Lasers, Energy Devices, Microneedling, or Ellacor? What's the BEST cosmetic treatment?
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- čas přidán 8. 07. 2024
- Hi my beauties, my name is Dr. Stefani Kappel and I'm a board certified fellowship trained cosmetic dermatologist in Newport Beach CA and today I'm helping YOU understand different cosmetic treatment options so you can decide which one would be best for your skin.
00:00 Intro
01:10 The grey area in the beauty industry
08:56 Lasers
15:08 Energy based devices
21:58 Microneedling
24:39 Microcoring
Check out my website and blog where I talk all about topics like this one www.mdaire.com/blogs/mdaire™-...
Be sure to like & subscribe for more videos about cosmetic dermatology and keeping a youthful appearance.
Follow me on Instagram stefanikappelmd and my skincare line mdaire_skincare
For Colorscience, SkinBetter Science, Zo Skin Health, and Alastin (my favorite products) shop here stefanikappeldermatology.com/...
More about me as a Cosmetic Dermatologist:
Hi my name is Dr. Stefani Kappel and I’m a board certified Dermatologist! I’ve been practicing dermatology for 15 years and have been obsessed with skin my entire life.
Authenticity and honesty is my priority. Unlike many dermatologists on CZcams I do not accept any paid partnerships. I never have and I never will. Everything I post from skincare to in office procedures are ones that I truly believe in.
After obtaining my medical degree I completed a residency in a dermatology at UCLA. I took my first job as full time faculty at UCLA as professor of Dermatology.
It was then my love for teaching expanded and I began to educate thru social media. I post educational videos for my patients and for “skin nerds” like me who want to take their understanding of skin care to the next level.
Thank you for joining my CZcams Derm family 💙
I am also the creator and formulator of MDAiRE Skincare
Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this CZcams channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this CZcams channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.
I nearly fell of my chair when you said you are 45…I seriously thought you were in your late 20’s.
I had to listen to you a second time to be sure I heard correctly. You look amazing!
Thank you for the in-depth explanation. So important for people to educate themselves about the procedures prior to a treatment… your thorough explanation is so helpful for the best outcome. 💕👍🏻
She's the incarnation of The Age of Adaline.
Thank you!!!!
Love these kind of videos..very detailed
Gosh I’m so appreciative of these presentation. I’ve been looking at everything piecemeal and researching same and it’s just been clunky. I’m trying not to waste my money but already have. It’s only been recently I’ve really been clued into the need to see an certain kind of board certified dermatologist. But I’m distrustful of those calling themselves that. Anyway, I finally can see some hope and direction. Thank you so much!
My esthetician recommended prx , never heard of it did my research and found your videos. So thankful i did. Ima set up an apt to see you, I’m 2 hrs away but you really won me over!
Wow! You are brilliant! Thank you for the information.
💛💛💛Love you and your channel Dr. Kappel💛💛💛. Grateful for you and your content. 💛💛💛
Thank you!!!!
Dr. Kappel, thank you again for such an informative, helpful, educational presentation! Sharing your broad and deep knowledge with those of us who need and desire your expertise is so appreciated. 💗💗💗
👆👆🎁🎊 Thank you for being an active subscriber 💋💐, you have been selected among my few giveaway winner's kindly send me a direct massage on telegram via the info above ☝☝ to acknowledge your prize 🎁🫂💯🎉🎉
You are so welcome!!!
Wow, beautiful skin, no make up!! Amazing. Thanks for sharing I love your videos 🙂
Hi Stefani! Thank you so much for your non-sponsored content! What a breath of fresh air! What other doctors/ influencers (hate that word) do you find the most intentional and credible? I love watching your videos and find myself skeptical of almost everyone else. 👀
Wow new subscriber here finally someone being blunt honest - I have searched and searched for multiple years and so much confusion marketing fear lies
I only trust my skin to Board Certified professionals! You and the the other Dr K are the best!!!
Thanks so much for the great information!
You're so welcome!!
I love this! We talk about this stuff all the time and I’m glad your putting the truth about all the different treatments and technology out there! Best Dr on CZcams girl…love you! 🫶
Love you more 😍
As always, amazing, invaluable information! Thank you!! You’re not wrong about it being hard to find qualified professionals - at least in the south east 😢
Appreciating how valuable your time is and that you share your knowledge with us (*.*). I’m so excited to have an appt with you on Jun 29th. Thank you Sharon G
👆👆🎁🎊 Thank you for being an active subscriber 💋💐, you have been selected among my few giveaway winner's kindly send me a direct massage on telegram via the info above ☝☝ to acknowledge your prize 🎁🫂💯🎉🎉
So excited!! and thank you!!!!
