Non-HA Biostimulators For The Face And Body: UK 2023 Edition

[@DG-bj9ni]

There is nobody else out there talking aesthetics on such a serious, in-depth scientific base. Great content that real physicians want to see. Thanks.

[@DrSarahTonks]

Thanks! Are you a dr too? I always feel like more patients watch my channel!

[@max12211]

Sarah! Where have you gone! You look great 👏🏻

[@DrSarahTonks]

Thank you! I have lost about 20kg

[@saintjoe4949]

I am a Korean dermatologist. PDLLAs ( Lenisna and Juvelook) have occupied almost the whole market share in Korea. Gouri is a K-product, but don't get KFDA yet.

[@DrSarahTonks]

Great knowledge! I first found this product at AMWC Japan. Have you used it yet? What is your favourite bio stimulator?

[@Tannertheinjector]

i agree imm scared of the bruising and swelling @@Benrhythm

[@Benrhythm]

I wonder why Gouri and Ellanse arent good enough for Korea the skincare capital of the world And not approved yet?

[@Tannertheinjector]

@@Benrhythm as a person who knows Korean it is still in the process of KFDA. America for example takes around It might take 10 to 15 years or more to complete all 3 phases of clinical trials before the licensing stage. But this time span varies a lot. There are many factors that affect how long it takes for a drug to be licensed.

[@Benrhythm]

@@Tannertheinjector fascinating on the Dexvelo site it stated it hope for approval by 2022. I wonder if it didn't pass clinical trials. It got me wondering if popular Human placenta extract are KFDA approved? I looked and it doesn't seem to be.

[@globaldenny]

I could watch these videos every day.

[@DrSarahTonks]

It might get boring real quick as I only release one every month or so!

[@HDnursepractitioner]

I love listening to your channel. ❤

[@The_Viking_Highlander]

Wow Sarah, you look incredibe. I can't put my finger on what's different, although you do look slimmer, but being slimmer isn't necessarily the reason for you looking so good. How would you feel about doing a video explaining what you've had done and why? Thanks for the information on bio-stimulators. It's fascinating. What's your view on the efficacy of topical PLLA like SculPLLA serum?

[@DrSarahTonks]

I had x2 Aptos thread lifts, Gouri and exosomes x4 sessions, Lanluma to temples, Belotero contour to lips!

[@DrSarahTonks]

Oh and some Nucleofill under eye and Nordyx threads under chin

[@TheSkinnyZ]

Watching your videos make me feel so smart even though I probably retain less than 10% of the info, haha! I love listening to you explain all these things. 🙌🏼

[@AmandaJon-nc9qw]

All thanks to Dr abiola for curing me permanently from hiv #drabiola ..

[@DrSarahTonks]

I think knowledge these days isn’t necessarily about having the information at your fingertips, but knowing where to go to find it and what questions to ask

[@shoomoomoo]

@@DrSarahTonkswow! How? Ozempic?

[@DrSarahTonks]

@@shoomoomoo you know it

[@americangirl8171]

@@DrSarahTonksI recently lost weight and looked to Gouri to regain some lost volume. I did take diphenhydramine before the procedure. My face is very swollen. I don’t know if taking a different type of antihistamine would have been beneficial and maybe consistently for a few days post injection? I want to finish the full treatment plan but want to take whatever steps necessary to eliminate the risk of swelling. I know you said you reacted as well, interested in seeing if you have stumbled upon any tricks.

[@studiogirl1967]

Sarah your hair color is divine ❤

[@DrSarahTonks]

Thank you! It’s new

[@mslondon923]

Well, knowledge and skill in the method of communication is at the highest level. I think that if you were a lecturer at the medical university, everyone would look forward to taking classes with you. Pleasure to watch your work ❤

[@DrSarahTonks]

That’s very kind of you!!!

[@shannonkosko2243]

I love this content so much! I think biostimulators are the way aesthetics are going. I'm 53 and I've just started with radiesse and sculptra... I hope I'm right!! :)

[@DrSarahTonks]

Love a bit of radiesse and sculptra. Interestingly most people here prefer a hyaluronic acid or polynucleotides

[@claudiaglows]

What a great and very informative video! Thank you so very much.

