Episode Transcript
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Speaker 1 (00:06):
Welcome to another episode of Plastic Surgery and Centered. I'm
your host, doctor Roddy Rabon, and boy do we have
a series for you. Hopefully by now you've listened to
series one, Episode one, two and three. This is four
of a five part series. We spoke about neuve modulators, fillers, lasers,
and now arguably my wife and Charlene's favorite.
Speaker 2 (00:29):
Procedure, micro needling.
Speaker 1 (00:31):
So I first became aware of micro needling, I want
to say a few years back, and as always, a
lot of my education when it comes to the non
surgical world, came through my wife, because Laura is going
to explore and she'll do anything for her skin. Yeah,
she loves her skin. She takes great care of her
(00:53):
skin and as a result.
Speaker 3 (00:55):
She's has beautiful skins.
Speaker 1 (00:56):
On As a result, she has beautiful skin, and she's
on the know of what's on the horizon. And as
I'm a believer that you know on the horizon is
a lot of good things and a boatload of shitty things.
And so I am not one to want to be
providing my patients with things where within six months we
find out that wasn't so good. So micro needling several
(01:19):
years ago my wife was going to do this, and
you know, she'd come back. She'd be all read and
I'd be like, what are you doing? And She's like,
none of your business. I'm like, what do you mean,
It's not my business. I'm a plastic surgeon. You're my wife.
I need to know. She's like, I'm getting micro needling.
And I was so skeptical because frankly, she's getting it,
God knows where. I don't know anything as she's doing,
and you know, I have PTSD. I'm traumatized all day long.
(01:41):
I see complications in the cosmetic world. That's all I do.
Is like fifty percent of everyone I see has had
something go wrong. So my wife, being Russian, doesn't care.
And she said, Okay, you know, screw you. Until you
have it, I'm going to go do it anyway. Fast forward,
fast forward, and now we've built this incredible spa and
wellness center restore by Ramon, MD, which we're you know,
(02:04):
just opened and we're excited about and you are, you know,
or the main provider and one of the first things
we brought into our practice. Before we brought lasers, we
had botox and filler. It's been a tried and true
within within a week of you arriving. The first thing
we did was brought micro needling, and interestingly enough, it
was your favorite procedure as well. And so first thing
(02:28):
we need to do is describe what micro needling is
and what exactly is micro needling.
Speaker 3 (02:34):
So micro needling it's a device that has about twenty
four little tiny needles attached to the end of it,
and then we can adjust the depths of how deep
these needles are going to penetrate through the skin tissue,
so we can go from point five millimeters all the
way up to two point five millimeters, and the needles
puncture in and out of the skin tissue, which create
controlled injuries on the dermis, which stimulate new collagen production.
(02:58):
So it's great at just helping stem late tons of collagen,
creating new healthy skin tissue and skin cells, really just
rejuvenating the skin overall.
Speaker 1 (03:06):
Yeah, So basically the gist of it, and it's it's
so basic yet so brilliant. It's a handheld device, battery
operated or plugged in. It's mechanical, it's essentially a sewing machine.
It's got needles. We'll get to the quality of the
needles in a second, and these needles go back and
(03:27):
forth at very high velocity, and your face is numb.
For those of you freaking out already, your numb is
a doorknob. I had it done. It's on our Instagram.
Laws had it done. You can see it for yourself.
And you basically roll this we call it a pen,
and you roll this pen over the face and then
this need these needles are going in and out at
(03:51):
high velocity, puncturing, making these microscopic punctures and putting holes
into your skin and basicly, as she said, creating controlled
trauma or damage. And the one thing we know about
our body is that it heals when it's damaged. So
if you get a dog bite and you just have
(04:12):
a big puncture wound in your arm and it doesn't
get infected, it will heal. It will heal.
Speaker 2 (04:17):
How does it heal with scar tissue?
Speaker 1 (04:19):
How tough is that star tissue? Very tough? So it
tells you that our body can heal, and it can
heal actually quite strong. So now imagine we take the
technology of our bodies healing and we create a device
that does it in a tiny microscopic way and controls it.
Speaker 2 (04:39):
It's brilliant.
Speaker 1 (04:41):
You're basically mechanically making millions of little holes from which
your skin then heals and generates new skin. And that's
the key generates new skin. Lasers buy and large don't
necessarily generate new skin in many instances, they're resurfacing and
taking off skin. But this is allowing you to create
(05:02):
new skin. So as you can imagine as you do
this technology over time, every time, let's just make up
a number.
Speaker 2 (05:10):
I don't know this to be statistically true.
Speaker 1 (05:12):
Let's say one percent of your skin is damaged and
is recuperates and is new. So one percent of your
skin every time.