Thank you so much! Love the information, and looks absolutely beautiful at 45!💜🌸💜
My OBGYN just started doing this. I was shocked when I went to my last appointment, and she was talking about beauty treatments. I really didn’t like this crossover, so I’m looking for a new OB.
Yes, same here my OBGYN started pushing Botox and other treatments in her new beauty lounge. Big turn off! I stopped seeing her!
Wow ! So much great information!!!! Thank you!
I love thermals because of you and the other aft k. Thank you
Can you please do a video on effective stretch mark treatments?
I’m cancelling my NEXT IPL - I feel like I’ve wasted a lot of money! I had Fraxel years ago & wish I had realized the importance. I’m very interested in micro coring and Thermage. I know my Dr is very reputable but now wondering why she didn’t explain and/or suggest more aggressive treatments. I can’t thank you enough for sharing your knowledge with us!
Because she’s not concerned about your results she’s concerned about making the💰!
I have appt with you in around 2 months. You are 2 hours away from me and your prices are more than spa places around me. I want to get good results and I know I will you. I work at Olive View and we have UCla residents come to our location for Dermatology. Here we treat more for skin cancer and other skin diseases. Good video.
Thank you
You’ve answered all my questions; and you have educated me on buying, ‘snake oil’.
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So happy to hear
New dark skin subscriber ❤
Yay welcome!! ❤️
Hi dr kappel, thank you for always fueling us with your knowledge. It’s truly amazing. I have a question regarding thermage. As a patient that dels with hyperpigmentation, knowing thermage uses heat will that cause more melasma? I am a patient of you and of dr Kennedy. Didn’t think of this before until now. Hope you can profvide some feedback and thank you again for everything you do!
I'm glad that you explained everything even what "laser" stands for. At first I thought Thermage is what Christie Brinkley gets done. But it turns out that's Ultheraphy and something called Xeomin. I think she is a good example of having had procedures done but not going too far. But concerning microneedling. I thought that being done with PRP was effective at helping the skin to produce collagen? It seems that you've said you've had patients who had hyperpigmentation from microneedling. But does that mean PRP didn't benefit them at all or was it not used? I have seen where there were people who had Morpheus8 done. But afterwards saw no difference.
Xeomin is like botox
Good information. Dr Stepheny would you be able to explain that do we have to take Tylenol before thermage face or eyes treatment.
You’re amazing and I could swear you’re aging backwards❣️ Do you ever work in New York? Long Island? If not, can you recommend someone as talented, skilled and knowledgeable, as you are, that I can go to? It’s almost impossible to figure out who to use based on a website or a Google listing. Thank you so much!
Hi Dr Kappel! I have a “risk” question for you…
My derm did my fraxel, but she only has RF microneedling for energy based tightening. In this situation, would you go to a different doc for a thermage, or would you try to keep all of your derm care under the auspices of one professional?
Thank you for your amazing content! Your willingness to share info is so wonderful.
👆👆🎁🎊 Thank you for being an active subscriber 💋💐, you have been selected among my few giveaway winner's kindly send me a direct massage on telegram via the info above ☝☝ to acknowledge your prize 🎁🫂💯🎉🎉
Gr8 video. So informative and helpful. I'm cancelling my upcoming BBL facial. What's the point? Like burning money.
Or getting burned. Smart choice.
Which is better for enlarged pores - erborium or fraxel dual laser? 🙏🏻🙏🏻
Hi Dr. Kappel,
I am a 43 yr old female RN and 5 weeks ago I had 1 vial of Sculptra treatment via a plastic surgeon Dr. Medication was spread out bilaterally through both checks, naso labial folds Marinette lines and temples. As a result, 1 cheek seems to be higher than the other. So I decided, I didn't want to go back for the follow up treatment x2.
1. How long does it take for 1 tx to get out of my system?
2. Can I add red light (660 nm) therapy to my face going forward.
Thank you.
For jowls and drapey skin in the lower face after weight loss, do you recommend Ultherapy or Ellacor?
