Trascrizione completa di Renuva Explained

yeah, it's not uh confined by common terminology of saying filler or a biostimulator. 00:04:27.279 --> 00:04:32.160 You know, this is an X factor because it's replacing your own fats, not just the biostimulator. 00:04:32.319 --> 00:04:38.959 I mean, yeah, it does have a uh stimulatory response in terms of what it does, but the regeneration of your own fat is pretty unreal. 00:04:39.120 --> 00:04:42.480 Uh so just like a few touch points on what the product really is. 00:04:42.639 --> 00:04:42.800 Right. 00:04:42.959 --> 00:04:49.920 Um, when you break it down, it's it's truly this scaffolding effect where um the best analogy or the best way to describe it is the honeycomb. 00:04:50.079 --> 00:04:50.160 Yes. 00:04:50.480 --> 00:04:50.639 All right. 00:04:50.800 --> 00:04:53.120 I think that I think it paints a really good picture. 00:04:53.519 --> 00:04:56.160 I mean, you and I I know you love bees, I love honey. 00:04:56.240 --> 00:04:57.519 It's it's a we're in a good place. 00:04:57.759 --> 00:05:00.240 The amount of honey I own at my house is insane. 00:05:00.800 --> 00:05:07.839 Um but what it really is is when you break it down, if you think of this honeycomb matrix, there's these isolated little lobules within there. 00:05:07.920 --> 00:05:10.639 So if you take that honeycomb, you put fat molecules in there. 00:05:11.040 --> 00:05:19.839 And what they're able to do is take that fat molecule, strip it away, and keep the stromal matrix that holds the fat, and then uh they denature it of DNA. 00:05:20.000 --> 00:05:25.920 And one of the ways in which they do that is it's their proprietary uh methodology of a chemical wash within that space. 00:05:26.079 --> 00:05:28.160 So they don't actually radiate the tissue, right? 00:05:28.319 --> 00:05:34.639 Which is so important, as you know, because a lot of the times when you radiate tissue, it's it's not incredibly viable at that point. 00:05:34.720 --> 00:05:47.439 Um, so the injection of the product, it's it's really, in my opinion, like it allows me to be natural within the space that's injected because it's gonna grow to also to the size of the fat pertaining to the area. 00:05:48.000 --> 00:05:50.800 So we utilize this a lot for facial revolumization. 00:05:51.199 --> 00:05:51.600 It does. 00:05:51.759 --> 00:05:51.920 Yeah. 00:05:52.160 --> 00:05:59.519 Uh, because it imagine like a messenger cell where you can you know recruit your own fat to the area because really you don't really grow new fat. 00:05:59.680 --> 00:06:02.240 You know, as we age, you get fat die off attrition. 00:06:02.399 --> 00:06:07.360 Um, but then furthermore, you know, when you look at most fat molecules, you're either going to increase or decrease in size. 00:06:07.519 --> 00:06:07.680 Right. 00:06:07.839 --> 00:06:08.879 That's it, just like a muscle. 00:06:09.040 --> 00:06:11.040 You get a degree of hypertrophy within there. 00:06:11.199 --> 00:06:16.079 So growth of new fat is it's 100% intentional, not by accident.

00:06:16.160 --> 00:06:21.839 Um really the only two ways to really achieve that up until now have been RNUVA and fat crafting. 00:06:22.079 --> 00:06:22.480 Right. 00:06:22.639 --> 00:06:24.480 Um so it's a it's a cool process. 00:06:24.639 --> 00:06:33.519 The the product itself, typically you're gonna see maximum duration uh of variable outcome in terms of what they're gonna say on paper is about seven to ten years. 00:06:33.680 --> 00:06:36.639 And they do have actually really good clinical data to support that. 00:06:36.800 --> 00:06:44.639 Um, some of the trials that they've done, they're still doing post uh tests on those patients to see, hey, what degree of new fat growth has has been had. 00:06:44.720 --> 00:06:48.319 Uh, and as well as from a degree of of safety, like how has it been? 00:06:48.480 --> 00:06:52.639 And and the nice part with that company is they have a really good long track record. 00:06:53.120 --> 00:07:05.920 A neat part of the company that I think is always kind of um special because I don't like new, as you know, and we don't like new, we don't like old, we like things that are tried and true that we can trust, and there's a degree of safety to your point. 00:07:06.160 --> 00:07:14.079 And with Renova, it's the company MTF Biologics, they were started in 1987, which like it's been around for a while. 00:07:14.240 --> 00:07:16.560 It's about the same time as Botox when it first came out. 00:07:17.040 --> 00:07:24.319 And it was started by a group of orthopedic surgeons because they needed to harvest patellar tendons to do a patellar tendon graft. 00:07:24.480 --> 00:07:30.959 And since then it's grown to be the largest tissue donor in the entire United States, which that's a big deal. 00:07:31.120 --> 00:07:35.920 Um they're based out of Newark, New Jersey, and that's where their key uh facility is up there. 00:07:38.000 --> 00:07:38.720 It was pretty cool. 00:07:39.040 --> 00:07:40.800 What were your takeaways from that? 00:07:41.519 --> 00:07:48.959 How much work and how much passion and decision and care and and to the to the quality that they have. 00:07:49.120 --> 00:07:57.519 So, you know, there's there's federal guidelines on how you can process tissue, uh, but what they do and what they hold themselves to are far above that. 00:07:57.600 --> 00:08:01.040 Uh, they have an industry standard that no one can touch. 00:08:01.199 --> 00:08:06.959 Uh so when you're questioning this product, and I know sometimes there's concerns of like, oh, what is it, where did it come from? 00:08:07.279 --> 00:08:11.279 There's no company that takes greater care or greater pride in that. 00:08:11.439 --> 00:08:26.720 They actually have a sheet, uh like a cloth quilt in there that was made from uh families of people who've, you know, don't families that have had family members that have donated um really the gift of life to a lot of people, and they do so much more. 00:08:26.800 --> 00:08:29.920 It's not just an aesthetic company,

