"Mini Facelift" at home (derm reviews NIRA, LYMA, NUFACE, HIFU & more)

[@Rickybondfly]

There are many influencers that promote really expensive devices like led caps for hair loss or some led devices that cost 500 up to 4000 dollars... then you see that they don't get any improvements (even if they say that they actually work) and they go professionals to have procedures on their faces or to other countries to have hair transplant... I mean, if a shitty cap that cost 2000/3000 dollars (it means a 2 or 3 month medium salary in Europe) and that doesn't work, I would call out that company for scam!

[@DrStefaniKappel]

It really makes me sad to see so many dermatologists promoting devices for money. Many of these dermatologists admit they dont use them themselves and don't really think they work yet they get paid a lot of money ($20k-30k a post) to promote them. The integrity in our industry is lacking. Many derms just make a living by sponsoring these companies. Anfd they get paid very well. They don't even see patients anymore. They make a living off of affiliates and paid partnerships on social media. If you look at their instagram accounts there are no posts of them treating patients- because they dont. They just make videos and reels and get paid more money by doing that than they would by making a living seeing and caring for patients. They are reading scripts making youtube videos promoting brands- Affiliate links, paid partnerships, sponsored you tube content, etc. Its so gross to me and I would never do it. My education and my credentials are not for sale. I had a mentor who told me "never be bought by a company- you are no ones person". That was the best advice that I have ever been given as a young doctor coming out of fellowship. I've stayed true to this and only recommend what I truly feel is best for my patients- not because I'm getting paid by a company to do so.

[@cherylanderson72]

​@DrStefaniKappel thanks so much for all your education,advice and honesty, I have learnt so much from you,you gorgeous generous woman,best wishes and Hi from Australia 🇦🇺

[@Joannabanana1989]

Dr. Stefani I have also seen this in youtube and instagram. These doctors don’t even see patients anymore yet recommend so many devices and skincare companies. How are they able to keep the license to be a derm if they don’t actually see patients? I am wondering about a popular YT/insta derm. Her whole life is just ads and vlogging and she is never in a white jacket unless it is for an ad. Seems so dishonest to me.

[@jenniferlauria3792]

Are we referring to Dr. Dray? She never posts videos of her treating patients. And she promotes products a lot. Maybe being an influencer is her full time job now??

[@Rickybondfly]

@@jenniferlauria3792 I've seen many doctors, aestheticians and general influencers promote stuff... I really don't understand in which world they live in... I mean promoting a led Mask for 600/1000$, a led cap for 3/5000$ a led panel for 2000$. I'm Sorry but those devices are simply for the american audience since in Italy (not a third world country) that means to spend 1/2/3 months salary... 😅 I look like a broken record by repeating that but It s the simple Truth..

[@bluelavender7773]

Hello! I have the Nuface. After using it 1- 2 weeks i noticed that my face is more younger looking. Less sagging. The cheaks more plumped. The contour more defined. The result is subtile but really makes a difference. I can skip 1-2 days max without loosing its efect. I use aloe vera gel or normal conductivity gel. The gel from Nuface irritated my skin alot.

[@natalienetanya7401]

I've heard that microcurrent increases ATP which is energy for the skin cells that causes them to act more youthfully and optimally.

[@cogirl1465]

I use Nuface also and noticed a brightening glowing effect so I definitely think it’s doing something.

[@DrStefaniKappel]

Such great feedback and thank you for sharing!!

[@elenaAGN]

I hate their gel too… reading this just made me realize that that’s the reason why I don’t use my NU face. Will you please share which brands aloe and conductivity gel you like? TY 💗

[@greenlean8890]

@@elenaAGN I’ve heard that any aloe Vera gel or ultrasound gel works fine-it doesn’t need to be fancy and it gets removed after the nuface session. I’ve also heard many people say they love the Ziip conductivity gel (I think it was the gold one?) because it doesn’t need to be wiped/washed off after the nuface treatment and it contains added skincare ingredients.

[@AgingNaturallywithJodylynn]

Great video. I've been using beauty devices for 4 years now and I can tell you they work! I do not do any in-office procedures. I neglected my skin and didn't start my journey until I was 47. My skin was really starting to sag. I started with microcurrent but major results happened when I added in Radio Frequency. At-home RF devices have really improved in their technology and safety. Dr. Kappal is correct that they are more time consuming and you have to be consistent! Also, you wont get results as you would in-office. However, if you are looking to turn back the hands of time in a suble way, and can be consistent, you'll see results. And of course SPF daily! Also, do mot overuse them. You should always use as directed. Thank Dr. Kappal. I love your channel! You are so informative! ❤️🙏

[@BC-lk1sy]

Can you tell us what RF device you use??

