Why Morpheus 8 is the New Fountain of Youth - Featuring Shannon Burge

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[SPEAKER_00]: This is where I won Shannon and she just has such a great way of explaining this stuff and she's got a really like techie brain So you can see brain

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[SPEAKER_00]: Hi, I am Kim Peters and welcome to the Lumaan Podcast where we talk about women in business.

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[SPEAKER_00]: We talk about health, aesthetics, hormones, and anything that really relates to being a woman and our busy lives.

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[SPEAKER_00]: Today, we're going to be talking about Morpheus 8, which is micro-needling with radio frequency.

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[SPEAKER_00]: Two big buzzwords we hear in aesthetics nowadays.

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[SPEAKER_00]: And today, I have with me Shannon.

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[SPEAKER_00]: I'm Shannon Birch.

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[SPEAKER_00]: I am a nurse.

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[SPEAKER_00]: I work as a clinical director for In-Motesthetics.

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[SPEAKER_00]: And in-Mode is the company that has created and made

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[SPEAKER_00]: Murphy say, okay, hey, sorry to interrupt.

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[SPEAKER_00]: If you or someone you know is interested in building your confidence and feeling like you're best self, both inside and out, I encourage you to visit Horizon Medspot and Wellness in Kansas City.

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[SPEAKER_00]: We have two locations in Shawnee and near the Kansas City Plaza.

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[SPEAKER_00]: We offer so many different things.

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[SPEAKER_00]: If you would like to check us out, go to Horizon Medspot and Wellness.com or you can see us on Instagram at Horizon Under Score, Medspot, Under Score Wellness.

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[SPEAKER_00]: And now back to the show.

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[SPEAKER_00]: I have a practice owner.

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[SPEAKER_00]: I, when I started my practice, I really just started with medical weight loss and a discord or Botox.

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[SPEAKER_00]: And as I grew, I realized that there were some gaps in the patients that gaps in terms of like being able to give patients results that they were looking for that I wasn't able to accomplish with those things.

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[SPEAKER_00]: So, incomes, a rep from in mode, and they sell me this lovely device called Optimus that had this hand piece on it called Morpheus 8.

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[SPEAKER_00]: about micro-needling, I understood what micro-needling was because I had skin pen at the time, but I had heard this buzzword called radio frequency.

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[SPEAKER_00]: It's been a really great adventure in terms of like what I've been able to do to change patients' appearance and also how they feel about themselves.

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[SPEAKER_00]: But I want to kind of dial this back a little bit and talk about micro-needling specifically and then radio frequency.

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[SPEAKER_00]: So micro-needling in of itself, what we're doing and correct me if there's anything you can add to this.

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[SPEAKER_00]: Micro-needling is a controlled injury in the skin.

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[SPEAKER_00]: So we are puncturing the skin in the skin's numb.

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[SPEAKER_00]: So patient doesn't feel anything.

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[SPEAKER_00]: The needle is puncturing the skin, and it's stimulating it in inflammatory response in a way that we want it to do.

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[SPEAKER_00]: So there's no scar tissue formation, but we do have healing of the skin in a way it creates new last and new collagen, which are kind of like the fountain of youth for skin.

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[SPEAKER_00]: If we can create more of that, the skin looks more youthful.

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[SPEAKER_00]: So, we've got micro-needling in of itself, great treatment, and then we add radio frequency.

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[SPEAKER_00]: Can you tell me a little bit about what is radio frequency?

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[SPEAKER_00]: Yeah, how would you explain it?

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[SPEAKER_01]: Radio frequency is an electrical current, and we're going to use it in a way that it will heat up tissue.

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[SPEAKER_01]: So, we're going to use micro-needles, really fine micro-needles with the Morifius.

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[SPEAKER_01]: Those are going to enter the skin, we're going to deliver a radio frequency pulse, and that radio frequency pulse is going to heat up the tissue in the area.

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[SPEAKER_00]: Okay, and so then,

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[SPEAKER_00]: What is the event?

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[SPEAKER_00]: What happens when the tissues heat up?

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[SPEAKER_00]: What's different when we're adding that to my grenadelling?

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[SPEAKER_01]: So essentially it's going to break down the collagen.

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[SPEAKER_01]: So sometimes I like to think about it as like an egg and a frying pan.

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[SPEAKER_01]: When we crack the egg open all of those runny collagen fibers and that frying pan are going to start to congeal together.

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[SPEAKER_01]: And essentially collagen is a spiral, so it's going to basically spiral onto itself and cause a damage.

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[SPEAKER_01]: And then the body is going to say, hey, I've been injured.

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[SPEAKER_01]: There's a thermal injury, there's essentially a burn there, and it's going to come in and repair that collagen on its own.

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[SPEAKER_00]: Oh, I love that explanation.

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[SPEAKER_00]: I like I love analogies because for me that better explains it but I use analogies all the time of my practice to help people understand that.

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[SPEAKER_00]: So it's heat essentially and we've got the action of the microneedling where we're injuring the skin and then we're adding this heat.

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[SPEAKER_00]: So we're kind of essentially further injuring the skin, but it's still in a controlled manner so that we are going to produce more collagen and more elastic, right?

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[SPEAKER_00]: Exactly.

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[SPEAKER_00]: So one of the things I really like about Morpheus is that it can be applied to different

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[SPEAKER_00]: we can do half a millimeter, which is really just a surface, one millimeter, two, three, four, five, or even as deep as seven millimeters.

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[SPEAKER_00]: Now that seems a lot, and I think people think of it as an inches, it's not inches, it's millimeters, it's really, really tiny.

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[SPEAKER_00]: But in terms of the layers of the skin, that makes a big difference about where we're applying that heat.

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[SPEAKER_00]: So what are the different things that we can do?

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[SPEAKER_00]: How can we apply this differently to the different depths of skin?

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[SPEAKER_01]: When radio frequency meets tissue, the way it heats up tissues through resistance through impedance, so the resistance that it's finding in that tissue is called impedance, and radio frequency is going to flow differently in different types of tissue.

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[SPEAKER_01]: So we have different modes that we can use in order to heat up the dermis differently heat up the fat differently in order to achieve what we want to achieve whether it's skin tightening or contouring.

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[SPEAKER_00]: I love that.

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[SPEAKER_00]: This is why I want Shannon on it.

