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Do you ask aesthetic and wellness industry and wonder where to begin? What's available to you and what works? You're listening to Aesthetic Express. Where Board Certified Nurse Practitioner Dr.
Kyle Far brings you expert education about everything aesthetic, beauty and wellness related. And now your host Nurse Practitioner Dr. Kyle Far. Hello everyone.
Thank you very much for tuning in today and listening to Aesthetic Express. I am your host Dr. Kyle Far. I'm a Board Certified Nurse Practitioner.
I am the owner of Detroit Aesthetics Company and I practice primarily in what many of us consider or call aesthetic medicine. Thank you very much for listening. I know those of you who do follow and listen, it's been a while that since we've had an episode come out. Life sometimes just happens and awesome things happen and just the case for me.
And it took me away for a while, which was important personally to do that, but we're back. And that's what matters. And I'm super excited to get back. I actually, you know, I was recently this past weekend.
I said before backtracking a little bit about what we call a gain trainer for the Gilder McCompany here in the Metro Detroit, Michigan area, which means I'm one of the educators who helps go out and train new accounts for the unlabeled use of their products. So I have the privilege and the honor of doing that being too out and kind of helped develop new accounts. But so anytime something new comes out to where there's a new product or a new indication that comes out. And then typically, you know, it's once a year we go down for what we call gain training where it's kind of like a train, the trainer.
But this last weekend was super exciting because there's a brand new indication out for a product that we use called Restylane Lift, formerly known as Perlane. So I was there and I was like, you know what? I have to go home and do a podcast episode about this because I think it's pretty freaking awesome. So yes, that you may have seen if you follow many of the beauty outlets out there pretty closely, maybe like new beauty or anything like that, or you may have seen it kind of scroll across my Instagram feed at Detroit Med Spa or maybe another providers Instagram or Facebook feed.
But yes, Restylane Lift is the very first hyaluronic acid filler to be used and cleared for use in the hands. So we have a product, we have an HA product that is FDA approved for use in hands for anti-aging, which is pretty a little bit awesome. It was super exciting. You know, we were at this really awesome event this past weekend.
It was super exciting. You were literally surrounded by some of the best injector or the best injectors in the country. And then physicians, nurse practitioners, nurses, physicians assistants. It was really exciting.
Lots and lots of energy. It was a, it's kind of like a giant party. I will tell you probably the best thing is, you know, we definitely, we heard this song quite a bit. It was pretty exciting when we're sitting in this big room, you know, there's lights flashing.
There's all these awesome LED screens behind us. We had 3D goggles we were watching and we got to literally kind of learn firsthand about the launch of Restylane Lift for use in hands. But it's a very exciting new indication for Lift. Lift, like you know, we've mentioned it before if you listened to my podcast episode about fillers.
Restylane Lift has a highest G prime out of any of the fillers in the Restylane family. So it's kind of the most bulky or the most durable. It was previous indication like we know it was there for the deep dermis, the cheek augmentation, mid-face augmentation, nasoladial folds. We use it there.
But it's pretty cool that we now have this indication for the hands. You know, lots of patients specifically, you know, in the study they looked at a lot of women. They say, yeah, their hands necessarily, you know, we do all this work aesthetically on the face to make it look younger. But the hands sometimes age people.
And that was, it was very interesting data was collected. They said nearly two in three women were interested in some kind of non-surgical cosmetic procedure to improve the look of your hands. I remember sitting in the room, when we were getting the latest launch information there together on Restylane Lift for use in the hands. And a physician was up, you know, presenting to us, talking to us.
And he really pointed out some really interesting things that I didn't even realize, you know, hands play such an important role in everyday life. It's pretty incredible. You know, you will, he mentioned, if you look at history, Michelangelo painted the very famous painting, the creation of Adam and it is God's hand touching Adam. The focus, the center of that painting is a hand, it is God's hand or finger touching Adam's for the creation of Adam.
I mean, that painting has even been kind of been focused in on to be just a hand. And I think if you go to any Bed Bath and Beyond or home store, you might find a blown up image of just those two hands that you could put on your wall. He mentioned, you know, if you need help with something, you might ask for a hand or if somebody needs help, you're going to lend a hand. You know, at that moment in life that you choose, you want to be with somebody for the rest of your life, you ask for their hand in marriage.
You know, so we're really surrounded by hands are so critical. You know, he mentioned back in the day, if you stole something, if you're caught shoplifting, you know, they would cut off your hands, you know, to signify that you've done something wrong. And then there was that stigmatism that you carried with you for the rest of your life, because hands were so important. So it's something that we, you know, maybe it made me step back and thinking about, wow, yeah, you know, your hands really made you know what that that's something we've done a little bit of hand rejuvenation.
