Renuva Explained

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Welcome back to the For Your Best Self podcast.
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I'm Dr.
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Rebecca Novo, and it's a pleasure to be joined by Max Pauling, PA.
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You had a busy day in clinic today.
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I did.
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It was a blast.
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I got to do a handful of different things.
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We did some lasers, CO2s, little XLV, injectables, and we made some lot of people happy.
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It sounds like a fun day.
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It was.
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How was you?
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You were in surgery today, right?
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Yeah, today's one of my OR days.
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I did a mommy makeover, which is one of my favorites on a wonderful patient.
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So and it's also a treat to be here.
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You know, we both put in full days, but I'm also energized uh and excited to talk about something we're both passionate about.
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You know it, especially Renewva.
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Yeah, one of my favorites.
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Yeah, long overdue uh education on we're calling it a natural option for revoluminization.
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Um a lot of people still haven't heard about Reneva, and it's been an existing option for around 30 years.
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Yes.
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Aesthetically?
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So I think they medically.
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Yeah, medic or aesthetically, they it was like 20 um 15, I think is when it made that big transition.
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Um but yeah, it's been it's been in the market.
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It's it's a cool company, I think, just as a touch point, you know.
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Uh I think one of the the neat parts about it is kind of the inception of it and and how it came to be.
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Uh but to even just touch point initially on what Renewva really is.
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Right.
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Um, yeah, Renewva is it's a unique product because it it's really this extracellular matrix that is almost like a comparison to off-the-shelf fat grafting.
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So, you know, as a plastic surgeon, you know fat grafting all too well.
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And we'll get to dive into that a little bit uh later.
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But you know, it it's a neat option when you're able to really re-volumize.
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Uh, and if you're the person who says, Hey, you know what, you know, filler's not for me, uh, or if other products like you know, sculpture or radius or other things like that, you're trying to go truly the most natural option when you're able to replace your own fat and replace like with like.
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Absolutely.
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Yeah, that's a pretty beautiful thing.
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Um, and that's that's one of the fun parts of Renewva.
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So uh I know that you've been using it for a long time too, since I've come into the practice.
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You already had it on the shelf, which made that an easy thing to pick up.
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Yeah, I've been injecting Renewva for about nine years.
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Um, and I know you've been doing it for almost that entirety.
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Yeah.
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And Max is also a trainer for Renewva so that we can get other practitioners injecting safely and having good outcomes.
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I will have to say of all the things that we do, I've have not seen a complication from Renewva.
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So safety is one of our pillars.
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And um one of the beautiful things about our practice is like Max said, this is fill filled a little gap in aesthetics and anti-aging, and we're pretty picky when it comes to products.
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Absolutely, right?
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So this is a FDA monitored product with a very long safety track record.
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Um, and Max and I both have a lot of experience and um to get a little science nerdy, you know, Max kind of dove into like how how the product came to be.
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And it's we don't really call it a filler, right?
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Like when you're talking with patients, um, it's a structure or a scaffold.
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Yep.
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Right?
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You use those same descriptors.
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It it's something where you know you think of filler to volumize the space or to lift based off what reality of a product you're picking.
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Yes.
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You know, it's a lower G prime, you're picking them maybe for your lips, soft, subtle.
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Right.
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Um, but you pick a more high G prime product, it's gonna give you more lifting for the cheeks, jawline, things like that.
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Right.
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And then fillers your in between, or excuse me, Renewba's gonna be the in-between.
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It's gonna help fill those gaps within that space.
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Um, there's certain areas where you absolutely want to use it, and certain areas you don't want to use it.
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Right.
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The neat part of this product, like one of the things I I love about it, is it really regenerates your own tissue.
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So yeah, it's not uh confined by common terminology of saying filler or a biostimulator.
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You know, this is an X factor because it's replacing your own fats, not just the biostimulator.
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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.
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Uh so just like a few touch points on what the product really is.
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Right.
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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.
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Yes.
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All right.
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I think that I think it paints a really good picture.
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I mean, you and I I know you love bees, I love honey.
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It's it's a we're in a good place.
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The amount of honey I own at my house is insane.
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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.
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So if you take that honeycomb, you put fat molecules in there.
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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.
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And one of the ways in which they do that is it's their proprietary uh methodology of a chemical wash within that space.
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So they don't actually radiate the tissue, right?
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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.
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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.
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So we utilize this a lot for facial revolumization.
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It does.
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Yeah.
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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.
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You know, as we age, you get fat die off attrition.
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Um, but then furthermore, you know, when you look at most fat molecules, you're either going to increase or decrease in size.
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Right.
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That's it, just like a muscle.
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You get a degree of hypertrophy within there.
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So growth of new fat is it's 100% intentional, not by accident.
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Um really the only two ways to really achieve that up until now have been RNUVA and fat crafting.
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Right.
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Um so it's a it's a cool process.
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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.
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And they do have actually really good clinical data to support that.
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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.
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Uh, and as well as from a degree of of safety, like how has it been?
