Renuva

What is Renuva?

As we age, our skin envelope begins to thin out. Collagen and fat begin to shrink, giving us a hollow or sunken appearance.

Fillers are synthetic or autologous agents used to help restore the volume for the face and body.

Renuva is an all-natural off-the-shelf filler with extracellular matrix rich in regenerative properties that acts as a scaffold, allowing the body to recruit new fat cells to attach to it. Made from human allograft tissue, Renuva contains the same collagen, growth factors, and proteins as autologous fat and is a completely acellular, safe, and long-lasting alternative to fat transfer with liposuction.

How does this treatment differ from the other options?

1. Long lasting volume restoration with staged sessions
2. Easier than fat injection
3. Indirect lifting as compared to the direct lifting of facelifts
4. More contouring than botox
5. non-surgical compared to implants

What Conditions May Be Treated?

1. Nose
2. Lip
3. Sunken temples
4. Cheeks Hollowed
5. Hollow eyes
6. Mild to moderate sunken or hollow face
7. Flat looking face
8. Mid-face sagging
9. Prominent nasolabial folds
10. Early jowls
11. Receding chin
12. Neck lines
13. Hands
14. Buttocks
15. Body contouring
16. Breast contouring
17. Liposuction defects
18. Skin quality improvements

Whom is the treatment for?

1. Patients with realistic expectations
2. Patients in good healthy conditions
3. Adequate fat for harvesting in case of fat grafting
4. Stable weight without frequent or excess weight gain or loss

Whom is the treatment not for?

1. Patients with unrealistic expectations
2. Patients with low blood sugar, dehydration, acute disease, autoimmune disorder, blood disorder, cancer, or on bleeding thinning medications.

How is the treatment done?

Following local anesthesia, fillers are injected slowly and retrograde in low pressure settings to slowly, incrementally, and gradually restore the lost volume of the targeted skin sites.

Generally, several sessions are required.

Results are more precise, longer lasting, and more complete when injections are done in stages. Specific areas of collagen or fat loss are the addressed with serial sessions monthly injections. The treatments are sized to your dimensions and customized to your specific facial needs.

All unused prepared or mixed medicine must be packaged and labeled with the recipient patient’s identification.

The treatment takes about half hour in an outpatient clinic setting.

Local anesthesia is used.

What results may be expected?

1. Longer Nose
2. Fuller Lips
3. Enhanced chin
4. Smoother temples
5. Plumper and voluminous mid-face
6. More heart shaped looking face
7. More sculpted cheek definition
8. Reduced nasolabial prominence
9. Lifted early jowls
10. More fullness of the chin
11. Smoother neck lines
12. Plumper hands
13. Fuller buttocks
14. Improved body contouring
15. Improved breast contouring
16. Improved liposuction defects
17. More hydrated, plumber, and even-toned skin

When will one see the results?

The results will be seen instantly as well as gradually in weeks. After the swelling subsides with few days, the results will look more and more natural.

How long do the results last?

Results vary from six months to years. Duration of effect is similar regardless of sessions of treatments, but the magnitude of change will be determined by the number of sessions.

How to maintain or enhance my results?

Additional maintenance is required.
Healthy eating and exercise are helpful to enhance results.
Further treatment may be recommended for further results.

What is the recovery like?

Recovery lasts one weekend, with most people returning to work and activities thereafter.
Temporary swelling, soreness, and mild bruising are expected.
Prescription pain medications are generally not needed.

Instructions

After the treatment:
Message to the areas three times a day for three days to improve evenness.
Ice pack to the areas for the first two days to reduce swelling
Heat pads to the areas for the subsequent two days to expedite the resolution of any bruising.

Cost of Treatments

Cost of treatment options ranges from three to five digits. An in-person consultation with your specialist physician will help to determine the best suitable solution to your own individual needs.

Gallery

What is a Injectable Filler?

How does this treatment differ from the other options?

Fillers provides:

What Conditions May Be Treated?