it's it's actually a non-for-profit. 00:08:30.000 --> 00:08:37.279 So what they do from a Renewva standpoint is they found this as just a niche to say, hey, we want to give the greatest gift of life. 00:08:37.600 --> 00:08:44.720 And they had discarded tissue that they were like, this is just wrong, and there there should never be discarded tissue when someone has donated their life. 00:08:45.279 --> 00:08:50.320 And that's how this really came to be with Renewva and the processing of it and the care of it. 00:08:50.399 --> 00:08:54.879 So I I love that story because I I think it it shows, you know, number one, good intention. 00:08:55.200 --> 00:08:55.679 Integrity. 00:08:56.000 --> 00:08:56.879 It does, absolutely. 00:08:57.360 --> 00:09:06.320 Incredibly valuable, and and it gives me confidence in a company like that to know that they really take pride in what they do and the utmost confidence. 00:09:06.559 --> 00:09:15.279 To your point on the um the adverse events and the safety of it, there have been legitimately zero reported adverse events with Renewva in the entirety of that. 00:09:15.600 --> 00:09:16.159 It's incredible. 00:09:16.399 --> 00:09:17.200 It is, yeah. 00:09:17.679 --> 00:09:21.840 You know, I mean, shy of a bruise and/or slight swelling post-injection, that that's it. 00:09:22.000 --> 00:09:23.840 Which right, not product specific. 00:09:24.159 --> 00:09:27.840 I mean, if you ever look at the mod data on anything else, that's that's not exactly the case. 00:09:27.919 --> 00:09:34.639 Aaron Powell Circling back to the kind of how it works, and you touched on the honeycomb structure, the scaffold. 00:09:34.799 --> 00:09:41.840 Um, you know, I think it's for patients to really understand when they're selecting this product, it is human donated tissue. 00:09:42.080 --> 00:09:46.799 However, it is completely DNA-free, decellularized. 00:09:47.120 --> 00:10:01.679 What it does have is the messengers, the proteins, the collagen, basically the signals that are gonna tell your body to fill the honeycomb with honey fat, which is what we want, the golden good stuff. 00:10:01.840 --> 00:10:08.799 And uh it's personally I love injecting it, but it's also I'd say one of the top things I've invested in myself. 00:10:09.039 --> 00:10:20.559 Max did my injections um in the common places where we age, and we can um you know touch on that in the and the mid-phase is one of the best places for Renewah. 00:10:20.799 --> 00:10:26.399 Because we said, you know, there are we should cover this isn't for every place, right? 00:10:26.559 --> 00:10:31.120 Um, but it is really great for uh where there's fat loss. 00:10:31.279 --> 00:10:33.039 I've where do you mainly inject? 00:10:33.120 --> 00:10:33.919 Let's start with you. 00:10:34.320 --> 00:10:38.320 So I think it it it's a product that you can utilize in a lot of places. 00:10:38.399 --> 00:10:40.639 Anywhere where there's native fat you can inject. 00:10:40.799 --> 00:10:50.080 Um and it's not by

if you think of just as a slight comparison, if you think of like filler, um just as a juxtaposition, uh filler has an FDA indication for a specific area. 00:10:50.480 --> 00:11:03.679 So if I took Restlin contour and you know, by FDA indication, I would I'm only bound by injecting that to the cheek and no temple versus Renewva, it's not bound by that because it is donor tissue. 00:11:03.840 --> 00:11:05.679 So it doesn't actually have limitations within that. 00:11:05.759 --> 00:11:08.559 It's just you know, medically we're always gonna inject it where native fat is. 00:11:09.120 --> 00:11:17.039 Common areas that you wouldn't often you know inject are really gonna be tear troughs, lips, of course, uh sensitive structure structures. 00:11:17.279 --> 00:11:43.360 But my most common area is I love it for the cheeks, I love it for the pre-auricular space, temples actually do incredibly well, marionettes, and one of my favorite things that I've really come to think that it's it's a really missing piece of the puzzle because I I haven't yet to find anything else that is gonna replace it and and make it look beautiful and natural and elegant is the uppercutaneous lip. 00:11:43.840 --> 00:11:50.080 Um, because you know it's so often it it's one of the more neglected areas where someone might you know maintain lip volume. 00:11:50.320 --> 00:11:53.600 But with time, that uppercutaneous lip it really hollows out. 00:11:54.000 --> 00:11:59.360 And filler, in my opinion, you know, you can use a very small amount right there, right? 00:11:59.679 --> 00:12:03.840 But over time it doesn't really dissolve at an equal and consistent rate. 00:12:04.159 --> 00:12:12.240 Um, and due to how animational that space is, Reneva has just blown my mind on that space. 00:12:12.399 --> 00:12:16.960 Um, because you do lose that little bit of the subcutaneous fat, hollows out the upper lip. 00:12:17.039 --> 00:12:22.000 And if you are the person who does maintain lip volume, it can somewhat shelf uh from filler. 00:12:22.399 --> 00:12:27.279 And someone might come back multiple times the amount of the patients I've had say, Hey, you know, I feel like I need more filler. 00:12:27.440 --> 00:12:29.120 I'm like, no, no, no, you don't. 00:12:29.600 --> 00:12:34.240 Um you don't need more filler to the lips, you need supporting structure to the to the perioral area. 00:12:34.320 --> 00:12:43.200 And that is, in my opinion, it's one of the it's really an a niche area for that product that just thrives because I don't think there's many other things that do well. 00:12:43.360 --> 00:12:45.200 We can do a CO2 for retexturing. 00:12:45.519 --> 00:12:45.759 Right. 