[@DrSarahTonks]

Glad it was helpful!

[@The_Viking_Highlander]

Hi Claudia. You watch Sarah too. Doesn't she look amazing! Hope you're well. Tonia

[@The_Viking_Highlander]

@@DrSarahTonks Claudia recently uploaded a video showing her results with Lanluma. The transformation in Claudia's facial atrophy is amazing. You should watch it Sarah!

[@DrSarahTonks]

Nice results!

[@connoraa1]

Girl this content is so good

[@sandropedrotti]

HUGE thanks for these clarification... xxx

[@Yellowtable101]

Love these thorough, sciencey vids

[@DrSarahTonks]

Glad to hear it!

[@percha099]

Many months without watching your vids, you definitely look prettier than ever! cheers form Argentina

[@DrSarahTonks]

Welcome back! And thank you!

[@Tannertheinjector]

As a USA injector this was awesome Dr. Tonks. I have used Korean and UK products beyond the US FDA approved ones. This was a awesome video thank you. I never heard of Gouri and I know korean but I found it through my supplier and i am obsessed! I am 100% going to do this too myself

[@Benrhythm]

Do you see substantial results with liquid pcl?

[@DrSarahTonks]

Take antihistamine 😫

[@DrSarahTonks]

I love it

[@Rightofpop]

I’ve had several Gouri treatments and no results.

[@Tannertheinjector]

@@Rightofpop thank you this is one of the few I don’t think does much. Thank you for your opinion.

[@sanarora]

Great video. Is PDLLA/Lenisna better than Sculptra/PLLA in terms of volume formation. Can you compare them and scenarios where when is better over other.

[@juliedobson3039]

Hi ! You’re the first person I have come across who mentions Ellanse. I was recommended this product over Sculptra on my face, she injected (with a cannula) in a fan shape over my side facial area , I’m very happy the results were instant. I was told it would last for 2 year approx .She injected regular fillers in my sunken side temple area, and she said that would last a long time as that area of the face was fairly static . I would like any further details re Ellanse, curious about why you don’t use it? Regards Julie

[@DrSarahTonks]

I just never really saw the need for it, and I’ve got more experience with Radiesse and Sculptra which to me are predictable, so I didn’t really want to add something new to my portfolio when the risk/reward wasn’t quite there for me

[@mayadasameh3287]

great explication thanks Dr Sara

[@panan1504]

Missed your videos! Great as usual❤

[@DrSarahTonks]

Thank you!! 😊

[@AshlynnOne]

I have done Gouri last month and heard of the risks of swelling and bruising. Thank goodness I didn’t encounter any and I attribute it to my skilled injector who is a Gouri trainer. Other doctors may charge cheaper and I’m tempted at times .. but I’d rather not have any bruises!

[@DrSarahTonks]

Yes its really very important with this one

[@润兰刘]

@@DrSarahTonks我用4mm针头，十个点，肿胀十分厉害。😂，吃药后一周消肿。比🐡还严重。😢是不是层次太浅？

[@helloyou5277]

Thank you very much for your thorough insight. I am considering Lanluma for the face, but I would like a very dilute / hyper dilute injection . For the first time, i would like to observe the reaction of my body and avoid overfill and nodules. What do you think would be the recommended dilution proportion for a hyperdilute lanluma for face? Thank you very much❤

[@DrSarahTonks]

It’s supposed to be 15ml fluid but if you are worried you can always do more fluid say 20 or 25ml instead- just means you will get more swelling from the fluid!

[@annettefournier9655]

I use that same type of toothpaste . Thank you for sharing your knowledge and experience for people who choose to or feel they need to not to age naturally for personal reasons. I will be that lined weak chinned person in the corner with the sparkly blue eyes.😅

[@nicoeeek.7181]

What is the name of the toothpaste? First I have heard of this, interesting!