19. Nose
20. Lip
21. Chin
22. Sunken temples
23. Cheeks Hollowed
24. Hollow eyes
25. Mild to moderate sunken or hollow face
26. Flat looking face
27. Mid-face sagging
28. Prominent nasolabial folds
29. Early jowls
30. Receding chin
31. hands

How is the treatment done?

Following local anesthesia, fillers are injected slowly and retrograde in low pressure settings to slowly, incrementally, and gradually restore the lost volume of the targeted skin sites.

Specific areas of facial collagen or fat loss are the addressed with serial sessions monthly injections. The treatments are sized to your dimensions and customized to your specific facial needs.

Several sessions are needed. The procedure can take one hour in an office setting. Procedure usually need only local anesthesia.

One’s own platelets derived platelets rich plasma, PRP, is harvested and concentrated to derive HDGF(high density growth factors). Prepared scaffolding agent is then mixed with the HDGF, along with blood CD 34 stem cells or placental stem cells, if needed, to create a suspension of biological seeds, micronutrients, and scaffold. The suspension is then “activated” to promote release of the numerous growth factors from one’s platelets.

Once injected, more voluminous heart-shaped face is instantly creasted, while adding nourishment, hydration, and repair to the skin.

Further activation and amplification can be achieved by exterenal or internal energy using radiofrequency or laser to kick start the biochemical stimulation. This process of using light stimulation to enhance photosensitizer agents to jump start the regenerative and reparative process is called Photodynamic Rejuvenation. Commonly used energy include low level laser(LLL), radiofrequency, or infrared laser. Prior to starting of photodyanmic session, photosensitizer and non-photosensitizer antioxidants are administered. Subsequently, external light or radiofrequency can be applied for a brief duration, or internal inside-the-skin laser can be used for a brief duration to start the photodynamic process.

Generally, several sessions are required. The treatment takes about our hour in an outpatient clinic setting. Procedures usually require only local anesthesia.

What Results Might Be Expected?

18. Longer Nose
19. Fuller Lips
20. Enhanced chin
21. Smoother temples
22. Plumper and voluminous mid-face
23. More heart shaped looking face
24. More sculpted cheek definition
25. Reduced nasolabial prominence
26. Lifted early jowls
27. More fullness of the chin
28. More hydrated, plumber, and even-toned skin

When will one see the results?

The results will be seen instantly. After the swelling subsides with few days, the results will look more and more natural.

How long do the results last?

Results varies from six months to years. Duration of effect is similar regardless of sessions of treatments, but the magnitude of change will be determined by the number of sessions.

What is the recovery like?

Recovery lasts few days to one week .
Moderate swelling, mild bruising, and mild pain are expected.
Prescription pain medications are generally not necessary.
Most people return to work and activities in a few days.
Message to the areas three times a day for three days to improve evenness.
Ice pack to the areas for the first two days to reduce swelling
Heat pads to the areas for the subsequent two days to expedite resolution of any bruising.

How to maintain or enhance my results?

No special maintenance is needed. To enhance your results, consider alternatives.

Alternatives?

Non-Surgical
• Injectable Fillers
• Botox
Surgical
• Fat
• Chin Implant
• Cheek Implant
• Face Lift

Frequently Asked Questions

Q: Why do the non-injected areas next to the injected areas a swell after injection?
A: Local anesthesia and lymph tend to pool in gravity dependent areas. These areas include eyelids, nose, lower cheeks, and jowls.

Q: Why are injectable fillers are done in stages instead of in one session?
A: Results are more precise, longer lasting, and more complete when injections are done in stages.

Q: Why are all the injectable filler boxes open during the first session?
A: All unused prepared or mixed medicine must be packaged and labeled with the recipient patient’s identification.