00:12:45.919 --> 00:12:47.919 But for revolumization of the area. 00:12:48.399 --> 00:12:49.039 There's not much. 00:12:49.360 --> 00:12:49.759 I agree. 00:12:49.840 --> 00:12:56.159 I found the same for um a lot of liposuction contours or scar tissue. 00:12:56.879 --> 00:13:12.639 Um people I've had people fly from Canada just like to specifically get this product for um depressions or dimples, um post X plants, uh, you know, any little divot or depression on the breast. 00:13:14.159 --> 00:13:17.200 I think those are yeah, it's focal, but it's right. 00:13:17.519 --> 00:13:17.759 Yeah. 00:13:17.840 --> 00:13:19.840 I I I think that's an amazing option for those. 00:13:20.159 --> 00:13:22.159 And you're doing gluteal revolumization. 00:13:22.480 --> 00:13:22.799 I am. 00:13:22.879 --> 00:13:24.320 So it's definitely a piece of the puzzle. 00:13:24.399 --> 00:13:28.399 I had a patient in last week and we really did a combination therapy for her. 00:13:28.480 --> 00:13:36.960 Uh, she had a focal hip tip depression that was of uh decent size and and significant asymmetry to to what was there. 00:13:37.039 --> 00:13:39.200 And that was her initial concern coming in. 00:13:39.360 --> 00:13:41.039 And you know, we talked about options. 00:13:41.200 --> 00:13:45.039 She also, after talking, she's like, well, I don't want just that fixed. 00:13:45.120 --> 00:13:48.960 I also would like to see a little bit more volume and a little bit more projection. 00:13:49.039 --> 00:13:51.919 Uh so really kind of you know tapering that edge. 00:13:52.000 --> 00:14:01.039 Uh and Renuva, I used exclusively, I used about nine cc's just for the hip tip to give her the greatest degree of um volume to the to that space, just given the size. 00:14:01.279 --> 00:14:07.279 And then we also subsequently used uh sculpture and radius to give her a little bit more projection on the upper poles. 00:14:07.360 --> 00:14:16.000 And so I think putting your best player in for their best position, hence why, you know, with facial revoluminization with this as well, it might not always be your number one option. 00:14:16.159 --> 00:14:16.480 Right. 00:14:16.720 --> 00:14:22.960 Because volumetrically speaking, sometimes it's not the most applicable or you know, financially astute thing to pick. 00:14:23.120 --> 00:14:28.240 Uh, it's when you're utilizing it for big win areas, I love it. 00:14:28.320 --> 00:14:36.080 Like one of my favorite things to do is after a round of sculpture, a series of sculpture, and there's just like that focal area. 00:14:36.480 --> 00:14:38.960 And I was like, oh, there's just this one area I want. 00:14:39.200 --> 00:14:48.240 And you know, functionally sculpture is gonna provide increased collagen, uh, it's gonna increase the matrix of the skin, so it's gonna really take your skin like your hand and turn it into almost like the forearm. 00:14:48.639 --> 00:14:54.480 Um but if you think about renew it, I get to go a layer deep to that and also re-volumize from a fat standpoint. 00:14:54.559 --> 00:14:54.639 Yeah. 00:14:54.799 --> 00:15:03.120 And I think to your point, you know, one of the big reasons in um yeah, as a plastic surgeon, fat grafting is a wonderful option. 00:15:03.600 --> 00:15:09.519 And the re the retexturing of the skin from growth factors, like I mean, that

alone is almost a reason to do it. 00:15:10.159 --> 00:15:17.200 So when we talk about growth factors and we talk about retexturing the skin, would you mind touching on you know indications of like fat grafting? 00:15:17.679 --> 00:15:18.320 Absolutely. 00:15:18.559 --> 00:15:23.840 Yeah, so that's a tool I use frequently in the operating room for facial rejuvenation. 00:15:24.639 --> 00:15:34.159 I mean, if you have a little tummy fat, it's really easy to get 10, 20, 30, 40, 60 cc of donation fat diet. 00:15:34.480 --> 00:15:36.559 It's the most cost effective per volume. 00:15:36.879 --> 00:15:37.360 Absolutely. 00:15:37.679 --> 00:15:43.919 But that being said, to do it in of itself, it's it's nice to do in combination of other procedures. 00:15:44.720 --> 00:15:51.600 Um, but just to go to the operating room exclusively to harvest fat, um, you know, it can be done in the office. 00:15:51.679 --> 00:15:56.320 There's plenty of people that do a little liposuction in the office and fat grafting. 00:15:56.960 --> 00:16:03.039 I just personally prefer um more sterility and to be set up for that. 00:16:03.200 --> 00:16:04.399 So it's not wrong. 00:16:04.559 --> 00:16:08.480 There are definitely practitioners that will safely do fat grafting in the office. 00:16:08.799 --> 00:16:13.200 But since we have Renewva and it's so consistent and good, that is my office solution. 00:16:13.600 --> 00:16:17.519 And then usually uh in the operating room, we'll do liposuction. 00:16:18.000 --> 00:16:21.919 So anytime you're fat grafting, you are adding that recovery site, right? 00:16:22.080 --> 00:16:31.600 Which where on the counter RANUVA you're not, um, you have the injection site, which might have a little soreness, potential bruising, but it's really minimal. 00:16:31.919 --> 00:16:37.039 Um, that being said, with fat grafting, um, you know, A, you have to have the fat. 00:16:37.360 --> 00:16:38.080 You do, right? 00:16:38.159 --> 00:16:42.960 And it's usually the people that don't have it that want or need the revolumization. 00:16:43.039 --> 00:16:56.639 So you really have to have a good donor site, which is, you know, a lot of patients say, can't you just, you know, can't you just like well the best fat for longevity um is you know, tummy or maybe medial thigh. 00:16:56.720 --> 00:17:01.200 So there are, you know, better donor sites, and then you have to have it to then be able to transfer it. 00:17:01.279 --> 00:17:06.559 So you do add the recovery site, but that's one of the pros of Renewva. 