This video changed my mind. I was going to go to a MedSpa for laxer but not sure now. It’s very hard to get into a dermatologist where I live. There’s very few of them like you said and most aren’t accepting new patients or won’t take me for insurance reasons. I want an ugly mole removed and don’t know where to go. Will laser remove a mole? I’ve heard both yes and no? Thank you 🙏 so much for your truthfulness ❤
Just finding this video and your channel now. Thank you for having integrity and sharing your knowledge; something that would take research and blind trust to visit a specialist and take a risk with a high chance they’re not trustworthy or sharing of knowledge. With that I’m wondering how you might recommend finding the right person to work with? I would love to come see you but I’m in Connecticut. Do you do video call consults? I’m at the point where I’m not knowledgeable about what I may need, as far as procedures and treatments (that would personally work for me). But I do know I feel I need and would like something done and to dive into the world of treatment as a form of preventative and corrective with some concerns I have. Apologies if this question was already addressed. Thank you! - Sarah 💕🙏
Love the content…. I wish you were my dermatologist ❤… Dr. Kappel what’s your stance on Red light therapy. Please make a detail video about it.
what are your thoughts on moxi and halo?
I had thermage from someone I trust, she thought it would be amazing. We noted nothing. I had it done second time. We still didn’t notice anything, and as a result, I stopped seeing her. Why do Roy think it didn’t work for me? Now it is 5 years later, recently my skin has started to sag more, especially around my mouth. I wonder if the thermage worked better than I thought. Also, what do you recommend for someone that doesn’t get results from thermage? Why do you think I didn’t see results? I was 41 or 42 at the time
Dr, can you tell us your professional opinion about the “Jet Plasma” aka/or “Jet Peel?” It seems like a gray area of energy/laser devices, not much in terms of research or online opinions. Almost seems like a glorified home device but man the marketing before/afters are bananas. TIA!
Hello Dr. Kappel, Sorry if I missed this but what do you suggest for creping and super dry skin under the eyes. I'm 54 and I have great skin all over my neck and face (due to at home LED mask and super skin-care routine) but the eyes aren't looking so great : (. Looking forward to hearing what you think xo
Is the Clear & Brilliant Touch like getting two sessions at once compared to a single session with the old device? That iks what I was told and haven't heard that.
First thank you so much for these awesome videos. Can these lasers worsen my Melasma? Ty!
What do you think about potenza? Here in the UK it’s micro needling and RF combined. I’m considering doing that instead of thermage as I can’t stand vibrations and shocks on my face
Can you please recommend someone in Tampa Bay area for Thermage, Ultherapy and Vbeam? Ty
What is your opinion on Fatona 4 D I haven't heard about it .. I'm looking for something close by my home that offers something for tightening around the under eye I'm not interested in fillers... Just skin tightening ... Thank you 😊
👍👍Thank you
Have you mentioned LipLase in one of your videos? What can you tell us about this procedure?
Hi Stefani, greeting from your Beauty Nerd, I had a Beauty question about your eyes, they look different in the last three videos, did you have anything special done or did you do your makeup p different?
I’m really confused because I was told by my doctor that thermage and ulthera needs to be done yearly to keep the results. I have done two treatments (on yearly) over the last two years of Ulthera. First time I noticed great results, the second time nothing. Which is true?
Is Ellacor anything like Opus Plasma? Could you do a video where you review Opus vs other treatments?
Do you know a good thermage doctor in the northern Virginia area.Btw I had Infiniti a few years ago and had no results. Thank you.
Would a BN nurse who has their aesthetics course be ok to do ultherapy ? RF, and fraxcel
Thank you :)
What do you think of the Qure Micro needle fusion ?
Hi Dr. Can Ellacor be use in conjunction with Agnes?
What are your thoughts on the Advalight laser?
can hyperpigment happen after thermage?
What is the best way to find a qualified injector in my own area? I have trouble navigating this.
You look amazing!
Do you know of a good ellacor doctor in Chicago Illinois ? Thank you for your expertise.
Do you use the Ultra clear laser?
How much does it cost for a one thermage treatment? Dr.Kappel
Is thermage as effective if we start that in our upper 40s?
Also if we have fillers along the jaw line does that effect the filler ?
Honestly bc of your age and results is why I’d look at it , before after photos online Havnt been as good as your results on yourself but maybe bc you started at 30?