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[SPEAKER_00]: She just has such a great way of explaining this stuff.

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[SPEAKER_00]: And she's got a really like techie brain.

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[SPEAKER_00]: So she's brain, so I'm saying it's a great way.

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[SPEAKER_00]: OK, so we can apply it to skin and then we can apply it to fat.

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[SPEAKER_00]: So what happens in the skin is

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[SPEAKER_00]: It's creating more of that collagen, right?

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[SPEAKER_00]: So we're getting better texture, better tone, we're reducing pore size.

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[SPEAKER_00]: We're changing the surface of the skin so that if it's dull or kind of creepy, we're changing that so it looks better.

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[SPEAKER_00]: Really, we're just kind of introducing more, I had the lack of a better one.

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[SPEAKER_00]: I'm trying to think of it like use better structure.

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[SPEAKER_00]: to the skin.

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[SPEAKER_00]: Baby skin.

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[SPEAKER_00]: Baby skin.

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[SPEAKER_00]: Correct.

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[SPEAKER_00]: And so, and really, I mean, if you think of it that way, we're really kind of reversing the clock a little bit.

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[SPEAKER_00]: And then when it's applied to the fat, what is it doing to the fat?

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[SPEAKER_01]: Causing with their more injury in that fat cell, that the fat cell is going to the membrane of the fat cell is going to basically collapse and the body is going to come in and clear up that fat debris on its own.

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[SPEAKER_00]: okay so that sounds wonderful right for all of us that have a little fat somewhere where we don't want it if we can collapse a fat cell and eliminate it and get rid of it think about all the places you could have put like that now in some cases we don't really want to get a rid of fat if you think about somebody that's lost a lot of weight they've lost fat and then their face or parts of their body look a little bit more aged because fat is actually part of what makes our skin look a little bit healthy it gives it some thickness and so we want some of that

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[SPEAKER_00]: an example of an area where we might not want fat would be under the chin, we call it the sub-mental area, or as people age, they might find that there's more volume in their lower face than the upper part of their face and they might want to eliminate that.

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[SPEAKER_00]: So we can adjust more fiascate settings.

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[SPEAKER_00]: to shrink fat in areas that we don't want fat.

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[SPEAKER_00]: And then we can apply it to areas that really we want to keep the volume there, such as like the cheeks, the chin, we don't want to take any volume away from the upper part of the face.

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[SPEAKER_00]: And we can apply kind of like the skin changes settings to those parts to improve the texture there.

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[SPEAKER_00]: So that kind of leads me to something that people I've seen online and social media is that people are talking about how oh gosh, more fierce ruined my face because it took away volume in my cheeks.

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[SPEAKER_00]: What do you think happened there?

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[SPEAKER_01]: probably to deep of energy delivery as well as too much energy delivery.

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[SPEAKER_01]: When we're dealing with the dermis and epidermis, there's a really high resistance or a higher impedance, so you can use lower energy levels in that area.

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[SPEAKER_01]: much safer with still the same efficacy.

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[SPEAKER_01]: When we want to treat fat, we're going to go deeper and we're going to increase that energy level.

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[SPEAKER_01]: So the deeper we go, the more we increase that energy, fat's going to have a lower impedance.

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[SPEAKER_01]: So the energy's going to flow better through it.

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[SPEAKER_01]: So we can use more of it safely to cause that apoptosis.

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[SPEAKER_01]: So they were probably using 2-deep of energy to high of energy.

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[SPEAKER_00]: So really, the moral of story is if the technology is used correctly,

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[SPEAKER_00]: and you have a provider or practitioner who is utilizing this energy, the understands, the anatomy of the skin, and understands what you want to preserve and what you want to eliminate or improve when trying to achieve a more useful appearance in the skin, or face, or even parts of the body.

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[SPEAKER_00]: So where can you use Morphias?

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[SPEAKER_00]: You can use it in any tissue.

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[SPEAKER_01]: So... Wow.

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[SPEAKER_01]: Anywhere, any soft tissue that we want to coagulate or stimulate new collagen or cause contouring too.

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[SPEAKER_00]: So really, anywhere you have skin, I think the only place I wouldn't do it is on the lips.

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[SPEAKER_00]: I had somebody ask me once.

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[SPEAKER_00]: I went and spoke at a conference and somebody asked me about, you know, could you do more of yes on the lips?

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[SPEAKER_00]: I said no.

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[SPEAKER_00]: She says, well, why not if they're wrinkly and... And I'm like, I just don't know that I'd recommend it.

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[SPEAKER_01]: Yeah, I don't know if there's any established protocols to say that it's safe and effective on the lips but on any other soft tissue would be open and fair game.

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[SPEAKER_00]: I love it.

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[SPEAKER_00]: Okay, so it's important that the practitioner knows what they're doing and that we understand what we need to what those settings look like to accomplish a certain goal.

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[SPEAKER_00]: I didn't really put this on our agenda, but it's kind of stimulated a question.

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[SPEAKER_00]: I think more if you say it has been used for some other things outside of just skin texture improvement what would one of those be.

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[SPEAKER_01]: And, undoubtedly, there's been providers using it for excessive sweating, armpits, hands, palms, labia reduction, women's health reasons and women's wellness with the empower system as well.

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[SPEAKER_00]: So, I have both Optimus and I recently acquired Empower, which is the women's health platform in mode was able to really take this technology of micro-needling and apply it to women's health, so vaginal health.

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[SPEAKER_00]: that has both a medical purpose as well as a aesthetic purpose.

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[SPEAKER_00]: So women when their hormones are declining, they're going to have changes in their vaginal health as far as laxity, lack of lubrication, problems with going to the bathroom where they're having some incontinence or leakage of urine and those types of things, that in power platform can help all of those things.

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[SPEAKER_00]: As well as maybe your women that are getting a little bit older and just would like it to look a little bit better.

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[SPEAKER_00]: So we can apply micro-needling to that stimuli, like collagen there, so they can have a more useful looking, well the other types of lips.

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[SPEAKER_00]: Yes, the other type of lips.

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[SPEAKER_00]: If somebody is looking to getting like they're interested in micro-needling and obviously micro-needling it itself.

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[SPEAKER_00]: And then my canal is ready for frequency.

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[SPEAKER_00]: The micronataling with radio frequency is generally speaking more expensive.