00:17:06.720 --> 00:17:08.240 It's off the shelf. 00:17:08.400 --> 00:17:13.119 Um, sometimes I can't keep enough on the shelf for Max, but we're constantly ordering. 00:17:13.519 --> 00:17:15.039 We've had a lot of orders that we have. 00:17:15.359 --> 00:17:20.799 But that that's a testimony to the product and um, you know, the void. 00:17:20.960 --> 00:17:26.880 Um, and I think that is special about our practice is we have a lot of tools and it's picking the right tool. 00:17:27.039 --> 00:17:28.559 So that's where Renewva comes in. 00:17:28.799 --> 00:17:29.440 Absolutely. 00:17:29.680 --> 00:17:35.680 Um, but as far as yeah, I'd say that's the one downside of fat crafting is like do you have do you have it? 00:17:35.839 --> 00:17:40.079 And then the you know, additional cost recovery to be in the operating room. 00:17:40.319 --> 00:17:40.640 Yeah. 00:17:41.279 --> 00:18:02.240 So I mean, global, I think the comparison of when you would choose Renewva versus what else is on the market, you know, when we really look globally, I guess I won't even say competition because it's in a league of its own, but you know, we're gonna compare it to filler, we're gonna compare it to sculpture, we're gonna compare it to radius, fat grafting, and then you have Renewva as that X liar. 00:18:03.039 --> 00:18:10.240 And I think that the you know, to touch on you know when to use what is a good question. 00:18:10.480 --> 00:18:15.279 Because as we've talked, you know, right player, right position, right time, right everything. 00:18:15.440 --> 00:18:23.839 And Renewva globally, when we look at full facial revolumization, that's sometimes where it's not always the most applicable, mostly from a cost standpoint. 00:18:23.920 --> 00:18:27.920 Um, it's not um it's not expensive, but it's not inexpensive either. 00:18:28.079 --> 00:18:31.119 It depends on the volume that's needed and the threshold. 00:18:31.200 --> 00:18:36.799 And the last thing we want to do is make a recommendation where you know, I tell you we're never gonna make a recommendation of too much. 00:18:37.200 --> 00:18:41.119 But we also want to make a recommendation of enough to see a measurable. 00:18:41.519 --> 00:18:42.240 Yeah, exactly. 00:18:42.319 --> 00:18:49.839 Yeah, you know, just as you go to your primary care and they diagnose you with high cholesterol, they test your cholesterol, they put you on a medication, it's gonna reduce that. 00:18:50.000 --> 00:18:51.759 That's their metric to grade that. 00:18:51.920 --> 00:18:53.359 And for us, it's all photos. 00:18:53.519 --> 00:18:58.240 So we want to have that tangible result to where when you look at those before and afters, we get excited. 00:18:58.400 --> 00:19:01.039 I love I love before and afters, my favorite. 00:19:01.279 --> 00:19:12.319 Um, but I think as a comparison, you know, I I think global volumization when you deal with like facial balancing, things like that, Reneva plays a role in that, but it might not be exclusive to that. 00:19:12.400 --> 00:19:15.680 Uh, and I think that's where certain areas it really shines. 00:19:15.759 --> 00:19:23.920 Um, and again, things we want to you know be mindful of is patient selection uh because we do want to be mindful of who we're injecting. 00:19:24.000 --> 00:19:32.720 If you're living in a catabolic state, you know, that's a person that might be a little bit more difficult to have a appreciatable gain. 00:19:32.960 --> 00:19:41.759 Um

there was a plastica surgeon up in New York City, and he treated someone who uh was a bikini model, like right before season started. 00:19:41.920 --> 00:19:55.839 And she came back for follow-up two months later, didn't see any appreciable gain, but that's because she was preseason, she was very much getting ready for that, and you know, she wasn't really allowing any fat to grow to the area. 00:19:56.160 --> 00:20:03.279 They followed her after the season ended, and uh about two months after she's like she came back and she goes, This looks great. 00:20:03.440 --> 00:20:03.680 Yeah. 00:20:05.039 --> 00:20:12.000 So it wasn't um a lost cause, it was all the activity was there, just pretty much dormant, right? 00:20:12.240 --> 00:20:15.119 It wasn't being fed, and I think that's a really good point. 00:20:15.279 --> 00:20:18.640 I mean, as clinicians, you know, we're navigating that with you. 00:20:18.799 --> 00:20:23.279 We're not gonna re recommend this if you're on your GLP weight loss journey, right? 00:20:23.359 --> 00:20:25.599 Like we don't want to be caloric deficient. 00:20:25.759 --> 00:20:28.319 We you really have to be neutral, yep. 00:20:28.640 --> 00:20:29.680 Or gaining. 00:20:30.000 --> 00:20:45.039 Uh Chino Bay, I think, recommended, you know, a tablespoon of peanut butter organic organic peanut butter per day, you know, for anyone that you really um he said if you're a BMI under 18, which is underweight. 00:20:45.119 --> 00:20:45.359 Yes. 00:20:45.599 --> 00:20:48.079 Um but I thought that was a cute pearl. 00:20:48.799 --> 00:20:57.759 Um so you know, we're here to, like Max said, pick the right tool that makes sense for your metabolism, your life, and your goals. 00:20:58.240 --> 00:21:04.400 And then I think it has a lot of you know, taglines that could make it very enticing. 00:21:04.720 --> 00:21:15.920 You know, when you talk about a duration of seven to ten years and you talk about you know stimulation of growth factors to help retexture your skin, you talk about it being natural and being your own fat to the the area that's injected to. 00:21:16.319 --> 00:21:19.359 Um I mean, all of those things, it's like check, check, check. 00:21:19.440 --> 00:21:20.480 Yeah, that sounds wonderful. 