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And and the nice part with that company is they have a really good long track record.
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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.
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And with Renova, it's the company MTF Biologics, they were started in 1987, which like it's been around for a while.
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It's about the same time as Botox when it first came out.
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And it was started by a group of orthopedic surgeons because they needed to harvest patellar tendons to do a patellar tendon graft.
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And since then it's grown to be the largest tissue donor in the entire United States, which that's a big deal.
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Um they're based out of Newark, New Jersey, and that's where their key uh facility is up there.
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It was pretty cool.
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What were your takeaways from that?
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How much work and how much passion and decision and care and and to the to the quality that they have.
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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.
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Uh, they have an industry standard that no one can touch.
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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?
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There's no company that takes greater care or greater pride in that.
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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.
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It's not just an aesthetic company, it's it's actually a non-for-profit.
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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.
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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.
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And that's how this really came to be with Renewva and the processing of it and the care of it.
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So I I love that story because I I think it it shows, you know, number one, good intention.
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Integrity.
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It does, absolutely.
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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.
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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.
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It's incredible.
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It is, yeah.
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You know, I mean, shy of a bruise and/or slight swelling post-injection, that that's it.
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Which right, not product specific.
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I mean, if you ever look at the mod data on anything else, that's that's not exactly the case.
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Aaron Powell Circling back to the kind of how it works, and you touched on the honeycomb structure, the scaffold.
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Um, you know, I think it's for patients to really understand when they're selecting this product, it is human donated tissue.
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However, it is completely DNA-free, decellularized.
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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.
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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.
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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.
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Because we said, you know, there are we should cover this isn't for every place, right?
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Um, but it is really great for uh where there's fat loss.
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I've where do you mainly inject?
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Let's start with you.
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So I think it it it's a product that you can utilize in a lot of places.
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Anywhere where there's native fat you can inject.
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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.
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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.
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So it doesn't actually have limitations within that.
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It's just you know, medically we're always gonna inject it where native fat is.
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Common areas that you wouldn't often you know inject are really gonna be tear troughs, lips, of course, uh sensitive structure structures.
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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.
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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.
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But with time, that uppercutaneous lip it really hollows out.
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And filler, in my opinion, you know, you can use a very small amount right there, right?
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But over time it doesn't really dissolve at an equal and consistent rate.
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Um, and due to how animational that space is, Reneva has just blown my mind on that space.
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Um, because you do lose that little bit of the subcutaneous fat, hollows out the upper lip.
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And if you are the person who does maintain lip volume, it can somewhat shelf uh from filler.
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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.
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I'm like, no, no, no, you don't.
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Um you don't need more filler to the lips, you need supporting structure to the to the perioral area.
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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.
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We can do a CO2 for retexturing.
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Right.
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But for revolumization of the area.
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There's not much.
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I agree.
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I found the same for um a lot of liposuction contours or scar tissue.
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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.
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I think those are yeah, it's focal, but it's right.
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Yeah.
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I I I think that's an amazing option for those.
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And you're doing gluteal revolumization.
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I am.
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So it's definitely a piece of the puzzle.
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I had a patient in last week and we really did a combination therapy for her.
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Uh, she had a focal hip tip depression that was of uh decent size and and significant asymmetry to to what was there.
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And that was her initial concern coming in.
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And you know, we talked about options.
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She also, after talking, she's like, well, I don't want just that fixed.
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I also would like to see a little bit more volume and a little bit more projection.
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Uh so really kind of you know tapering that edge.
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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.
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And then we also subsequently used uh sculpture and radius to give her a little bit more projection on the upper poles.
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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.
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Right.
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Because volumetrically speaking, sometimes it's not the most applicable or you know, financially astute thing to pick.
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Uh, it's when you're utilizing it for big win areas, I love it.
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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.
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And I was like, oh, there's just this one area I want.
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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.
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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.
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Yeah.
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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.
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And the re the retexturing of the skin from growth factors, like I mean, that alone is almost a reason to do it.
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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?
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Absolutely.
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Yeah, so that's a tool I use frequently in the operating room for facial rejuvenation.
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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.
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It's the most cost effective per volume.
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Absolutely.
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But that being said, to do it in of itself, it's it's nice to do in combination of other procedures.
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Um, but just to go to the operating room exclusively to harvest fat, um, you know, it can be done in the office.
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There's plenty of people that do a little liposuction in the office and fat grafting.
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I just personally prefer um more sterility and to be set up for that.
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So it's not wrong.
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There are definitely practitioners that will safely do fat grafting in the office.
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But since we have Renewva and it's so consistent and good, that is my office solution.
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And then usually uh in the operating room, we'll do liposuction.
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So anytime you're fat grafting, you are adding that recovery site, right?
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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.
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Um, that being said, with fat grafting, um, you know, A, you have to have the fat.
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You do, right?
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And it's usually the people that don't have it that want or need the revolumization.
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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.
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So there are, you know, better donor sites, and then you have to have it to then be able to transfer it.
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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.