[@annethomas4112]

I would like to know also plz

[@DrSarahTonks]

There was one I used called Boka but at the moment I am using Ruken that I bought in Japan. Tbh I prefer the Boka

[@Anne.....]

Hi, thank you very much for the informative video. I have a question: I would like to tighten (not make volume) the skin of my lower face and would like to use Sculptra. So I can understand that I should ask for hyper diluted Sculptra. But my question is: How deep is it injected into the skin? I saw a video (I can't find it anymore), where the injector drew little squares all over the cheeks and put a little drop of Sculptra using a vertical pinprick in each of the squares and then massaged it all afterwards. Would that be the best way to do it? Thank you.

[@DrSarahTonks]

Yes you can do it like this or you can use a cannula, would be injector preference really. With needle you might be able to get into more areas

[@Anne.....]

@@DrSarahTonks Thank you very much for your answer, I really appreciate it. But how deep would it have to be injected? Just in the upper layer of the skin or at the muscle level? I would also like to ask: Does Sculptra stimulate fat cells (make fat cells grow/multiply)? Or does it only stimulate collagen production? Do you know that? No one seems to be able to answer this question and it is important for me to know, because I have had fat transfer to the cheeks and I would not want that fat to grow. Thank you for your help.

[@DrSarahTonks]

@@Anne..... never heard of Sculptra affecting fat for the negative or positive

[@DrSarahTonks]

@@Anne..... you would not inject Sculptra into the muscle no

[@Anne.....]

@@DrSarahTonks Thank you so much, it is very kind of you to answer my questions, it means very much to me.

[@bethgleicher2362]

I have bruising from gouri and miracle L. One bruise from gouri over 4 months so far and the miracle L 1 month. What would you suggest to get rid of bruising? It's on my face and not under the eyes. I'm very upset about this.

[@DrSarahTonks]

Yep this is a thing that can happen with PCL. If you get a bruise it’s a really big problem because it takes a very very long time to go, maybe 6 months

[@DrSarahTonks]

Best to inject with a cannula and stop if there is any sign of a bruise

[@bethgleicher2362]

@@DrSarahTonks hi Dr thank you. I’m so worried that’s it’s permanent! Would you suggest PRP or a laser tx to help get rid of it? It happened after I had PDO threads done right afterwords. I have a small one under my cheekbone from beg of April and a big one from over a month ago.

[@niels9565]

@@bethgleicher2362 I have this issue too. So annoying. Nothing so far has gotten rid of it. I have tried microneedling, TCA peel, IPL light. I have just had co2 laser on the stain (only one treatment so far) which did not do much. Please let me know if you find something that works 🙏

[@bethgleicher2362]

@@niels9565 I heard PRP works. How long have you had yours?

[@americangirl8171]

What are your thoughts on animal collagen fillers? Specifically Atelocollagen?

[@DrSarahTonks]

I have never tried it. I would tend to stay away from products like this due to potential for immune reaction and need for skin testing however it looks like there is at least one product for which this is not necessary. They also don’t seem to last long. Collagen went out of fashion around the same time I came into aesthetics which is 17 years ago now, so perhaps there have been advances. But when there are so many well known and safe products out there do we really need any more?

[@Saibu-uo4ts]

Dear Sarah. I had Radiesse dilute (1:1, 1ml for both cheeks) for an acne scar treatment. It unfortunatly also created volume I never needed/wanted. In your experience will the actual volume (thickened tissue with collagen/fibrosis) ever really go back to baseline 100%? Its been 16 months and the volume is still very noticeable esp. when smiling. I dont think itll ever go back to normal tbh :( Thanks for any help and for sharing your knowledge! 🙏🙏

[@DrSarahTonks]

Yes but takes a long time, for no volume the dilution has to be greater than 1:1 unfortunately

[@Saibu-uo4ts]

@@DrSarahTonks Thanks for the response. What is a long time? Like an estimate so I can prepare myself a bit? Thank you 🙏

[@m14fiore]

Dear Dr Tonks, do you know if the Boka toothpaste is safe to use on veneers? Thank you for your video!