00:21:20.559 --> 00:21:21.519 Why wouldn't I want it? 00:21:21.759 --> 00:21:34.720 But if you're not the right patient, uh if it's not the right product for you, specific to your lifestyle and what you're going for for goals, you know, that's part of our job is to say, hey, uh just because there's a good product doesn't mean it's always the right product. 00:21:35.039 --> 00:21:43.839 Um I think that's where you know really diving in on that consultation and assessment, evaluating your lifestyle, evaluating your long term goals, not just saying, hey, where are you at today? 00:21:43.920 --> 00:21:45.599 But where do you see yourself in six months? 00:21:45.759 --> 00:21:48.480 You know, does that mean you drop five pounds, ten pounds? 00:21:48.799 --> 00:21:59.759 Candidly, one of my times that I'm always slight, reserved slightly reserved about injecting Renewava is um around the holidays because you're actually gonna increase, but typically like come December and January. 00:22:00.240 --> 00:22:03.039 January, you're trying to lose a lot of money. 00:22:03.279 --> 00:22:05.839 So, like, again, I love the four and afters. 00:22:05.920 --> 00:22:08.240 I want to, like, I want to be excited for you. 00:22:08.480 --> 00:22:15.839 And so I'm always slightly reserved about anytime I'm gonna have follow-ups in that you know, February, March time. 00:22:16.079 --> 00:22:18.240 I've never thought of that on New Year's resolution. 00:22:18.559 --> 00:22:19.359 Washout. 00:22:19.519 --> 00:22:19.920 I know. 00:22:20.960 --> 00:22:21.440 I know. 00:22:21.519 --> 00:22:28.799 So I'm always I always tell them, like, look, you just gotta, I want your state to be somewhat plateaued. 00:22:28.960 --> 00:22:40.559 I mean, if you know what a standard fluctuated in weight for you is and and this, and you're saying, hey, I can normally like me, I'm not kidding, I can fluctuate eight pounds easy, high, low, and that's pretty easy for me. 00:22:41.279 --> 00:22:48.160 But if I were to drop 20 pounds, you know, I would expect to see an uh a marginal improvement because of that. 00:22:48.319 --> 00:22:50.079 Um, because you still see improvement, absolutely. 00:22:50.160 --> 00:22:54.640 And it's not at it's not at fault to the product, it's not at fault to person injecting it. 00:22:54.720 --> 00:22:57.680 Um it's just by nature of what it's doing. 00:22:57.839 --> 00:23:02.000 Because fat cells when in in the body, you're either going to increase or decrease in size. 00:23:02.400 --> 00:23:12.880 And if we're not allowing the fat to grow, and if you're chronically living in that catabolic state, then you're not giving it a chance to to really thrive and and see its full res full potential. 00:23:13.119 --> 00:23:13.279 Right. 00:23:13.599 --> 00:23:16.000 Um but you will down the line if you gain the wake. 00:23:16.400 --> 00:23:37.039 I just wanted to touch on the cost, and you know, we do speak of renewabit as elite product, it is a higher price point, but if you really scale the you know per C C and the longevity, it is really very cost effective. 00:23:37.279 --> 00:23:37.519 Absolutely. 00:23:37.759 --> 00:23:40.559 It's more of kind of a long game um investment. 00:23:40.720 --> 00:23:40.960 Yeah. 00:23:41.440 --> 00:23:50.319 Um, and of course, you know, we might make recommendations that is multiple CCs, but that doesn't mean everything has to be done at once. 00:23:50.480 --> 00:24:04.000 Like we're very uh we like to build, we're builders, and you know, just making sure that things are working the way we want them to, um, so we can always build a treatment plan over time. 00:24:04.240 --> 00:24:10.720 And I think I'm I'm sure you get asked every day, because I'm asked almost every day,

you know, how how long does this last? 00:24:10.880 --> 00:24:11.920 When does it wear off? 00:24:12.079 --> 00:24:14.880 And it's not like uh on off switch. 00:24:15.119 --> 00:24:22.559 I mean, we talked about the weight factors and we do need to have some stability there, but it's it's not like you put it in and then it goes away, right? 00:24:22.720 --> 00:24:26.240 I always like to say aging continues, it does, right? 00:24:26.400 --> 00:24:44.400 We can't stop aging, so we get a new baseline, and then we support uh in other ways or repeat the treatment so it doesn't wear off in a sense that you might uh think like Botox, right, has a a three to four month activity. 00:24:44.720 --> 00:24:54.400 And I think that's a great point to like the incorporation of other products and how this you know best supports because you know aging is still gonna continue and you're not just this one-line track. 00:24:54.559 --> 00:25:08.079 And you know, with Renewava, we might be very specific in where we're injecting it and you know, to get the best result pertaining to that area, but the peripheral tissue is always still gonna age and things are still gonna happen, whether it be texture, whether it be volume, or whether it be laxity. 00:25:08.240 --> 00:25:19.039 So, I mean, there's multiple parts within that aging process where you know it's a consideration, and that's where I think that that in-depth consultation assessment to really dive in deep and say, hey, what's our diagnosis? 00:25:19.279 --> 00:25:26.960 Um, and with any form of medicine, you know, you have to have a clear diagnosis with in in order to pair the best treatment with it. 00:25:27.039 --> 00:25:29.920 So, does that mean that Renewava is always the best option? 00:25:30.079 --> 00:25:35.680 I mean, I can tell you it's replacing like with the like, so that's a great option, but it might not always be applicable to that. 00:25:36.000 --> 00:25:40.240 And that's where we might use other accessory products to kind of make sure everything blends. 00:25:40.480 --> 00:25:42.880 You never want to be the person that someone walks into a room. 00:25:42.960 --> 00:25:47.920 And I my best analogy, I love I love I want you to be the person that someone double takes at, not stares at. 00:25:48.240 --> 00:25:48.799 Right. 