Speaker 2 (05:21):
You do micro needling is becoming a new skin.
Speaker 1 (05:24):
You can imagine that over time, like Laura has been
doing this for several years, you basically have a whole
new face of new skin because you've at some point
or another punctured that area and it's healed. So it's
remarkable that requires nothing other than your own biology. And
the reason why it's so remarkable is that it addresses
pretty much everything because it addresses tone, texture, quality, all
(05:49):
kinds of things very commonly with the micro needling. So
you have this mechanical device, there is some liquid.
Speaker 2 (05:58):
Or stimulator or some.
Speaker 3 (06:01):
Skin booster skin.
Speaker 2 (06:02):
Booster that you use in conjunction.
Speaker 1 (06:05):
Now, I believe, and I think you believe, and Laura
believes that the bulk of the benefit is just the
micro kneeling itself. But since you have to use a lubricrint,
like there's some lubricant that you roll over the skin,
you can then pick what that lubricant is and the
key to it. And the belief is, now I've generated
(06:26):
all these holes. Imagine you go and your gardening and
you use that that device that pokes holes in your grass,
and then you have all these thousands of holes and
then you pour seeds and those seeds fall into those holes.
So the idea now is you created all these pores
or channels, and depending on what you put on top,
(06:47):
what you put on top, I'll absorbed whatever you put
on it at those deeper levels of like the tissue. Right,
So you're basically introducing some type of stimulant within too,
the dermis. And so those things vary from as basic
and probably the most effective but nonetheless as basic as
PRP or PRF. What is that.
Speaker 3 (07:06):
So PRP is plasma rich platelets. It is pretty much
your body zone natural growth factors. It's derived from your
red blood cells. We're able to extract it from the
red blood cells by spinning it at different rates.
Speaker 1 (07:19):
Right, So basically, we take your blood one vial, we
spin it, we get rid of all the junk, and
then the concentrated plasma yours which in it, in it
has all kinds of goodies. Right. We call them, you know,
progenitor cells and growth factors. They're in there. We don't
really still know how to utilize them. But in this insance,
(07:40):
it doesn't matter because we're just applying it topically and then.
Speaker 2 (07:44):
It works its way down, its way down.
Speaker 1 (07:47):
And presumably it enhances the already amazing result from the
micro needleing. In addition to that, there's a whole group
of this whole area of stimulators. Is the is the
new It really is the new world order of dermatology.
It's exploded because the idea is, now I can deliver
(08:10):
into your skin, not on top of your skin, into
your skin. Now I can deliver chemicals and those chemicals
are going there going to alter your skin. Whereas historically
derm was about topical. So what are there other skin
boosters that people use?
Speaker 3 (08:25):
I mean hyrolonic acid is usually just going to be
the general one, but we offer different skin boosters that
can really accelerate the so you.
Speaker 1 (08:33):
Said, some of them are more lean towards making the
skin feel shiny, some of which.
Speaker 3 (08:38):
We which every skin booster you have has hyerlonic acid
in it, But if you want to upgrade your your treatment,
there's different skin boosters that can deliver different results.
Speaker 1 (08:47):
Yeah. So there's also one like a real popular one,
because everything becomes popular because of social media, because of
UH influencers. So salmon spur was one that was really
up on, you know, like a big deal, a big topic.
You said, you tried it.
Speaker 2 (09:02):
Tried it.
Speaker 3 (09:03):
Yeah, I tried it. I'm not going to say that
I saw results directly, but I did notice that just
people were commenting on my skin more. But I mean,
I think it's just like it's hard to say.
Speaker 1 (09:14):
I think that the booster part is still to be determined.
I think that the reality again I think it's ninety
six percent is the micro needling itself.
Speaker 2 (09:23):
There's going to be the future is of exosomes.
Speaker 1 (09:25):
Exosomes as a whole nother discussion and my got an
episode of its own.
Speaker 2 (09:31):
There's still a lot.
Speaker 1 (09:31):
Of controversy around what you can and can't use, But
I want you to leave this episode.
Speaker 2 (09:37):
Going micro needling amazing. Got to do it.
Speaker 1 (09:40):
So the next thing is you don't just walk into
a place and say I want micro needling. Why because
all micro needling pens are not created equally. And this
is super important because if you look at my wife,
who we just use as an example, she'll micro needle.
She's white as snow, she turns super red, and by
evening morning she looks amazing. She has no bruises, no scarring,
(10:04):
no nothing. And that's not just because Laura skin is good.
It's because the needles. We have a very high quality,
expensive pen in which the needles are super sharp and
the device retracts the needles all the way. So you
were saying something about the other needles or the other
pens or what.