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[SPEAKER_00]: You're going to pay a little bit of a higher price tag.

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[SPEAKER_00]: And how I explain it to my patients is like micronataling and of itself is building collagen improving the skin texture in the tone.

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[SPEAKER_00]: But if you really, if you're someone that wants more of a skin tightening effect,

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[SPEAKER_00]: You're going to need to do radio frequency.

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[SPEAKER_00]: Do you have anything to add to that as far as the difference in micronetling with a without...

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[SPEAKER_01]: In general, regular micronetling is going to be very superficial.

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[SPEAKER_01]: So, you're looking at superficial layers of the skin when you're remodeling those with more fiascate in micronetling with radio frequency.

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[SPEAKER_01]: We're getting deeper and we're getting a much more tightening effect to the skin.

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[SPEAKER_01]: Who doesn't want Titan's skin?

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[SPEAKER_00]: The only...

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[SPEAKER_00]: people that in my practice, if they're talking about micro-needling or they're a good candidate for it, the ones that I'm going to recommend or say suggest a micro-needling without radio frequency are really going to be maybe my younger clientele that aren't in a place where they need a lot of skin tightening, not that more fused wouldn't.

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[SPEAKER_00]: work for them, but maybe they're in college or maybe they're just starting their new career and they don't have a big budget for that or acne scarring, skin penders, well with that, but you're right on the tip.

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[SPEAKER_00]: So skin penn goes to 2.5 millimeters.

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[SPEAKER_00]: Anything that is really considered over the counter for micro-nealing, I don't think is, I don't know what the limit is.

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[SPEAKER_00]: It's not very deep.

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[SPEAKER_00]: Not deep, it's way more superficial.

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[SPEAKER_00]: Right, so if you buy something

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[SPEAKER_00]: and you're like, okay, this says it does micro-needling, not all micro-needling is created equal.

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[SPEAKER_00]: So, you might be doing more damage to your skin than providing it a benefit.

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[SPEAKER_00]: You want to get things that have either an FDA approval or clearance, and you would want it to be done by a practitioner who understands the technology and how to apply it because you could cause more damage than good.

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[SPEAKER_00]: And also, there might not even be a therapeutic effect.

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[SPEAKER_00]: You might be doing nothing you might think you're doing something to your skin, but you're actually not really doing much of anything.

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[SPEAKER_00]: Speaking of which, more fias 8, I know a lot about that one because that's the one that I use, but what about other micro-needling devices with radio frequency?

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[SPEAKER_00]: How would you compare those or do anything to say about that?

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[SPEAKER_01]: Yeah, I would say more fias 8 is probably one of the more powerful micro-needling radio frequency devices on the market.

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[SPEAKER_01]: It's particular in the way that it delivers the energy.

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[SPEAKER_01]: Each of the pins is a positive pin, and so all of those needles are going to be delivering a radio frequency current.

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[SPEAKER_01]: Many other competitive devices, the energy is flowing from one needle to the next, so you're kind of losing a little bit of a sublative index and the ability for it to become an ablative device.

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[SPEAKER_00]: So even though it says, hey, we have my conetling of 3D of frequency, they might not be all created equal.

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[SPEAKER_00]: And they might not be able to to give such a therapeutic effect.

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[SPEAKER_00]: And I think it is more fius have the deepest.

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[SPEAKER_00]: It does.

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[SPEAKER_00]: Yeah.

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[SPEAKER_00]: So it has the deepest FDA approved depth of ability for any device.

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[SPEAKER_00]: And there's two hand pieces.

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[SPEAKER_00]: There's one that is intended for face or smaller areas.

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[SPEAKER_00]: And then there's one that's intended for larger areas.

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[SPEAKER_00]: Places that might need a little bit more depth to it.

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[SPEAKER_00]: So like somebody like we said, we can apply more fiasc to any part of the body, a one area that's very commonly requested as the abdomen.

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[SPEAKER_00]: especially women after they've had babies and that skin has kind of gotten stretched out.

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[SPEAKER_00]: They're getting older.

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[SPEAKER_00]: They have less collagen production.

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[SPEAKER_00]: They want to get back to wearing a swimsuit and feeling good in a swimsuit or at least have a little bit of their tummy showing.

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[SPEAKER_00]: So more if you say could be applied to that and those needles go deeper so you're gonna get more of a therapeutic effect out of using that type of effect.

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[SPEAKER_01]: And I like it with cellulite on the thighs.

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[SPEAKER_00]: Yeah, that's true.

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[SPEAKER_01]: I kind of forgot about that.

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[SPEAKER_00]: Yeah.

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[SPEAKER_00]: So cellulite,

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[SPEAKER_00]: many instances is just a skin laxy problem.

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[SPEAKER_00]: So if we can improve the skin laxity, we can improve the appearance of silky.

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[SPEAKER_00]: What about?

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[SPEAKER_00]: So everything that we've talked about so far is great about Morpheus, right?

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[SPEAKER_00]: So like it does all these wonderful things.

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[SPEAKER_00]: It's the best device, blah, blah, blah, blah, but I wouldn't be now even saying like can bad things happen.

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[SPEAKER_00]: with micro-needling authority frequency.

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[SPEAKER_01]: I think minor complications can happen with any medical device on the market.

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[SPEAKER_01]: We're studied and we're proven to be safe and effective for the general population, but there are contraindications to the procedure and there always is a risk that someone might have a more pronounced effect as far as an inflammatory effect in the skin that could lead to some complications.

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[SPEAKER_00]: We talked about how we're inducing it in inflammatory reaction, and we want that.

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[SPEAKER_00]: We want the inflammation, but sometimes inflammation can get a little out of control, and that can make it uncomfortable for the patient, or even the appearance might be unwanted, right?

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[SPEAKER_00]: So if you have more swelling, you're going to look more puffy and nobody really likes to look that way.

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[SPEAKER_00]: In my experience, those that seem to inflame more even though it is a little bit more uncomfortable, they tend to have better results.

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[SPEAKER_00]: Yeah.

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[SPEAKER_00]: And so it's not just silly bad thing.

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[SPEAKER_00]: And I think this really comes down to practitioners educating patients on that expectation and understanding.

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[SPEAKER_00]: Like we are stimulating inflammation.

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[SPEAKER_00]: We want that and you might be a little uncomfortable, but the result or the benefit out of that is well worth it.