00:25:49.279 --> 00:25:49.839 Right. 00:25:50.160 --> 00:26:00.960 And I think that that's something where Renewava can absolutely be incorporated into that and providing that beautiful, natural, long-term result and replacing your own tissue that you've lost with time. 00:26:01.680 --> 00:26:06.079 But usually it's gonna come with some other recommendations to make sure it all blends. 00:26:06.240 --> 00:26:12.640 Because you don't want to just like have improvement in one area and then you know it things don't match. 00:26:13.599 --> 00:26:24.160 Yeah, I think for better or worse, you know, injectables in general, even plastic surgery is just all so um people, it's just so out there, you know. 00:26:24.240 --> 00:26:36.640 It's just people aren't hiding, it's just very conversational, it's people are very open, which is good and bad because it's not as simple as, you know, inject this in here, right? 00:26:36.799 --> 00:26:43.759 Or this bothers me, I'm gonna it's it really is an art form in the consultation and treatment planning. 00:26:43.839 --> 00:26:48.000 And I think that's what you know that's why I I go to you and Dr. 00:26:48.160 --> 00:26:54.640 Seluja and our injectors, you know, it's just uh we're fortunate to have good people through through and through. 00:26:55.039 --> 00:27:03.200 So we talked a little bit about how much, I mean, one just numbers 1.5 cc's is uh 1100. 00:27:03.440 --> 00:27:08.079 We do have a bigger um volume that we carry. 00:27:08.720 --> 00:27:22.400 And uh again, that's sounds like twice what kind of a normal one cc of filler is, but um you do have to think about the longevity of that of the product as a location, which you're injecting too. 00:27:22.480 --> 00:27:27.119 So I mean it the one of the cool parts is it's gonna grow to the native size of the tissue that it's injected to. 00:27:27.200 --> 00:27:37.440 So if I were to inject this into someone's uppercutaneous lip, those adipocytes, the lipids, are far small, smaller compared to other fat uh particles to the face. 00:27:37.680 --> 00:27:46.880 Same thing that you know what we would typically expect about a three-month result uh in terms of seeing injections of the face, just because fat's usually a little bit smaller there. 00:27:47.119 --> 00:27:56.720 If I'm treating body, oftentimes it's it's not uncommon that I'm gonna see you back in six months to really see the full maturity of that fat cell really grow to maturity. 00:27:56.960 --> 00:28:01.440 Uh you can absolutely see improvement by three months and even a month, two, three, and so forth. 00:28:01.599 --> 00:28:08.319 But that's why sometimes body it takes a little bit longer to really see that that appreciable gain given the size of what's injected. 00:28:08.480 --> 00:28:10.079 Uh but it is an amazing product. 00:28:10.160 --> 00:28:16.720 I mean, I've I've treated some people, and and one of my favorite things to do with it is acne scars. 00:28:17.200 --> 00:28:25.680 Um, you know, paired with a little subscision, but it's amazing with what you can do and revolumize that tissue after breaking up those tethered adhesions of scar tissue. 00:28:27.039 --> 00:28:30.160 You get the uh benefit of the growth factors again for the retexturing of the skin. 00:28:31.519 --> 00:28:33.759 And it it just is a beautiful thing. 00:28:33.839 --> 00:28:55.200 And when I give talks for Reneva, it's one of the things that I talk a lot that I think it's really an underutilized or underappreciated, not just for the aesthetic person of somebody's walking in to say, hey, I just want volume, but also for those acne patients, because it really I think it's unique in that because it it

you can customize it to do a lot of different things. 00:28:55.359 --> 00:29:04.480 So if somebody has like subtle rolling scars, I can really kind of titrate the properties of it to get more of a textural gain out of it as opposed to central volume. 00:29:04.799 --> 00:29:18.720 Or if somebody has that real big cystic acne that they've had intense scarring to, well, I'm probably gonna keep that a little bit more true to size, get immediate volume correction out of that, and then I might take a second one and kind of blend and kind of retexture the peripheral area. 00:29:19.039 --> 00:29:20.799 So it it it is a tough product. 00:29:20.880 --> 00:29:26.319 Whenever I do trainings for people, it it's a little tough because nuances. 00:29:26.559 --> 00:29:26.960 It is. 00:29:27.279 --> 00:29:34.319 Experience comes with that, and also knowing there's a lot of ways to adjust this pertaining to what you're trying. 00:29:34.400 --> 00:29:37.680 So as you can appreciate in any medicine, I'll never forget going through schooling. 00:29:37.839 --> 00:29:46.160 And I had uh uh one of my professors, he was an ER physician, amazing guy, and you never got a straightforward answer out of them. 00:29:46.240 --> 00:29:47.839 It was always it depends. 00:29:50.000 --> 00:29:50.720 It does depend. 00:29:51.039 --> 00:29:51.680 It does. 00:29:53.839 --> 00:29:59.039 And I think that's one of the neat parts with the Reneva and the application of it is you know, how do you utilize it? 00:29:59.200 --> 00:30:00.319 Well, it depends. 00:30:00.480 --> 00:30:04.559 Uh it depends on what you present with, it depends on what you want, depends on what our goals are. 00:30:04.799 --> 00:30:10.000 So, you know, having that candid conversation and seeing what other opportunities exist and if that's the right option for you. 00:30:10.160 --> 00:30:12.000 I can tell you it's it's an amazing option. 00:30:12.079 --> 00:30:14.079 If it's the right option for you, it all depends. 00:30:14.400 --> 00:30:14.559 Right. 00:30:14.720 --> 00:30:15.599 It depends. 