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Jowls, Folds & Shadows Virtual Event: Q&A

Virtual Event ยท Jowls, Folds & Shadows

Your questions, answered

Everything asked live during our Jowls, Folds & Shadows virtual event.

Q1Can you still build collagen in your late 50s?โ†“
A

Yes. Collagen production slows with age and drops sharply in the first years after menopause, but your skin cells still respond when they're stimulated. Results may build more slowly, and you may need an extra session or two, but collagen-building treatments still work at this stage.

Q2Would PRFM results be better if I supported my blood through lifestyle?โ†“
A

Supporting your body helps. Good sleep, hydration, a nutrient-rich diet, managing stress, not smoking and limiting alcohol all support healthy platelets and healing. That's the foundation PRFM works with. In the days before treatment, staying hydrated and avoiding alcohol and anti-inflammatories (unless your doctor has prescribed them) helps the most.

Q3How do PRFM, filler and SkinVive help bank collagen?โ†“
A

They each work differently:

  • PRFM concentrates growth factors from your own blood, which signal your skin to repair and make new collagen.
  • Filler restores structure and support. Hyaluronic acid filler can also gently stretch the surrounding tissue, which may encourage some collagen production.
  • SkinVive places tiny droplets of hyaluronic acid into the skin to improve hydration, smoothness and glow. That makes the skin healthier overall.

Together they work on volume, structure and skin quality.

Q4How does SkinVive compare to Rejuran?โ†“
A

SkinVive is hyaluronic acid for hydration, glow and smoother texture, and results last about 6 months. Rejuran uses polynucleotides, which are DNA fragments, to support repair and regeneration in the skin. It's often used for texture, thinning skin and overall skin quality.

Q5Can thread lifts cause internal scarring that complicates a future facelift?โ†“
A

Dissolvable threads can cause a small amount of scar tissue as they break down. That's part of how they stimulate collagen. Most surgeons find it doesn't significantly affect a future facelift, but some say it can make the surgery slightly more involved. If you're considering surgery later, let your surgeon know about any threads you've had.

Q6I've had threads twice and never had Sculptra. What should I do next?โ†“
A

This depends on your specific anatomy.

Q7Botox doesn't work on me anymore. Do you see that in patients?โ†“
A

True resistance is rare. It happens when the body forms antibodies to the toxin. More often, the cause is the dose, the injection placement, the timing between treatments, or how quickly someone metabolizes it. If resistance is suspected, switching to a different brand can help. We'd love to see you so we can figure out what's going on.

Q8For SkinVive on nasolabial folds, do you use the microdroplet technique?โ†“
A

No, it is fanned into the area. But the microdroplet is used all throughout the cheek.

Q9How long are the specials available, and how long do we have to use them?โ†“
A

The specials are available until Friday, November 13th at 11:59 PM PST. They must be redeemed within one year from the purchase date.

Q10What do you recommend for fine, crepey skin around the cheeks and eyes?โ†“
A

Crepey skin usually responds best to treatments that improve skin quality rather than add volume. Options include PRFM with microneedling, SkinVive for the cheeks, and collagen-stimulating treatments, often combined for the best result.

Q11After lifting threads, should we avoid deep collagen skin-boosting treatments?โ†“
A

You don't need to avoid them forever, but timing matters. Heat-based and deep treatments are usually spaced a few weeks after threads so the threads can settle.

Q12Does the PRFM special include microneedling the entire face?โ†“
A

The PRFM special includes 1 PRFM treatment where the PRFM is injected into the skin.

Q13Is there any collagen building with Onda Pro?โ†“
A

Yes. Besides being able to control if we want to reduce fullness or not, Onda's microwave energy stimulates collagen remodeling in the deeper layers of the skin. That's where the tightening comes from. Results keep improving over the weeks after treatment.

Q14I got Sculptra (4 vials) and Radiesse (2) six months ago and saw some improvement, but I'm not back to my pre-Morpheus face. Do I need more?โ†“
A

Yes, you can build up your collagen and soft tissue back to your baseline gradually if needed.

Q15How do you feel about a full face of PRFM?โ†“
A

We do full face PRFM microneedling but injecting it works best in skin that is thinning and more mobile like around the eyes and mouth. It is more effective to have a more impressive collagen builder to the outer portions of the face.

Q16Is the lifting threads special for both the lower face and the mid face?โ†“
A

Yes! The lifting threads special includes both the mid face and the lower face in one package.

Q17What are smooth threads on the jowls supposed to do?โ†“
A

Smooth threads have no barbs, so they don't lift. They're placed in a mesh pattern to stimulate collagen, which improves firmness and texture over time. Barbed (cog) threads are the ones that reposition and lift tissue.

Q18Are there Onda specials for other areas, or only the lower face today?โ†“
A

The event special was created for the lower face, but we have something for other areas too! Our Onda Pro body packages include a discount: you'll save 15% when you purchase a package of 3 treatments. You can view and purchase our Onda Pro packages here: Onda Pro Packages

Q19Does Onda tightening last longer than XERF tightening?โ†“
A

There has been no comparative study for the two but the result duration is very similar.

Q20I have one-sided fat atrophy and want to even out the fuller side. Can I book a consult with you?โ†“
A

Absolutely! Please reach out to us at info@thethingswedo.co. We're happy to help.

Q21If you don't keep up with Onda after dissolving the fat, will it sag?โ†“
A

The fat cells Onda destroys are gone for good, and the treatment also tightens as it works. Your face will keep aging naturally, though, so occasional maintenance helps keep the area firm.

Q22What would you recommend for rejuvenation and light volume under the eyes when most people suggest avoiding filler?โ†“
A

That is difficult to quantify because filler is such a great option for those with true volume depletion and most of the industry is undertrained in that area. If a patient is truly not a filler candidate, solely PRFM can be used to help thicken the skin but fat repositioning through surgery would be the best long term option.

Q23Can Onda "cancel out" Botox on the jawline, or is Onda done before Botox at the same appointment?โ†“
A

Onda won't cancel out Botox. The order matters, though. Energy treatments are usually done before injecting toxin at the same visit, because heat and pressure on freshly injected areas can affect where the product settles.

Q24Can we add hyperdilute Radiesse with Onda for tech neck lines?โ†“
A

Absolutely!