[@AgingNaturallywithJodylynn]

@@BC-lk1sy The Newa Radio radio frequency device is what changed my skin! I saw major results by month 3 and better results by month 6. Since then, I've tested many different RF devices. I hope that helps!

[@PinkOwl31]

My newa arrives tomorrow. 🎉🎉🎉

[@PinkOwl31]

Update: I regret this purchase. I decided to return the device since it exasperated a health condition. They had me return the device and have not refunded the money. Customer service just says they are "sending an email" and not getting a response from management. They said the return has processed but the funds have not been released. I don't know what to do from here. I just wish I avoided this all together, at this point. I was so excited for this device. 😥😥

[@sussannekeith5676]

The Nuface and the Ziip are truly amazing, when used consistently… no, not like a facelift but tones your face nicely.❤

[@lisamarie8271]

You are an award winning mother! Your son was so eager to support you even early in the AM.. so sweet! 🥹💕💐

[@rashowie1]

hahaha I was about to say the same thing!!! You kid coming home and saaying you're the best mommy ever is TOTALLY a reliable source! I just made my teenage daaughter cuddle me because I got jealous that Dr. Kappel's son was cuddling her hahaha

[@DrStefaniKappel]

Thank you so much!! 🥰🥰🥰

[@DrStefaniKappel]

@@rashowie1 I love that. I'm always loving on them! And my son is a 13 year old boy but he still runs and sits on my lap for snuggles- its is the best and I hope he never stops doing that 🥰

[@rashowie1]

@@DrStefaniKappel My daughter is also 13! She'll be 14 in June, and everyday she comes in my bed and we talk about her day, I love it!

[@liviusss]

You're right, Dr. Kappel, these devices are way too expensive and time consuming, with varying results... But in-office treatments can be the same, very expensive and no results or bad results, and then the affected patients don't even get a refund and have to spend even more money trying to undo the damage. Unfortunately a good expert like you is very difficult to find, so it's always a bit of a gamble.

[@boymom3415]

You have changed my life! Thank you for all of your lessons! I have gone into my dermatology appointments with so much knowledge its insane. I've also took a lot of your advice and it was enhanced my selfcare skincare!

[@wannabefarmgirl9595]

I appreciate and have been waiting for this video, thank you! I will say, I bought the NIRA original for around $365? a few years ago when it was first released. I hadn’t seen any pictures or marketing stuff just wanted to try it. I figured if it worked at all, it was still something I could use over and over and it would be cost effective over time. I fell in LOVE, like deep love!! No I’m not paid, or work for the company or affiliates etc. I just quickly noticed with daily use the fine lines at my crows feet improved dramatically as well as texture on my eyelids (I’m 55), the hollows at the outer corner of my eyes, lines on my forehead and 11’s, naso folds and even neck and wrist wrinkles. The thinning skin on my forehead turned smoother and bouncier. I thought if these were my results, I should buy the larger one and that was wasted money. The big one burned me and it broke. The company was great about giving me a return but I didn’t get it back in time, my fault. I went for about a year without using the NIRA and with health issues my skin looked bad again so I’ve started using the original one with again, the same type of happy results. My only questions about it have been 1) was it only working because it was causing temporary inflammation and 2) did it create long term collagen loss through the heat? Still not sure about the potential for collagen loss but supposedly it’s such a short wave length into the skin, the company swears it’s not able to go deep enough to create that fat loss. 🤷🏼‍♀️. At the end of the day, it’s a staple for my skin but wish I would have put the money I spent on the 2nd device towards an office procedure. I had an ablative Fraxel laser with a plastic surgeon in my mid 30’s so I well know the professional lasers can do incredible things! Everybody thought I was much younger than I was clear into my 40’s and I credit that to staying out of the sun/sunscreen daily, active ingredient skin care (especially retinols) and that Fraxel. Hope this helps others who are trying to decide. It’s the one thing I’ve done at home that has made a huge difference in my aging and saggy or wrinkled areas. I still do hope to do more professional lasers when I can afford it someday.