00:30:15.759 --> 00:30:43.359 Uh I think think frame Renewa as a re-volumizing option where we want to restore fat in small to medium volumes, um, good longevity, uh, very safe track record, face, neck, breast, body, if there's imperfections. 00:30:43.920 --> 00:30:47.440 Um if I may touch on the body imperfections. 00:30:47.519 --> 00:30:56.079 Uh, one of the amazing things you can use with it is uh uh if somebody, you know, when dealing with a very skilled in plastic surgeon like Dr. 00:30:56.240 --> 00:30:58.079 Novo, um, that's one thing. 00:30:58.240 --> 00:31:01.440 But sometimes there's a lot of people who are not as skilled in it. 00:31:01.519 --> 00:31:08.880 I will say I think you could probably uh touch on liposuction, and liposuction is a very finesse. 00:31:09.440 --> 00:31:12.079 Oh there's Oh my gosh. 00:31:12.480 --> 00:31:19.039 There's more negativity often that comes from liposuction because it's so widespread. 00:31:19.279 --> 00:31:19.680 Yeah. 00:31:19.920 --> 00:31:24.720 Yeah, I I do it, but I use it very particularly. 00:31:25.119 --> 00:31:28.480 And I think that's the right call because I think not a weight loss. 00:31:28.640 --> 00:31:28.880 No. 00:31:29.119 --> 00:31:31.200 It's not a it's not a debulking. 00:31:31.279 --> 00:31:38.559 It's no and I mean I've seen so many patients uh in practice to have negative results. 00:31:38.640 --> 00:31:44.720 And this is not bad about liposuction, it's just credentials of who you're going to, making sure that you have consistent results. 00:31:45.039 --> 00:31:46.960 But it's almost inevitable. 00:31:47.200 --> 00:31:48.079 It is inevitable. 00:31:48.319 --> 00:31:52.960 You do have um and there can be a degree of what's called lipodystrophy, right? 00:31:53.039 --> 00:31:59.119 Um, which is the irregularities that you notice of when you're removing fat, uh, especially to the thighs, is a big one. 00:31:59.279 --> 00:32:03.599 Abdomen you can get away with a little bit more over there, but the thighs are a tough area. 00:32:03.759 --> 00:32:12.720 So for people that unfortunately, I'm I'm very thankful because in the state of Florida, um, obviously they've limited the amount of surgical PBLs that they've that can be done. 00:32:12.960 --> 00:32:18.799 Um and now you can only do two per day, ultrasound guided for many reasons, amongst others. 00:32:18.880 --> 00:32:25.759 Uh but there were a lot of cases that I've seen where you know not exactly the best results from liposuction. 00:32:26.000 --> 00:32:26.079 Right. 00:32:26.319 --> 00:32:27.440 And they have irregularities. 00:32:27.519 --> 00:32:35.039 I have one female low uh mid-30s, and they treated to the thighs, glutes, and she has like shark bites out. 00:32:35.200 --> 00:32:47.279 And we've done two sessions of Renewva for her, and I can't tell you uh the results that we've gotten to help soften that contour and really regain a degree of confidence for her because we live in Florida, and guess what? 00:32:47.359 --> 00:32:48.559 People like to wear bikinis. 00:32:49.359 --> 00:32:51.200 The only other solution is fat grafting. 00:32:51.599 --> 00:32:53.279 And to fat graft, you have to do what? 00:32:53.440 --> 00:32:58.640 More liposuction, and they're so traumatized they don't want more liposuction. 00:32:59.119 --> 00:33:01.039 You have to have those conversations. 00:33:01.279 --> 00:33:04.880 Uh so yeah, it's I I love Reneva for that. 00:33:05.039 --> 00:33:11.119 I I use it mainly since I do more surgical facial rejuvenation, you do more injectable. 00:33:11.200 --> 00:33:16.480 I I feel like I do fit more fit I use it most for little body imperfections. 00:33:16.799 --> 00:33:23.200 And I think it's uh it really is a fun product to see it and and and the growth of that. 00:33:23.359 --> 00:33:25.759 Um it's it's pretty impressive. 00:33:26.079 --> 00:33:26.480 Yeah. 00:33:26.640 --> 00:33:35.920 Um and we'll touch briefly, we

won't take a deep dive into a pipeline product, which is uh same but different. 00:33:36.160 --> 00:33:41.279 Similar, I don't even say same, similar but different than Renewava, which is Aloclay. 00:33:41.519 --> 00:33:47.839 And Max and I are both in touch with this product, um, paying attention. 00:33:48.160 --> 00:33:52.960 It doesn't have the track history of yet, but uh it'll get there. 00:33:53.440 --> 00:33:58.720 Um so we're kind of observing this product on the pipeline for larger volumes. 00:33:59.279 --> 00:34:05.839 It is a true fat, you know, like we say we have the honeycomb with the with the growth factors. 00:34:06.000 --> 00:34:08.000 This is the honeycomb with the honey. 00:34:08.639 --> 00:34:29.440 Um there is a very, very low level of radiation to um denature the DNA and just make sure that there's no basically viral or any potential contamination passing uh to uh from donor to an uh to to inject injectee. 00:34:29.760 --> 00:34:42.320 But so we're watching this, but it is exciting uh because you know I'd say the one cost pro Renewab is cost prohibitive if you're if you're wanting to do 10, 20, 30, 40, I'd say 20 and up. 00:34:42.639 --> 00:34:42.719 Yeah. 00:34:42.960 --> 00:34:48.480 Not that we can't, um, but this is a little bit of a bulkier, uh more volume product. 00:34:48.880 --> 00:34:49.199 Absolutely. 00:34:49.280 --> 00:34:57.039 I mean I had one patient from um California, she came out and did telemedicine consult, and she was post-BBL. 00:34:57.440 --> 00:35:04.800 And so she had already had liposuction, she already had the fat crafting from a Brazilian butt lift, and it was an interesting case. 00:35:05.039 --> 00:35:15.760 A lot of times people post-BBL, I think you can uh even touch on that, where a lot of times there's only so much fat to take as we mentioned, and you can usually either get a correction of the hip tip or the projection. 