Thank you Stefani ❤
👆👆🎁🎊 Thank you for being an active subscriber 💋💐, you have been selected among my few giveaway winner's kindly send me a direct massage on telegram via the info above ☝☝ to acknowledge your prize 🎁🫂💯🎉🎉
What about microneedlimg on legs for cellulite ?
Dr Kappel always informative waiting for ellacor to come to my area!! Doctor how long can I do a clear brilliant after doing Botox? Thank you ❤❤❤❤
👆👆🎁🎊 Thank you for being an active subscriber 💋💐, you have been selected among my few giveaway winner's kindly send me a direct massage on telegram via the info above ☝☝ to acknowledge your prize 🎁🫂💯🎉🎉
Your opinion on the AdvaTX laser? Are you familiar with it? Believe it’s new.
Dr. Kappel what laser qualification do we look for when we try to find a provider was it ACGME?
Yes! To be safe. ACGME stands for Accreditation Council for Graduate Medical Education. Any doctor who has this under his or her credentials you can be assured they have performed thousands of of cases of EVERY type of laser, device and injectables available. Each treatment they perform has been guided, proctored and taught by an expert. Its not always necessary to have this level of training of course and most MDs don't have it but for those of us who have put in the years of extra time, you can assure you are in the safest hands possible. Check it out at www.acgme.org/ Knowledge is power my beauties. If you're following me you are already informed and protecting yourself and this will help protect and educate you further. Take it to the next level. Be smarter in the crazy unregulated world of aesthetics.
Please recommend a laser MD in the Bay Area near berkeley. Can’t find anyone!
I have done prp with my blood
Excellent info, thank you❣️How do I set up an appointment with you?
Omg, the information you're give is incredible and I am so grateful. There are procedures I've been considering that I've been rx recently, but you have just confirmed what I suspected. Thank you! Could you please recommend anyone in North Carolina? Im so overwhelmed trying to find a provider.
I recently had a clarity 2 photo facial they called it but it wasn’t with a ipl device why do they call it this?
It's very difficult to find clinics such as yours where the Dermatologist is performing the procedure. It seems like whether it's laser, microneedling, thermage, ultherapy it's usually a technician performing the procedure.
It is!! Its so had to find someone highly trained in an era where anyone can call themselves an "expert". So misleading and unfair to patients paying for these procedures with providers who probably shouldn't be allowed o perform these treatments in the first lace. Look for "ACGME accredited fellowship trained" and at least someone "board certified in dermatology" Not just saying "board certified" because that can mean anything. I just had a patient who had a laser burn from an optometrist. She's "board certified" but in a completely different specialty. Its like the wild west out there my beauties. Be careful.
Can you please please direct us on how to find a true highly trained expert in different States (Pennsylvania) for thermage. I would love to do this but definitely don’t want fat loss. What are the questions we should be asking?
@@donnavalenza6961 NJ has cosmetic dermatologists. I'm on the east of PA and can't find a dermatologist who does this procedures, they have the tech doing it 😢
There’s nothing wrong with a PA or RN preforming the treatments. Dermatologist have better things to do imo.
@@bnb0510 these procedures are expensive. I want an expert to do them. RN and PA might know a little here and there but can't compare the knowledge of a dermatologist.
My sister just got Hifu? What is your opinion on that? Supposedly the machine is from Australia.
👆👆🎁🎊 Thank you for being an active subscriber 💋💐, you have been selected among my few giveaway winner's kindly send me a direct massage on telegram via the info above ☝☝ to acknowledge your prize 🎁🫂💯🎉🎉
Dr. K, quick question, I had a necktite procedure where the fat is extracted. Now after a year, I have creepy skin in the middle of my neck. What would you recommend to tighten that area from top to bottom? Your recommendation will be greatly appreciate.
Thank you for all your advise.
I had the acutite and have the same issue under the chin is laxed very frustrating
Please dr k what would you recommend?
@@tl9113 it’s horrible and disappointing that the procedure doesn’t provide the expected results. Thank you for your comment.
@scuevas1023 yes. Worst decision I made right now looking into trying to fix and the doctors keep trying to push the same thing
Do all Board Certified Dermatologists know how to do used these machine correctly? Thank you :)
You are sooooooo beautiful and you have an amazing skin perfection!God bless you! You are honest thank you! I wish you were in Canada I would have came to you:( oh what about large pores can anything help it? Pls help!