[@NIRA_skin]

Thank you so much for sharing your detailed experience with the NIRA! It's fantastic to hear how well it has worked for you. The NIRA uses non-fractional laser technology to stimulate collagen production by gently heating the dermis. Unlike other treatments causing temporary inflammation, NIRA focuses on long-term collagen growth without heat damage. We ensure the device's wavelength avoids deep skin penetration, reducing the risk of fat loss.

[@eienbeau]

I have the older generation of the mini hifu priced under $20 bought from shop*e, and I love it to bits. Here in Indonesia a hifu treatment typically cost >$40, so having a $20 device is a great investment in the long run.

[@davidcraig1714]

Thank you for sharing your expertise and your time. This is crucial knowledge for anybody who treats af home.

[@lisaolah7477]

Dr. Kappel. Thankyou for always providing outstanding education to us :) Really value your channel as a consumer.

[@DrStefaniKappel]

That is why I make this content for you guys. Thank you!!

[@libbylikewhoa]

Same, whenever I go in for appointments they are always shocked at how much I know and I tell them I learn from Dr. Stef!! She's amazing

[@michellebetcher-hill5306]

I have the nuface,ZIIP, and LED masks and my results are amazing!I do use them daily to maintain my results I do supplement with medical lasers,peels, and micro needling

[@theoldertwin]

I had both and definitely like the Ziip better. It has much faster treatments.

[@michellebetcher-hill5306]

I have had Nuface for many years and had great results. I then purchased the ziip and I agree. I think I see better if not the same results faster than nuface and I’m using zip more than the nuface lately.i

[@fla5147]

Can the ziip be used on the neck?

[@michellebetcher-hill5306]

Yes it can !!!

[@patpatmoomoo5524]

Dr. Kappel, I learned so much from your part 1 video!!! Can we please get a part 3 on light therapy for hair growth devices? Thank you for giving us this information

[@DrStefaniKappel]

I'll try to add that to my list :)

[@amadablam7]

stop eating dairy and add B vitamins.

[@lyndaboca8111]

Great info - I'm postmenopausal and purchased the LYMA about 6 months ago. I found that using it everyday for 90 days improved the texture of my skin, reduced my crows feet which are almost totally gone and greatly improved my jaw line. I'm on maintenance now and only use it for 10 minutes 2 or 3 times a week. I love it! It is very relaxing and does not heat your skin on the surface as it's comfy and kinda puts me in a zen mode. My purchase price was $1500 black friday sale :)

[@monikamarciniak8166]

how did you get it for $1500? I paid almost 3k!not sure if I see a difference and I have used it for over 90 days but I'm hopeful since it works for you!

[@lyndaboca8111]

@@monikamarciniak8166 Did you purchase the larger model which came out a few months ago? I have the original size and got it during black friday sale at new beauty. It does work, I love it. Hope you have the same results, just keep at it, best of luck :)

[@liviusss]

To use it every day seems like quite a commitment, also from a safety point of view I wonder if it's okay to use a laser that often...

[@nadinemustapha]

What about the Korean devices like medicube derma ems shot, age-r booster pro. As well as the amiro r3 turbo?

[@matheusmansuralves1063]

I would like to know that too

[@driftgold]

5:40 as we gain wisdom and have birthdays, as someone that fears aging - that is so sweet 🥰

[@Allthingsjilld]

I use the medicube AGE-R booster pro and the Ussera and they are working. There is a big difference and it keeps getting better as you use it. Very happy with my divices. Have you reviewed these divices?

[@jm7174]

I am 44 years old and have the Nira. I’ve tried it for almost 3 months (which is their trial period) and have not seen a spec of anti-aging difference in the areas of concern. The only thing I think it actually does is zap pimples so they don’t last as long, which is not worth the $600 price tag. I’m returning it.

[@kristimcintosh7725]

Yep agreed. What a bust

[@DrStefaniKappel]

This is so helpful to share your experience. For those out there who may be in the same position, how was the customer service experience with returning it? Reply

[@aimeekreutzer-malkawi]

I wish I returned mine! I got it when it 1st came out and decided to try it. Tbh it burned me and over heated at times and it was scary to use. I complained to them and they said if u try it longer then let them know but I got too busy with things around the holidays and afterwards so the trial ended. It’s now collecting dust w my micro current and another body contouring device I have! I barely used that one it’s by Bridget ketner some German device. It does work good but it’s too stinging on me and again I felt weird after I used it like nerves or something. No more devices for me

[@jm7174]

@DrStefaniKappel, no problem with the return! Since I am in the 90 day window, they are honoring it with no questions asked so there was no hassle.