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[SPEAKER_00]: from my experience.

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[SPEAKER_00]: So I'm also a clinical trainer for inroads.

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[SPEAKER_00]: So I travel around the US and and train people that have purchased these devices as well as done some what we call retrainings where we're just kind of going back and reviewing that education.

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[SPEAKER_00]: You know, sometimes bad things happen,

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[SPEAKER_00]: Sometimes it's a little bit, I've noticed it's out of a practitioner's control a little bit.

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[SPEAKER_00]: We can't predict every medicine is crazy and that anything can happen.

15:39.187 --> 15:48.207
[SPEAKER_00]: But also if maybe a patient puts aftercare on our lotion or cream or a retinol or something like that that's irritating to the skin that can happen.

15:48.187 --> 15:50.469
[SPEAKER_00]: Also, you mentioned contraenications.

15:50.769 --> 16:08.906
[SPEAKER_00]: I would think a major one is if somebody is any an impaired immune system would be a big contraenication, because the immune system is really, we are relying on the immune system to mount a response so that we can get that therapeutic effect, but also the immune response is creating healing environment for the skin.

16:08.946 --> 16:11.048
[SPEAKER_00]: So we've induced the injury and we want it to heal.

16:11.709 --> 16:18.075
[SPEAKER_00]: If somebody is compromised, their immune system is compromised in some way,

16:18.055 --> 16:27.349
[SPEAKER_00]: That person is not a good candidate and I have seen people get treatments where they maybe didn't disclose that to a practitioner But that's important to review medical history for sure.

16:27.369 --> 16:44.854
[SPEAKER_00]: Yeah, and I think a lot of people kind of skipped that part It would be a good for a practitioner to have like a checklist of hey did I ask all these questions and maybe give this checklist to the to the patient We were talking about this a little bit earlier and I think it's a good segue into this question So if somebody is they're like, okay, I'm I listen to this podcast.

16:44.874 --> 16:47.438
[SPEAKER_00]: I'm really interested in getting a more fierce treatment

16:47.418 --> 16:53.625
[SPEAKER_00]: What advice would you give them in terms of finding someone that they can trust to do a good job?

16:53.926 --> 16:57.040
[SPEAKER_01]: Yeah, I think providers should look for...

16:57.847 --> 17:03.877
[SPEAKER_01]: or, sorry, consumers, consumers should look for a provider who can easily explain the technology.

17:03.917 --> 17:14.253
[SPEAKER_01]: They can talk about what depths they're treating, why they're treating those depths, maybe look at before and after photos that the provider has of patients of a similar skin tone.

17:15.035 --> 17:20.243
[SPEAKER_01]: Looking for someone who will review their medical history, not really just sell them the treatment.

17:20.223 --> 17:22.508
[SPEAKER_00]: I think that's a really, really good point.

17:22.548 --> 17:32.933
[SPEAKER_00]: So if somebody is, they're focused on selling you this and saying this is gonna be great for you, but they're not asking you questions about your medical history.

17:33.334 --> 17:34.356
[SPEAKER_00]: I think that's kind of a red flag.

17:34.617 --> 17:35.278
[SPEAKER_01]: Yeah, I think.

17:35.258 --> 17:37.080
[SPEAKER_01]: There's a lot you can find out in a consultation.

17:37.140 --> 17:43.087
[SPEAKER_01]: The provider can find out about the consumer and the consumer can find out about the provider, setting realistic expectations.

17:44.349 --> 17:49.154
[SPEAKER_01]: It's not a miracle, it's not gonna be surgery, it's gonna be multiple treatments in a series.

17:49.835 --> 17:54.701
[SPEAKER_01]: That's gonna get you the best results and very transparent pre and post care instructions.

17:54.721 --> 18:02.430
[SPEAKER_01]: So that's gonna make it clear that they know what they're doing and they know what you should do to prep your scan and what you should do after to have the best results.

18:02.562 --> 18:04.825
[SPEAKER_00]: Yeah, and I think expectations are really important.

18:04.945 --> 18:06.167
[SPEAKER_00]: So it isn't surgery.

18:06.467 --> 18:07.909
[SPEAKER_00]: It's not a face lift.

18:08.029 --> 18:12.716
[SPEAKER_00]: But I think there are a lot of people that are not either not candidates for face lifts or don't want one or to can afford it.

18:12.776 --> 18:14.378
[SPEAKER_00]: That's a really expensive, especially the good ones.

18:14.618 --> 18:16.741
[SPEAKER_00]: Morpheus is not going to give you a face lift.

18:16.801 --> 18:21.167
[SPEAKER_00]: However, what it is going to do is close her to a face lift and not, I guess, is what you're saying.

18:21.187 --> 18:23.550
[SPEAKER_00]: Like it's going to improve, it's going to tighten the skin.

18:23.610 --> 18:29.278
[SPEAKER_00]: What it also is going to do that a face lift can't do for you is it's going to improve the texture and tone of the skin.

18:29.258 --> 18:34.069
[SPEAKER_00]: So if down the line, you need to get a face lift or neck lift, it's much nicer to pull pretty skin.

18:34.289 --> 18:34.650
[SPEAKER_00]: Totally.

18:34.670 --> 18:44.432
[SPEAKER_00]: Then it is just to pull old skin, I had the privilege of shadowing a plastic surgeon who did a face lift and I got to watch the whole thing, and I was

18:44.412 --> 18:47.335
[SPEAKER_00]: floored, like I understand tissue depths.

18:47.676 --> 18:49.277
[SPEAKER_00]: I need to to be able to do what I'm doing.

18:49.758 --> 18:53.562
[SPEAKER_00]: But I was floored at how thin that skin was when he was pulling it.

18:53.682 --> 18:55.624
[SPEAKER_00]: Like you could see light.

18:55.744 --> 18:57.006
[SPEAKER_00]: I mean, it was almost translucent.

18:57.066 --> 18:57.846
[SPEAKER_00]: How thin it was.

18:57.906 --> 19:03.492
[SPEAKER_00]: And it really got me thinking about, wow, like really testing the skin that depth of the skin.

19:03.533 --> 19:07.737
[SPEAKER_00]: I really think that another thing is like a practitioner should be like pinching or touching your skin.