What we call off label. There's another product out there on the market that does have an FDA clearance and indication for it. Now that I've been able to kind of actually see the two side by side, I will say I would, my choice treatment would be with Restylane Lift, the HA product, because it's very smooth, it's beautiful, it's quick, easy treatment. It's awesome.
But you know, like we said, two and three women were interested in that. The clinical study results behind it were astounding. I think they said the patients treated 91.7% were happier with the overall appearance. When they initially did the study of their treated hand, I should finish my sentence there.
But you know, when they initially did the study, they treated one hand and they did not treat the other. Because when they had people evaluate them, they did what they call a double blinded study. So they would have the patients removal of the jewelry. They would, you know, have the blinded examiner look at one hand and then compare it to the other and say which one looked better.
They're probably behind a curtain or something like that. So you didn't know who they were, you know, non-identifiable, things like that. But they said 91.7% of the participants were happier overall with the treated hand. 88.1% felt their treated hand was more attractive.
They 89.3%. So the treated hand looked more youthful. And then the biggest one here, the biggest takeaway that I thought was awesome, especially for somebody like me, I am so much of my practice in the way I inject. I focus with my patients on making things look all natural or very natural.
I want to make sure my clients leave. I say that the best thing that can happen to you is that everybody's going to notice, but nobody's going to know. That's kind of maybe my motto that I like to kind of keep with the theme that I like to have with my injections. Everybody's going to notice, but nobody's going to know.
People should look at me like, wow, you look good. You look really great. Did you get more sleep? You look awesome.
But no, we should know what you did. And that's what the clinical studies really demonstrated here. They said 95.2% of the results looked natural. They looked very natural.
95.2% of patients. And this was kind of based on what we call the GAIS and bad with acronyms, but it's the Global Aesthetic Improvement Score. But it was the clinical study demonstrated that it's very safe, it's proven, and it's effective treatment. On average, patients would typically get overall about three cc's of product in their hands, in each hand, total.
So maybe the first treatment they're getting anywhere from one to two syringes, in hand, maybe one and a half, somewhere in there. And then typically at about four weeks, maybe three to four to six weeks, depending on what their schedule was and stuff they would come in for a checkup. But then they would have a little more put in. But the goal initially was to not necessarily put a ton of product in this.
It's not one of those things we're going to go in there and say, fill them up. Otherwise, you're going to leave there. Nobody thinks hands that look like you have congestive heart failure or sexy. That is not a good look on anybody.
We don't want Mickey Mouse or Minnie Mouse hands. We want very natural looking hands. So that's why it's kind of recommended that you do this two step approach maybe. And that's definitely how I've been doing it.
My injection technique has always been that as well. But you know, this had 89 participants, seven centers. It was a random double blinded study. 89 participants, 85 were actually included in a lot of the data in the study.
There were some participants that were excluded for a particular reason because the grading of their hand was not low enough. It did not look aged enough. But you know, they also did. They were talking about safety and efficacy and satisfaction.
They also then wanted to collect some more data. So they did this Michigan hand outcomes questioner. There's a questionnaire that comes from the University of Michigan, close by where I'm at in Ann Arbor. The participants found that there was no change in how their hands worked.
So that's actually really good data that they were able to collect by the FDA asking for that this Michigan hand outcomes questioner also get used because that's something that patients are going to affect how my hands are going to work. They're going to make them more difficult. They're going to feel arthritic, anything like that. But there was no change in how the hands worked.
There was no change in sensation of the hands. So things felt very normal, very natural, everything was great. There was no increase in pain in the hands, which might be important. Well, it is important for people.
No, we want painful hands. And then the one that we all, there was a big laugh in the room. One of the questions, and you can tell this is an older questionnaire. It's been around for quite a while.
I forgot the year exactly for you to look it up. But it was the Michigan hand outcomes question. One of the questions was, was there any change in difficulty for you to hold a frying pan? And they found that no, that there was no change in difficulty in the participants ability to hold a frying pan from before treatment or after treatment.
So nowadays, I think most people, I think, the joke was they probably want to hit you in the face with the frying pan if you were asked that question. But overall, no, safety and efficacy, it is very, very safe. With any kind of aesthetic treatment with injections, we found that there are going to always come some maybe potentially very minor side effects. I'm going to talk to you in a second about how the treatment is actually done with the procedures like in office.
But side effects are very minimal. I think swelling, typically averaging maybe two to three days was probably the most common, any HA filler. You're going to get that, especially when we place them in the lips, when we're using Restyliner, any of the other products off label. Restylin has an indication for that in the lips, but very commonly in my practice.