[@TheMijas07]

It didn't work for me either - I'd no problem with returning it within the 60 day window.

[@ginag9549]

The view from your home is beautiful 😍❤

[@kls6612]

Thank you Dr. Kappel for another amazing educational video!!

[@DrStefaniKappel]

youre so welcome!!

[@sussannekeith5676]

Nuface everyday in the am… Ziip at night… love them. Along with great skincare… they don’t work alone.

[@mariekirby1683]

Oh I love them both too. I think that's a great way to go.

[@mariekirby1683]

@@AhFeiLee They seem to work differently, but both lift and release the face. I'm doing the Halo Ziip on its own atm to give it a good go. They require different gels, the Ziip one doesn't dry out and is more pleasant.

[@madievb7728]

I agree 100% with you. I have the Nira and the New Face but neither one changed anything on my skin, although I am blessed to have a great skin, I am starting to see some wrinkles trying to show up near my eyes and the lines below my lips. I have used also several types of promising creams, but nothing works. When the aging signs appear, only treatment with professionals like you or plastic surgery can improve, nothing else.

[@christydudman2059]

I’ve tried many at home devices none that did anything noticeable except the Lyma laser which is a cold laser so you don’t have to worry about hyperpigmentation , for the record I’m post menopausal I used it for one hour every night for 3 months straight while watching TV it made the quality of my skin look so much more youthful and just better all around it was very noticeable , I thought about buying it for about 3 years but when a world famous plastic surgeon started selling it I decided to purchase it, he has a waiting list of over a year, and is someone who I went to years ago for noninvasive treatments before I moved , this is a doctor I feel is very ethical so with this in mind I purchased the device from the LYMA website and have been pleased. I still plan to do noninvasive office treatments in the future with doctors but this is my two cents on the device. I do also like the Halo device. I wish you had touched more on the Lyma being a cold laser and what the possible future cold lasers may pay play in skin care and healing, I know some people use the Lyma after facelifts and feel it accelerates scar healing.

[@DrStefaniKappel]

This is such great feedback and anecdotal data is very helpful. The near infared wavelength has the advantage over LED wavelengths that produce heat causing hyperpigmentation. I tried to pack as much info as I can in my videos but much gets editd put to keep the length a little shorter (otherwise my videos would be an hour or more long). I had 2 different patients who flew in to see me as they both lived in rural towns and had to rely on at home devices. Both patients were disappointed with the LYMA laser and after spending close to $3000 they weree very disatisfied. So sharing experiences on this safe and open forum may be helpful as even for me it is hard to tell if thses devices are worth the money. I think also it may have a lot to do with setting expectations.

[@liviusss]

​@@DrStefaniKappelFor 3000$ and having to use it every day for like one hour I think I would rather get some in office treatments, here in my country for this amount I can get quite a lot of things (lasers, energy treatments, biostimulators etc.). Honestly for this kind of money I would only get it for guaranteed results, not a very expensive gamble.

[@sarahstroud6021]

Honestly I just pre paid 2500 dollars for a Co2 laser with DEKA for my neck and face, it’s expensive but atleast I know it will work 😀

[@aimeekreutzer-malkawi]

What’s Deka?

[@natalienetanya7401]

I was think about usung the DEKA CO2 laser. Glad to know you think it works.

[@sewitseams5632]

You will love the results! I just had 2 sessions of CO2 ablative laser done earlier this year and I am so happy with my skin now, worth every penny. I had sun damaged skin growing up playing in Newport Beach (exactly where Dr K’s office is located) and at age 48, I needed this. It miraculously “shaved off” a lifetime of UV overexposure. A dozen TCA peels could not give me the same results, I am a firm believer in CO2 lasers now. Good luck!

[@aimeekreutzer-malkawi]

@@sewitseams5632 what’s the downtime with that? This place in AZ I got to sometimes does lasers and they have a fraxel pearl and I was thinking of doing that soon. I need the help myself! Especially suddenly outta nowhere!

[@rashowie1]

@@sewitseams5632 How is the recovery for the CO2 ablative? Also can I ask you how much you paid? I was quoted 6k USD at a clinic near me, but I've also seen people on KZbin saying they paid $900, so I'm wondering was the clinic I went to just very expensive or is it a different laser? I didn't get the C02 laser yet because well 6K is a lot to think about

[@yfa6244]

Nuface is galvonic I have been told, not microcurrent which works in a different way then the in home microcurrent devices. The Nira is very hot, I stopped using it, there is no way to modulate the heat. Someday I'd love this doctor to give ma the Epicore, I think that would be very useful for skin tightening.