I’m a licensed esthetician and while I didn’t work in too many different areas at least in NC we have strict regulations on scope of practice for estheticians. I couldn’t do injections or high strength deep peels I won’t go anywhere where they allow anyone not a nurse or doctor perform certain procedures. To me it’s a red flag if a facility offers high strength lasers, peels, injections and it’s not a medical professional performing them.
👆👆🎁🎊 Thank you for being an active subscriber 💋💐, you have been selected among my few giveaway winner's kindly send me a direct massage on telegram via the info above ☝☝ to acknowledge your prize 🎁🫂💯🎉🎉
I agree completely. Some states are much too lenient on what providers can do without any regulation which is scary.
@@DrStefaniKappel I am from morocco and here only doctors are allowed to do these treatments
Good info. Thanks ❤
@@ummtaimann6819 👍well done Morocco!))
Do you have a specialist like yourself that you would recommend going to in Arizona?
Dr. Shelia Farhang
Do you like prp
I just had ellacor, and not seeing any tightening whatsoever. The sagginess is still there. If the cores are closed, shouldn't I start seeing some tightening? It's only been a few days.
Also, I see white areas interspersed within the red grid squares, as though the machine missed some areas. Wouldn't that reduce chances of results?
I'm concerned.
You need to wait a full 90 days to see the results. Also microcoring is highly dependent on the provider because without excision of the cores it is essentially just micro needling in which the results I feel are underwhelming. If the cores are excised, then that is when results become next level and unlike any other treatment.
@@DrStefaniKappel That's my concern. I saw that they removed extra cores with a suction cup and tweezers, but not under the chin.
I’d never go to a medspa for anything other than a facial. You get what you pay for!
Exactly
What’s funny (not really) is I went to a very well known plastic surgeons office to get BBL done and they induced melasma on me. Then I was dumb enough to get a Halo laser and my face blew up like a puffer fish with blisters. I ended up on antibiotics and steroids for 2 weeks. I’ve personally had better experience at the med spa. It’s all about your provider! Just because there is MD behind the name means jack squat!
DO energy-based devices melt subcutaneous fat? #askthedoctor
Listen to what you said at about 6min30 seconds in. You misspoke and it's hilarious. I mean no disrespect, I appreciate your content, but I replayed it 4x to make sure I heard what I heard😂
?
I heard the same. I was listening to Dr. Kappel while I was cleaning, but later rewound the video and turned on the subtitles, and it showed "Botox" and not "bl...jobs." So, it seems we misheard it 😀.
You should totally have workshops every so often? At home RF devices are touted by many to work. what is your feeling? I’m an unskilled operator for sure. We really cannot do damage with these home devices, correct?
Also, I’m leaving proof that micro needling causing hyperpigmentation a few years ago. I’m Fitzgerald 5 space.
So we shouldn’t do rf microneedling? Lol
I'd love to know what you personally have had done. I'm the same age as you but I look like I could be your mother lol
Did you have a facelift? You look a lot younger than you did in your videos from three years ago. You had nasolabial folds back then, now they're gone. You had a bony, aged neck, now it's smooth and youthful. You also had lower eyebrows. What did you do?
I have not had a facelift but I probably will when Im a little older. I was in my thirties in my earlier videos and I’m in my forties now. Aging backwards. I used to do a lot of fillers and Sculptra which I no longer do. I was underweight and tried to fill volume in my face with biostimulatory fillers. Sculptra made me way too full and almost gave me nasolabial folds. I’ll post a video on what I’ve done soon. I don’t do fillers anymore but I do many lasers and tightening devices on a regular basis which is key. I also had an upper blepharoplasty at age 41. Stay tuned for a video soon.
@@DrStefaniKappel Thanks for the reply and the honesty. How did you address the volume loss in your neck? A few years ago it looked more bony and sinewy. Now it looks more plump, smooth, and youthful.
RF micro needling is the most waste of money therapy you will spend money on. I did 3 micro needling, it didn’t compare to 1 laser treatment.
Micro needling is banned in my country. It is illegal. Once a dermatologist who ruined my skin for hyperpigmentation did it, thank goodness he only did twice before I went to another for second opinion. I gave him the regulations he refunded me totally without me prompting anything. Be careful who you go to for dermatologist opinions and treatment
Prp
You are 45??? For real?? You seriously look like you are 25.
Lol yes 45! Thank you so much!
You are 45!!!you look 20 or less
Way too much talk - this is not just about you