There are other products that I use off label. Tenderness, averaging three to four days, maybe four and a half days or so. Redness lasting a couple days and the one that was really, if anything I don't want to say, shocking, but bruising. Typically, when I inject patients, I let them know bruising can happen.
If I run into some bruising or if I get, some patients are just oozers. They're a little oozy. And I'll let them know, and you're going to have a little bruise there, pick up some ironing, it's going to have some cover up, things like that. But bruising, most patients in the study said if it had it, it was only there for like 2.7 days.
It really wasn't bad. But when we're looking here with the exciting thing, again, we're looking at Restylin lift. This is the first and only, very important thing there, only. This is the only hyaluronic acid product on the market that can be treated to reduce the sign of volume loss in the hands.
It is FDA clear to reduce the signs of volume loss in the hands. So that is if we're looking at our hands, we look at them flats on the table and maybe make a fist and we see we have these metacarpals, those are bones in the hand, we call them metacarpals. But it creates these peaks and valleys. And sometimes as we age, we lose that volume in the hands and those layers and it fins out there and we can see those peaks and valleys much more and then we start to know the blood vessels a little bit.
One of the other people that was there said, take your hands and look at a mirror or look at a mirror and then put your hands up next to your face and kind of do jazz hands with your palms facing the mirror and say, does your face match your hands? And if it doesn't, that might be something you really want to think about. But again, this is a safe and it's a dissolvable HA product. So not that the clinical study demonstrated that, but it's dissolvable, which I think is important to remember.
So if you don't like it, we can get rid of it. HA fillers like this, there is a way to reverse it if it's something even like, it's really a way that it kind of complete the look. It's really super exciting that Rustle and Now provides us that opportunity to really complete the look from face to body, able to really kind of polish off and finish that look, which was awesome. But the technique, you know, they're actually the treatment pillars like, well, what's it like?
Is it uncomfortable? Is it going to hurt? You know, we saw live demo there. I've done several many in the office.
I don't know how many I've done in my injection time, but it's very, very comfortable, very tolerable. You know, we assess the hands. We're looking for those peaks and and and valleys. Like we said, the metacarpals are the bones creating that.
You know, there's approximately going to be anywhere from, you know, four or so injection sites per hand. And we use small little boluses. So what do I mean by a bolus is I insert the needle very, very, you know, not very deep into the skin, like one one millimeter into the skin. So it's a very, very shallow injection.
And we give a little bolus, which means I really hold the needle there really steady and we give a bolus. So yeah, it's going to look like there's a little wheel there. Like you have a little large, you know, larger size bump there, we don't inject, you know, point to two to point three to point four mls there. So you have a little wheel.
And then when you're done, you know, you really get a very relaxing hand massage from your, your injector while you're getting it done. So then we massage the product in to kind of help move it around and really fill in those, those peaks and, and where we're not from the peaks, we're filling in the troughs or the valleys. And then like we said, you go home and we let the product, you know, kind of continue to work in if it's got fill in a little bit, you know, rustling lift doesn't absorb a ton of water, but there will be a little bit of absorption of water. And, or, you know, from the, from the body.
And then, you know, we come back at, you know, four weeks, we reevaluate and typically, I mean, we might put in, you know, one, one syringe or more so per hands. But the initial clinical study with, with awesome tools, we found that it was a 24 week study. If you're not a math wizard, like me, that is a six month study. So we filed here for six month indication.
And, and for product six months down the road, what we found is that at that 24 week or six month time period, 92% of participants still noticed improvement in their hand. So at six months, 92% of patients said, yeah, I still notice my hands. They look more youthful. They look better.
They're, they're happy with them still at six months down the road. And then the study just stopped. So I can't sit here and say, Oh, it's gonna last, you know, a year, you know, the study stopped at six months. So we have that knowledge there.
But you know, it doesn't mean that at 24 weeks and three days, you're gonna wake up in the morning and be like, Oh my God, my hands look like they're, they're old again. That's, that's not the case. But we said very simple treatment coming to the office. We, you know, clean the hands, we go in the bathroom, wash your hands with some antibacterial soap, come back in the exam room, clean it with some aniseptic, assess, take some before and after pictures, give you some before and after pictures on your phone or some before pictures, provide the treatment, have you make a fist again, very, very small injections, you know, one, one millimeter underneath the surface of the skin, we give these little boluses, you have a nice hand massage.
When we're done with some arnica gel, and you're on your way, you know, and then you're good, you know, go home, I sit if you want to for comfort, coming out, reduce some swelling. And then in four weeks, I'll be coming back in, check it out, see if we need to do anything again, and we're good to go. But, you know, really no downtime. You know, it's a very, very comfortable procedure.