[@Studio190creations]

I have the Nira Pro with the wide tip. It has a button you push that changes the amount of heat.

[@aimeekreutzer-malkawi]

I agree Nira device over heated and took a dive after a month. Got a new 1 the fan kept going and was getting hit it burned some of my muscles or skin or something made me very sensitive and I saw zero anything. Wish I returned it. I think it’s a scary device! I’ll stick to professional devices by someone who knows what they’re dojng

[@mikromue]

I have the Mini Hifu and it’s effects are just crazy! I couldn’t believe that such a cheap device can be so effective 😄 I even used it on my husband to see if it’s true 🤣 and also his cheeks are much more lifted and tight. You don’t need expensive in-office treatments.

[@theresajopson4157]

Where did you get your Mini Hifu?

[@suzyd9292]

Can you share what the device it thanks

[@mikromue]

@@theresajopson4157 i bought it at Rakuten

[@mikromue]

@@suzyd9292 it’s the mini Hifu

[@marvinjuliusmag-aso1137]

Which machine?

[@issy0613]

Always looking forward to new Dr Kappel videos every Sunday!! 😁

[@DrStefaniKappel]

Thank you and I love to make these videos for you guys!!

[@leahk1461]

I'm using the Bear, and I can notice the improvement in the firmness of my skin, but I have to say that consistent use is the key.

[@Pcaru002]

I have both versions of the nira. The smaller one just hurts. But I do have to say I absolutely LOVE my nira pro. But not for the reason it’s advertised. It reminds me of having a lower dose aerolase laser at home. It has been the only device/product that works to help get rid of my acne breakouts consistently at home. I also have used so many clinically recommended skincare lines (zo, obagi, etc)consistently plus tretinoin in which none of it has ever given me the consistently clear skin that the nira pro has. when I used to get aerolase treatments monthly the results only lasted a week. I do want a better in office treatment eventually but for the time being this providing decent enough results. Never doing Morpheus again * Not sure if it will help anyone but I am mid-late 30’s with olive skin * I also use the device on any back acne *

[@NIRA_skin]

Thank you for sharing your experience with both versions of the NIRA! The Precision has a smaller spot size and is more concentrated in one area, hence being a bit hotter with what some describe as a stinging sensation for some persons. It’s great to hear that the NIRA Pro has been effective for your acne breakouts. Thanks again for your valuable feedback!

[@Vmb256]

Do you use retinols? That was the only thing that consistently kept me from breaking out. But I have never used any of these at home products, so I wonder if they would help me also.

[@Pcaru002]

@@Vmb256I use tretinoin on separate nights

[@CD8Tea]

always the best to give informed information! Question I’ve been meaning to ask… you have repeatedly said that thermage lasts 5 years. All the places I’ve been to said q1 year and ulthera was q2 year. Why the huge difference? It’s not a knock off device. What gives?

[@AddieWagenknecht]

thank you. can’t wait for part 2. as someone without many cosmetic physicians nearby there aren’t many options but home based devices.

[@Tatixox]

Thank you for always giving us the best advice ❤❤❤

[@dr.stefani6304]

Youre so welcome. Its my calling ;). I love to do it.

[@freddytorres9831]

Doc, best treatment for nasolabial folds and marionettes? Thank you very much for being so informative 😊

[@sashanoel167]

Great advice, thank you, thank you ❣️

[@Meg-pk9yc]

Thank you I love your videos ❤ and appreciate your honest opinion and factual information!

[@sedasarayli9484]

Thank you for the informative video, Doctor. As a woman, I love to go to dermatologist or plastic surgeon's offices to get treatment that I need, but honestly when I ask the price of treatment at time of consultation they open their mouth from thousands of dollars I don't think average working person can afford those prices. If they keep things a little more affordable, maybe we never go on that rabbit hole at home devices .

[@lhplumbingservicesohio]

Some of these in office devices cost the provider anywhere from 100k-200k to purchase…. In addition to the cost of their staff, building, overhead costs like insurance and more. Not to mention their own wages and education and continuing education costs. They have to charge enough to cover these costs.

[@saraf1084]

Thank you Stefani! 😊 This was such a great breakdown to help us make informed decisions! Appreciate your videos so much. !! ❤❤

[@monikamarciniak8166]

Dr Kapperl can you please do a more detailed video on lyma laser?

