Correct Facial Bone Loss & Sagging Skin Using PDRNs Like Rejuran

[@firstlast-em2yq]

Actually, there aren't any definitive longitudinal studies specifically linking facial bone reabsorption and jowl sagging in the same individuals over time. This is due to several challenges such as technical difficulties: Measuring subtle changes in facial bone structure accurately over time is challenging. Traditional X-rays or CT scans have limitations in capturing detailed changes, while more precise methods like cone-beam CT (CBCT) are expensive and involve radiation exposure. Longitudinal study complexities: Designing and executing longitudinal studies can be time-consuming and costly, requiring consistent follow-up of participants over years or even decades. Additionally, controlling for other factors influencing facial aging, like skin elasticity, fat distribution, and muscle tone, can be difficult. The direct link between individual bone reabsorption and jowl development needs further longitudinal research. While studies on aging skulls reveal a pattern of bone loss, no study has directly tracked individuals, and no causal connection to sagging has ever been determined.

[@DrSarahTonks]

I appreciate the detail in your thought process!

[@barriebrown7894]

Seems like common sense to me.

[@jayj3887]

I'm loving these educational style videos, very informative. Would love to see some patient cases again especially with a focus on less understood areas like filling base of the nose and a-frame around the eyes

[@DrSarahTonks]

The only reason I haven’t is because it’s a total pain in the bum to film… but I just bought a new camera to do it so hopefully that will make it easier!

[@The_Viking_Highlander]

Wow, you look amazing Sarah. Caroline Barnes mentioned you in one of her makeup videos recently. I love Caroline, she's just so personable. I'd love a video on how things have been since your BBL, if you went for a top up, and what treatments you've had done to your face. You've changed significantly since the start of your channel and I personally would love to hear about everything you've had done to make your face look so "perfect". You've obviously lost weight, but normally a face would sag and sink a little post weight loss, especially with age, but you must be 43 now and you look younger now than you did when you started the channel 6 years ago. How on earth have you managed to lift and snatch that chin and jawline into the perfect 'V' shape? Your results are some of the best I've seen. I'd also love to have a consultation with you, but I don't live anywhere near London (but still in the UK) so do you offer video consultations? I'm 2 years post botched facial surgery and it's massively affected the quality of my life and mental health. The surgeon died several weeks prior to my post surgical consulation and the private hospital refuse to accept responsibility. It's been a dreadful few years. I'm hoping that the areas of concern can be improved with non-surgical procedures, but I've been too anxious to speak to anybody out it. I'd love to have a chat with someone as experienced and personable as you, plus I'd be willing to travel to have procedures performed by you and your team at The Lovely Clinic. Can't wait for more content. All the best. Anna

[@DrSarahTonks]

Oh wow that’s quite a ride- was it Neil Kirkpatrick? I had a seroma after my first BBL so I went back a year later to have the fistula repaired and another round of fat transfer. I’m glad I did it but now I lost weight you can’t really see the fat in the bum, all the projection is from the implant! It was a lengthy process also. If I had known what it was going to like would I have done it? Not sure. I have done Exosomes, Botox, Aptos, Nordyx, HarmonyCa, Sunekos, Nucleofill, Revive all sort of recently-ish and of course a lifetime of hyaluronic acid and also Moxi and BBL. Everyone says threads don’t work (and even I said it when I was using Silhouette and PDO) but now I have really found my mojo with them. Yes we give patients the option of doing video consultations or in person but if you have had previous facial surgery it can make things more complicated depending on exactly what was done

[@acquiesce100]

@@DrSarahTonks Dr Sarah -- What did you think of Sunekos. I have just done two rounds and should be going for a third in 2 weeks?