19:07.717 --> 19:12.784
[SPEAKER_00]: with wash tans, but like pinching and touching your skin to feel the quality of it and the thickness of it.

19:13.105 --> 19:16.049
[SPEAKER_00]: Anyway, I just thought it was really fascinating to watch a face lift and stuff.

19:16.069 --> 19:28.307
[SPEAKER_01]: I think skincare companies have done this for a long time and the way they've marketed things of, you know, if you create healthier skin, your skin responds better to other things, and more fiascate can do the same thing.

19:28.287 --> 19:32.212
[SPEAKER_01]: So when we create healthier tissue, healthier tissue is going to heal better.

19:32.272 --> 19:40.922
[SPEAKER_01]: So for creating healthier tissue through those controlled injuries, then it probably is going to heal better with any sort of subsequent surgery down the road.

19:41.142 --> 19:43.665
[SPEAKER_00]: And you mentioned that it's a treatment series which I agree with.

19:43.865 --> 19:48.631
[SPEAKER_00]: We recommend in most scenarios at least a treatment of three, series of three.

19:49.332 --> 19:51.474
[SPEAKER_00]: And then maybe more if they need it.

19:51.755 --> 19:54.598
[SPEAKER_00]: I really can you get improvement from one,

19:54.578 --> 19:54.979
[SPEAKER_00]: Sure.

19:55.500 --> 19:59.166
[SPEAKER_00]: But one is not a third of three in terms of morphias.

19:59.586 --> 20:07.860
[SPEAKER_00]: You're going to get some improvement, but you get a larger percent of that improvement with the second and a even greater percentage of improvement with a third treatment.

20:07.900 --> 20:10.064
[SPEAKER_00]: It dishes how it works and how we build the collagen.

20:10.705 --> 20:13.650
[SPEAKER_00]: When would you expect to see results from a morphias treatment?

20:13.732 --> 20:21.105
[SPEAKER_01]: You might start to see some results as far as superficial textural improvement within a couple weeks, maybe 30 days.

20:21.726 --> 20:28.237
[SPEAKER_01]: But that full college and repair, it's going to start to take effect at around 30 days and it's going to peak at around 90 days.

20:28.458 --> 20:32.685
[SPEAKER_01]: It's going to take us all at three months after maybe that third treatment to see final results.

20:32.665 --> 20:37.553
[SPEAKER_00]: I tell patients six months, and I do this because it doesn't stop at three months.

20:37.913 --> 20:41.098
[SPEAKER_00]: It continues, and it doesn't even stop at six months.

20:41.239 --> 20:45.045
[SPEAKER_00]: When I started doing more fused treatments on patients, I liked it.

20:45.645 --> 20:49.892
[SPEAKER_00]: I liked because it was one month, three months, six months.

20:49.912 --> 20:52.015
[SPEAKER_00]: I was like, okay, I see some improvement with this.

20:52.376 --> 20:52.857
[SPEAKER_00]: I like it.

20:52.997 --> 20:54.940
[SPEAKER_00]: Patients are happy with these results.

20:55.441 --> 20:58.065
[SPEAKER_00]: When I started having patients come back a year later,

20:58.045 --> 21:06.635
[SPEAKER_00]: is when the wow factor kicked in and I start like I had patients come in for their annual treatment because we do recommend that after you do your treatment series of three, do at least once a year.

21:06.895 --> 21:13.543
[SPEAKER_00]: I was putting their pictures together and my most impressive results from Morpheus are a year from when they started the treatment.

21:13.743 --> 21:21.311
[SPEAKER_00]: I think for some people they might find that discouraging like oh I'm going to put all this money in this time and this effort into it and I'm not going to see results for a year but here's the good news about that.

21:22.052 --> 21:26.297
[SPEAKER_00]: Is Morpheus is preventative in one way

21:26.277 --> 21:40.219
[SPEAKER_00]: you are going to reap the benefits of this treatment forever and so I tell patients like, okay, so I'm you're marching through time and you're going I'm going to take you and I'm going to push you back on that time clock a little bit.

21:40.639 --> 21:44.826
[SPEAKER_00]: You're still going to march forward because I can't stop that right you're still going to age, but you're never going to just

21:44.806 --> 21:48.475
[SPEAKER_00]: snap back all the way to where you would have been if you hadn't done anything.

21:48.515 --> 21:53.547
[SPEAKER_00]: That's something that like maybe Botox is going to do right once it wears off you go back to where you started.

21:54.309 --> 21:59.862
[SPEAKER_00]: More fish you're always going to be in a better place than you would have been so it's great news.

21:59.842 --> 22:03.350
[SPEAKER_00]: for people that are looking for something that's more natural, that's gonna last longer.

22:03.410 --> 22:12.289
[SPEAKER_00]: Yes, there's an initial investment, but the benefits that you reap from that on the long term are so much better than some other things that we offer in aesthetics.

22:12.309 --> 22:16.478
[SPEAKER_00]: So I think it's really kind of like, I've said it before, it's like this found a view that love Morphias.

22:17.801 --> 22:17.901
[UNKNOWN]: Yeah.

22:17.881 --> 22:19.302
[SPEAKER_00]: combination treatments.

22:19.723 --> 22:25.948
[SPEAKER_00]: So if I have somebody that comes into my office and they want they're interested in a few different things.

22:26.469 --> 22:28.891
[SPEAKER_00]: We'll say I don't like my skin texture.

22:29.471 --> 22:30.632
[SPEAKER_00]: I don't like my wrinkles.

22:31.433 --> 22:41.142
[SPEAKER_00]: I feel like my skin is looking old, but they also tell me I have some sun spots that I don't like and I've lost volume in my cheeks or something like that.

22:41.162 --> 22:42.303
[SPEAKER_00]: I usually don't say that way.

22:42.964 --> 22:43.704
[SPEAKER_00]: They just say I look old.

22:44.325 --> 22:46.086
[SPEAKER_00]: What are some things I look tired?

22:46.106 --> 22:47.888
[SPEAKER_00]: I don't look like myself

22:47.868 --> 22:56.331
[SPEAKER_00]: What are some things that you, I think this is great news, you can actually combine morphias with other modalities, what are some things that you could combine it with?

22:56.552 --> 23:03.852
[SPEAKER_01]: You could combine it with the CO2 laser for that texture to give a little bit more improvement to the texture and tone of the skin.