[@raveena1508]

Thank you so much for this gorgeous lady! Can we use these underneath the eyes for lymphatic drainage? Eg - Nuface?

[@theeprincess777]

Great video. ❤you and your in depth explanations

[@DrStefaniKappel]

thank you!!

[@trishm6026]

Your son is adorable!

[@alyciasmith1964]

Can you please do a video on skin conditions, at home options, and what creams/treatments might irritate the skin more? Sunscreen/sunblock+ dermatitis for example.

[@janiceg7661]

I have both Niras and I use the pro daily. I like it but I really don’t know if it makes a difference. I have omnilux neck, face red light and use collagen, supplements etc. I tried ziip and nuface and I couldn’t get past the cold metal on my face, hated them! Overall I’m satisfied with my skin. I’m post menopause turning 54 this year. My hair thinning and stubborn 20 lbs I can’t lose is another story. Sigh.

[@NIRA_skin]

Thank you for sharing your experience! Consistent use of the NIRA Lasers can lead to noticeable improvements over time.

[@teresadalton3508]

I have had ref Microneedling. Cool peel and IPLbut I get really reef after the treatments. And I have downtime. On the at home side, I use an omnibus contour led red light mask e dry other day. On the days I don’t use it. I use nuface. I am 76 and I hope I don’t look my age, but I am sure that using them doesn’t harm my skin. I have been considering s RF at device. But have not done enough research to make that decision. All these devices are expensive. So when I buy one. I make the time to use it. And that’s the only way to see improvement.

[@brook.ashcraft]

Maybe I missed it but I would love to hear more about HIFU, pros/cons? I must have missed it in the video but I couldn't find where you discussed it and wanted to hear your thoughts on it.

[@fla5147]

Wow! I just came across this video!! Excellent information. Your honesty is refreshing & appreciated. I am now subscribed and looking forward to watching your other videos! A post menopausal woman here in need of treatment but I’m hearing about lots of fat loss with new procedures in inexperienced hands perhaps. Looking forward to learning as there’s lots of false marketing out there!

[@lalablotz7348]

I just don’t want to mess with something everyday that might have some temporary results. I’d much rather spend a little more to get real and lasting results. More bang for my buck so to speak. Plus I enjoy going to my derm for treatments it’s my only vice. I will however invest time in doing my good skincare routine.

[@DrStefaniKappel]

exactly. i would feel as it is a waste of time unless results last

[@erika8884]

I love Ultherapy. I had Morpheus 8 twice with zero results. I believe all skin types have something that works for them.

[@DrStefaniKappel]

Interesting! Thank you for sharing

[@DrStefaniKappel]

People often say Morpheus 8 is dissappointing (unless they work for the company). Ulthera is hit or miss so ty for your input ;)

[@johnmi1427]

Hi Dr. Kappel, I was wondering if you had any thoughts on topical rapamycin/sirolimus for anti aging?

[@Razz_ace]

Your son, so cute. I love how real and human you are. Totally love this channel in every way. ❤

[@DrStefaniKappel]

awww i'm glad that comes thru the videos. you can feel the loveeee. i. love that you guys are literally at home with me ;)

[@aniargiris2846]

@DrStefaniKappel could you elaborate on why Thermage results last 5-6 years? Most dermatologists offering the procedure and from what I have seen online the recommendation is to do it every 2 years.

[@natalienetanya7401]

That's what I've seen too. Dr Kappel has probably mastered the settings.

[@DrStefaniKappel]

The collagen that gets stimulated has a half life of 4-6 years, The confusion occurs when the aging process continues because you are also losing collagen each year. So for someone over 50, they may need or want Thermage more frequently than every 4-6 years because although their Thermage results are lasting 4-6 years, they are losing it at a faster pace, and need it more frequently. I hope this makes sense? For ex, I started doing Thermage at age 30 to collagen bank. I did it at age 30, 35, 40 and 45. ut after I turn 50, I might start doing it more frequently than every 5 years and may start doing it every 3 years. We'll see and I'll keep you updated!

[@merimebardhi5129]

@@DrStefaniKappelincredible explanation ❤

[@JimiSbux]

I love fractional co2 I get it in office every year…..any thoughts on tria beauty laser? It was only $395 and is said to be a fractional laser…..I use it at night before bed. Seemed cost effective and something easy I could do in between office treatments

[@BC-lk1sy]

Do you think any home RF devices that if used consistently can make a difference? If so do you have any opinions on which ones are best? I live in an isolated location , so cannot get to professional treatment clinics, but would like to use something myself to help tighten my jawline. Thanks for your info!