[@WelshwildGem]

I’d like to see a video where you talk about you regime, what you use, what treatments do you get. Also, a video on threads and other ways to fix saggying neck ❤

[@DrSarahTonks]

I really need to make a video about threads! I have done Exosomes, Botox, Aptos, Nordyx, HarmonyCa, Sunekos, Nucleofill, Revive all sort of recently-ish and of course a lifetime of hyaluronic acid and Moxi and BBL. Topicals right now I use Priori lca fx110 cleanser, skinbetter science advanced alto defence and repair serum, revision DEJ serum, revision DEJ face cream and intradermology spf. Night I use the same cleanser and alternate revision DEJ night cream and skinbetter alpharet. If I am dry I got this serum in Japan recently from a brand called Haba which I am rating. I had a PRX-T33 peel recently and used Skinceuticals triple lipid but it wasn’t as good as I remembered it

[@WelshwildGem]

@@DrSarahTonks wow, lots me for to look up, thank you. What you’re using certainly work because you look great!❤️🙌🏻

[@tracyprice3807]

Amazing video! So happy I found your channel!

[@EmTheBeautyGeek]

such an interesting video, I loved learning about the ligaments as this not a well understood problem by many practitioners I've seen. I love when you teach us about the cutting edge treatments and concepts from Japan and Korea. definitely going to try PN soon.

[@DrSarahTonks]

This technique has recently been pinched by IBSA who have just brought out Profhilo Structura- very similar concept

[@DrSarahTonks]

EDIT: I’ve just been to the Profhilo structura launch and they are in fact not using the same technique theirs is much simpler

[@resident_spirit]

I prefer this type of video. Thanks!

[@DrSarahTonks]

Thanks for vote!

[@styleofmimi2702]

I’ve had my eye on Rejuran for a while. Looking forward to trying it with you !

[@DrSarahTonks]

It’s not CE marked yet 😉

[@RealityTeevee]

Please do a before and after video with the Rejuran you will be receiving! Would love tomes the results

[@DrSarahTonks]

It came yesterday! I really should take some photos yes before I go wild

[@TheZahra110]

I like these informative videos. ❤

[@guernseymedispa]

Very interesting video and I liked the way you explained about biosentegrity, seems very logical

[@DrSarahTonks]

Thanks! I thought it made sense too

[@annettefournier9655]

Interesting. Thank you.

[@DrSarahTonks]

Thanks for watching!

[@joepoldesuu]

die to see more subtle and extreme boy transformations.. !!

[@DrSarahTonks]

Agree I really want to get back into that

[@micheleparadis2808]

thank you

[@beyarosso69]

Catching wild salmon and giving them happy endings in the name of aesthetics is insane. Give me the shots

[@DrSarahTonks]

Ermmm I believe the gonads are removed after death 💀

[@brooks6348]

I love this! I’m just sorry I can’t be a your patient!

[@shannonkosko2243]

I would love to see an actual procedure of the Rejuran or Profphilo being used to help correct bone loss in the face

[@DrSarahTonks]

Yes I haven’t filmed any actual procedures for a while, bit of a nightmare to organise

[@maureenbennett809]

Great!😁

[@barriebrown7894]

Profhilo being ha is biostimulating how? Just from pressure? Won’t it dissolve and droop? I usually put the hardest filler under ligaments on bone. So it will stay there. Wouldn’t that also be biostimulating due to pressure ? Thanks. Love this stuff.

[@DrSarahTonks]

So the manufacturer are claiming a specific capacity of Profhilo to be biostimulatory and even acting on the fat. Of course that’s what they say about polynucleotides too (not about the fat). For a long time Arthur Swift has talked about injecting in the ligament areas but I have never heard him say it was biostimulatory

[@barriebrown7894]

@@DrSarahTonks probably anything you stick in face will be bio stimulating. If only as a scar. Right? Filler on cheek bones stretches ligaments. I can feel it. Profhilo is so thick but it dissipates fast. Is it supposed to make more fat ? I wanna see studies lol it’s just ha right? I hate the lumps. Now I do small lumps all over the older looking parts of my face. Still takes days to go away. I don’t see much difference. If my face is eating the regular filler how much difference can there be ? Have you tried putting profhilo on the bone ? For sure it can cause an occlusion. It’s so thick.