23:03.832 --> 23:20.378
[SPEAKER_01]: You could apply it with IPL, so if they have sunspots or age spots, freckles, maybe some rosacea blood vessels in the area, just overall sun damage, IPL or the Lumeca on your Optimus platform is going to pair really nicely with Murphy's.

23:20.878 --> 23:25.806
[SPEAKER_01]: You could also, you know, in mode has other surgical.

23:25.786 --> 23:33.035
[SPEAKER_01]: procedures, quantum, face-tide, body-tide, those are all going to pair really nicely.

23:33.115 --> 23:48.874
[SPEAKER_01]: And then you're injectables, more fiasc, you know, if you do have volume loss in certain areas, like the mid-face, but maybe a little bit of laxity now in the lower face and cementum, then, you know, put some volume in the upper face and in treatum in the lower face for that laxity.

23:48.854 --> 23:52.059
[SPEAKER_00]: There's often when somebody's coming in with these complaints that we just talked about.

23:52.079 --> 23:54.423
[SPEAKER_00]: There's often multi-factures that we need to address.

23:55.064 --> 24:05.300
[SPEAKER_00]: What I love about combining it with CO2 or IPL is that CO2 and IPL are going to give you, you're going to see a result from that a lot quicker than you will with more of this.

24:05.641 --> 24:10.609
[SPEAKER_00]: So it's really gratifying to, I'm combining these two, I'm dressing two things, I'm dressing

24:10.589 --> 24:17.861
[SPEAKER_00]: skin texture, I'm addressing pigment and I'm addressing addressing the skin tightening, like getting the skin to tighten and look more useful.

24:18.462 --> 24:28.980
[SPEAKER_00]: So I'm addressing all of those things and yes, some of that skin tightening effect is going to take a little bit of time, but along the way, I get to reap the benefits of skin texture improvement, the sun spots are going away.

24:29.221 --> 24:36.613
[SPEAKER_01]: It gets the motivated for those improvements too to keep going and it just feels better because

24:36.593 --> 24:37.814
[SPEAKER_00]: wonderfully comfortable.

24:38.535 --> 24:39.616
[SPEAKER_00]: It's tolerable.

24:39.837 --> 24:42.560
[SPEAKER_00]: You can make a tolerable, but I mean, it's a little spicy.

24:43.361 --> 24:48.807
[SPEAKER_00]: Thankfully, it doesn't last for a long, the treatment's not very long, and as soon as you're done, it's not uncomfortable after that.

24:48.987 --> 24:49.828
[SPEAKER_00]: But it takes a long time.

24:49.888 --> 24:57.677
[SPEAKER_00]: You've invested your time, you've invested your money, you've invested some downtime, and it's a bit uncomfortable, so you want to reap some benefits from that.

24:57.857 --> 25:02.162
[SPEAKER_00]: So combining it with something that's going to show some results a little bit sooner is really

25:02.142 --> 25:07.096
[SPEAKER_00]: gratifying for the patient, but also me as a practitioner because I feel good that I'm giving them something that they are.

25:07.216 --> 25:08.119
[SPEAKER_00]: Can you explain it?

25:08.139 --> 25:09.001
[SPEAKER_00]: Yes, exactly.

25:09.021 --> 25:14.677
[SPEAKER_00]: To your point about filler, some more fias can reduce volume and areas that we don't want volume anymore.

25:15.058 --> 25:17.164
[SPEAKER_00]: In areas that we need to

25:17.144 --> 25:21.290
[SPEAKER_00]: in the skin a little bit to give it a more useful so more collagen, it can do that.

25:21.851 --> 25:26.037
[SPEAKER_00]: But as far as restoring like fat volume, we can't do that with Morpheus.

25:26.077 --> 25:26.918
[SPEAKER_00]: So that would be filler.

25:27.118 --> 25:36.551
[SPEAKER_00]: In mode has kind of coined the term we're getting the titan bright, which is what you do in IPL, which is going to brighten the skin and fix the pigment and then Morpheus, which is going to tighten the skin.

25:37.232 --> 25:40.858
[SPEAKER_00]: I kind of added perk on mine, which is adding a little bit of filler.

25:41.038 --> 25:46.105
[SPEAKER_00]: After we finish your treatments, so tight bright and perk, perk is going to add some volume to the cheek.

25:46.085 --> 25:51.998
[SPEAKER_00]: a very well-rounded result that patients are really happy with when we can combine those.

25:52.960 --> 26:01.478
[SPEAKER_00]: And then the surgical ones that we talked about, so if somebody has more volume that maybe is a little more difficult for more fierce to tackle.

26:01.458 --> 26:03.322
[SPEAKER_00]: Yes, more fiasc can reduce in that.

26:03.682 --> 26:09.714
[SPEAKER_00]: However, combining it with face tie or quantum, it's a more, would you say, aggressive version of radio frequency?

26:09.895 --> 26:11.358
[SPEAKER_01]: Yeah, and it's, it's much deeper.

26:11.398 --> 26:15.065
[SPEAKER_01]: So we're, we're putting that radio frequency into that subcute plane.

26:15.786 --> 26:22.740
[SPEAKER_01]: Subcutaneous tissue, and that's going to cause more apoptosis or that fat cell death in those areas.

26:22.720 --> 26:29.409
[SPEAKER_00]: All right, so we're going to have more shrinkage of fat and in with a face tie, you can actually suction the fat out like liposuction.

26:29.609 --> 26:33.293
[SPEAKER_00]: With liposuction, you're removing the fat but you're going to be left with loose skin.

26:33.854 --> 26:41.884
[SPEAKER_00]: When you're combining face titer quantum with liposuction, you're removing the fat so you're getting that immediate volume change but then you're tightening the skin over it.

26:41.965 --> 26:45.509
[SPEAKER_00]: So it's suction really nicely over that area so that you're not left with loose skin.

26:46.110 --> 26:48.593
[SPEAKER_00]: And then we do a morphus over it which is going to

26:48.573 --> 26:57.146
[SPEAKER_00]: further stimulate that collagen and tighten the skin so you get more of that overall pull comprehensive benefit of tightening and volume reduction.

26:57.426 --> 27:05.558
[SPEAKER_00]: Some of my most common patients are those that have lost weight recently, which I think is very common in this industry right now with the a medical weight loss.