Speaker 3 (10:24):
Other pens, They either don't go as fast, they don't
go in and out of the skin as nicely and
as neatly as the ones that we have can drag
onto the skin tissue. And you said you've seen like
I've seen, you can see like track marks where it
drags onto the skin tissue, where people have scabs on
top of their skin from micro needling with you know,
not an FDA approved device.
Speaker 1 (10:43):
Right, So I think that what I'm going to get
you to understand is you can actually go on Amazon
right now micro needling pen pow. There's like fifty of
them from Taiwan and China. Then, so that means that
you can go to I don't know, a day spa.
You can go to literally your facialist and they're like, yeah,
we have a pen and we can do micro needling. Great,
I'm already here, I'm getting my nails done. I would
(11:05):
discourage you from doing that because while this is a
super basic, super basic procedure, just like everything, it can
go terribly wrong. Like you go in and just get highlights.
I mean how hard they can burn your hair, Like
your hair can get singed by chemicals and fall off.
So it's just a chem it's just coloring your hair.
(11:26):
Same thing of microkneeling done correctly, awesome, easy by see
you later done incorrectly catastrophic error. So basically the gist
of it, so micro kneeling amazing technology. You basically come in,
you just numb for about thirty forty minutes, right, that's
the key. So for people who are like, oh I
don't want pain, zero pain, I hate pain. I did
(11:48):
it no pain, then again I use a whole jar.
But nonetheless, then the procedure takes.
Speaker 3 (11:54):
How long fifteen minutes?
Speaker 2 (11:56):
Fifteen minutes?
Speaker 1 (11:57):
Yeah, if you want to treat yourself, you put a
little cool mask on you look like Freddy Krueger. I
put that on, you go home, You let that thing
dry up, you get in, you just get it wet,
it falls off, and now you have skin that's been
had a procedure on it. It's not terribly bad, but
it still needs to be cared for. So how do
you care for it?
Speaker 3 (12:16):
So afterwards you just have to be careful. I mean,
your skin is regenerating new tissue, so it's almost like
new skin. So you really want to make sure that
you're just taking care of it.
Speaker 1 (12:23):
Well afterwards, which includes.
Speaker 3 (12:25):
Which includes making sure that you're keeping your skin clean clean.
Speaker 1 (12:28):
So keeping your skin clean is critical. With all skin procedures.
You can get a skin infection, you have open wounds.
That's the same way with lasers, that's the same way
with micro kneeling. Anytime we damage your skin to make
it heal, if you go take your disgusting hands, let
your cat lick your face, you go and use dirty
(12:50):
makeup brushes, you will get a staff or strap or
some other infection. So duh. Keep your skin clean.
Speaker 3 (12:58):
Keep your skin clean, you know, change your pillow cases out,
don't put your phone on your face. Things as simple
as that. You're going to want to keep your skin moisturized.
So we'll provide you with after care post treatment, after
KRA with hyrolonic acid in it and growth factors where
you're just going to infuse into your skin tissue to
keep it moisturized and then essentially just keep it away
(13:18):
from the sun.
Speaker 1 (13:20):
So three basic things that you need to do, no
matter where you go, no matter what. This is just standard.
This is just the basics of basics. One clean your face.
Keep it clean so that means keep it away from
dirty shit, phones, licking fingers, makeup brushes. Two keep it hydrated.
(13:41):
Do not let your skin desiccate and become some dry brittle.
It needs moisture. Three stay the hell away from the sun.
That's a big hat and SPF. Those are the three.
There is no other magic. That's it. If you do
those things and you continue to do the micro dam
How often do you do How often can you do
micro You.
Speaker 3 (14:00):
Can do micro needling as frequent as every month if
you like. That's what Lauria does.
Speaker 1 (14:04):
So my wife's crazy. She is such a skin I
don't know what to tell you, but fair to her.
Fair to her, her skin is perfection. The more you
do it, the better it is. It's not crazy expensive,
It's got very little. I mean literally the next day,
for the most part, you're back to normal. And I
(14:27):
think that it's of all the things that we have
to offer you, if you had to choose between that
and a laser, if like you just had to, I
would tell you to do regular micro needling. And as
a result, you can do it anytime, but I would
do it at least quarterly. I think after quarterly you
kind of lose the benefits because by the time half
(14:49):
once there twice a year I think is a little
on the lower side.
Speaker 2 (14:53):
Okay, so.
Speaker 1 (14:56):
Is there anything else that you think is critical with
the micro needling in the microneedling world?
Speaker 2 (15:00):
Is there any.
Speaker 1 (15:02):
Complications? What have you seen with micro needling? Like we
mentioned you know, have you ever seen have you ever
aside from infections, have you ever seen permanent scarring that
someone's come in from because they use some shitty device.