Differences Among Bioregenerative Agents: Micro-Surgical

 

	Micro-Surgical
	Autologous agents
	LipoLift variable sized Fat +HDGF +Fat Stem Cell)	Fat
Effect	++++	+
Duration	Up to years	Up to years
Live Cells	Most	Yes
Collagen Growth	Most	No
Stem Cell Activation	+++	+
Hydration/ Nutrition	Yes	No
Surgery required	Both	Yes
Recovery	Up to 1 week	Up to 1 week
Body slimming	Yes	Yes
Sessions per year	2 times	3 times
Result / Expense	++++	+
Areas Treated
Nose
Lips
Chin
Temple
Brows
Hollow eyes/ Wrinkle
Cheeks
Nasolabial
Lower Neck Line
Hands

Differences Among Bioregenerative Agents: Non-Surgical

	Non-Surgical
	Autologous+ synthetic	Autologous+ synthetic	Autologous+ synthetic	Autologous+ synthetic	Autologous Scaffold	Synthetic Scaffold
	Photodynamic Super Collagen Lift LipoLift AlloFill +HDGF ±placenta stem cells ±blood CD34 stem cells +laser activation	Photodynamic Super Collagen Lift Face Eyes Wrinkle Lift Sculptra +HDGF ±placenta stem cells ±blood CD34 stem cells +laser activation	Photodynamic Super Collagen Lift Forehead Hyaluronic +HDGF ±placenta stem cells ±blood CD34 stem cells +laser activation	Super Collagen Lift Face Sculptra +HDGF	AlloFill Donated Sterilized Emulsified microparticle natural fat scaffold	Sculptra	Silikon-1000
Effect	++++	+++	++	+++	++	+	+
Duration	>2 years	>2 years	Up to 2 years	>2 years	>1 year	Up to 2 Years	Up to years
Live Cells	Yes	Yes	Yes	Yes	Yes	No	No
Collagen Growth	Yes	Yes	Yes	Yes	Yes	Yes	Yes
Fat Growth	Yes				Yes
Stem Cell Activation	+++	+++	++	++	0	0	0
Hydration/ Nutrition	Yes	Yes	Yes	Yes	No	No	No
Instant/Gradual improvement	Instant+Gradual	Gradual	Gradual	Gradual	Instant Gradual
Surgery required	No	No	No	No	No	No	No
Recovery	Weekend	Weekend	Weekend	Weekend	Weekend	Weekend	Weekend
Body slimming	No	No	No	No	No	No	No
Sessions/year	3 times	3 times	3 times	3 times	3 times	3 times	3 times
Result / Expense	++++	+++	++	+++	+++	+	+++
Areas Treated
Nose
Lips
Chin
Temple
Brows
Hollow eyes/ Wrinkle
Cheeks	CCC	CCC
Nasolabial
Lower Neck Line
Hands	CCC

Differences Among Synthetic Fillers

Non-Surgical
	ArteFill™	Radiesse™		Hyaluronic Acid
			Super FillerSM variable density Hyaluronic Acid + Silikon 1000 +Layered incremental	Photodynamic Super InstantLiftSM variable density Hyaluronic Acid + HDGF +Layered Incremental +laser stem cell activation	Super InstantLiftSM variable density Hyaluronic Acid + HDGF +Layered incremental	High Density Hyaluronic Acid Hydrelle Perlanel Voluma	Low Density Hyaluronic Acid Captique Juvaderm Restylane PreVelle Boletero Silk
Effect	+	++	++	+++	++	++	+
Duration	Up to years	1 year	Up to years	Up to 2 years	Up to 2 years	6 months	6 months
Live Cells	No	No	No	Yes	Yes	No	No
Collagen Growth	No	No	Yes		No	No	No
Hydration/Nutrition	Yes	Yes	No	Yes	Yes	No	No
Stem Cell Activation	0	0	0	++	+	0	0
Surgery required	No	No	No	No	No	No	No
Recovery	Weekend	Weekend	Weekend		Weekend	Weekend	Weekend
Body slimming	No	No	No		No	No	No
Sessions/year	1	2	3		2	2	2-3
Result/Expense	++	++	++++		+++	++	+
Areas Treated
Nose
Lips
Chin
Temple
Brows
Hollow eyes/ Wrinkle
Cheeks				CCC
Nasolabial
Lower Neck Lines
Hands