[@mcanultymichelle]

Agree,It does work (a little) but not for long.

[@lisafit10]

Can you do a video on how to get rid of spider veins?

[@marifestation4603]

Laser😊

[@adrianamarie4164]

Hi Dr Kappel. I appreciate your channel so much. I recently turned 40 and have never had a laser but really want to start. No one in my area does Clear and Brilliant but there are a few offices that offer Halo. Do you think that is a good s tarting point??

[@KimFillman]

does the nu face or ziip cause facial fat loss? it sounds like the micro current is stimulating the muscle contraction and there isn't heat

[@patriziagiammaria3541]

What are your thoughts about Plexr treatment OR Sofwave laser for eyes? Thank you❤

[@dana-kn5tk]

Thank you Dr. Kappel!!!

[@DB6904.]

Do you have an option on the Jovs blacken Pro DPL laser?

[@mitziedoll]

What do you think of the Tria Smoothbeauty laser? I have one. I am kind of surprised it was cleared for at home use because it does have a pain factor. Could it do anything bad? I am not worried about hyperpigmentation or anything and have pretty tough skin.

[@TheBohemianStyle]

Great video, and I’ll have to skip next one, because I have no interests in threading.

[@DrStefaniKappel]

Thank you! I've gotten a lot of requests for pdo threads but if not interested no worries- take it or leave it and w'll catch you next video!

[@TheBohemianStyle]

@@DrStefaniKappel I don’t like needles and I wouldn’t consider threading even if I could afford it. Thank you!

[@olga_b344]

The chapter headings in the video descriptions seem to focus on LED not energy devices…?

[@DrStefaniKappel]

I think that was a KZbin glitch? Hopefully it updated now

[@olga_b344]

@@DrStefaniKappel Thank you, updated now, I watched the video regardless ofc - you're always such a legend giving so much independent info!!

[@jody3699]

Thank you! Could you give us information on emface it makes your facial muscles twitch.

[@lulabella9249]

What about the ZIIP Halo?

[@suzyd9292]

What energy treatments do you recommend for someone who is starting to see the face dump

[@katebruno9255]

Thank you for mentioning epilepsy. Can you share what procures/lasers/devices are safe in epilepsy?

[@DrStefaniKappel]

I think its always a good idea to get clearance from your neurologist first :)

[@jessicaanne3490]

Dr. Kappel, could you explain how the Titan by Cutera treatment works and also talk about the different chemical peels out there? Also, I had my first peel done recently. It was a Skinmedica mid level peel. I was swollen, red, and itchy for days! I’d like to benefit from peels but that was slightly traumatic…in any case, what are your favorite peels and the recommended way to go about them? I hear they are not great to do in the summer…

[@MariaGordon-d1s]

This is not in regards to this video but just wanted to ask if you've done an updated or follow-up video about the micro coring procedure. Have you posted before and after pics and comments?

[@mariacardaropoli90]

I look forward to every video you make always learn something m!!! Dr Kappel how many times a year do you do a co2 under-eyes? ❤❤❤

[@DrStefaniKappel]

I just started doing it now that I'm older but once a year! Its amazing for undereye but you have to be careful with pih ;)

[@mariacardaropoli90]

@@DrStefaniKappelpih? What is that?

[@danielledickens4055]

Post inflammatory hyperpigmentation.

[@cynthiamanchess8733]

Iii I just had Fraxel dual done.. I was hoping you could do a post procedure skincare routin for, laser. Elecor… any post procedure skincare morning and night routine please!

[@DudeNamedJeffery]

I really appreciate this video Thank you so very very much

[@DrStefaniKappel]

youre so welcome!!

[@midlifemom5829]

Very helpful video! Ifs there a physician you could recommend for lower bleph procedure?

[@DrStefaniKappel]

Yes Dr. Ray Taban in LA or Dr. Jeffrey Joeseph in OC

[@midlifemom5829]

@@DrStefaniKappel thank u so much!

[@DrStefaniKappel]

welcome!!!

[@DB6904.]

Any thoughts on at home RF devices? Like Newa, or tripolar?