Speaker 3 (15:15):
No, not personally, but it has happened.
Speaker 1 (15:18):
God. Yeah, I think it's a pretty bulletproof procedure, assuming
you just go to a reputable place, and I think
that you will really grow to like micro needling. We
you know, it's it's that the thing that we do most.
You think, yeah, yeah for sure, And I think that
your best bet, like anything else that you do that
you think is of worthwhile, I would just go to
(15:39):
a place, buy a package, set your calendar, set it
in space. You know, people do that with botox. They
don't think twice about it. It's like I'm going to
get my next appointment. I think the micro needling is
the same way. You'll see that after you've done a
few rounds of it, you will really appreciably know your
skin looks better. You are actually going to get people
going like, oh wow, that looks much better. And so
(16:00):
I mean, I think ultimately our goal is for our
skin to be the very best version of it that
it can be.
Speaker 3 (16:05):
Yeah, when your skin looks better, everything just looks better.
On top of it, the botox will look better, makeup
will look better.
Speaker 1 (16:11):
You know, I not even have to wear Yeah, my hope, sir.
That like And I tell my wife, but she likes
makeup because she just likes makeup. I think you should
hopefully have such a nice complexion over time that you
don't require as much makeup. And tell me what it
does with it. It does have a There is one
thing to keep in mind. You will have a process
of purging with you. So we didn't mention that. So
(16:33):
I'd take that back for a second. Depending on your skin,
the idea is that this is going to it could
make your skin initially a little bit worse right, because
it brings out whatever's in there that boils the acne,
et cetera. Because actually, now that I thought about it,
I had a friend or two who came to us
and they called me to said is it normal? I said, yes,
you're in that purging proce doctor Houston.
Speaker 3 (16:54):
When she came in the next day, she had a
little bit of a breakout, but by two days later
when we saw her, everything clear.
Speaker 1 (17:00):
So do you find this purging or breakout component to
be the first few days or do you think it's
for weeks.
Speaker 3 (17:06):
Or how usually just the first few days to be honest,
it's kind of just getting everything out from underneath.
Speaker 1 (17:11):
And do you find that people who actively purge purge
every time they do it, or after they get into
a rhythm, it stack goes away.
Speaker 3 (17:19):
After they do a couple of treatments, it tends to
go away because now the skin, you know, especially if
it's the first time treatment, you've never done anything, it's
really bringing everything out. It's almost like getting a facial.
Sometimes people can get a facial and we'll purge right after,
and you're not even doing anything underneath.
Speaker 1 (17:33):
The same right and then what skin types can you
do this?
Speaker 2 (17:36):
And I'm black?
Speaker 1 (17:37):
Can I do it?
Speaker 2 (17:38):
I'm Mexican, I'm.
Speaker 3 (17:40):
No heat associated with the treatment. There's not really, so
there's no risk.
Speaker 1 (17:45):
So that's the reason why this is remarkable because even
the lasers that we had an episode about before and
we were commenting on how amazing the new technology is,
it's still not without its risk. It's still when we
say you can do darker skin people, we have to
be you have to pretreat, you have to post treat,
and it can be done and can be highly effective,
but nothing is like micro needling in terms of its
(18:07):
effectiveness for low risk downtime. So I think it's you know,
yesterday Arniest these theology doctor Houston, who's done a few
episodes with us.
Speaker 2 (18:17):
She's African American.
Speaker 1 (18:18):
She came in, she did and I did the micro needling,
and I think she really really liked it.
Speaker 3 (18:23):
Yeah, looks really good.
Speaker 2 (18:24):
Yeah all right, guys, Well that's easy.
Speaker 1 (18:26):
That was I think this is our sort of ADZ.
Micro kneeling, I think is a really good treatment. I
think if you're out there and you are entering the
space right you're listening, You're like, I'm a no frills person, like,
I don't know, I just want to get my feet wet.
This is the best way to get your feet wet,
even above boat talks, even if you've done nothing, no bowtox,
(18:50):
no filler, no lasers, no nothing, and you're like, I'm
gonna only do one thing, one thing only.
Speaker 2 (18:57):
I would do micro needling over anything else.
Speaker 1 (18:59):
For us, for sure, it is going to have the
greatest effect for the least amount of money, with the
least amount of risk and downside. All right, guys, well
that's a rap. We have one more episode after this,
and that's gonna be talking about medical great skincare, which
you're gonna want to listen in you don't want to
miss that. Otherwise, hope you enjoyed this episode. As always,
(19:20):
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(19:43):
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We'll see you in our last episode of five. See
this week Doctor Rider Raban on plastic surgery and censored