Facial Rejuvenation – FAQ’s
How deep do you inject? How do you answer the depth question under the eyes?
The skin under the eyes is the thinnest skin on the body. Because of the thin skin, blood vessels commonly show “dark circles” in the tear trough. Inject as superficial as possible in the sub-dermal plane. You want to taut the skin to create a linear track. You should be able to see the needle through the skin. Technique: Inject 2cc per tear trough, entering from the zygoma and aiming towards the bridge of the nose in a linear threading technique using a 27-gauge needle. Selphyl can also be used with a blunt tip cannula. Inject as you withdraw the needle but do not come out of the original puncture site. Sometimes I use a cold spray on the zygoma where I enter the skin (diminish the discomfort). Do not cross your lines of injection as you do not want to disrupt the matrix. After injection, ice to injection site only. Only gentle smoothing over the tear trough area for 72 hours.
How do I know I have put enough product in?
What is the protocol for facial injection? How many treatments and how far apart?
Depending on the need of the patient, you must remember this is not a filler. The purpose is to accomplish an improvement in the skin texture and moisture. I use 8cc of product and I use the linear threading technique placing about 4cc on the side of the face. You can also do the fine lines above the lips and around the mouth. It is recommended to perform 2 treatments approximately 4 weeks apart. Remember…deep dermis is the plane you want to inject in to.
What do people charge?
How is your product different from the others?
Does it work in the hands?
Yes, using PRFM only will improve the tone and texture of the skin. I prefer to use PRFM (Selphyl) with fat injection. The benefit is the volume for smoothness plus the texture and moisture.
How do you address the patient expectations and outcome?
Is Selphyl a filler?
Hair Restoration – FAQ’s
What is the mechanism of action of Selphyl for hair restoration? What is Selphyl actually doing to grow hair?
What size needle do you use? Can you use a 27 or 30 gauge needle?
Do you numb the scalp? If yes how?
How do you inject the scalp? How deep? How far apart? How many cc's of Selphyl do you use? What is the frequency of treatments?
Do you activate the Selphyl in the red tube?
How do you present the patient outcome expectation?
What is the protocol? How many treatments and how long in between?? What is your post treatment follow up typically?
What do you say when a patient asks, "How long do the results last"?
What are the patient limitations after the treatment?
What are people typically charging for the treatment? Do most practices charge as a package?
Is it effective on all forms of Alopecia?
I was seen on time and the exam was very thorough – all my questions were answered. The doctor was very professional and attentive – the assistants were also very pleasant and helpful. Thank you.