[@DrSarahTonks]

Yes it is!

[@m14fiore]

@@DrSarahTonks THANK YOU! 👍🤗

[@cathrynmc1]

What’s happened to the audio ?? It’s disappeared

[@BlueSparkshine]

Yeah I need an antihistamine for gouri for sure but I do like it. What kind of longevity are you getting from the gouri?

[@DrSarahTonks]

Not sure as I haven’t been using it long enough to be able to tell

[@Yellowtable101]

How many inches can you get with hip biostimulators?

[@DrSarahTonks]

Tbh you’ll be lucky to get much in the way of inches, if you want a large difference then it has to be fat transfer or implants

[@AshlynnOne]

I’ve tried Ellanse M twice before 6 years back and I must say I’m now too chicken to take the risks anymore (being non-reversible). However I m doing Gouri now which is also irreversible? But not as scary I feel

[@DrSarahTonks]

Well at least with Gouri you’re not going to end up able to see it as it’s not a “filler” like Ellanse is, even in worst case scenario

[@hnia0]

You did not like the result from ellanse?

[@Kischcat]

perhaps you could discuss Gouri and the risks and benefits next?

[@DrSarahTonks]

This is on the list- as a relatively new product there isn’t tons and tons of published information

[@niels9565]

I got a bruise from an PCL product which left a stain that has been hanging around for 4 months now. I am having co2 laser now in order to see if it will help to get rid of it

[@bethgleicher2362]

Try PRP and or pico laser dine professionally. I’ve heard of a few others this has worked. Where is yours?

[@niels9565]

@@bethgleicher2362 Thank you. I have tried picolaser on it which did nothing which is why I switched to co2 laser. I have heard of another person where PRP was succesful so that might very well be the next treatment to try. It is a browm stain under my eye. I have had it longer than 4 months .

[@bethgleicher2362]

@@niels9565 have you tried pico professionally? Oh geez.. what about vbeam laser? Mine is a light bluish green color. I’m so worried it’s permanent!

[@niels9565]

@@bethgleicher2362 i used the neatcell picolaser which is a homedevice. The co2 laser is one of the strongest lasers as far as I know I having this done professionally. It does take up to 3 months to see the final result of that one but I am not impressed. I am sure our bruises will fade away but they are persistent I will give you that. I want to speed things up because I have great skin besides the bruise. I will discuss PRP with my provider on my next appointment.

[@niels9565]

@@bethgleicher2362 what we have is called hemosiderin staining. Hemosiderin staining occurs when red blood cells are broken down, causing hemoglobin to be stored as hemosiderin. Best option for treatment is laser.

[@thinktankcritic5267]

Do any of these bio stimulators have a risk at causing VO?

[@DrSarahTonks]

Yes. Although maybe not polynucleotides

[@niamhbyrne4036]

Hi Sarah, is there any reason for a doctor to put you to sleep when you get sculptra? Thanks have a wonderful day

[@DrSarahTonks]

No that sounds very odd

[@niamhbyrne4036]

@@DrSarahTonks yes that's what I thought, thanks so much for the reply. Have a lovely day 🙏

[@Ayzed96]

Dr please im considering gouri however, i did sculptra before and it gave me a volume and chubby face and for me i like skeletonized and hollow cheeks, the question is will gouri will give me volume? Even if it’s tooo mild volume 00000.1% volume?

[@DrSarahTonks]

Well anything will give you volume. Even microneedling will give you volume, topical retinoids give you volume by thickening the dermis. At some point you have to accept a certain amount of volume otherwise you look too skeletal

[@Ayzed96]

@@DrSarahTonks thank you for responding doc, so if i like sekeltonized and hollow cheeks will gouri ruined that to me?

[@desdemonasaintly4430]

You look great Sarah.

[@alainportant6412]

she looks undernourished

[@DrSarahTonks]

Good, very chic

[@DrSarahTonks]

Thank you!

[@alainportant6412]

I hope that is not a permanent tattoo on that left arm !

[@DrSarahTonks]

I hope it’s permanent otherwise I was ripped off