27:05.919 --> 27:11.948
[SPEAKER_00]: In your position as a director, are there anything if you've seen a lot of discussion about that, but more of you.

27:11.928 --> 27:12.850
[SPEAKER_00]: and weight loss.

27:13.130 --> 27:13.571
[SPEAKER_01]: Absolutely.

27:13.591 --> 27:25.731
[SPEAKER_01]: And I think it's a good conversation to have with your patients as you're introducing those weight loss medications is because anytime we have some volume reduction in the area, you're probably going to see some skin laxity.

27:25.772 --> 27:30.780
[SPEAKER_01]: Now there is a chance if they're

27:30.760 --> 27:44.984
[SPEAKER_01]: just natural tightening as they lose weight, but if you're pushing into your 30s, 40s, and depending on the amount of weight loss that you've had, you're going to see some skin laxity in that area.

27:45.144 --> 27:55.401
[SPEAKER_01]: So being preventative with more FESA or being preventative with any energy-based device is really important to help stimulate that collagen to tighten in that area.

27:55.533 --> 28:06.208
[SPEAKER_00]: I've had some patients that say like they come in and we talk about all of these things and because if they're starting on because we offer medical weight loss, if they're starting on a program that's going to help them lose weight.

28:06.328 --> 28:13.238
[SPEAKER_00]: Yes, you are going to lose weight and here are some of the things that you're going to notice that might be less than optimal for you is that

28:13.218 --> 28:17.665
[SPEAKER_00]: you're gonna see changes in your skin, you might not like, you're gonna see more wrinkles.

28:18.326 --> 28:20.369
[SPEAKER_00]: There's some contour tree body that's gonna change.

28:20.610 --> 28:23.154
[SPEAKER_00]: In most cases, you're gonna love that change.

28:23.314 --> 28:29.644
[SPEAKER_00]: But in some spots, it's not, you know, maybe there's some stubborn fat in the belly area or around the hips or love handles.

28:29.784 --> 28:33.310
[SPEAKER_00]: For certain people that are, they've said, like, okay, well, I'm gonna lose weight first.

28:34.071 --> 28:39.139
[SPEAKER_00]: And then I will look into doing more fiasc, micro-needling or quantum hurt, such.

28:39.840 --> 28:41.082
[SPEAKER_00]: I really,

28:41.062 --> 28:56.083
[SPEAKER_00]: Unless somebody is grossly overweight, which most of my patients are kind of in that middle area, I, because the results take so long, I prefer to actually start applying that technology at the beginning as because it is so much easier.

28:56.063 --> 28:58.505
[SPEAKER_00]: to prevent something that it is to reverse it.

28:58.525 --> 29:00.126
[SPEAKER_00]: And I think that's true for anything.

29:00.827 --> 29:02.989
[SPEAKER_00]: But especially now aesthetics, it's so much easier to prevent.

29:03.049 --> 29:07.233
[SPEAKER_00]: So I would recommend that if somebody is, I'm going to lose weight.

29:07.393 --> 29:08.454
[SPEAKER_00]: I'm looking forward to this.

29:08.714 --> 29:10.956
[SPEAKER_00]: But I do understand that I'm going to have some laxity.

29:11.116 --> 29:13.698
[SPEAKER_00]: You know, maybe their tummy doesn't look great now.

29:14.259 --> 29:18.642
[SPEAKER_00]: And they're like, well, I understand it's probably going to look more wrinkly as I'm losing weight because I'm losing that fat in the skin.

29:19.423 --> 29:25.328
[SPEAKER_00]: Darding more fias when you're starting your weight loss journey is, I think you're going to get a better result overall.

29:25.308 --> 29:25.949
[SPEAKER_01]: I think so too.

29:26.370 --> 29:26.590
[SPEAKER_01]: Yeah.

29:27.611 --> 29:37.265
[SPEAKER_00]: So we've talked about kind of what for for consumers, somebody's looking for a more fucy treatment and I hope some of this audience us also practitioners who have more fucy that they could learn something about how to explain it to their patients.

29:37.365 --> 29:45.637
[SPEAKER_00]: What are some key components that you could give advice to a practitioner as far as being able to offer at least apply this to their patients?

29:45.657 --> 29:49.543
[SPEAKER_00]: For example, like

29:49.523 --> 29:53.109
[SPEAKER_01]: where you want to apply that energy and how you want to apply that energy.

29:53.309 --> 29:56.835
[SPEAKER_01]: We can utilize Morpheus 8 to where it's delivered as a single pulse.

29:57.216 --> 30:00.201
[SPEAKER_01]: We can also deliver multiple pulses in one same spot.

30:00.361 --> 30:07.313
[SPEAKER_01]: You'd want to know where you're applying that energy, how you're applying the energy, in order to both be safe and efficacious for your patient.

30:07.293 --> 30:07.593
[SPEAKER_00]: Right.

30:07.613 --> 30:18.324
[SPEAKER_00]: So basically, we want practitioners to understand who have morphus or thinking about getting it, to not only understand skin anatomy, which they should in the first place, but to understand the technology.

30:18.884 --> 30:24.650
[SPEAKER_00]: I do think morphus a technology when your first learn about it is a little intimidating, but it's because it does so many cool things.

30:25.491 --> 30:32.878
[SPEAKER_00]: And if you're going to apply to really understand the technology and how it works, once you understand that,

30:32.858 --> 30:36.802
[SPEAKER_00]: You don't really need any support after that because you can really just apply it anywhere.

30:36.842 --> 30:43.869
[SPEAKER_00]: So for someone who is a practitioner that is looking for somewhere to get some more education on this, what would you recommend they do?

30:44.310 --> 30:46.011
[SPEAKER_01]: Reach out to In Mode.

30:46.051 --> 30:47.072
[SPEAKER_01]: You can reach out to In Mode.

30:47.353 --> 30:49.355
[SPEAKER_01]: You can purchase the additional training.

30:49.395 --> 30:55.201
[SPEAKER_01]: We have amazing trainers who can review a lot of times too when they get the device.

30:55.381 --> 30:57.183
[SPEAKER_01]: They're very overwhelmed, right?

30:57.203 --> 30:59.625
[SPEAKER_01]: And they're, I'm sure maybe you can.