[@DrSarahTonks]

Yes this is the new technique for Profhilo in fact this is quite interesting www.mdpi.com/2310-2861/9/8/614

[@tonyaellerby4884]

Another excellent video. You are such a superb explainer. So based on your experience at the conference and what you learned there, what are you more likely to recommend for filling in hollows specifically in the cheeks or in my case one cheek? Right now I am on a course of Nucleofill but have been just doing the five points. In your estimation would it be better to use a Nucleofill or the Rejuran in that particular area of focus? Also, which ever one you recommend do you still recommend it be injected superficially as normal or would there be a different protocol? Thank you so much for all you do!❤

[@DrSarahTonks]

If there’s a quite big dip in the skin then why not just do a regular hyaluronic acid filler? Its predictable and you can be specific with your targeting

[@tonyaellerby4884]

Thank you!

[@sanarora]

Great video Dr Sarah. What are your thoughts on Pdrn in skincare rather than injectables?. Thanks

[@DrSarahTonks]

I think no point, can’t see how it would be beneficial, haven’t seen any evidence for it

[@almtynka]

Dr. Tonks, hello, would you please tell about Lenisna and Long Lasting HA, is 37 a right age to perform pdrn for a mild volume loss

[@DrSarahTonks]

Sorry I have never tried Lenisa but be careful with long lasting ha as means it is more crossed linked so more likely to have issues in certain products especially if large volumes are placed

[@teresalehtonen8499]

We like any videos you make! Would love to see you perform this Rejuran ( or similar) for example. What do you think is more effective Prophilo or PDRN ?

[@DrSarahTonks]

The studies are about the same between PN and HA in terms of collagen stimulation but clinically you don’t get that lovely sheen with PN or PDRN as you do with HA. I advise patients to alternate

[@HenrikAdam]

Thank you for an educational video. You are looking pretty. What have you done to your face ?

[@DrSarahTonks]

Nothing it’s just diet and exercise. And of course the Exosomes, Botox, Aptos, Nordyx, HarmonyCa, Sunekos, Nucleofill, Revive all sort of recently-ish and of course a lifetime of hyaluronic acid. I also had Moxi and BBL recently

[@HenrikAdam]

@@DrSarahTonks Miss Superfly 😀

[@Xtiandemedici]

You look amazing btw! What treatments have you done, if any?

[@DrSarahTonks]

Exosomes, Botox, Aptos, Nordyx, HarmonyCa, Sunekos, Nucleofill, Revive all sort of recently-ish and of course a lifetime of hyaluronic acid. I also had Moxi and BBL recently

[@Xtiandemedici]

@@DrSarahTonks thank you so much for your honesty! You look so refreshed and 20 years younger! I’ve been wanting to try Sunekos and Exosomes myself. I will look into some of the others you mentioned. Again, thank you 🙏🏼

[@MagmaFace]

Do you think Rejuran will make its way here? Great vid btw.

[@DrSarahTonks]

I don’t know. They have to apply for the CE mark first. I did get loads when I was at the conference for “personal use” but I haven’t tried it yet. They did say they were looking to enter the UK market

[@sheikhsahibathetrekker2816]

Do you recommend to use Eve White PDRN with hyaluronic acid? I am concerned about hyaluronic acid in this product as they tend to migrate and looks superficial under eyes.

[@DrSarahTonks]

I haven’t tried this particular product but it appears to be uncrosslinked hyaluronic acid anyway which is a skin booster rather than a dermal filler, so it won’t hang around in the skin for long anyway

[@kepo364]

I am rather confused. So does getting PDRN is better than PN for sagging etc? I am confused.

[@DrSarahTonks]

It was just a comment on the different ways of using them but broadly the same

[@SachaKwartz]

Dr Tonks, you are a joy to watch and listen to, but please allow to make a small remark. Take some rest from the botox cuz the only things that currently move in your face are your eyes and lower lip❤

[@DrSarahTonks]

I’m delighted to hear it!