[@starinajar13]

Thanks for the video Dr Kappel! Are the microcurrent devices still unsafe if your epilepsy has been fully controlled for a decade? And do you know when you'll get the chance to a video on skincare/anti-aging for Ehlers Danlos Syndrome?

[@DrStefaniKappel]

I would follow up with your neurologist for clearencen;). I can try to do a video on EDS in general as it is very dear to my heart- yes. stay tunes and follow me on ig as I post educational stories as well and talk abut EDS sometimes

[@starinajar13]

@@DrStefaniKappel thanks so much! Please do! And I just followed on IG :)

[@DrReedB0928]

@@DrStefaniKappel I can't for this video! Thank you Dr Kappel :)

[@natalienetanya7401]

Microcurrent increases ATP which is energy for the cells. Increasing ATP causes the skin cells to behave more youthfully and optimally. I've seen complaints on the internet that microcurrent can cause fat loss. Its so hard to know what's what.

[@DrStefaniKappel]

Its so hard to say and given there is no regulation, fat atrophy could be a risk esp with the more shady companies 😬

[@mistiroberts1576]

ATP is the protein that keeps your muscles tight. Microcurrent was originally created to correct sagging muscles from Bells Palsey

[@natalienetanya7401]

@@mistiroberts1576 ATP is not a protein. Its a nucleic acid.

[@meepaleep]

Can you mention who your lip lift doctor was 🙏🏻

[@DrStefaniKappel]

Yes! Dr. Monica Kieu ;). I highly recommend her.

[@pnevlud]

Some of these home devices I worry about tooth implants

[@NIRA_skin]

Our devices are designed with safety in mind, and there are no known issues with implants, including dental ones.

[@Sara-yw9lz]

Do you think Nira can cause fat lost?

[@DrStefaniKappel]

I cannot say for sure but hopefully not. It is possible tho, which can be scary

[@TheMijas07]

Be careful using it on the higher settings - it should be ok level 1-3.

[@NIRA_skin]

The NIRA Laser only heats up the papillary region of the skin, and since it is non-fractional, it is not invasive or damaging to the skin. It will not melt or destroy fat cells. It works by heating up the water underneath your skin, and this triggers collagen to start building. When used consistently, skin will smooth out for an overall healthier complexion.

[@TheMijas07]

@@NIRA_skin I can only say from personal use, that it didn't help me, especially around my eye area, where it seemed to make things worse. However, I used it on the highest setting, which on reflection, I should not have. If I'd stayed at the lower levels, 1-3 it might well have worked. I used it for almost 90 days and returned it. I wish I'd have better reports back on my experience.

[@barakah6107]

It does. Within 24 hours I saw a light dent in the area of my face where it suddenly heated up.

[@sussannekeith5676]

We can’t afford expensive procedures like Fraxel… that is the problem.

[@rd7726]

Use tretinoin ❤

[@christinemack2153]

Wonderful video

[@DrStefaniKappel]

so glad you liked it!

[@patriciabriscoe5069]

I didn’t see any noticeable improvements from Thermage.

[@DrStefaniKappel]

it’s very operator dependent

[@D.R.Vortex]

Is there someone who actually has experience in a device which melts fat? I need a device to get rid of fat in my lower face (jawline, lower cheeks, corners of my mouth). Is there something I can use?

[@DrStefaniKappel]

I think for a small amount of fat Kybella is best, if a larger amount is needed then lipo may be an option but the complications can be scary so go to someone you trust

[@D.R.Vortex]

@@DrStefaniKappel Thank you so much for your response, it means a lot to me. I aleady hat one treatment, but with "Michelangelo". Need probably a few more. I am skinny, just have genetically a round face. Whats your opinion about "Lemon bottle"?

[@LaurenLillo-h5d]

​@DrStefaniKappel does Kybella cause the skin to sag?

[@barakah6107]

@@DrStefaniKappel for the face Kybella, how do you limit the area where it will work? Will it seep through the surrounding areas? Or will it cause a dent? Can it be done for jowls?

[@ma5142]

The red light mask made my melasma worse. Had to stop using it

[@midlifemom5829]

Very few YTers mention how devices can flare more hyperpigmentation, especially for those with darker skin

[@shreeya1113]

How old is your son?

[@convenienceandpracticality9032]

I'm confused why you are talking about 450 nm when Nira is 1450 nm. You eventually talk about 1450 nm but why even mention the 450 if Nira doesn't use that wavelength?

[@DrStefaniKappel]

It should have been 1450nm not 450nm