30:59.605 --> 31:19.656
[SPEAKER_01]: Yeah, you can relate to this, but, you know, you get the device, maybe your brand new to energy-based devices, maybe you offer some other aesthetic treatments, maybe you don't offer aesthetic treatments, and this is your first kind of entryway, and to aesthetics, you're worried about marketing the device, you're worried about selling the device, you're patients, you're worried about...

31:19.636 --> 31:21.861
[SPEAKER_01]: staff knowing it, if you have staff.

31:22.442 --> 31:30.961
[SPEAKER_01]: So there's all these other worries that are kind of going in, how you're going to pay for the device, and you're not so focused on how I'm going to apply this to my patient.

31:31.402 --> 31:34.990
[SPEAKER_01]: And then once you start treating a couple of patients, you start to have some questions.

31:35.150 --> 31:38.117
[SPEAKER_01]: The company is always available to

31:38.097 --> 31:39.880
[SPEAKER_01]: Offer additional training.

31:40.120 --> 31:42.764
[SPEAKER_01]: If people need it, we have a clinical hotline.

31:42.824 --> 31:45.168
[SPEAKER_01]: People call in and ask us questions all the time.

31:45.188 --> 31:50.957
[SPEAKER_01]: On the clinical hotline, as far as, you know, clarification on different modes.

31:51.077 --> 31:52.679
[SPEAKER_01]: I think in mode is incredibly supportive.

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[SPEAKER_00]: Honestly, in my experience, it has been as far as like helping out with understanding things.

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[SPEAKER_00]: And then we started, when did we start it?

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[SPEAKER_00]: Was it this year?

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[SPEAKER_00]: Yeah, February.

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[SPEAKER_00]: Gosh, yeah, you're right.

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[SPEAKER_00]: OK, so we heard that, you know, there was a lot of people that were inward users that are more feast users, that like, hey, we would like some more education on this.

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[SPEAKER_00]: And so we created this thing called the Invote Institute.

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[SPEAKER_00]: The primarily, we do talk about other modalities, but primarily talks about Morpheus.

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[SPEAKER_00]: And it has been a huge head.

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[SPEAKER_00]: The feedback that I've gotten from everyone about better understanding the technology.

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[SPEAKER_00]: And for me, that's my...

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[SPEAKER_00]: That's my drug, I guess, that I seek what I'm teaching is that seeing a light bulb go off in somebody's head when they finally understand something that they've been struggling with.

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[SPEAKER_00]: It's so gratifying to me.

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[SPEAKER_00]: And I really think that in mode Institute has hit the nail in the head.

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[SPEAKER_00]: So how would if somebody has more of you say and they're offering it?

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[SPEAKER_00]: And they would like to better utilize this technology, how would they find out about the in-mode Institute?

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[SPEAKER_01]: Yeah, they can reach out to their sales wrapper, account manager, they should know little of dates in the region or throughout the U.S. that we host them.

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[SPEAKER_01]: Usually there's a couple every quarter in different regions within the U.S.

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[SPEAKER_01]: So if it's local or if you want to travel to one, you reach out to the wrap and anything to find out more.

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[SPEAKER_00]: cost it like it's not expensive.

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[SPEAKER_00]: I think it's really just kind of covering the cost in general and it's very affordable.

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[SPEAKER_00]: It's not like thousands of dollars, but it's a new day of education.

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[SPEAKER_01]: So pretty much it's funny when we started them.

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[SPEAKER_01]: We were like, is this really basic information or is it, you know, advanced information?

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[SPEAKER_01]: And what we found is there's really no kind of advanced Morpheus 8 settings.

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[SPEAKER_01]: What we teach you in the training and what in mode teaches you in

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[SPEAKER_01]: digested.

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[SPEAKER_01]: Correct.

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[SPEAKER_00]: That's a great word for it.

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[SPEAKER_01]: So I, by going back and rehearing it and being able to think about how maybe you've applied it in right ways or maybe how you can apply it better to your patients is important.

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[SPEAKER_00]: I mean, I feel like I'm a great testimony to this because when I first got my optimism, we did all our training in one day, we talked about IPL and laser hair removal and we talked about morphias and I was definitely overwhelmed and I didn't have the digestes like the perfect word for that.

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[SPEAKER_00]: I didn't have time to digest it.

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[SPEAKER_00]: But once I kind of understand some core concepts of it and really took the time to learn it and understand it and I got that support from it mode and I got to a place where now I can speak about it and help teach others.

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[SPEAKER_00]: You're right, there's no advanced setting so to speak, it's just understanding the technology.

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[SPEAKER_00]: It's creating that extra layer of anything that you do, right?

34:24.075 --> 34:29.922
[SPEAKER_00]: If you learn to do filler, you learn the basics first and then you go get some more education and understand it a little bit better.

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[SPEAKER_00]: hormone replacement therapy.

34:31.204 --> 34:32.226
[SPEAKER_00]: I didn't just go to one course.

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[SPEAKER_00]: So I went to one, two, three, four, and I just keep layering on.

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[SPEAKER_00]: So I think more fiasse is such a cool tool in aesthetics.

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[SPEAKER_00]: It's one of my favorite things that we offer.

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[SPEAKER_00]: And as a practitioner, I want people to really hone in and learn it really well so that they can also apply that the same way in their practice.

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[SPEAKER_00]: Okay, so we have talked about how practitioners can talk to their sales rep and account managers, but we have also started an Instagram, which is called At In-Motence to Toot.

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[SPEAKER_00]: And if you are in the Kansas City area and you are interested in looking like the best version of yourself, you can visit us at HorizonVedsbondwellness.com.

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[SPEAKER_00]: We also have an Instagram.

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[SPEAKER_00]: at Horizon Underscore Medspot Underscore Wellness.

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[SPEAKER_00]: We have two locations in Shawnee and the Plaza.

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[SPEAKER_00]: Both locations we have more FES eight among other modalities that might help you look like the best version of yourself.

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[SPEAKER_00]: And if you are not in the Kansas City area and you're interested in more FESate, you can go to InModeMD.com and you can look for

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[SPEAKER_01]: physician finder provider finder of, you know, you can put in your zip code and it'll show you all the local clinics that might have the device near you.

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[SPEAKER_01]: Thanks for joining us.

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[SPEAKER_01]: We will see you next time.

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[SPEAKER_01]: You have a great day.