[@The_Viking_Highlander]

@@DrSarahTonks 😂

[@JamesNguyen-ArtisanPerfu-ud1sb]

Hi! Dr abs mentioned that polynucleotides work by inflammation and suggests that only sunekos works to heal the smin and everything else is only temporary. Can you help clarify? Thank you so much!

[@DrSarahTonks]

I’m not really sure what it means to heal with inflammation do you mean like sculptra?

[@DrSarahTonks]

I’m not really sure what it means to heal with inflammation do you mean like sculptra?

[@JamesNguyen-ArtisanPerfu-ud1sb]

Thanks for answering. I'm a huge fan! I've watched all your videos at least 10 times over 😃 kzbin.info/www/bejne/a5rEq6qhbZiVj6Msi=lgC90E3Ho2VFnOwZ This is one of the video where he mentions it as: inflammation led protein creations. So yes like sculptra. In other videos he suggest things like sculptea, hyper dilute radiesse, most skin boosters, and pdrn does not help with skin healing or elasticity If I remember the other videos I'll link it. I'm just curious on your opinion because I spoke to my nurse that's an injector yesterday and she has not used polynucleotides and rejuran yet because she is scared and doesn't believe it will help. She has purchased rejuran hb but has not used it on a patient yet. I've had pdrn injected many times when I visit Korea and find it reduce inflammation and coloring of PIH and PIE quickly which sounds like the opposite of what dr abs would suggest. Thanks for taking the time to read! I'd love more information on this so I can forward to my nurse friends!

[@DrSarahTonks]

I have filmed a video about Sunekos but it’s not been edited yet. Well I can’t remember if it’s in this polynucleotides video or the other one I made but it’s been shown to aid in wound healing in the same way as hyaluronic acid so I’m not sure where he’s coming from there! It’s also not my experience with using the product

[@tonyaellerby4884]

@@DrSarahTonks Please! I can't wait for your new video on Sunekos! Do you think that it's as great as Dr. Abs proclaims or is it more hype in your opinion? Also, will doing the 1200 and Performa "cushion effect" help restore lost volume please? When is your video coming please?💕

[@gavinhall9678]

So the bistimulatory communicates with bone cells to build more bone?

[@DrSarahTonks]

It’s just a theory

[@barriebrown7894]

Also. Any news about why some of us eat up the ha so fast ? If it’s not migrating can we just replace the ha every few months? Is there any upside to this? Thanks.

[@DrSarahTonks]

I think it’s got a lot to do with the area treated. There was a paper showing by the time the product was totally gone in the chin it was still there in the mid face in almost the same amount

[@barriebrown7894]

@@DrSarahTonks maybe my face is just shrinking fast lol

[@somojojo]

Great video. I will be avoiding. Death for vanity doesn't sit well with me! Disappointed you didn't make a something-fishy joke about the info from the manufacturer 😆 seems they basically steal the fish from the wild.

[@DrSarahTonks]

I totally missed out on that I am gutted. So they don’t die because of rejuran, they are dying anyway, it’s their life cycle!

[@crikeymos22]

Oh my goodness. Looking more and more beautiful with each video. That forehead Ian still amazeballs. Could you point me to your previous base of nose injections. I couldn’t remember where I had seen that video and no one else seems to talk about it. ❤❤❤❤

[@DrSarahTonks]

Oh wow I can’t even remember myself! If you just google alar base injections I am sure something will come up

[@crikeymos22]

@@DrSarahTonks thank you soo much. Cheeky last question. Have you seen if this gives a little lip lift too? Thank you Sarah you’re the best. 🥰❤️🥰

[@DrSarahTonks]

I would say a little bit but very subtle

[@randomgaminginfullhd7347]

You cannot correct bony recession via facial fillers since anatomically the bone is RECESSED.

[@DrSarahTonks]

I mean obviously you’re not correcting it with actual bone

[@adri235]

As a vegan I appreciate the sourcing explanation ☺️👍🏻

[@DrSarahTonks]

Happy to have helped