontinue Tretinoin application. It's been my experience that Tretinoin makes one's skin hyper-reactive to any "abrasive" treatment. Ex: even getting something as non-invasive as a facial can cause significant redness and reaction due to the skin's sensitivity from the Tretinoin. Again, thanks so much for the amazing content.

[@DrStefaniKappel]

Hi!!I would say 3 days or even 5 days to be safe

[@drtamiherman8324]

@@DrStefaniKappel Good morning. Thanks for getting back to me!

[@VADACHE]

I always believed in lasers but in America it’s too expensive so I am looking for options abroad.

[@ZoeMC369]

Let me know if you find any good options! I wonder if these same lasers she mentions are used or different versions

[@kathybondi4143]

Question.. what are your thoughts on the Nira and Nuface devices. Ths

[@KatieRussell713]

I did the Ultherapy yesterday and scheduled in one month for Radio Frequency Microneedling with Erbium Laser Resurfacing… I’m nervous - seeing a lot of different reviews 😮if you see this please let me know if I should ! I’m 35 in July - trying to had some lines and dark circles and puffiness .. we did forehead Botox yesterday as well

[@jennifernicole254]

Thank you for your video, it’s very helpful! How do you feel about CoolPeel?

[@i_am_thebatman]

Hey Doc , I’m a man who just turned 28 and I was trying Castor oil with micro needling at home . I had an allergic reaction that created a Nasolabial fold on one side of my face and under eye lines directly above my cheeks . I had often been praised for having good skin and looking younger and this really hurt my skin. Should I get PRF to help or Fraxel or some other laser ? I’m a very healthy man with a. Clean diet and I workout consistently so not sure if PRF is the better option

[@renadempsey842]

THANK YOU!!!! Couldn’t agree more. Lasers, lasers! ❤❤

[@DrStefaniKappel]

YAAASSSSSSS. Nothing comes close!

[@yesibot.2051]

Hello Dr! ☺️ Beckman is a few minutes from where I live I know where to go now to get a laser treatment 💞we could easily mistake you for being in your 20’s so beautiful ❤

[@jodiriis]

I’m 45 and do Fraxel once a year. At La Jolla Plastic Surgery and Dermatology. What are your thoughts on radio frequency? I have tattoos on my neck and chest, and been told by someone over the years that RF may be safe over tattoos. Although I’ve never tried it. (I’m removing half of my neck tats anyway.) What are your cruelty free post procedure recommendations for products? I’ve been using IS Clinical Shield with Vanicream gentle cleanser. I live in San Diego. I think I’m going to make an appointment, drive up to your office in Newport and see you for my next Fraxel.

[@Mk-7again]

Hi Dr! Amazing, amazing content. Also, we can tell by your looks that your skin advices are the bestest. What are your thoughts on Fotona 4d?

[@vegaschick4eva590]

Something I’ve been seeing a lot of air ( something ) where the girls are getting their necks / chin done and it truly makes a difference !

[@robinmoore7627]

Hello. Loved this! Can you tell me if FRAZEL and Morpheus 8 are equal?

[@angeliquebullock466]

Would you recommend doing a fraxel now if I’m going to be in the sun with major sunscreen? Also thoughts on hydro facials?

[@DrStefaniKappel]

It may be better to wait until the Fall but as long as you wear sunscreen it should be ok one week after Fraxel ;)

[@DrStefaniKappel]

Love hydrfacials!

[@pnevlud]

If I don’t have skin damage and don’t care about down time which is better cool peel or co2 to see skin tightness especially under and over the eyes?

[@ሊሊዮሴፍ]

Great info. What laser and skin tightening procedure do you recommend for darker skin?

[@echo8931]

She may not have a lot of experience on darker skin tones.I live in Irvine OC adjacent to Newport Beach and not a lot of darker complexion people in this area.

[@CaptainCornchip]

Im so grateful i found your channel

[@joz7071]

I purchased a package of 3 clear lifts lasers. I had my first and I’m not to happy with the results. It’s been just over two weeks now and my skin looks very dry. Had one prior in my home town several weeks before and I believe it looked much better. Unfortunately that esthetician didn’t work out for me so I traveled 2hrs away to another. I did mention to my recent esthetician that my skin appeared dry and cakey and she suggested a Aqua Gold Fine Touch with Botox and PRP to help. She also recommended maybe opus in place of my second procedure..of course at a higher cost. Would appreciate thoughts on all this. So confused and overwhelmed! Thank you!!

[@liliangutierrezmbam.ed.4629]

Insightful. Thank you so much. Can you make recommendations for people of color like me. I am Latina and I have neutral skin tone. (Yellow/olive) many thanks