But again, it was super excited as I was at this awesome conference. I was like, oh my gosh, I can't wait to get home and make a podcast about this and start to share this information that yes, there is, there is an HA product out there now that has an FDA clearance for use and enhance. In my office, you know, we're going to have these really cool hand kits for our first few clients who come in and get this done. Restylant, I am, I don't wear nail polish on a daily basis really at all, but they rest on came out with these really cool kits that our first few clients are going to be able to get these exclusive kits that come in this beautiful little box.
You got a really nice, luxurious hand cream in there. And then they also had a celebrity nail stylist actually make their own custom color. Those of you who know, Carrie Bradshaw from Sex in the City will know this brand of nail polish, but you got a custom nail polish called Hand Clap, which is why we also use that song at the training that was being played quite a bit. But yeah, those first few clients who come in there and get to take advantage of that, they're going to get this really awesome kind of luxurious.
Take home kit with them, it's going to help complete the look, really complete that anti-aging look, make sure your hands match your face. It's super exciting. It's awesome when we see these innovations, these new things come out, makes us excited as injectors to share this, to know that there's all these new developments and findings coming out there, things that we can do. It's really one of those things that when you look at those before and after pictures, you're like, wow, that really is quite a difference.
It's really kind of neat. It is neat. It's awesome to see that. So super excited.
That's what I wanted to share with you guys today. I was so excited to get home. Actually a minute I got to the plane, I kind of rushed through the, I was down in Dallas. Like I said, it was a whirlwind of a weekend.
I was there. I left super early from Detroit, Metropolitan Airport, close to where I live. I left super early Saturday morning. Got to Dallas, spent the first part of the day.
We got to do a really amazing anatomy lab, cadaver lab at the university there. Then came back and had an opening welcome session. And then we went to bed, got up early, the next day, and started. There was a whirlwind of a weekend.
I came home Sunday night. Actually, when I got on the plane to fly home Sunday night, that's when I got to sit down. I got to write these notes for this podcast because I want to make sure I get this information out there. I share it because it is, it was that exciting.
So I spent my flight home kind of halfway listening to the app there, the Delta app on the flight home. I was listening to the the wrinkle in time movie. I hadn't seen that one yet. So I kind of had that playing in the background because I had like a little bit of some kind of background noise.
And I was just jotting down notes. I had taken some pictures on my phone of different slides from the presentation because I made sure I didn't want to miss anything. And I was like, I've got to share this. I want to get this out there, flipping through those slides right now to make sure there's nothing else I wanted to tell you again, that that 95.2%.
You know, I had that marked on my phone here that they felt that was natural and that was, you know, very, very natural look, which I think is important. So I that said on the phone, sat down on the plane, looked through my phone, I said, I got to get this information out there. So it was exciting. But that's what this podcast was about to kind of announce and let everyone know out there that that tunes in and listens that yes, there is an H a hyaluronic acid solution for hands.
It's wrestling with it's amazing. It's incredible. We're super excited. If you're interested in finding out more about that and you are in the Metro Detroit area, give our office a call.
I'm shoot us a message, visit us online, www.detroitmedspot.com. You can also find us on Instagram and Facebook at Detroit medspot, phone number 734-259-2804. You can give the office a call, shoot us a text message and get us in, talk to you about it. Send us a message if you want to find out more.
If you're not in the Metro Detroit area, reach out to your local aesthetic provider that uses, you know, wrestling, lift, Gail Dermot products, the best ones on the market out there, you know, the makers of Dysport, Restylane, Sculptra, so forth and learn more. Find out, sit down, get a consultation, find out more and make sure you kind of complete that look. You know, we focused so much aesthetically on the face. It's again, I can't push more how now we have a solution for body.
You know, we are able to really kind of complete that look and super exciting times, but don't want to take up any more of your time. That's what we want to talk about today. Thank you so much for tuning in, taking some time to listen. Again, I am Dr.
Kalfar, nurse practitioner. Thank you so much for listening to Aesthetic Express. Keep in mind, you can find our podcast on iTunes, Spreaker, iHeartRadio, there's a whole bunch of other sources out there. Google now has a podcast solution out there, a podcast service out there and we're on there now, which is really exciting.
But Spotify, although, so find us out there, tune into us and make sure you follow us, shoot us your feedback on there if you love us and we will see you again next time. On there, if you have a topic you'd like us to discuss, make sure you send us a message, let us know what you'd like to hear more about and we'll make sure we cover that for you. But again, just like Harry Winston always says, people are going to stare and make it worth their while. Take care of yourself and have a fantastic day.
Thank you so much for listening. Bye-bye. Bye-bye.