00:35:16.079 --> 00:35:17.360 Very seldom do you get both. 00:35:18.079 --> 00:35:23.199 And so where I was at previously, I just had a lot of patients that were post-BBLs. 00:35:23.280 --> 00:35:25.519 We didn't render them in the office, but we were just further south. 00:35:26.079 --> 00:35:31.119 And uh you renewal was kind of my go-to on that because they wanted a more long-term option. 00:35:31.599 --> 00:35:34.480 Uh it's just was you know expensive to your point. 00:35:34.559 --> 00:35:40.320 So I think Allaclay is a I'm uh I'm hopefully optimistic. 00:35:40.480 --> 00:35:40.639 Yeah. 00:35:40.800 --> 00:35:41.440 Let's put it that way. 00:35:41.760 --> 00:35:42.079 I agree. 00:35:42.159 --> 00:35:43.199 I think it'll we'll get there. 00:35:43.519 --> 00:35:43.760 Absolutely. 00:35:43.920 --> 00:35:45.840 And I I think the verdict is is still out. 00:35:46.000 --> 00:35:57.760 We you know, we we like being excited for new products, um, but we are always gonna carry a degree of skepticism, not by nature of the product, but by nature of care of our patients. 00:35:57.920 --> 00:35:58.000 Right. 00:35:58.159 --> 00:36:05.199 Uh, because we want that uh consistency and safety and um really the whole package that comes with that. 00:36:05.360 --> 00:36:10.000 So I I think we're very much um we'll see what the future holds on that. 00:36:10.320 --> 00:36:10.480 Agree. 00:36:10.800 --> 00:36:11.840 You'll be the first to know. 00:36:12.000 --> 00:36:12.239 Yes. 00:36:13.199 --> 00:36:15.920 Is there anything else you want to add about Renewva? 00:36:16.320 --> 00:36:18.079 Um it is in the office. 00:36:18.159 --> 00:36:33.119 Let's walk through just briefly kind of what it means to be injected, um, cleansing, yeah, uh, you know, surgically cleansing the injection area, the surgical soap, a little bit of numbing, injected. 00:36:36.320 --> 00:36:43.119 And then whether it's cannula or needle injection, it kind of depends on location, depth, and flow. 00:36:43.440 --> 00:36:43.840 Absolutely. 00:36:44.159 --> 00:36:47.920 Um but that really should just feel at most like a little pressure. 00:36:48.079 --> 00:36:48.239 Yep. 00:36:48.559 --> 00:36:50.320 Max used a cannula with me. 00:36:50.400 --> 00:36:54.079 It was painless, like very comfortable pressure at most. 00:36:54.719 --> 00:36:57.440 Um smelling's usually not too bad with it. 00:36:57.599 --> 00:37:02.639 No, minimal at most, again, reconstitution slightly dependent on that. 00:37:02.800 --> 00:37:06.719 But yeah, I think for the most part, it's actually one of the more comfortable injections. 00:37:07.119 --> 00:37:12.400 Burns a little bit when you first injection inject it, but very subtle because we add a little lidocaine to it as well. 00:37:12.480 --> 00:37:12.639 Right. 00:37:12.800 --> 00:37:17.599 Just for added comfort post-procedure, which is common practice with pretty much any injectable. 00:37:18.000 --> 00:37:18.320 Right. 00:37:18.400 --> 00:37:21.519 Um and then um no real post-regimen. 00:37:21.599 --> 00:37:24.159 I mean, you don't want to put a lot of direct pressure on the face. 00:37:24.320 --> 00:37:29.360 I do I do like little facial massage, a little microcirculation to the area. 00:37:30.079 --> 00:37:37.920 Um it's not like a prescribed regimen, but just kind of when you wash your face, when you do your skincare, kind of small little circles. 00:37:38.239 --> 00:37:41.119 And you can go back to your normal lifestyle. 00:37:41.440 --> 00:37:43.599 No downtime in like the very next day. 00:37:43.840 --> 00:37:44.000 Right. 00:37:44.239 --> 00:37:46.960 So if you want to go work out the next day, go work out the next day. 00:37:47.199 --> 00:37:47.440 Right. 00:37:48.000 --> 00:37:51.760 There's really it doesn't interrupt your lifestyle, which is a beautiful part. 00:37:51.840 --> 00:37:59.679 And um, anytime where you can get some re-volumization, retexturing, I mean it's it's pretty nice to not have any downtime. 00:38:00.000 --> 00:38:02.800 So truly off the shelf fat crafting in in that regard. 00:38:03.039 --> 00:38:03.519 Yep. 00:38:03.840 --> 00:38:08.559 So if you want to learn more, you can schedule a consult uh with our office. 00:38:08.719 --> 00:38:14.000 Uh we are at www.foryourbest self.com. 00:38:14.159 --> 00:38:17.679 If you want to learn more about Max, myself, or the other practitioners. 00:38:18.480 --> 00:38:24.559 One thing if I didn't I didn't want to interrupt on this one, but I think this is important to do. 00:38:24.880 --> 00:38:33.360 So the and if you're like obviously that website that Renewva has is a great resource. 00:38:33.599 --> 00:38:38.559 I think we are one of the top providers in at least all Central Florida for Renewva on that. 00:38:38.800 --> 00:38:48.239 I can tell you we're definitely the between you and I, we have the most probably history in injecting it, experience injecting it. 00:38:48.400 --> 00:38:56.400 They don't provide that on there, but they do provide you with uh practitioners within this that that that space, which I think is is really valuable for some people. 00:38:56.800 --> 00:38:57.679 Absolutely. 00:38:57.840 --> 00:39:01.840 Um you can always come visit us too if you're not in in Florida or Melbourne. 00:39:02.400 --> 00:39:03.599 That's where I say experience. 00:39:04.079 --> 00:39:04.559 Yeah. 00:39:04.880 --> 00:39:07.280 Um you can follow us on Instagram. 00:39:07.519 --> 00:39:10.639 We are dr saloonja underscore dr novo. 00:39:11.119 --> 00:39:20.239 Um yeah, comment, share, let us know what you want to hear more about, um, or just come in the office and see if Renew is part of your treatment plan. 00:39:20.559 --> 00:39:21.280 Thanks for listening. 00:39:21.519 --> 00:39:21.760 Thank you. 00:39:21.920 --> 00:39:22.400 Thanks for having me. 00:39:23.519 --> 00:39:23.679 Thank you. 00:39:24.400 --> 00:39:25.760 Always a pleasure.